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HomeMy WebLinkAbout12x15 Sunroom 2001-02 I 0 Town of Montville co) Date / / Building Department Field Inspection Notice Permit # p Job Location i�.. a i CI Approved Type of Inspection ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: k I t r G, ,r-,-,v, / 211 '? 4 id,PAIOWIPP-- AOr/f / Building Official 40 Town of Montville (;) Date� /_��/ oZ Building Department Field Inspection Notice Permit # Job Location 21 Approved T ype of Inspection / JG, ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: -rd f ,rte Building Official Town of Montville +w. BUILDING DEPARTMENT _ 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-7166, Ex.t 81 Building Permit Permit Number: B2002-009 Permit Date: 15-Jan-02 Permit Code R3 Job Location 14 POWERHOUSE ROAD UNIT: - MAP/LOT: 070/033-000 Job Description: Addition 12'x15' Owner Contractor KATHLEEN K COSTELLO Connecticut Residential Exteriors 172-A Oakwood Drive 14 POWER HOUSE RD Unit: - Glastonbury,Ct.06033 UNCASVILLE CT 06382 Telephone: 860-657-9819 Lic/Reg Type: HIC Use Group R4 Lic/Reg Number: 526399 Code 1995 CABO Exp Date: 11/30/02 Construction Type 5B Construction Values Permit Fees Building Value: $12,069.00 Building Fee: $76.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $1,002.00 Electrical Fee: $10.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $13,070.00 C/O Fee: $10.00 Comments: Plan Review Fee: $7.60 State Ed Fee: $2.09 Total Fees: $105.69 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice reauested): NI' Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final • Rough Framing ❑ Chimney-One flue above thimble • Rough Electrical ® Firestopping/draftstopping ❑ Electrical Service 0 Insulation ❑ Rough Plumbing and Leak Test ❑ Final Inspecti.. ❑ Gas Piping and Pressure Test e of s.•-...ncy-Prior to use or occupancy Building Official's Signature: Town of Montville Permitprfltie4)4_ Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ' 1 Weiv Construction ❑Accessory Structure ❑Tlum6ing 09Mechanicar ❑Action ❑vemotttion ❑Electricaf Jfeating ❑ACteration ['Other Air Conditioning Gas Tilling Job Location i Ct POW •e r L a u S e Fa /-5-/X /a ' Job Description/Materials Cd r, 5 -t r c.,c a A. V „ o. I C I a, d rSv„ R o .r, vs N ^1 ft if hie 1' bu ,-1 0, I Mme-}-er ,',us i (S1 7 f i, ,-,111 / 120,,t Owner kc.,.-i (, I.eP., C O S t C (l o Mailing Address 1 y- Po W i t 1, at, < e r 4 City V ,, c c, S -e v. 11{ State \ -k Zip (i g 3 g9 Tel (W6 0 / (/ ci 521 Contractor C T (Les s t.�-c,.�f, a ( Far+rv`CMailing Address t 7 2 ^ A 0 ck k,./oa d D (' City 6 (c to, 5v r)- State CA- Zip 0 033 Tel `<60 / 6 C7/ ?c 19. Contractor's License/Registration Type&Number S -2 6 3 c, cr Exp. Date 12 /J 0 / G Z New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes1-No I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature =�'�— Date ) / / / / C; Construction Value Fee /tiZ D ra Building $ $ Plumbing $ $ Mechanical $ $ Electrical /� Other $ 41r $ Certificate of Occupancy $ / L, Plan Review Fee $ 7, ‘, a State Education $ Total $ ( k f / 0°0 $ 145 , 4 l Towne Montville Building Depar ent Receipt F Date / /// / Dot No. 01410 kf IlD From: ( 'T /1 fcw i7/rjL /57f#(/0/cC Job Address: - 1 J . _46 & "f'. 11) Amount $ /0 ' '. _ _ Cash (Circic onc) Check # #4 p t .i Received by A- ,,, , .