HomeMy WebLinkAboutInterior Renovations 2015 Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 25 Powerhouse Road
Job Description: Interior Renovations—Install First Floor Beam, Recess Lighting & Outlets, Replace Water
Lines and Install New Fixtures
Permit Number(s) B2015-0489 P2015-0121 E2015-0326 Permit Date: November 5,2015
Not Approved ,pproval
INSPECTION Comments Special Date
Conditions
First Floor Beam 11/25/15 VV
Rough Plumbing 11/25/15 VV
Rough Electrical 11/25/15 VV
Final inspection for
certificate of approval
After one re-inspection additional inspection fees payable prior to re-inspection,are as follows:
Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions CIO re-inspections -$10.00
Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00
Rev.Date: 1/18/06 Page 1 of 1
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860)848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number:_E2015_0326 Date: 16-Nw-15 Map/Lot: 068/03.5-000 Owner ID: 5687000
Project Location: 25 POWERHOUSE ROAD Unit:
Job Description: _fnstailR_eess_Liohtina amt Chanae Qutpeyjce_s
Owner Nam .Jeff Radacl< Tenant Name NJA
Careof:
10 Qt in[ ei/.••
Waterford _CT 06385- Telephone:18601908-0195
Applicant Name SNS-Elactric I I C Telephone: _(8601535-1 X33_
DBA: Lic/Reg Type _E1
Lic/Reg N 183767
1351auawock Road Exp Date: 30-Seo
Staninatan CT 06378-
Cooctruction_V_n(uo Pei ifFees Constnicl_ionJnto�n_gt�o_n
Building Value: 50.00_ Building Fee: SOLO_ Use Group: IRC
Plumbing Value: 50.00 Plumbing Fee: SD.nO Code: 2005 State Building Code
Mechanical Valu Sn.00_ Mechanical Fe $0,00
Electrical Value: &5.000.00 Electrical Fee: S60,Q0 Construction Type IRC
Total Value: 15_000.0_0_ Penally Fee: 50,00 Permit Code: R5
C of 0 Fee: Sg Il0 Comment
Plan Review Fe SO.O(L
State Ed Fee: _ 51.30
Total Fee Paid: 56130
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Drafistopping INSPECTION REQUIRED UPON COMPLETION
❑
Insulation Certificat- of Approval
-.'icate of Occupancy
_Rllildina Official's Anorav_a•
R 7
Town of Montville
Buildinq Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.:E..0015-0.3=N-0
Type of Work 09cupancy Type Permit Type
❑New Construction i2 Single Family ❑Building
❑Addition ❑Two-Family El Plumbing
Alteration ❑Townhouse ❑ echanical
❑Accessory Structure Electrical CRS#:
Job Address: 2.5 iC6 /lo
(Number) (Street)
(Unit)
Job Description: t r S-c-ALL /tire< SS L,t 4N-ri,.•4 orsj CN4t ot,cr
et-
Owner: -ec:ci2 p OsA
Address: // ,, 10 1�.�► /�/,�/
City: yv a foA ( State: CT` Zip Code: 063 i,r
Telephone: f`O- 90?— 019S-
Contractor:
/9.fContractor: S/vS rtGTr'-\L L L C
DBA:
Address: /?5 7� bt4 P P ' /14—
City:
1 -City: .STd e/I r-+4i' State: CT0-437 I
Zip Code:
Telephone: T/0-5754233 License Type: C.-/ License No.: /8 37 47 Expiration Date: 9/70/2.0/4
I hereby certify that the proposed work will conform to the State 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.
[Q By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in cha 33 rough 42 of the Residential Code.
Owner/Agent Signature:
Date: /i 3f/4j/1—
Construction Value Permit Fees
Building Value:
Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value:
Mechanical Fee:
Electrical Value: SI O 0 0 , t0-
Electrical Fee:
Total Value:
Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
&vised cDecem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 13-Nov-15
ReceiptNo: 10906
Received From: SNS Electric.LLC
Job Address: 25 Power House Rd.
