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Home My WebLink About2004 - Deck V Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: 82004-0185 Date: 13-May-04 Map/Lot: 076/057-000 Owner ID 7007 Job Location: 16 ROAD Unit Job Description: Deck Owner: Contractor: Georgina Chongo Georgina Chongo 16 Beechwood Road 16 Beechwood Rd Oakdale Ct. 06370- Oakdale CT 06370 Telephone: (860) 848-2493 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $2,993.00 Building Fee: $16.00 Use Group: R4 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: R10 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2,993.00 CO Fee: $10.00 Plan Review Fee: $1.60 State Ed Fee: $0.48 Total Fees: $28.08 It is the owners responsibility to schedule the following inspections (minimum 48 hours notice reauired): Fv~ 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 CRS 0 ❑ Final Inspection ❑ Rough plumbing and leak test Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Town of Montville Residential Deck/Porch Plan Review Date: t I Job Address: A f~~C~ Q 17 Job Description: ~T1 C We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, your application is being reiected for the following reason(s) that are checked-off or commented on: • Supporting Documentation Proposed utilities Plans are to be drawn to scale including dimensions ofrooms and wetlands and flood zone limits and elevations spaces and all framing information (112.1) Plans Building permit application not completed, signed, dated Piers - size, material, depth below grade (minimum 42" required) Permit fee $ Indicate joist hangers at flush framing and ledger Worker's comp. Affidavit or worker' comp. Insurance Stairs, handrails, and guardrails Copy Contractor's registration or license Construction permit sign-off sheet Direction of framing Street address of project on all drawings and documents Beam spans, size, species, grade Field set of approved plans need to be picked up from our office Framed openings Joist/rafter -species and grade (minimum Fb and E), size, direction, and spacing • Plans Joists over-spanned Site Plan Rafters over-spanned Property lines not provided Headersibeams over-spanned Distance from property to structure Structure dimensions Topography (existing and proposed) Comments: I1+=►~S~'~1111~V G r E) S-) V Building Official Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit 4Z,5~ New Construction ❑ Addition F-1Alteration E] Accessory Structure Singfe Tamify F~ Two-Tamify ❑ Townhouse Job Address (Number) (Street) (Unit) Job Description bicSk Owner 0 Ot) 0~' (91&OW) YI(K ~r! Mailing Address 92 Ih City State k-N Zip ee Tel P6d /WC-71 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. Separate applications are required ,mechanical, etc. Owner /Agent Signature : Date / / 71 V Cons tion Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See 1pverse side for additionafrequirements) ~ ~ly Town of Montville Building Department Receipt ~ r No.j ~ Date a From: I Job Address: , f i Cash cek Check # Amount $ (^s t. ~r~tC-~~ p Received by Perms. Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools & Spas Above Ground Round EA $ 3,150.00 Above Ground Oval EA $ 5,250.00 S In-Ground EA $ 18,900.00 $ Heater EA $ 3,465.00 S Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof SQ $ 207.20 $ - Overlay SQ $ 127.05 S - Plywood SQ $ 101.85 $ Sheds SF $ 26.25 $ Electrical Service 100 Amp EA $ 816.43 S - 200 Amp EA $ 1,519.19 $ - 400 Amp EA $ 6,039.29 $ - Breezeway/Decks Open - 192 SF $ 15.59 S 2,993.28 Enclosed SF $ 94.76 $ - Porches Open SF $ 62.69 $ - Enclosed SF $ 123.90 S - TOTAL BUILDING CONSTRUCTION COST $ 2,993.28 PERMIT FEE Building $ 21993 $ 16.00 Electrical $ - CO Fee $ 10.00 Plan Review $ 1.60 State Ed Fee $ 2,993 $ 0.48 Total Fees $ 28.08 Based on 2003 RS Means Residential Cost Data 4/23/04 t STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: f In the town of 6N 12 ( ~e Name of building permit applicant: Please the k one: 1. I 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 (FEIN) - - - - - - - - - - - - - - - - - - - - - - Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not' to act nera ctor or principal employer. [Sihe e ature f applicag 2. I intend to act as a general c ntractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. - Affidavit I hereby swear and attest that I will require proof of workers' compensat' insurance for every contractor, subcontractor, or other worker before he/she engages in work on th ove property in accordance with the Workers' Compensation Act (Chapter 568). I unders at pursu to § 31- C,G.S., officers a corporation and partners in a partnership may elect to be excluded fro age b i a waiver. . the appropriate District Office; and that a sole proprietor of a business is not ed to o a le s he files his intent to accept coverage. i ature of applic Subscribed an sworn to bef e me this day of 200. (Notary Public/Commissioner of the Superior Court) I Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: The applicant is responsible for the completion of the form, no permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030, Ext. 339 Approved No Permit ❑ Permit ❑ Required Septic System Date Approved No Permit ❑ Permit ❑ Required Private Well Date WPCA DEPARTMENT 848-3030, Ext 376 Approved No Permit ❑ Permit ❑ Required Municipa Sewer Date Building Trap ❑ Outside Inside Approved No Permit ❑ Municipal Water Date Permit # E] Required DEPARTMENT OF PUBLIC WORKS 848-7473 Approved No Permit Director ❑ Permit ❑ Required Date PLANNING & ZONING DEPARTMENT 848-3030, Ext. 379 Approved No Permit Permit ,20 -2111 ❑ Required Zoning Date Approved No Permit ❑ Permit ❑ Required Inland-Wetlands Date tail dq Qt~ f S O'- 1a n ~t ~y ~od zv~ -bq to tjwftw~! 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