HomeMy WebLinkAbout2003 - SFR C/O
Town of Montville
Building Department
Certificate of Occupancy
This is to certify that the structure at 3 ADAMO AVENUE unit: under permit number B2002-660
constructed as a Single Family Residence conforms substantially to the requirements of the
Building Code Ordinances and Zoning regulations as adopted by the Town of Montville and the State of Connecticut and is hereby approved
for use and occupancy under Use Group R4 of the 1995 CABO Building Code of Connecticut.
Construction Type: 5B Map/Block-Lot: 037/002-026
Owner: HARTENS POND LLC
183 QUARRY ROAD
MILFORD CT 06460
CO Special Conditions:
Friday, March 28, 2003
Buil mg cial Signature CO Issued:
i
Town of Montville
kfi J.C. ~ ~ Building Department
848-3030, Ext 82
ONE & TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN-OFF SHEET
,~A~ann,o Aucn,~_;_ ogUaje-
Property Address
Job Description:
The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all
signat s elow have been obtained.
HE H DISTRICT 848-3030-339
p 1/' Approved
) ❑ Permit ❑ Not Applicable
Septic System Date
V9'- Approved
,n
4v'o J? "✓~l Q ❑ Permit El Not Applicable
Private Well/ Date
WP CA DEPARTMENT 848-3030, Ext. 376
Approved
Permit 173 ❑ Not Applicable
ru- nicipal Sew r Date
House Trap ❑ Outside ❑ Inside
/J Approved
❑ Permit # ❑ Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
/ (13 ❑ Permit ~at A li ble
_D AAtx) J'/ a r Date
PLA N & ZONING DEPARTMENT 848-3030. Ext. 379
In-Compliance
Permit #:~2~ ❑ Not Applicable
Zoning Date
In-Compliance
❑ Permit Pg::~ Not Applicable
Inland-Wetlands Date
*Vised 6/28/2002
Town of Montville
Building Department
Field Inspection Notice
Address: 3 Adamo Avenue
Job Description: SFR
Permit Numbers: B2002-0660 - M2002-0242 - P2003-0001 - E2003-0003
Footing Not Approved: Approved:
Comments: 1.
Backfill Not Approved: Approved:
Comments: 1.
Framing Not Approved: Approved:
Comments: 1. s
Rough Electric Not Approved: Approved:
Comments: 1.
Electrical Service Not Approved: Approved:
Comments: 1.
Rough HVAC Not Approved: Approved:
Comments: 1.
Rough Plumbing Not Approved: Approved:
Comments: 1.
Gas Line Not Approved: 12/01/03 12/04/03 Left note requestinglower Approved:
calibration gauge 400psi gauge used
Comments: 1. No Preqsuue
Fireplace Throat / Not Approved: Approved:
Chimney Comments: 1.
Fire/Draftstopping Not Approved: Approved:
Comments: 1.
Insulation Not Approved: Approved:
Comments: 1.
Certificate of Not Approved: Approved:
Occupancy Comments: 1.
Not Approved: Approved:
Comments: 1
Not Approved: Approved:
Comments: 1.
Not Approved: Approved:
Comments: 1.