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
Bldg Check: $6 $0.00
1.30 State Check:
$1.30
Bldg Credit: $0.00 State Credit:
Fire Cash: $0.00
$0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $5.000.00
Demolition Value: $0.00
CheckNo: 16543
Received By: David Jensen �,
Address: 25 Powerhouse
ITEM OTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
Basement,Finished SF $ 41.96 $ - $
Interior Renovations SF $ 36.09 $ - $ - $
AMENITIES
Kitchen EA $ - $ $
Full Bathroom EA $ $
Half-Bathroom EA $ $
GARAGE
Detached SF $ 71.53 $ - $
MECHANICAL
Warm-Air n YIN $
Hot Water n Y/N $ -
Electric n Y/N
Air Conditioning n Y/N $ - $
ELECTRICAL SERVICE
Upgrade Amps $ _
Subpanel EA $ 699.00 $
Gen Set FA $ 3,850.00 $
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace FA $ 6,497.70 $ -
Masonry w/1 fireplace EA $ 7,096.65 $ -
Masonry w/2 fireplaces FA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2,69225 $ -
Wood stove insert FA $ 1,859.77 $
DECKS,PORCHES,SUNROOMS
Deck SF $ 44.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $
Inground Pool EA $ 31,550.00 $ - $
Above Ground Round FA $ 6,299.46 $ - $ _
Above Ground Oval EA $ 7,019.75 $ - $ _
Pool Heater FA $ 8,984.25 $ - $
Inflatable Type Pool EA $ 1,200.00 $ - $ -
SHEDS
w/o electrical SF $ 25.55 $ -
w/electrical SF $ 26.85 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.50 $ -
Roofing,Strip&reroof SF $ 4.50 $ -
Roof Sheathing SF $ 1.51 $ -
Siding SF $ 6.75 $ -
Windows EA $ 550.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon EA $
Oil Tank,550 Gallon EA $
MISCELLANEOUS CALCULATIONS $ 5,000.00
TOTALS $ - $ - $ - $ 5,000.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ 5,000.00 $ 60.00
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 1.30
TOTALS $ 5,000.00 $ 61.30
Figures are based on the 2006 RS Means Residential Cost Data
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No 'emit will be issued until all the re.uired si•natures are obtained.
2S too we/t- LI0 It Pe-
Property Address
//'.(7-06a c. i cE-" /./4 N i i�`- i°r-�� C 1�A 4-6-a 147 QE vi
Job Description
Required
Department
Approval Permit Issuance Approval
Tax Collector
Signature/date
Comments:
Planning & Zoning
L Signature/dat • t
Comments: LI
® Fire Marshal
Signatu /date
Comments:
❑ Health Department
Required for properties with private septic or well
Comments:
111 WPCA, Administrative (t 1 /2=) (( I 131 15-
Required for properties on sewer Signature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments:
❑ Montville Police Department •
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ State Dept. of Transportation
Re•uired for Structures over 100 000 s..ft or with more than 200 •arkin• smaces-Official co• of STC Certificate of O.eration re.uired—.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
Revised May23,21)11
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TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX, (860) 848-7231
BUILDING PERMIT
Permit Number: 82015-0489 Date M D&_N-j5 Map/Lot: 068J015-000 _. Owner ID: 5687000
Project Location: 25 POWERHOUSE ROAD Unit:
Job Description: Interior.REMOYClhons
Owner Nam .Leff Radack Tenant Name N/A_
Careof:
1 n CJunrry Road
Waterford_ CT .0d3a5- Telephone: 8101442-1414
Applicant Name Property Owner Telephone:
DBA Lic/Reg Type .�
Lic/Reg N 0
Exp Date:
C'iu+dninfinn Veda�p __._...._.. _Patina Feas__ .. __._._ C_nnetnrciinn Infrnnniinn
Building Value: 87000.00_ Building Fee: -S.84.00 Use Group: IRC
Plumbing Value: SO 00 Plumbing Fee: 50,00 Code: 2005 State Building Code
Mechanical Valu SO 00._ Mechanical Fe $.0.00
Electrical Value: SUL_.. Electrical Fee: , 50.00_ Construction Type IRC
... .......
