Loading...
HomeMy WebLinkAboutFireplace and Chimney 2001 Town of Montville Building Department Phone:848-7166 C 310 Norwich New London Tpke Fax: 848-7231 Building !Trades Permit Permit Number BP2001-267 Permit Date 5/23/01 Permit Type Building Permit Code R4 Job Street# 190 Job Location RAYMOND HILL ROAD Map/Lot 085/007-000 Job Description Chimney& Fireplace Owner Contractor Charles W. Sizen Charles W. Sizen Address 190 Raymond Hill Road Address 190 Raymond Hill Road City Uncasville State Ct. City Uncasville State Ct. ZiP 06382 Telephone 848-3600 Zip 06382 Telephone 848-3600 LiclReg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $3,555.00 Building Fee $22.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $3,555.00 CIO Fee $10.00 Comments: Plan Review Fee $2.20 State Ed Fee $0.57 Total Fees $34.77 Building Official's Signature / Date 6 / I I 0 k It is the owners respon o schedule the following reauired inspections(minimum 24 hours notice reauiredl: ❑ Footings-prior to pouring concrete ❑ Backfill-footing drains and waterproofing ® Fireplace Throat ❑ Concrete Slab, prior to pouring ® Fireplace Final ❑ Rough Framing © Chimney-one flue above thimble ❑ Rough Electrical ® Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping-pressure test and installation ® Final Inspection ❑ Rough HVAC ❑ Certificate of Occupancy-PRIOR to use or occupancy V - Town of Montville 0 Permit # Po2de(-a 7 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction ❑Accessory Structure ❑cPfum6ing ❑liecIiianica1 ❑Action ❑EDemo1ztion ❑Electricat Heating ,RAfteration ❑Otfter Air Conditioning —Gas Piling Job Location // e' /{cam X Of v A) i /4/(1 jCL � 6 ` /a (4_l '/�/0��/ � Job Description/Materials �- u/ L� ' �/re r (��� 1 Owner CL z)es t_0(. , Z C►L, Mailing Address /5 e R 147 rvt 2ND {`LA 0, City lrL.w e iq s ✓t It c State QT Zip o 6 3 € L Tel 8"C U / Pi Vi 3 dd c Contractor 57472/–L_ Mailing Address 5i9-72?--<–___ City )fin -e______ Zip Tel / / Contractor's License/Registration Type&Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes ❑ No 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. I 1 g g Owner/Agent Si natureCi/j Li / Date o S--/ / / 0 Construction Valu Fee Building $ , ---. $ c,2a Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ ,j l Plan Review Fee $ a,62Tj State Education $ , 5--7 Total $ , -1/ ,5-- �1 $ 3 , 77 1c Town of Montville Building Department Receipt 1 0 Date ,.s-- / /7 / 4 / No. C0711 From: LIU& /..d. Job Address: / O 'a 11.-"to/t)9/ '`V. // / (', 1 0 Amount $ 4,6V. 77_ 7 , i Cash Check , Check # ((ircle one) / Received by 41- ..;,: _ id! Permit # 4-2 7 Cf Permit Fee Calculation Spteadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY ADDITION) House Construction A (E=Economy,A=Average,C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 0 SF $ - $ 98.85 $ - $ - Finished Basement SF $ - $ 28.95 $ - $ Unfinished Basement SF $ - $ 13.25 $ - $ - Plumbing Full Bath EA $ - $ 3,531.00 $ - $ - Half Bath EA $ - $ 2,247.00 $ - $ - Garages Attached,1 car EA $ - $ 8,054.00 $ - $ Attached,2 car EA $ - $ 13,676.00 $ - $ - Attached,3 car EA $ - $ 18,938.00 $ - $ - Detached,1 car EA $ - $ 10,547.00 $ - $ - Detached,2 car EA $ - $ 15,809.00 $ - $ - Detached,3 car EA $ - $ 21,072.00 $ - $ - Under,1 car EA $ - $ 1,226.00 $ - $ - Under,2 car EA $ - $ 1,673.00 $ - - Fireplace&Chimney $ Prefab EA $ - $ 3,480.00 $ - $ - Masonry,exterior 1 EA $ - $ 3,555.00 $ - $ 3,555.00 Masonry,interior EA $ - $ 3,330.00 $ - $ - W/2 fireplaces EA $ - $ 2,520.00 $ - $ - Dormers Gable SF $ - $ 22.00 $ - $ Shed SF $ - $ 15.00 $ - $ -- Breezeway/Decks Open SF $ - $ 19.50 $ - $ Enclosed SF $ - $ 82.80 $ - $ Porches Open SF $ - $ 56.45 $ - $ Enclosed SF $ - $ 111.55 $ - $ - Heating Adjustment 0 SF $ - $ (2.82) $ - $ - Air Conditioning 0 SF $ - $ 2.47 $ - $ Electrical 0 SF $ - $ (4.91) $ - $ Plumbing 0 SF $ - $ (4.41) $ - $ - TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 3,555.00 IIs air conditioning included(YIN)? $ - I PERMIT FEE Building $ 3,555 $ 22.00 Plumbing $ - $ Mechanical $ - $ _ y Electrical $ - $ - Other $ - CO Fee $ 10.00 Plan Review $ 2.20 State Ed Fee $ 3,555 $ 0.57 Total Fees $ 34.77 Based on 2000 RS Means Square Foot Costs 5/18/01 t . STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at /`�0 Rx9/ /yj 0 f..Q 11 LA k )- In the town of (,u'r"c'_4sui I l Name of building permit applicant: Please check one: 1. ..-- -ram 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 notarized 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 intend to act as a general contractor or principal employer. [Sign71 d top , e] . N Signature of applicant '� 2._I intend to act as a general contra •r 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'compensation insurance for every contractor, subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200 . (Notary Public/Commissioner of the Superior Court)