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Home My WebLink AboutReplace Window/Repair 8x8 Section of Roof 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: 82006-0253 _ -Date: 15-Jun-06 Map/Lot: 104/034-000 Owner ID: 98000 Project Location: 12 AVERY ROAD Unit: Job Description: replace window and repair 8' x 8' roof section Owner Name: Michael Jr and Mary E Brycki Tenant Name: N/A Careof: 12 AveDLRd _ Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone: (8§848-3449 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Vale Permit Fees Construction Information Building Value: _$996.00 Building Fee: $8.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: _ $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: _ _$996.00 Penalty Fee: $0.00 Permit Code: R4 C of O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.16 Total Fee Paid: $8.16 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 framing ❑ 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 ❑~I Certificate of Appr val El scat of ccupancy T Building Official's Approval: r' 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 Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building ❑ Addition ❑ Two-Family ❑ Plumbing ❑ Alteration ❑ Townhouse ❑ Mechanical ❑ Accessory Structure ❑ Electrical CRS#: . Job Address: Ale-'e V (Number) (Street) (Unit) Job Description: /~ya~sf~' , 7q'j'~Qf1 a%Q rp9yy/f-a~:-dl? Owner: f Address: City: Q4ca S State: L / Zip Code: Telephone: UCH 0 Contractor: DBA: Address: City: State: Zip Code: Telephone: License Type: 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 1 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: s Date: Construction Value Permit Fees s Building Value: Building Fee: C Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: s Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: C / Total Fee:/ wised, Decem6er31, 2005 Town of Montville Building Department File Receipt Date: 09-3un-06 Receipt No: 1379 Received From: Mrs. Brycki Road lob Address: 12 Avelly Fees Collected State Educational Training Fee Cash: $8.16 Cash: $0.16 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $996.00 Demolition Value: $0.00 Received By Sandra Pandora Address: TOTAL REM QTY $lUNR Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ $ Basement, Finished SF $ 20.87 $ - $ Basement, Unfinished SF $ 11.28 $ $ Crawl Sppce SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - $ MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ Basement SF $ 11.28 $ - $ - $ Crawl Space SF $ 8.46 $ - $ - $ AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ - $ Half-Bathroom E4 $ $ - GARAGE Attached SF $ 49.41 $ - $ - Detached SF $ 63.21 $ - $ - Under I: SF $ 9.12 $ - $ Carport SF $ 18.08 $ - MECHANICAL Warm-Air 14 '>ss Y/N $ Hot Water fJ........,.. Y/N $ - Electric ` N Y/N $ Air Conditioning SIN Y/N $ ELECTRICAL SERVICE Upgrade Amps $ Overhead, new ' Amps $ Underground, new Amps $ - Subpanel EA $ 545.00 $ - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/ifireplace EA $ 6,451.50 $ - Masonry w12 fireplaces ' EA $ 10,087.00 $ - Wood Stove, free standing EA $ 2,447.50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS, PORCHES, SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ Sunroom SF $ 160.82 $ - $ POOLS & HOTTUBS Hot Tub EA $ 7,287.50 $ - $ - Inground Pool i EA $ 19,430.40 $ - $ - Above Ground Round EA $ 4,635.88 $ - $ - Above Ground Oval I. EA $ 5,472.50 $ - $ Pool Heater ' EA $ 8,167.50 $ - Inflatable Type Pool EA $ 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing, Overlay SF $ 3.38 $ - Roofing, Strip & reroof 30 SF $ 3.76 $ 112.80 Roof Sheathing 20 SF $ 1.19 $ 35.70 Siding S SF $ 2.30 $ - Windows EA $ 423.50 $ 847.00 Skylights EA $ 955.54 $ - Doors, Exterior EA $ 401.50 $ - Oil Tank, 275 Gallon EA $ Oil Tank, 550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 995.50 $ - $ - $ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 996.00 $ 8.00 Plumbing Y $ - $ - Mechanical Y $ - $ - Electrical Y ' $ - $ Working before Permit Issuance N $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.16 TOTALS $ 996.00 $ 8.16 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut Workers' Compensation Commission - Please TYPE or PRINT IN INK ' onr ~v~ r"''"snarr 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 Property located at J2c ~C/ in the City I Town of rifou 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: lam the OWNER of the above-named property. 1 WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant ❑ 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 Federal Employer ID# (FEIN) Signature of SOLE PROPRIETOR Applicant t Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL rope y Address Job escription The applicant is responsible for obtaining all of the required. approvals checked off on this form.. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax-Collector `~•`A &/9 j o G~ ~ rt Comments: WPCA, Administrative i ~r~ =tL,r•eI ;late Comments: ❑ WPCA, Operations signature/ date Comments: . ❑ Planning & Zoning signature/ date Comments: ❑ Health Department signature/ date Comments: ❑ Department of Public Works signature/ date Comments: ❑ State Dept. of Transportation Signature/ date Comments: Fire Marshal ~D Uk Signature/ date Comments: 2Zpv edAugust 5, 2005