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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasviile, CT 06382
860-848-3030, Ext. 82
Building Permit
Permit Number: 82002-656 Permit Date: 29-Oct-02 Permit Code R2
Job Location: 8 ANDERSEN LANE UNIT: MAP/LOT: 037/002-045
Job Description: Single Family. Residence
Owner Contractor
Cyr Construction Inc Cyr Construction, Inc.
135 Providence Street
135 Providence Street Unit: Taftville, Ct. 06380
Taftville, CT 06380 Telephone: 889-6601
Lic/Reg Type: NHC
Use Group R4
Lic/Reg Number: 440
Code 1995 CABO
Exp Date: 9/30/03
Construction Type 5B
Construction Values Permit Fees
Building Value: $187,693.00 Building Fee: $1,126.00
Plumbing Value: $10,690.00 Plumbing Fee: $64.00
Mechanical Value: $6,763.00 Mechanical Fee: $40.00
Electrical Value: $11,902.00 Electrical Fee: $70.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $217,047.00 C/O Fee: $10.00
Comments: Plan Review Fee: $112.60
State Ed Fee: $34.73
Total Fees: $11457.33
It is the owners responsibility to schedule the followino rewired inspections (minimum 48 hours notice requested).
V1 Footing - Prior to pouring concrete W Rough HVAC
n Backfll - Footing drains and waterproofing ❑ Fireplace Throat
W Concrete Slab - Prior to pouring Fireplace Final
0 Rough Framing ❑ Chimney - One flue above thimble
W Rough Electrical Firestopping/draftstopping
❑d Electrical Service Insulation
❑d Rdu-gh Plumbing and Leak Test ❑ Final Inspection
W Gas Piping and Pressure Test W Ce of ncy - Prior to use or occupancy
Building Official's Signature:
Town of Montville
Building Department
310 Norwich New London Rd.
Uncasville Ct. 06382
848-7166
Date: /o l /o / oa
To: C~y~ l d~ls7ituc~aY/
_ /SGT!//GC ~T bG38c~
RE:
Job Description: Ae.) S6x
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
forth following reason(s): A -7) / NT C9/ nnU ifrlP~9~/oi1~'O n/ 1 w A111~ fT ?A ~°G%fEc~c AT
cT / rS 07- Ji1U0 FLay/~ UU~. u.?510£ X/2 CBlxwAZOC#ST Aik2ls
K 7. /G
`i WA Affxo -x -.s DVFx5 A1AJ.E}Q 10,
We will keep all documents received to date on file and renew your application when you
have fu 'shed all the re aired data.
ernon D. Vesey II
Building Official
Town of Montville Permit #
Building Department
310 Norwir,&New London Tpke.
TeL 848-7166 Uncasville, Cr 06382 Fax. 848-7231
Application for Building or Trades Permit
Building Permit Trades Permit
New construction Auusory Structrur
Addin []o~o&ion OWecfsanica
F] ~tin8
❑Alter taaon p p
g _ZAir condid'oning
s~
Job Location
Job Description/MaterialsC
owner C Mailing A i s
city
State C°_ T Zip Tel (0
I
(o (a
Contractor a c. Mailing Address V p
City T' State' Zip Q(o-,~, Tel Roo - /991) / Vo O l
Contractor's License/Registration Type & Num4_0~~
Exp. Date 3Q New Home Construction Contractors:
Have you entered into, a contract with a consumer for the proposed new home? ❑ Yes [9 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.
Owner /Agent Signature Date
Construction Value Fee
Building $
Plumbing $
Mechanical S
$
Electrical $
$
Wier $ $
Certificate of Occupancy $
Plan Review Fee S
State Education S
Total $
t
Town of!Iontville Building Departr'nt Receipt
Date to No. 023M
From: _ io_
r, - -
~i Job Address: T'; A -
v Aniount S~ Cash C ? Check 4 ,1 Z
(u i 711
Received bytf~ _ Pernlit a7- - Zap
I
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (2 STORY)
House Construction c (E=Economy, A=Average, C=Custom)
QTY $/UNIT $1UNtT $/UNIT TOTAL
Living Area 2424 SF $ $ $ 79.40 $ 192,465.60
Finished Basement SF $ $ - $ 15.35 $ -
Unfinished Basement 1008 SF $ - $ - $ 6.45 $ 6,501.60
Plumbing
Full Bath _ 2 EA $ - $ - $ 4,184.00 $ 4,184.00
Half Bath 1 EA $ $ $ $ -
Garages
Attached, 1 car EA $ $ - $ 9,519.00 $ -
Attached, 2 car 1`EA $ $ $ 16,313.00 $ 16,313.00
Attached, 3 car EA $ $ $ 22,595.00 $
Detached, 1 car EA $ - $ - $ 12,308.00 $ -
Detached, 2 car EA $ $ - $ 18,591.00 $ -
Detached, 3 car EA $ - $ - $ 24,873.00 $ -
Under, 1 car EA $ $ $ 1,707.00 $ -
Under; 2 car EA $ $ - $ 2,635.00 $ -
