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Home My WebLink AboutSingle Family Residence Plans in File Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: 62003-0093 Date: 27-Mar-03 Map/Lot: 037/002-059 Owner ID 2500 Job Location: 3 _ ANDERSEN- LANE Unit Job Description: Single Family Residence Owner: Contractor: Carreira Construction LLC JOCA, Inc. P. 0. Box 294 43 Valley Drive Middlebury Ct. 06762- Naugatuck CT 06770 Telephone: (203) 910-0727 Lic/Reg Type/No. NHC 868 Exp Date: 30-Sep-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $169,734.00 Building Fee: $1,018.00 Use Group: R4 Plumbing Value: $11,441.00 Plumbing Fee: $70.00 Code: 1995 CABO Mechanical Value: $12,712.00 Mechanical Fee: $76.00 Construction Type: 513 Electrical Value: $11,713.00 Electrical Fee: $70.00 Permit Code: R2 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $206,600.00 CO Fee: $10.00 Plan Review Fee: $101.80 State Ed Fee: $32.90 Total Fees: $1,378.70 It is the owners resnonsibility to schedule the following inspections (minimum 48 hours notice reauirejM Footing - Prior to pouring concrete F*/] Rough HVAC Backfill - Footing drains and waterproofing ❑ Fireplace Throat W Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble W Rough Framing 0 Firestopping/draftstopping W Rough Electrical 0 Insulation Electrical Service ❑ Final Inspection d❑ Rough plumbing and leak test Certificate of Occupany W Gas piping and test Building Official's Signature:' Town of Montville Building Department 310 Norwich New London Rd. Uncasville Ct. 06382 848-7166 Date: _1~ l I/ l v 2 To: i~o r5~ ~s y RE: ~rt~D.tlE'N ~ii, Job Description: Ara) 5ic4 We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, your application is being rejected or the following reason(s}: ~NINlo 0P(z00/¢c- i4l /lu ),974 4X0 1b We will keep all documents received to date on file and renew your application when you have furnish all the requir data. Vernon D. Vesey H Building Official Town of Montville Building Department Permits j ! r 310 Norwich: New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ew Construction ❑ Addition 0 Alteration ❑ Accessory Structure n other Job Location / ~ eN, Job Description/Materials Owner Mailing Address C r 1-~"-I t State C ~ Zip &Tel City -`l 1~- 19 Contractor J C- 0- Mailing Address City State eZiip Tel Contractor's License/Registration Type & Number a Exp. Date-C// 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. Owner /Agent Signaturj~ Date Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ h Mlle Building Departmnt Recei[~t TON n of NIontN No. Datc_ From= Job Address: Check # k Cash Amount ~C ir~c onc) Permit tf ~Z~~:e~ ed by Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY) House Construction < <;; (E=Economy, A=Average, C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL 71.19 $ $ 161,601.30 Living Area #2 kSF $ - $ Finished Basement SF $ $ 24.73 $ $ Unfinished Basement 101:&;SF $ $ 8.72 $ $ 8,876.96 KitchenEA $ $ $ $ Plumbing 4,229.40 $ $ 4,229.40 Full Bath <2i EA' $ $ Half Bath is EA $ $ 2,691.15 $ $ 2,691.15 Garages Attached, 1 car EA $ $ 8,885.10 $ $ Attached, 2 car 1 EA $ $ 15,113.70 $ $ 15,113.70 Attached, 3 car EA $ $ 20,913.90 $ $ Detached, 1 car EA $ $ 11,657.10 $ $ Detached, 2 car EA $ $ 17,456.25 $ $ Detached, 3 car EA $ $ 23,256.45 $ $ Under, 1 car EA $ $ 1,304.10 $ $ 1,757.70 $ $ Under, 2 car -1T:^ EA $ - $ Fireplace & Chimney Prefab " EA $ $ 3,963.75 $ $ 3,963.75 Masonry, exterior EA $ $ 3,963.75 $ $ - Masonry, interior EA $ - $ 3,701.25 $ $ W/2 fireplaces EA $ $ 6,746.25 $ $ Breezeway/Decks Open f20> SF $ $ 22.31 $ $ 2,677.20 Enclosed 77 `'SF $ - $ 94.76 $ $ Porches $ $ Open SF $ $ 62.69 _ Enclosed SF $ $ 123.90 $ $ Heating Adjustment 2270 SF $ $ (2.76) $ $ (6,265.20) Air Conditioning 2270 SF $ $ 2.84 $ $ Electrical 2270 SF $ $ (5.16) $ $ (11,713.20) Plumbing 2270 SF $ $ (5.04) $ $ (11,440.80) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ _ 169,734.26 Is air conditioning included (Y/N)? $ 6,44771 PERMIT FEE Building $ 169,734 $ 1,018.00 Y Plumbing $ 11,441 $ 70.00 Y Mechanical $ 12,712 $ 76.00 Y Electrical $ 11,713 $ 70.00 Other $ CO Fee $ 10.00 Plan Review $ 101.80 State Ed Fee $ 205,600 $ 32.90 Total Fees $ 1,378.70 Based on 2003 RS Means Residential Cost Data 12/30/02 r*s STATE OF CONNECTICUT WORKERS' COMPENSATION'COj Q&SSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at ~ A- i- d~ f ~ a /\j In the town of ~ k,4,-,, Name of building permit applicant: C Please check on/e: 1. am the owner of the above property. 