Comments:
Pagel of l
Town of Montville
Building 'Department
` Date / / Field Inspection Notice Permit #
t
Job Location
pproved Type of Inspection n x
- Please call for re-inspection when the following corrections have been completed:
Loll, F-1 Not Approved
r
Building cial
f:
lle
r ToWn
Building f Department
_ Date /L Field Inspection Notice Permit #
C'
Job Location
F Approved Type of Inspection
&Z,- Ot Approved -Please call for re-inspection when the following corrections have been completed:
r
'
ly,
i
t
Building vial
Town of Montville
Building Department
Date Field Inspection Notice Permit #
Job Location A ~Al to Av' iJyr
Approved Type of Inspection /icy 5 uL~d l`-1
ii
❑ Not Approved - Please call for re-inspection when the following corrections have been completed:
L
LNG v f kA r i
' Building Official
Town of Montville
Build, 19 Department
Date Field inspection Notice Permit #
Job Location
10 proved Type of Inspection 4114-7)
p
❑ Not Approved - Please call for re-inspection when the following correctio s have been completed:
.f
f
Building " ~icial
Tows of Montville
Building Department
Date /-I Field Inspection Notice Permit #
i
Job Location t/J
Approved Type of Inspection rra..W)
ff -4)
E d=l r"
Not Approved Please call for re-inspection when the following corrections have been completed:
I Al P-44. 5 0 ~CZ~9 In 10
n 4
i
&1,4
uR Officia
i _
p
S
` Town o Montville
Building' Department
Date Field Inspection Notice Permit #
Job Location
APproved Type of Inspection
❑ Not Approved Please call for re-inspection when the following corrections have been completed:
'Iv
Building ffi J
le
Town of ontvil
Building, Department
i Date Field Inspection Notice Permit
Job Location
proved Type of Inspection
❑ Not Approved Please call for re-inspection when the following corrections have been completed:
i,
i
G
1
f
Building ffiGial
Town of Montville
Building Department
Date l_/ U Field Inspection Notice Permit #
Job Location
c~~0
PP Type of Inspection
A roved
5 ❑ Not Approved - Please call for re-inspection when the following correctidhr have been completed:
Building 00 cial.
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0003 Date: 06-Jan-03 Map/Lot: 037/002-026 Owner ID 500
Job Location: 3 ~__~E#MO~►Y NUE Unit
Job Description: Electrical & Electric Service
Owner: Contractor:
Hartens Pond LLC Lou Gaedt
1214 Old Colchester Road
183 Quarry Road Oakdale Ct 06370-
Milford CT 06460 Telephone: (860) 848-2070
Lic/Reg Type/No. 0 Exp Date:
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $0.00 CO Fee: $0.00 Included on Building Permit
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following inspections (minlmum 48 hours notice required):
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
W Rough Electrical ❑ Insulation
W Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Plumbing Permit
Permit Number: P2003-0001 Date: 06-Jan-03 Map/Lot: 037/002-026 Owner ID 500
Job Location: Unit
Job Description: plumbing
Owner: Contractor:
Hartens Pond LLC Lou Gaedt
1214 Old Colchester Road
183 Quarry Road Oakdale Ct 06370-
Milford CT 06460 Telephone: (860) 848-2070
Lic/Reg Type/No. 0 Exp Date:
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $0.00 CO Fee: $0.00 included on building permit
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following inspections (minimum 48 hours notice required):
❑ Footing - Prior to, pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
4
Town of Montville i
Building Department Permit #D 3 ®d~
310 Norwich-New London Tpke- 1°aa p 3 f
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
PPfumfring XEfectricaf [:]Mechanical
~ting
Air Conditioning
Gas Piping
Other
Job Location 72 A
Job Description/Materials y r o
Owner ~j C~ Mailing Address i l X51 ~-c-~
City--60 V ~ State-Af T_ Zip P( Tel / = 02~► d'
Contractor CS 11f Ld vc - Mailing Address
City State Zip Tel
Contractor's License/Registration Type & Number Exp. Date'-"'-7^ /
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---/ 1_2_1 tl
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total $ $
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
860-848-3030, Ext. 82
Mechanical Permit
Permit Number: M2002-242 Permit Date: 17-Dec-02 Permit Code R5
Job Location: 3 ADAMO AVENUE UNIT: MAP/LOT: 037/002-026
Job Description: Heating & Air Conditioning
Owner Contractor
HARTENS PON15 LLC Standish Heating & A/C
31 Clinton Avenue
183 QUARRY ROAD Unit: Norwich, Ct. 06360
MILFORD CT 06460 Telephone: 887-8999
Lic/Reg Type: Si
Use Group R4
Lic/Reg Number: 388945
Code 1995 CABO
Exp Date: 8/31/03
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: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $0.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
Included on Building Permit State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice requested):
❑ Footing - Prior to pouring concrete W 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 ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ Final Inspection
❑ Gas Piping and Pressure Test ificab7 anc - P ` r to use or occupancy
Building Official's Signature:
f 00
Town of Montville
Building Department Permit # / / c3 C~ y C~~
310 Norwich-New London Tpke.
Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
Tfum&ng [:]ECectricaf XJKechani5;1
*_,4'Teating
_4eL AIr Conditwmng
Gas Taping
El Other
Job Location
Job Description/Materials 4, f. a ~G / ~ f t2~1 ~vi~
64
Owner A/~ ga e-d-7'- Mailing Address
City ~~,A~'/p State Zip Tel /11
Contractor 4k a, V Ve ~ Mailing Address /I
3
city //dO ~w L ti lip
State Zip " o Tel / I
Contractor's License/Registration Type & Number Exp. Date Off-l5/l p_
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 fO2 / / / o?.
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $
MEN ■ , 31 Clinton Avenue
Oman Norwich, CT 06360
iii (860) 887-8999 Fax (860) 887-8890
'="'~')TA N DISH
1-888-445-9554
M HEATING AND AIR CONDITIONING www.standishhvac.com
CT LIC.#309114/#388569
DATE : A~ TO: A Ci -/,o A--
SUBJECT.- MY DESIGNEE - Stacy Clark
TO WHOM IT MAY CONCERN:
I hereby designate Stacy Clark to be my agent in acquiring the Permit
for
At AM k1d
on behalf of Standish Heating & A/C, Inc. of Connecticut.
The work to be performed will be to:
Thank you.
t. • _ - ~ rUNLU&TEDOONTRACrORI~
Very truly yours, HEATING, PIPING 8t-C,0.#-
Standish Heating & A/C, Inc, ivucH LFJo 7cAeux
77 li ;fig PI.~IN RD
02W
E:'--' S1
EXPIRES
TFE~
/ LICJ REG NQ,,
388945OIJ~go ~.K~`-`8!31/2003
Michael F. Jollcoeur ; ; y t
License #388945 (S-1) siGNEO _
Expiration date: 8-31-03
(MM/DD/YY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
GENCORP INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
16 MAIN STREET COMPANIES AFFORDING COVERAGE j
EAST GREENWICH RI 02818 COMPANY
A THE HARTFORD
i
INSURED COMPANY
STANDISH HEATING & AIR B
CONDITIONING INC COMPANY
31 CLINTON AVENUE c
NORWICH CT 0 6 3 6 0 COMPANY
D
I
:..............:>:<:»:»;%%...>::>::i:::::s::>:<::: ::»:;::>>z<i::><:::>:>_:_>:#:s«:::>:::><<::><.:> .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS
LTR DATE (MM/DO(YY) DATE (MWDDNY)
GENERALUABIUTY 02SBANF7874 04/01/02- -04-TO-1-/-03 GENERAL AGGREGATE $2, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG s2,000, 000
CLAIMS MADE OCCUR PERSONAL 3 ADV INJURY $1-'000, 000
OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE $1,000, 000
FIRE DAMAGE (Any one fire) $ 300, 000
MED EXP (Any one person) $ 10, 000
AUTOMOBILE LIABILITY 02UECFC5218 04/01/02 04 01/03 1,000,000
COMBINED SINGLE LIMIT $
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-0OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
H ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
X ER
WORKERS COMPENSATION AND 0 2 T~1E CG P 6523 04/01/02 0 4% 0 1 / 0 3 TORY LIMITS
EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500,000
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 5 0 0 , 0 0 0
PARTNERS/EXECUTIVE
OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE 5 0 0 , 0 0 0
OTHER
DESCRIPTION OF OPERATIONS!LOCATIONS/VEMCLESJSPECIAL ITEMS
1-40 ax
b~tK~..:7:I.t7:skfi#.::`:' ::.:::.:::.:::.:::.:.::::c::i;::::::;::=_::a::;.::;::::.:::=:i:::.z::;'•.S_R:2:'r.:::i:::::::<::`:::::;::::::'::::::.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
STANDISH HEATING & AIR EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CONDITIONING, INC. 10 DAYS WRITTEN NOTICE TO THE CERT99CATE HOLDER NAMED TO THE LEFT,
31 CLINTON AVENUE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
NORWICH, CT 0 6 3 6 0 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZEO REPRESENTATIVE
RICHARD A. PADULA, CIC CB A
~:~T .
