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Air Conditioner 2014 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number:_M_2p14-0074 Date: 07-Mav-14 Map/Lot:,x/029-T53 Owner ID: 5761000 Project Location: 53 RAINBOW DRIVE Unit: Job Description: InsfalLSoJtt S_v_stem A/C UJ t Owner Nam Kitchin.Mark W. Tenant Name N/A Careof: 53 Rainbow Drive ltncosyille CT 063E12- Telephone: _C8o01705-6950 Applicant Name Phil Malavencia Telephone: _M601213-2124 _ DBA: p,ir Mar onic d Seniicec Lic/Reg Type D1 Lic/Reg N 388288 .2-0.Box 151 Exp Date: _ 31-AuctL4_ Versailles CT _06383- C`no_c ciioo_Voluo Pamail FgQe _ (nnetr j Jjon Infoicontion Building Value: 50.00 Building Fee: 50.00 Use Group: IRC Plumbing Value: 511.00_ Plumbing Fee: ^ S0_ Code: 2005 State Building Code Mechanical Valu $4.900.00 Mechanical Fe $60.00_ Electrical Value: $Q,00 Electrical Fee: SQ,OQ_ Construction Type IRC Total Value: $4.900.00 Penally Fee: _ SO n0 Permit Code: R5 C of 0 Fee: mon Comment Plan Review Fe sun State Ed Fee: S12L Total Fee Paid: $61.27 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: n ❑ Framing R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval ❑ Certificate of Occupancy �Irildina Officials Aceroval: 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.: aOl11—(15-A- Type of Work m Occppancy Type Permit Type ❑New Construction ingle Family ❑Addition0 P 0 Two-Family ❑Plumbing o Alteration ❑Townhouse i�'ll�chanical ❑Accessory Structure 0 Electrical CRS#: Property Address: 3.3 ;6 (Number) (Street) GI (Unit) Job Description: y : ee rziYs .5/42/4 �t !q f Owner: /�c i )( �-(2 K, tL 1-1 I /) Address: 63~. " <a / A) ,6o u} g P fr.e City: V Nita I I vao .. State: p Code: ©6` ("Loa 'r>s'6;96_0 ` Telephone Applicant: Ph r I ►VI u 14 vee, DBA: Ay- j►'l e_g seri/-t .- 3 Address: r/ c- 60X /.s-/ City: vt'f.3 ct j// C4 . State: Zip Code: D 6 3323' Telephone(F60 ) di-3- a I Oct Contractors -Complete the Following: / License No.:0 3" License Type: v i �dv�Expiration Date: . �l I 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. Owner/Agent Signature: �' Date: 1 6 / / Construction Value Permit Fees Building Value: Plumbing Value: Building Fee: Mechanical Value: goo . po Plumbing Fee: Electrical Value: Mechanical Fee: Total Value: Electrical Fee: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: oired'August 23,2007 Town of Montville Building Department File Receipt Date: 06-May-14 ReceiptNo: 9354 Received From: Air Mechanical Services Job Address: 53 Rainbow Drive Town Fees Collected Bldg Cash: State of Connecticut Fees Collected $0.00 State Cash: Bldg Check: $61.27 $0.00 Bldg Credit: State Check: $1.27 $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $4,900.00 CheckNo: Demolition Value: 3619 $0.00 Received By: Carmen Kneeland Address: 53 Rainbow Drive ITEM OTY $/UNIT TOTAL BUILDING AREA Building Plumbing Mechanical Electrical 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 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 $ lnground 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 FA $ 1,200.00 $ - $ $ SHEDS w/o electrical SF $ 25.55 $ w/electrical SF $ 26.85 $ _ RENOVATIONS 1 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 $ 4,900.00 TOTALS $ $ - $ 4,900.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ $ Plumbing y $ - $ Mechanical y $ 4,900.00 $ Electrical 60.00 Working before Permit Issuance n $ $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ $ 1.27 TOTALS $ 4,900.00 $ 61.27 Figures are based on the 2006 RS Means Residential Cost Data � .::v State of Connecticut N rWorkers' Compensation Commission 7A alor +� nG� � / ,� Please TYPE or PRINT IN INK ir 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 J/ Name of Applicant for Building Permit 7:471 !'t. �1 n C� Property located at /?4'4 ^ both dr in the City/Town of /41°14 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 Ut i rn the SOLE PROPRIETOR of a business doing work at the above-named property.I W LL NOT act as the general contractor or principal employer. Name of Business A i r /14 ecLet. '/ c_ F ) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department • CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 53 c,;y� ht;, `: Dr;✓e- Property Address 11Y1—,Ac°- 1 S f it � 5{rc / tin Job Description Required Approval Department Permit Issuance Approval ® Tax Collector 'Z��(�,,� \Sic" 1t Comments: Signature/date Planning & Zoning fir s fto ( ' Comments: 40M/S-- / Signature/date t dim, I ® Fire Marshal �� Comments: Signature d.te ❑ Health Department Required for properties with private septic or well Comments: ® WPCA, Administrative Required for properties on sewer Si ature ate Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date n 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 spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date 2( ed May 23 2011