2. I am the sole. proprietor of a business. _2A. Name of business 2B. Federal Employer Identification Number (I'Eai) Pursuant to 3 1-286b, "a property owner or sole proprietor [who] intends to act as ag•.e neral contractor or Principal employ=" m ay provide either a cextificate ofworke& compensation insurance or a "sworn notarized affidavit... stating that he WM require proof of wokkc& compensation insurance for all those employed on the job site in accordance with this chapter" Please check one: I. I do not intend to act as a general contractor or principal employer. [Sign and stop herel Signature of applicant 2. je, intend to act as a general contractor or principal employer. Applicant must tither provide. a certificate of worker' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of worker' con contractor, subcontractor, or other worker before helshe engages in insurance for every accoradance with the Worker' Compensation Ad (Chapter 568 I aaderstand that pursuantto $ 31275 C.G.S., officers of a oorpmatlon and partners in a ;partnership may clod to-be excluded from coverage by filing a waiver with the appropriate District Office; and that Fetor of a business is not required to have coverage unless he fill es hisinte nt to a cMELINDA L. ROBERTS NOTARY PUBLIC MY COMMISSION EXPIRES OCT. 31, 2007 MViatuve ofapplicant -Subscribed and sworn to bed'cmc me this S+day of0--,/- , 2002 (NotaryPublic!C mmissionerroftheSupexiwCrnut ) R Town of Montville " V p Building Department , 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: J f A) The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Approved ❑ Permit ❑ Not Applicable Septic System Date Approved ❑ Permit ❑ Not Applicable Private Well Date 848-3030, Ext. 881 WPCA DEPARTMENT Approved Permit ❑ Not Applicable Municipal Sewer Date House Trap ❑ Outside ❑ Inside d~ Approved ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 81 In-Compliance ❑ Permit ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date *visud 6/284"2 Town of Montville r Building Department s 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: a The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Approved ' ❑ Permit ❑ Not Applicable Septic System Date Approved ❑ Permit ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030, Ext. 881 Approved Permit ❑ Not Applicable Municipal Sewer Date ?VNT_ House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Munici al Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 81 In-Compliance Permit #:242-3 ❑ Not Applicable Zoning Date Q In-Compliance cam' ❑ Permit of Applicable Inland-We ands Date Ra*td 6/28 =2 Town of Montville - Building Department r_ 848-3030, Ext 82 ONE & TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET Property Address Job Description: I ILI S) G The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT .848-3030-339 Approved 7 ❑ Permit Not Applicable p e *.n- Date S, Approved L~& I e-::::: 7`03 Permit ZZd 17~ ❑ Not Applicable P ate We l~ Date WPCA DEPAR ENT 848-3030, Ext. 376 d 3/cj~, U1 Permit ❑ Not Applicable nicipal Approved q u Sewer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7.473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING ZONING EPARTMENT 848-3030. Ext. 379 In-Compliance 161110 3 Permit MO °03 ~ ❑ Not Applicable Zoning ate In-Compliance ❑ Permit Not Applicable Inland-Wetlands Date *visul612812W2