Total Value: S7.000.00 Penalty Fee: S0.00 Permit Code: R4
C of 0 Fee: _ Sn on Comment
Plan Review Fe S0 00
State Ed Fee: _ Si 82
Total Fee Paid: 585.82
It shall be the owners repsonsibility to schedule the followinq inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers
0 R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: _
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
0 Insulation u --rtificat-,. Approval
-� ate of Occupancy
13ulsii.na_�2fficial s .roval:_-.------ �,rlrC2ri _ ��
Town of Montville
Building Department
310 Norwich-New London Tpke.
TeL 860-848-3030, Ext 382
Uncasville, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Perm
Type of Work OCCUpancv Tvne
O New Construction Buiermitn T e
Single Family ldi
0 Addition g
Alteration DI Two-Family ❑Plumbing
❑Townhouse ❑Mechanical
w Accessory Structure 0 Electrical CRS#:
Job Address: 02 0 COQ r AO t-C,S C- i2e
(Number)
(Street)
Job Description: -_Re IV,,(4 ✓ (Unit)
�• �t _3!1`iiiL,r�rj��im tom` ri S`
Owner: e 0.C LLLGL
Address: /0 Q c.t_, f, 1 _
City:__________A___ ?�� C
` State: Zip Code: 3
Telephone: j C d -- V ,2 — ST/41tr-
Contractor:
DBA:
Address:
City:
State: Zip Code:
Telephone: License Type:YP License No.:
Expiration Date:
I hereby certify that the proposed work will conform to the State 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.
By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature: ' /`� aja_�6- ,'
Date:_ Z -����
Construction Value
Building Value: Permit Fees
Plumbing Value: Building Fee:
Mechanical Value: Plumbing Fee:
Electrical Value: Mechanical Fee:
Total Value: Electrical Fee:
Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
&vire&Decem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 02-Nov-15
ReceiptNo: 10863
Received From: Jeffrey Radack
Job Address: 25 Powerhouse Road
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00
State Cash: 10,00
Bldg Check: t85.82
State Check: t1.82
Bldg Credit: 10.00
State Credit: $0.00
Fire Cash: $0.00
Fire Check: 10.00
Fire Credit: $0 00 Construction Value:
$7.nnn no
Demolition Value:
CheckNo: 1077 $o.00
Received By: Carmen Kneeland 06n4 V
6 Q
Address: 25 Powerhouse Road
ITEM OTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
Basement,Finished SF $ 41.96 $ - $
Interior Renovations SF $ 36.09 $ - $ - $
AMENITIES
Kitchen EA $ - $ _ $
Full Bathroom EA $ _ $
Half-Bathroom EA $ - $
GARAGE
Detached SF $ 71.53 $ - $
MECHANICAL
Warm-Air n Y/N $ -
Hot Water n- Y/N $ _
Electric n Y/N $ -
Air Conditioning n Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $
Subpanel EA $ 699.00 $ -
Gen Set EA $ 3,850.00 $
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 6,497.70 $ -
Masonry w/lfireplace - EA $ 7,096.65 $ -
Masonry w/2 fireplaces EA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2,692.25 $ -
Wood stove insert - EA $ 1,859.77 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 44.07 $ -
Porch - SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $
Inground Pool EA $ 31,550.00 $ - $
Above Ground Round EA $ 6,299.46 $ - $
Above Ground Oval EA $ 7,019.75 $ $
-
Pool Heater - EA $ 8,984.25 $ - $ -
Inflatable Type Pool EA $ 1,200.00 $ - $
SHEDS
w/o electrical SF $ 25.55 $ -
w/electrical SF $ 26.85 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.50 $ -
Roofing,Strip&reroof SF $ 4.50 $ -
Roof Sheathing SF $ 1.51 $ -
Siding SF $ 6.75 $ -
Windows - EA $ 550.00 $ -
Skylights - EA $ 1,051.10 $ -
Doors,Exterior - EA $ 601.50 $ -
Oil Tank,275 Gallon - EA $ -
Oil Tank,550 Gallon EA $ _
MISCELLANEOUS CALCULATIONS $ 7,000.00
TOTALS $ 7,000.00 $ - $ - $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 7,000.00 $ 84.00
Plumbing y $ _ $
Mechanical y $ _ $ _
Electrical y $ _ $ _
Working before Permit Issuance $ _
Certificate of Occupancy Fee $ _
Plan Review Fee $ _
State Education Fee $ 1.82
TOTALS $ 7,000.00 $ 85.82
Figures are based on the 2006 RS Means Residential Cost Data
State of Connecticut)4 C
Workers' Compensation Commission
L.
