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Home My WebLink AboutReplace Porch Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2004-0136 Date: 08-Apr-04 Map/Lot: 131/045-000 Owner ID 2503 Job Location: Unit Job Description: remove 10' x 6' porch and add 36' x 8' porch Owner: Contractor: Ruriko I Rogers and Margaret R Dixon Victor Cholewa, Jr. 41 Pachaug River Road 8 Andersen Lane Jewett City Ct. 06351- Oakdale CT 06370 Telephone: (860) 376-8686 Lic/Reg Type/No. HIC 537601 Exp Date: 30-Nov-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $7,350.00 Building Fee: $46.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R10 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $7,350.00 CO Fee: $10.00 Plan Review Fee: $4.60 State Ed Fee: $1.18 Total Fees: $61.78 It is the owners responsibility to schedule the following inspections (minimum 48 hours notice required): F-/~ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble W Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS 0 ❑ Final Inspection ❑ Rough plumbing and leak test Certificate of Occupany ❑ Gas piping and test Building Official's Signatur . Town of Montville Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form R New Construction F~ Addition F-1 Alteration F~ Accessory Structure ~ P other PD r c- '-x Job Location $ Y h f u /`°t'f -t v L C Ir, lop- Job Description/Materials ~0 Y G h. o v -e- e 5-T~~ P u 6 ° G L` 4 Owner Mailing Address It S' .4 `r S 0 L ~ CitYAl n State C ~ Zip Tel 4~ 6 / .34, f nn f '4 `r Y ' Contractor Mailing Address Cl G ( et City StateC Zip 0 G 3 -S f Tel eM P / 3 2 6 Contractor's License/Registration Type & Number-9-3-2 00 Exp. Date/ -2U / dk Z4 p ~4 t. n,, d y'y V --c. -n„ -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. i Owner /Agent Signature r r Date Y l f l 0 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education s $ Total $ V $ Receipt of Montville Building Department Town No . , Date c~ From: tj Job Address: heck Cheek Cash Amount - (Ci,cfe on Permit # Received by f~ w r Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools & Spas Above Ground Round EA $ 3,150.00 Above Ground Oval EA $ 5,250.00- $ In-Ground EA $ 18,900.00 Heater EA $ 3,465.00 Hot Tub EA $ 5,250.00 $ Roofing Strip & Reroof SQ $ 207.20 $ Overlay SQ $ 127.05 $ Plywood SQ $ 101.85 $ ' Sheds SF $ 26.25 $ - Electrical Service 100 Amp EA $ 816.43 $ - 200 Amp EA $ 1,519.19 $ - 400 Amp EA $ 6,039.29 Breezeway/Decks Open SF $ 22.31 $ Enclosed SF $ 94.76 $ - Porches Open 288 SF $ 25.52 S 7,349.76 Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 7,349.76 PERMIT FEE Building S 7,350 $ 46.00 Electrical $ $ $ CO Fee $ 10.00 Plan Review $ 4.60 State Ed Fee $ 7,350 $ 1.18 Total Fees $ 61.78 Based on 2003 RS Means Residential Cost Data 4/5/04 STATE OF CONNECTICUT WORKERS' COhIPBNSATION COIvII1SISSI0N Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) _ Property located at _:i6( 1~ f~ 4 ~ ~ L") L 1 ti In the town of- 0 T a ( t , r Name of building permit applicant: E~ s ?ca G cz C c S~ Please check one: I . I am the owner of the above property. 2_ ✓I am the sole proprietor of a business. -2A. Name: of business 6 0 L) f 2B_ Federal Employer Identification Number Pursuant to § 3I 286b, "a property owner or sole ~J contractor or principal employee Proprietor [who] intends to ad as a general may provide either a certificate of workers' compensation insurance or a "sworn notarized affidavit... stating that he will ooimpensation insurance for all those employed on the job site in require Proof of worke& accor+dancc with this chapter." Please check 9r: I. I do not intend to ad as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Alfidavit I hereby swear and attest that I will require proof of workers' con contractor, subcontractor, or other worker before hdshe engages in n work on insurance abov for every accordance with the WOrke& Con on the above property in pcnsation Act (Chapter 558). I understand that pursuantto § 31-275 C.G_S., offcers 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 files his intent to accept coverage. unless he Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public) Commissioner of the Suneior co di Town of Montville t Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: Q z y v -e F , s t c/, Y r ` v v c~ 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 t ❑ Permit 17"ot Applicable unicipal Sewer Date House Trap ❑ Outside ❑ Inside 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 Alo( ~ Permit 20~j 070 ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date Revised 6/28/2002 5-T 16' C2 4 ~f ILA S0 G -T S ~ ~ y V o + r -7 C/ v pe "Y~ -IG Twc~c<<<<~ rte' " p c 0 h I C-- iv U' (,J C:... To v C u