�. __ ,, ,_ _, —7--' Permit # / /c/0 ire G Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY ADDITION) House Construction A (E=Economy,A=Average,C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 204 SF - $ 71.30 $ - $ 14,545.1: Finished Basement SF - $ 28.95 $ - $ Unfinished Basement SF $ 13.25 $ - $ Plumbing Full Bath EA - $ 3,531.00 $ - $ Half Bath EA $ 2,247.00 $ - $ Garages Attached, 1 car EA $ - $ 8,054.00 $ - $ Attached,2 car EA $ - $ 13,676.00 $ - $ Attached,3 car EA $ - $ 18,938.00 $ - $ Detached, 1 car EA $ - $ 10,547.00 $ - $ Detached,2 car EA $ - $ 15,809.00 $ - $ Detached,3 car EA $ - $ 21,072.00 $ - $ Under. 1 car EA $ - $ 1,226.00 $ - $ Under,2 car EA $ - $ 1,673.00 $ - $ Fireplace&Chimney Prefab EA $ - $ 3,480.00 $ - $ Masonry,exterior EA $ - $ 3,555.00 $ - $ Masonry,interior EA $ - $ 3,330.00 $ - $ W/2 fireplaces EA $ - $ 2,520.00 $ - $ Dormers Gable SF $ - $ 22.00 $ - $ Shed SF $ - $ 15.00 $ $ Breezeway/Decks Open SF $ - $ 19.50 $ Enclosed SF $ - $ 82.80 $ Porches Open SF $ - $ 56.45 $ - Enclosed SF $ - $ 111.55 $ - $ Heating Adjustment 204 SF $ - $ (2.82) $ - $ (575.28) Air Conditioning 204 SF $ - $ 2.47 $ - $ - Electrical 204 SF $ - $ (4.91) $ - $ (1,001.64) Plumbing 204 SF $ - $ (4.41) $ - $ (899.64) TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 12,068.64 Is air conditioning included(Y/N)? $ - J PERMIT FEE Building $ 1 , 6� $ 76.00 Plumbing $ $ - Mechanical $ - $ - Y Electrical $ 1,002 $ 10.00 Other $ - CO Fee $ 10.00 Plan Review $ 7.60 State Ed Fee $ 13,070 $ 2.09 Total Fees $ 105.69 Based on 2000 RS Means Square Foot Costs 1/3/02 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-7166, Ex.t 81 Electrical Permit Permit Number: E2002-016 Permit Date: 01-Feb-02 Permit Code R5 Job Location 14 POWERHOUSE ROAD UNIT: - MAP/LOT: 070/033-000 Job Description: Electrical Service Owner Contractor KATHLEEN K COSTELLO D. DuBaldo Electric,Co.,LLC 44 Purnell Road 14 POWER HOUSE RD Unit: - Manchest&'Ct.06040-5412 UNCASVILLE CT 06382 Telephone: 649-1000 Lic/Reg Type: El Use Group R4 Lic/Reg Number: 102812 Code 1995 CABO Exp Date: Construction Type 5B Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $1,500.00 Electrical Fee: $10.00 1 Other Value: $0.00 Other Fee: $0.00 Total Value: $1,500.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.24 Total Fees: $10.24 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping V Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test ❑ Fin.- pection ❑ Gas Piping and Pressure Test Certifi . Prior to use or occupancy Building Official's Signature: 01/25/02 03:50 FAX 8487231 BUILDING DEPT 101 Town of Montville reit Building Department Permit# er,26b�Z -•t7/ 310 Norwich-New London Tpke. TeL 848-7166,Ext 81 Uncasville,CT 06382 Fax. 848-7231 One&Two Family Trades Permit Application Form ❑rPlum6ing lFlectricat ['Mechanical (eating Con Cater Job Location ti xd- Job Description/Materials fir i,e- /ex:e x:01 ; 70f`e -(r-)' 1)‘-e T` Owner /1-4-7 <(r7J'e//0 Mailing Address / l90,4, X,/ City !./%7C /,'//P 6•7--- State Zip Tel I / Contractor n_n p i rA Nm.. i:LC Mailing Fess 44 Arid • City Manchester.CT 010404112 State Zip Tel / / (160)84y1000 CT tit*102612 Contractor's License/Registration Type&Number Exp.Date / / I hereby certify that the proposed work will conform to the Basic Building Code end all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature_ a 72"/.G2/ c4 Date / I .2 Y l O. Construction Value Fee Building S_ S -Plumbing S S_ Mechanical Electrical S /SL"t) S /" '�Y Other Certificate of Occupancy S Plan Review Fee S State Education S Total $ /0, 2.