Fireplace & Chimney
Prefab EA $ $ - $ 3,480.00 $ -
Masonry, exterior 1 EA $ - $ $ 3,740.00 $ 3,740.00
Masonry, interior EA $ $ $ 3,510.00 $ -
W/2 fireplaces SEA $ - $ - $ 2,685.00 $ -
Dormers
Gable SF $ - $ - $ 25.00 $ -
Shed SF $ - $ - $ 26.00 $ -
Breezeway/Decks
Open SF $ - $ - $ 28.50 $
Enclosed SF $ $ - $ 117.05 $
Porches
Open SF $ $ - $ 73.90 $ -
Enclosed NSF $ $ $ 146.95 $
Heating Adjustment 2424 SF $ $ $ (2.79) $ (6,762.96)
Air Conditioning 2424 SF $ - $ $ (254) $ (6,156.96)
Electrical 2424 SF $ $ $ (4.91 } $ (11,901.84)
Plumbing 2424 SF $ $ - $ (4.41) $ (10,689.84)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 187,682.60
Is air condkioni included IN? $ -
PERMIT FEE
Building $ 187,693 $ 1,126.00
Y Plumbing $ 10,690 $ 64.00
Y Mechanical $ 6,763 $ 40.00
Y Electrical $ 11,902 $ 70.00
Other $ -
CO Fee $ 10.00
Plan Review $ 112.60
State Ed Fee $ 217,047 $ 34.73
Total Fees $ 1,457.33
Based on 2000 RS Means Square Foot Costs
10/11/02
DATE (MM/DOJYY) ITY-IN
07/24/02
PRODUCER THIS CERTIFICAT! _,-i ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
108 SACHEM STREET COMPANIES AFFORDING COVERAGE
NORWICH CT 0 6 3 6 0 COMPANY
A NATIONAL GRANGE MUTUAL INS CO
INSURED COMPANY
CYR CONSTRUCTION INC B
COMPANY
135 PROVIDENCE ST C
TAFTV I LLE CT 0 6 3 8 0 COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTA DATE (MWDD(YY) DATE (MWDONY)
GENERAL LIABILITY MPJ 8 9 3 7 0 7 0 1 0 2 7 0 1 0 3 GENERAL AGGREGATE s2, 0 00, 06-0-1
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2 , O O O , O O O '0
CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Any one fire) $ 50010W)
MED EXP (Any one person) $ 10, 0 0 0
AUTOMOBILE LIABILITY B 1 J 8 9 3 7 0 1/01/02 7 01 0 3 1,000,000,
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY CUJ 8 9 3 7 0 0 7 O 1 0 2 07/01/03 EACH OCCURRENCE $1,000,000
X UMBRELLA FORM AGGREGATE $1,000,000
OTHER THAN U1.13RELLA FORM $
WORKERS COMPENSATION AND WCJ 8 9 3 7 0 7/01/02 7/01/03 X TORY LIMITS ER
EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 100,000
THE PROPRIETOR/ R INCL EL DISEASE-POLICY LIMIT $ 500, 000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
FAX 859-0695
:::::...........................:.::::.:.........................::.::::.:.:.........................#1NS...............................:..::::.:...........................:......::::.::.:...................
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
BUILDING DEPT. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
310 NORWICH NEW LONDON TPKE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
UNCASV I LLE , CT 0 6 3 8 2 OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTA ,
Sheri Kin;>;;;: >S:KD
1 ......................:.::.:::.::.:::::::::::::.::..::;;:.;:.;::.;;:.;:.:<.;:<
::...:.....................:.::::.:..........................::::........................:....::.:::::::.............................:..:.::::::.:::.................................:AOOII7:<
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Town of Montville
BuMing Department
Mg-7166
CONSTRUCTION PERMIT SIGN-OFF SHEET
S- hAu A-4,4, -3 ~A- 1A6
Prop«ty Address MapfLot
Job Description: q o
The owner/agent shall be responsible for the completion of the form, no construe permit will an
sigaaturess below have been obtained.
HEALTH DLSTRICT - 823-1189
❑ Permit „ Not Applicable
Septic system Date
❑
Places for Food Service Establishment Date Approved Not Applicable
❑ Permit ❑ - Not Applicable
Private Well Date ,
WPCA DEPARTMENT 848-7094
S-A)-
M Permit Q ~ Not Applicable
Municipal Sewer Date
❑ Permit # Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
❑ Permit Not Applicable
Director Date POLICE DEPARTMENT 848-7510
•
❑ Plan Reviewed , Not Applicable
Officer in Charge Date
PLANNING & ZONING DEPARTMENT 849.8549
o a~ ❑ Permit csjj ❑ Not Applicable
Zoning Date
Permit Not Applicable
❑ ❑
Inland-Wetlands Date
FIRE MARSHAL'S OFFICE 848-1175
Plan Review
❑ Approved , Not Applicable
Fire Marshal Date