STATE OF CONNECTICUT
WORKERS' COMPENSATION COlvWSSION
Building Permit Amdavit for Property Owners or Sole Proprietors
(Cann. Gen. Stat. § 31 286b)
Property located at
In the town of 0O-1L ,
Name of building permit applicant:
Please check one:
1. ~Q am the owner of the above property.
2. I am the sole proprietor of a business..
_2A. Name of business
2B- Federal Employer Identification Number (13
Pursuant to
§ 3 1286b, "a property owner or sole proprietor [who] intends to act as a general.
contractor or principal cMPloyu" may provide either a certificate of workers'
insurance or a "sworn notarized affidavit... stating that he will require compensation
Proof of w pensa*
compcnsat$oa insurance for all those employed on the job site in accordance with this chapter."
Please check one:
1. I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
2. Y-I intend to act as a general contractor or principal employer. Applicant must either a certificate
below of workers' compensation insurance- or sign the affidavit er
Affidavit
I hereby swear and attest that I will require proof of workers' corn
contractor, subcontractor, or other worker before hdshe engages in work on the above prop i
accordance with the Workers` Compensation Act (Chapter 548).
I understand that Pursuant to § 31-2-75 C.G.S., off-jeers of a corporation and partners in a .
partaexship may elect to be excluded from covcragc by filing a waiver with the appropriate
District Office; and that a sole proprietor of a business;is not rcqu-ucd to have coverage unless he
files his intent to accept coverage. _ - -F
LISA TERRY
Si ature o appli ant NOTARY PUBLIC
- MY COMMISSION EXPIRES OCT. 31, 2007
Subscribed and am to befo a this i,
zZ _ ay of ,204?
(Notary Public( Commissioner of the Superior Cou tl
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 82 Fax. 860-848-7231
October 24, 2002
Lou and Jane Gaedt
1214 Old Colchester Road
Oakdale, CT 06370
RE: 3 Adamo Drive
We have received a building permit application for the above referenced property. In accordance
with Connecticut General Statute 29-263, your application is being rejected for the following
reason(s):
tel. Worker's Comp affidavit not submitted
`/2 No heat loss calculations
No MEC check analysis
p/"4. Second set of plans required
P--* 5. Building section not provided
6. (3)2x12 in basement is over spanned
7. Fee due $1,514.55
We will keep all documents received to date on file and renew your application when you have
furnished all the required data.
Thank u,
se J. Summers
Asst. Building Official
Cc: File
i
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
860-848-3030, Ext. 82
Building Permit
Permit Number: B2002-660 Permit Date: 29-Oct-02 Permit Code R2
]ob Location: 3 ADAMO AVENUE UNIT: MAP/LOT: .037/002-026
Job Description: Single Family Residence
Owner Contractor
HARTENS POND LLC Lou Gaedt
1214 Old Colchester Road
183 QUARRY ROAD Unit: Oakdale, Ct. 06370
MILFORD CT 06460 Telephone: 848-2070
Lic/Reg Type:
Use Group R4
Lic/Reg Number: 0
Code 1995 CABO
Exp Date:
Construction Type 5B
Construction Values Permit Fees
Building Value: $190,837.00 Building Fee: $1,144.00
Plumbing Value: $11,519.00. Plumbing Fee: $70.00
Mechanical Value: $10,761.00 Mechanical Fee: $64.00
Electrical Value: $12,825.00 Electrical Fee: $76.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $225,943.00 C/O Fee: $10.00
Comments: Plan Review Fee: $114.40
State Ed Fee: $36.15
Total Fees: $1,514.55
It is the owners responsibility to schedule the following required insp ion (minimum 48 hours notice requested):
FV~ Footing - Prior to pouring concrete 0 Rough HVAC
W Backfill - Footing drains and waterproofing ❑ Fireplace Throat
W Concrete Slab - Prior to pouring W Fireplace Final
F,/~ Rough Framing ❑ Chimney - One flue above thimble
W Rough Electrical ❑d Firestopping/draftstopping
Electrical Service ❑d Insulation
F/❑ Rough Plumbing and Leak Test ❑ Final Inspection
0 Gas Piping and Pressure Test 9.1 c of occupancy - Prior to use or occupancy
Building Official's Signature:
4 Town of Montville
Building Department Permit #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
N'Wew Construction n Addition ❑ Afteration ~ Accessory Structure
FlOther
Job Location-
Job Description/Materials f r~-~-
Owner Mailing Address Q LI a-)
City State Zip._(3 _ Tel 66A/ F46/~
Contractor Mailing Address
City State Zip Tel
Contractor's License/Registration Type & Number Exp. Date / /
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 `d 6
V \j Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $
of Montville Building Departrr-qt Receipt
Town
No.