-Se. Town of Montville Building Departrr-nt Receipt Date / / 027 /a7,____ . 01430 i lbw(-\ From: er (I;) Job Address: / ‘/ e t-' P CL �w �Qu� l' IL) Amount $ /4?) . Cash Check Check # 17,,R t 9 i , / Received by / - , i.' AW,. , e : • Permit # `L��60e7 ....00/6 8606457460 10/24/2001 14:09 8606457460 GORMAN INS AGENCY PAGE 01 ACORD, CERT( 'I- C OTE OF LIABILITY INS ANC R DATE{Mr2I 8ALD0 10/24/04/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gorman Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 223 East Canter Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manchester CT 06040 INSURERS AFFORDING COVERAGE Phone: 860-643-1139 1ax:860-645-7460 I INSURED INSURER A Hartford Insurance Group D. Dubaldo El tiric Co. , LLC & INSURER B. Dubaldo Slectrioa1 Contractor, INSURER C. LLC ATIU - - 44 Purn• 1 Play Manchester CT 06INSURER D• 040 - - 1 INSURER E: COVERAGES IIIb.POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA(E0 NOT WITHSTANDING ANY HEOUIHLMENT,TERM OR CONDITION OF ANY CONTRACT OR OT5IER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED ON MAY{'Ll1(AIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDIT IONS UI SI ça I PLA(CIL•S.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - POLICV tX'iRATION LTR I TYPE OF INSURANCE POLICY NUMBER DATE(MMIDO/YY) DATJMMIDDIYY} I LIMITS I GENERAL LIABILITY F.ACI I OCCUNNI NCI 152,000,000 A X COMMERCIAL GENERALLIASILITY 02 SSA Q1(2646 09/01/01 09/01/02 FIRE(IAMAGI.Oily one We) 1. 300,000 JCLAIMS MADE X OCCUR MIO E XP(Any Unr;WINCH') 5 10,000 PERSONA( 6 AM/INJUkY I S 2, 000,000 — GENERALAOGHIUA11. s4, 000,000 O(NL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAL}(; 54,000,000 POLICY �JECT LOC AUTOMOBILE LIABILITY A X ANT MOO F02 VSC DV9819 1 09/01/01 09/01/02 I (FOMB`d'1III ;LE llMll 1$ 500,000 UT Alt OWNED AUTOS I IKIUILY INJURY , S SCIICOULEO AUTOS II'e'Ve'S I I] I I HIRED AUTOS BULLY INJLIIY S NON-OWNED AUTOS (PE'JCC,UEnI) --- 1 P1401'1:10 V DAMAGE . I (Per,, OEnI) GARAGE LIABILITY IL AUTO ONLY•IA ACCIUI.N I S ANY AUTO OTHER THAN I.A ACC AUTO ONLY AGG 5 EXCESS LIABILITY I EACH OCC1)RRLNCL 55,000,000 AIX I IICOLIR I ..-I CLAIM$MADE 029DAGX2646 09/01/01 i 09/01/02 .AOGNI UAII $ 5,000,000 DEDUCTIBLE �X RETENTION { 10/000 I 5 WORKERS COMPENSATION AIM wuSIA(U• t)Tk i X I WHY LIMITS bk A EMP L9YER$'LIABILITY . 02 WIC CD7791 09/03/01 09/03/02 E L EACH ACME NI j$ 100,000 L.L.DISEASE•rA LMI'LUVI I-I 5100,00 0 E L UISEASE•Put ICYI5500, 000 OTHER A Inland Marine 02 SEA 0E2446 09/01/01 09/01/02 MUST CALL WITH DETAIL ( $500 DED. t ON EQUIP. DESCRIPTION OF OPERATIONS/LOCAYION$N!IjGLE&CXCLVISIONS ADOED BY ENDORSEMENT/SPECIAL PROVISIONS * In the event of cancellation due to nonpayment of premium, the certificateholdar will be divan 10 days notice. CERTIFICATE HOLDER N [ADWtIONAL INBUNED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. I Tony Gorman,CPCU,CIC ACORD 25-S(7197) ©ACORD CORPORATION 1988 k. Icn 1Z r 1 Io O I N Z m a i^ O r K yy I''' '\:1 \- Z 33 O . yO� mA m c � 'J •••-' p 1 -IC -1 r n ko < Or C m o C Q 1 m -Ir o 'y -1 '%• tli k 0 v 70b N " WX 1 l 1 0 0 � o m z '..� o cn N _ ,