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Home My WebLink AboutMove MFH for Storage 2013 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: B2005-0511 Date: 13-Sep-05 Map/Lot: 057/019-TOO Owner ID: 6467000 Project Location: 1544 ROUTE 163 Unit: Job Description: move mobile home on same parcel of land Owner Name: Ann S Gottier Tenant Name: N/A Careof: 12 Church Road Oakdale CT 06370- Telephone: Contractor Name: Property Owner Telephone: (860)859-1161 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $200.00 Building Fee: $8.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $200.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.03 Total Fee: $8.03 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 El Certificate of Approval / ert cate of Occupancy Building Official's Approval: , �� i 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# 2 Yi 1 Q�// New Construction ❑Addition ❑Alteration Accessory Structure Singe Eamity Two-(Family LI Townhouse Job Address / CI4 a r-c.L q cL 0&K ed e_ (Number) (Street) (Unit) Job Description 0/101e, yi O 6 i L p wy e 'v S 0.kn e_ fi r o.?e-r't y Owner A n h S, GD i'e-r Mailing Address ) 2 Otairsc.i,N 0A,Kd&1 P City State Zip Tel6 / SS,/ // 6 ( 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 for electrical,plumbing,mechanical, etc. Owner/Agent Signature a o Date 9/ a B' / O Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ Total $ $ (See Reverse side for additional-requirements) ftvised Tebnzary 25 2005 Town of Montville Building Department File Receipt Date: 08-Sep-05 Receipt No: 612 Received From: Ann S.Gottier Job Address: 12 Church Rd. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $8.03 Check: $0.03 Check No: 0 Construction Value: $200.00 Demolition Value: $0.00 Received By David M Jensen Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: 12 Church Rd. Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ Inflatable Pools EA $ 1,000.00 $ In-Ground EA $ 20,700.00 $ Heater EA $ 3,465.00 $ Hot Tub EA $ 5,250.00 $ Roofing Strip & Reroof SQ $ 350.00 $ Overlay SQ $ 250.00 $ Plywood SQ $ 125.00 $ Plumbing Full Bath EA $ 5,000.00 $ - Half Bath EA $ 3,500.00 $ Garages Attached, 1 car EA $ 10,775.00 $ - Attached, 2 car EA $ 18,600.00 $ Attached, 3 car EA $ 25,810.00 $ Detached, 1 car EA $ 13,850.00 $ - Detached, 2 car EA $ 21,100.00 $ - Detached, 3 car EA $ 28,350.00 $ Sheds SF $ 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ - Siding SQ $ 600.00 $ - Windows EA $ 445.00 $ - Doors EA $ 625.00 $ Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ - Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ _ PERMIT FEE CALCULATIONS Fee Building $ 200 $ 8.00 Plumbing $ - $ - Mechanical $ - $ - Electrical $ - $ - Work Commenced before permit issuance $ - CO Fee $ - Plan Review $ - State Ed Fee $ 200 0.03 Total Fees $ 8.03 Based on 2003 RS Means Residential Cost Data 9/8/2005 7A 7B State of Connecticut � - 7C -J„ Workers' Compensation Commission o • * -) DIRECTIONS ?— DIRECTIONS for FILING FORMS 7A, 7B and 7C c4 S�St�M� Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project. This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below) must file the FORM 7C with the building official. This form certifies that they have properly excluded themselves, and attests that they will require proof of workers'compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers' Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/ Members of an LLC Form 6B-1 for employees who are Members of a Partnership • Building Department 848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL /1 C4t4r. a ) MOCAde Property Adddress MdduLE NOME P., I j-o Job Description 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 A royal Department Permit Issuance Approval pp Tax Collector �o � e`\%\t,_s ❑ WPCA iunaltit Li date Planning& Zoning74.4C..3.1. 4WC)..)' Signatui e%dte Health Department - 9--8'-etC t, dale ❑ Department of Public Works t rc daic ❑ State Dept. of Transportation ❑ Fire Marshal Comments/Conditions: