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Water Heater 2011 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2011-0098 Date: 21-Oct-11 Map/Lot: 016/029-T10 Owner ID: 5747000 Project Location: 10 RAINBOW DRIVE Unit: Job Description: Replace Electric Water Heater Owner Nam Caroline E.&Kazmier M.Stefanski Tenant Name N/A Careof: 10 Rainbow Drive Uncasville CT 06382- Telephone: (860.94-3208 Contractor Nam Home Owner _ Telephone: DBA: Lir/Reg Type _..._....______._.____.-____.__..__-..___.__�...______.______._.__._____._. Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $690.00 Building Fee: $10.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $690.00 Penalty Fee: _ $000 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.18 Total Fee Paid: $10.18 It shall be the owners repsonsibility to schedule the followina inspections a minimum of 2 business dans 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 El 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draffstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 7 ertifi f Ap val ❑ C ccupancy Building Official's Approval: �./�4Gt-Ce ...--- /e2�t%c 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.: t2CA I -- 1� Type of Work Occupancy Type Permit Type LI New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: t i1 SvA ,J,,t, ,,al' VW— c4yN +it4,1.%„t� (Number) (Street) l (Unit) Job Description: iP- � y,Z mak,tic .�.N , r ‘dc ,r Owner: ' + i ' 4 o'e_=1/4 -144 , Address: t '00' City: ��J` , ( 4 t.1' State: ,.47 Zip Code: $ �,3 �+ Telephone ' A.,0121‘ Applicant: DBA: Address: City: State: Zip Code: Telephone( ) Contractors - Complete the Following: 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 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 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: ' 44"1 „.,_� ''��� Date: Construction Value Permit Fees Building Value: Building Fee: 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: Total Fee: Pevised August 23,2007 Town of Montville Building Department File Receipt Date: 20-Oct-11 Receipt No: 6900 Received From: Kazmier Stefanski Job Address: 10 Rainbow Dr Fees Collected State Educational Training Fee Cash: Cash: $0.00 Check/Card $20.18 Check/Card $0.18 Check No: 0 Short/Over: $0.00 Construction Value: $000 Demoli '. Value: / $0.00 Received By Vernon D Vesey II � e/1 %' Address: ITEM OTY 5/UNITTOTAL • Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ • Basement,Finished SF $ 22.96 $ - $ Basement,Unfinished SF $ 12.40 $ - $ _ Crawl Sapce SF $ 9.30 $ - • Interior Renovations SF $ 35.09 $ - $ - $ MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ $ Basement SF $ 12.41 $ $ $ - Crawl Space SF $ 9.31 $ $ $ _ AMENITIES Kitchen EA $ $ $ Full Bathroom EA $ - $ Half-Bathroom EA $ $ • GARAGE • Attached SF $ 54.35 $ - $ _ Detached SF $ 69.53 $ - $ _ Under SF $ 10.03 $ - $ _ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ Hot Water y Y/N $ - - Electric n YIN Air Conditioning n Y/N $ - $ ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ - Underground,new Amps $ " Subpanel EA $ 599.50 $ Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6.497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ Wood stove insert EA $ 1859 77 $ - • DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - . Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS 8 HOT TUBS Hot Tub EA $ 8,016.25 $ - $ _ • • Inground Pool EA $ 21,373.44 $ - $ _ Above Ground Round EA $ 5,099.46 $ - $ _ Above Ground Oval EA $ 6,019.75 $ - $ Pool Heater EA $ 8.984.25 $ - InflatableTypePool EA $ 1,550.00 $ - SHEDS edo electrical SF $ 2035 $ edelectrical SF $ 20.35 $ $ RENOVATIONS 4f Roofing,Overlay SF $ 3.00 $ - Roofing,Strip&reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ Siding SF $ 5.50 $ - Windows EA $ 500.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - ".. - MISCELLANEOUS CALCULATIONS $ 689.19 TOTALS S - $ 689.19 $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ $ Plumbing y $ 690.00 $ 10.00 Mechanical y $ - $ Electrical y $ $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.18 TOTALS $ 690.00 $ 10.18 Figures are based on the 2006 RS Means Residential Cost Data ,.1,111'.'11''''''-'''''''''''''' x„41''" 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. V,,ok,c_+r-io( 'fir k ,• ti-4.. Property Address Job Description Required Department Approval Permit Issuance Approval Tax Collector /� � / 01a0 / 1( Comments: Signature/date Planning &Zoning 1Lac.,/11 Comments: /J�, Signature/date / , ` / ,�--,��✓ sm. Ill Fire Marshal Comments: Signature/date ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative `\ l 70 t Required for properties on sewer Sign ture/date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ❑ 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 Revised Me 23,2011 �❑❑❑❑❑❑❑❑❑ Q❑❑❑❑❑❑❑ -1❑❑❑❑❑❑❑ w❑❑❑❑❑❑ Z LL LL CIE10 `o_m sOy.q❑❑❑❑❑❑❑❑ >Oy�❑c ❑❑❑❑❑❑a> N ❑❑U ❑❑❑ ❑ y ❑❑❑❑ CIE1 -i v a ---, m a 0 O co oC Qa ym no C r C a 0 IN .6- C u) m y ca , —,, U ..9.ozt ` 2 45 El cn wo Y N C /D L U 2 nc a) .,-c cu "'CQ Z m > Q...0 > o vcc . aoLL _— oa m ,. 9 o SurJ O a t) 0 -.m 2 N N O adm . 0__z_4--- om,> '� jJ .'A E,U m m E o ° a Z t»:r uuc ' to=°a �ao aa -. a7 NoW H .:LLm2UQLLI� m HLL1 .ao )-- a U °-- F- O t�=d_dYY g� 2 'io Wa o9-E o Z ,O2ii-ei ¢ O 3` `O. 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