Date
From:
!oh Nddress:
d Cash
Amount ' - irdc once
y~ 9 PZnrut # ~
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (2 STORY)
House Construction A ` (E=Economy, A=Average, C=Custom)
QTY $/UNIT $/UNIT $/UNIT TOTAL
$
Liming Area 2612 SF $
Finished Basement SF $ 3.1v
Unfinished Basement 1216 SF $ - $ 4.80 $ $ .836-30
Plumbing
2 EA $ - $ 3,531.00 $ $ 3,53`.()0,
Full Bath
Half Bath 1 EA $ $ 2.247.00 a $ 2,247.00
Garages
Attached, 1 car EA $ - $ Attached, 2 car 1 EA $ - s "3.6-6.0,0 $ 13.67&00
Attached, 3 car EA $ $ 18;938.0a S
$ - $
Detached, 1 car EA $ $ 054-77.00
Detached, 2 car EA $ $ 5,809.00 $
Detached, 3 car EA - $ 21,072.00 $ a
Under, ! car EA 5 $ 1,226-W, S -
Under, 2 car EA $ - $ 111,673,00
$ -
Fireplace & Chimney
Prefab 1 EA $ S 3.480.0: $ $ 3C3.
Masonry, exterior EA $ 3555.100 $ $ -
Masonry, interior EA $ 3'330.0 - $
W/2 fireplaces EA r $52".00, $ -
Dormers
Gable - SF $ $ 22.00 $ - 5
Shed SF $ $ 15.00 - $ -
Breezeway/Decks
Open 226 SF > ' 3.:,;. $ - $ 3,003.00
Enclosed SF 5 - $ 62.80 Porches
Open 266 SF $ 22'95 > 6,124.70
55 $ $
Enclosed 'SF
$ u;
Heating Adjustment _ s 2 SF 5 ?2.1.73 - $ .45=''
Air Conditioning 2612 SF $ - $ 1.46 $ -
Electrical 2 , 2 SF $ (4.91) $ $ 12,624.9K,
Plumbing 2612 SF $ W 4.41) $ a (11;51 a.9 't
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 190,837.2='
Y Is air conditioning included /N)? $ 3,787
PERMIT FEE
Building $ 190,837 $ 1,144.00
Y Plumbing $ 11,519 $ 70.00
Y' Mechanical $ 10,761 $ 64.00
Y Electrical $ 12,825 $ 76.00
Other $ -
CO Fee $ 10.00
Plan Review $ 114.40
State Ed Fee $ 225,943 $ 36.15
Total Fees $ 1,514.665
Based on 2000 RS Means Square Foot Costs
10!24/02
d 1-
Town of Montville
Building Department'
&48-30'A, Ext 82
ONE & TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
Property Address
Job Description: W`~~ c~
The owner/agent shall be responsible for the completion of the form, certificate of occupancy will be issued until all
signatures below have been obtained.
HEALTH DISTRICT 848-3030-882
r Approved
Id ' ZS p 2 ❑ Permit (-Not Applicable
Septic System Date
Approved
~ 6d`ZS'a Z ❑ Permit ❑ Not Applicable
Privat^ell Date
WPCA DEPARTMENT 848-3030, Ext. 881
Approved
~a Permit El Not Applicable
Municipal Sewer Date
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House Trap ❑ Outside ❑ Inside
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Approved
❑ Permit # Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
lr/ J°,~ ❑ Permit ❑ Not Applicable
Director Date
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 81
In-Compliance
10 a3_ oZ Permit ;?(5z-,2,6t ❑ Not Applicable
Zoning Date
hi-Compliance
C1 -G ❑ Permit Permit Not Applicable
Inland- ands Date
Revised 6/28/2002
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