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Siding, Windows, Doors and Carport/Garage 2017 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: B2017-0162 Date: 09-May-17 Map/Lot: 101/050-000 Owner ID: 5786000 Project Location: 20 RANKIN COURT Unit: Job Description: Replace Three Windows,Vinyl Siding, Enclose Carport to Convert to Garage and Two Exterior Doors Owner Nam ARV Holdings LLC Tenant Name N/A Careof: 248 Scotland Road Norwich CT 06360- Telephone: (860)235-1642 Applicant Name Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $14,800.00 Building Fee: $180.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $14,800.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $3.85 Total Fee Paid: $183.85 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: 0 El Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of ,'.proval • - of Occupancy Building Official's Approval: `T� 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.: (017--QIlea Type of Work Occupancy Type Permit Type ❑ New Construction la-Single Family krBuilding ❑Addition 0 Two-Family ❑Plumbing la Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: a70 11 AN KT N CT. (Number) (Street) , (Unit) Job Description: F.CelACt 3 WinJOw5 , iZests/e home 1'f cpcot,.s / enclosc. C44,0/4" *1 Conv</i'1 to 94Apc..4- ii ,9 � EVA. co4..- bocXS n Owner: ARV t40tolinys j LLC Address: Sr* ?IV S6Ofion 11# City: go4a/tCA, State: Cr Zip Code: Db3CO Telephone( 0(00 ) 33‘ - icy,, Applicant: SA.tru_ q.S D u AMA, DBA: Address: City: State: Zip Code: Telephone( ) - Contractors - Complete the Following: License Type: NSC License No.:041 H 43'Expiration Date: I I I3o 1 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. - By checking this box, I will follow the requirements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements if'rs 34 through 43 of the Residential Code. Owner/Agent Signature: Date: 5/3//7 Construction Value Permit Fees Building Value: ((-4VCO Building Fee: ( %-.0 Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: 3..lf-Cj Total Fee: L S 3,(cej Revised:August 23,2007 § .(7 State of Connecticut Workers' Compensation Commission 7A • '; 04,,7747 %� Please TYPE or PRINT IN INK °C 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 in the City/Town of 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: LI I am the OWNER of the above-named property.I 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 Town of Montville Building Department File Receipt Date: 03-May-17 ReceiptNo: 12237 Received From: ARV Holding Job Address: 20 Rankin Ct. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10 00 State Cash: $0.00 Bldg Check: 1183.85 State Check: 13.85 Bldg Credit: 10.00 State Credit: 10.Q0 Fire Cash: 10.00 Fire Check: 10.00 Construction Value: 114.803.00 Fire Credit: 10.00 Demolition Value: 10.00 CheckNo: 828 Received By: David Jensen ..v,.,/) Address: 20 Rankin Ct. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA 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 Y/N _ 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 $ - Masonry w/lfreplace 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 $ - $ - Inground 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 EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding 1400 SF $ 6.75 $ 9,450.00 Windows 3 EA $ 550.00 $ 1,650.00 Skylights EA $ 1,051.10 $ - Doors,Exterior 2 EA $ 601.50 $ 1,203.00 Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 2,500.00 TOTALS $ 14,803.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 14,803.00 $ 180.00 Plumbing y $ _ $ Mechanical y $ _ $ Electrical y $ _ $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 3.85 TOTALS $ 14,803.00 $ 183.85 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 00 RAmi „i C4 (1Ncasd,(!C 1 61 06'38) Property Address ZcPIAc.< 3 w,,m)oWs, /?.epI,cc ly St. S/a/ EVC!alms Co," ,1esst- 40 CorJfli r Al(q c( a X 4%. "S Job Descridtion Required Department Approval ' Permit Issuance Approval Tax Collector - ! Sig�l nature/date /� Comments: S Fire Marshal //4 -4 Q541/7 to�7 Signature/ Comments: ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection RevisedMarchi 23,2015