„inra. cnr Please TYPE or PRINT IN INK
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit J �c
Property located at <2 J' � ,<<�Q-
in the City/Town of l(n
ATTEST
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE(1) BOX ONLY and complete the following:
❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant-. .._.. _..____.
-U I am the SOLE PROPRIETOR of a business doing work at the above-named property.I\MLL NOT act as the general contractor or principal employer.
(-\
Name of Business L ' (..1(_j_QC-t \
Fee aliamiteglIcC-IN)
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Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No seri-nit will be issued until all the re.uired si.natures are obtained.
0?5 PEK-0 l l POCI d
Property Address
54ft.�l to F(00 nn 00,0S-I�;p +--
Job Description
Required
Approval Department Permit Issuance Approval
j
I ® Tax Collector
Signature/dat�
Comments: /
Planning & Zoning • s /%,�
Signator date
Comments:
///�/-/(
®
1 Fire Marshal //
Comments:
Signature/date
❑ Health Department
Required for properties with private septic or well
Comments:
WPCA, Administrative
Required for properties on sewer Signatu /date.
Comments:
❑ WPCA, Operations _
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments:
❑ Montville Police Department •
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ State Dept. of Transportation
Required for Structures over 100,000 sq.ft.or with more than 200 parking s aces-Official co• of STC Certificate of O.eration re.uired-.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
7teviserfMay 23 21717
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860)848-3030 X382 FAX. (860) 848-7231
PLUMBING PERMIT
Permit Number:120j3_r-91 Date: 24-Nov-15 Map/Lot: 068/0.1_.5-000 Owner ID: 5687000
Project Location: 25 POWERHOUSE ROAD Unit:
Job Description: Refire Wate_[J.if9s&Insfpll_New PJumbina Fxfures
Owner Nam .leff Radock Tenant Name_NIA
Careof:
10 Quarry Rood
_Waterford CT 06385- Telephone:
Applicant Name James Kone Telephone: 18601625.5317
DBA: Lic/Reg Type �1
Lic/Reg N 278268
13 Perkin&Eaim Road Exp Date: 31-Oct-16
Wot€rfnrd CT 06385-
Cangtru,etian_V_aluc P_AmiLFges__ - Cansh tionintameatinn
Building Value: $0.00 Building Fee: $0_00_ Use Group: IRC
Plumbing Value: S2.501.00 Plumbing Fee: S36.00_ Code: 2005 State Building Code
Mechanical Valu S0.00 . Mechanical Fe $0 00
Electrical Value: S0.00 Electrical Fee: SD.QO_ Construction Type IRC
Total Value: S2,500.0_0 Penalty Fee: SO,OLL Permit Code: R5
C of 0 Fee: S1a 0(L Comment
Plan Review Fe Sala_
State Ed Fee: SO ^
Total Fee Paid: $36,65
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete 0 R Plumbing and leak test
❑ Deck Piers
❑ R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
C-•''cafe •• Approval
.•e of Occupancy
_Buil ino fficiol's �o
Arov_a• � ,
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM
Permit No.: paa
Type of Work Occupancy Type Permit Type
❑New Construction ❑Single Family El Building
❑Addition El Two-Family Plumbing
❑Alteration ❑Townhouse 'El Mechanical
El Accessory Structure ❑l Electrical CRS#:
Job Address: � ?O r r `l0
(Number) (Street)
(Unit)
Job Description: 1 c< << L v.c 1 v\S l
Owner: c..c4,
Address:
City: State:
Zip Code:
Telephone:
Contractor: j `vNe•-e_ o tel. -L.—
DBA:
Address:
\ J t yl to t
City: c -CDT'C.A
State: Zip Code: • 3 IDS—
Telephone: Sbb 6.2-c S'3 II—License Type: \ \ License No.:DJ 7 8,2 Cj
Expiration Date: 10 3 Q( t;
I hereby certify that the proposed work will conform to the State 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.
so By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature: 7 /
Date: //A-3/
Construction Value
Permit Fees
Building Value: _-
Building Fee:
Plumbing Value:
Plumbing Fee:
Mechanical Value:
Mechanical Fee:
Electrical Value:
Electr�o O tyal Fee:
Total Value: p
Penalty Fee:
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
Rrvised Decem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 23-Nov-15
ReceiptNo: 10933
Received From: _James M.Kane
Job Address: 25 Powerhouse Road
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
Bldg Check: $3 $0.00
6.65 State Check:
X0.65
Bldg Credit:
$0.00 State Credit: $0.00
Fire Cash: 10.00
Fire Check: $0.00
Fire Credit: X00 Construction Value: S7 son.on
Demolition Value: 10.00
CheckNo: 2168
Received By: Carmen Kneeland NO M V e A ..0toevil
Address: 25 Powerhouse
ITEM QTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
Basement,Finished SF $ 41.96 $ - $
Interior Renovations SF $ 36.09 $ - $ - $
AMENITIES
Kitchen EA $ - $ $
-
Full Bathroom EA $ $
Half-Bathroom EA $ $ _
GARAGE
-
Detached SF $ 71.53 $ - $
MECHANICAL
Warm-Air n Y/N $ -
Hot Water n Y/N $ -
Electric n Y/N
Air Conditioning n Y/N $ $
ELECTRICAL SERVICE
Upgrade Amps _
Subpanel EA $ 699.00 $
Gen Set EA $ 3,850.00 $ _
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 6,497.70 $ -
Masonryw/lfireplace EA $ 7,096.65 $ -
Masonry w/2 fireplaces EA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2,692.25 $ -
Wood stove insert EA $ 1,859.77 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 44.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $
Inground Pool EA $ 31,550.00 $ - $ _
Above Ground Round EA $ 6,299.46 $ - $
Above Ground Oval EA $ 7,019.75 $ - $
Pool Heater EA $ 8,984.25 $ - $
Inflatable Type Pool EA $ 1,200.00 $ - $
SHEDS
w/o electrical SF $ 25.55 $ -
w/electrical SF $ 26.85 $ - $ _
RENOVATIONS
Roofing,Overlay SF $ 3.50 $
Roofing,Strip&reroof SF $ 4.50 $ -
Roof Sheathing SF $ 1.51 $ -
Siding SF $ 6.75 $ -
Windows EA $ 550.00 $ -
Skylights EA $ 1,051.10 $
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon EA $
Oil Tank,550 Gallon EA $
MISCELLANEOUS CALCULATIONS $ 2,500.00
TOTALS $ - $ 2,500.00 $ - $
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ 2,500.00 $ 36.00
Mechanical y $ _ $
Electrical y $ _ $
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.65
TOTALS $ 2,500.00 $ 36.65
Figures are based on the 2006 RS Means Residential Cost Data
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
PLUMBING&PIPING UNLIMITED CONTRACTOR
,TAMES M KANE
13 PERKINS FARM RD
WATERFORD,CT 06385-3537
LIC./REG NO.
PL0278268_pl EFFECTIVE
11/10/2015 EXPIRES
10/31/2/2
016
SIGNED AP.17
DI�.vr State of Connecticut o
..,... .. .- Workers' Compensation Commission
_�,'�%" Please TYPE or PRINT IN INK '
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit C w‘C c C kk "C.--
Property
I`_Property located at 0) f r I0 0S t_ -71-ZciZ
in the City/Town of 1 1/ `eli IA-4 V 1' I Q�
ATTEST
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE(1) BOX ONLY and complete the following:
•
❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant-_ ..__. _ _..__—_.
yi-4/
I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business -AC W\te") C +n L_
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant fG ' / /7
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No .ermit will be issued until all the re.uired si•natures are obtained.
03 mer hr7t
Property Address
- - L a • 1
Job Description
Required
Approval Department Permit Issuance Approval
//Y.,
✓ ® Tax Collector (V7-5 f��
Comments:
Signature/date
f
Planning & Zoning arrC-
Comments: Sig ture/date
® Fire Marshal
( j�1 1 X11 1 Signature/date +C•C'Comments:
} 1
❑ Health Department
Required for properties with private septic or well
Comments:
❑ WPCA, Administrative
Required for properties on sewer Signature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments:
❑ Montville Police Department •
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ State Dept. of Transportation
Required for Structures over 100,000 sq.ft or with more than 200 parking s.aces-Official co• of STC Certificate of 0•eration re.uired—.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
Revised May 23,2011