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HomeMy WebLinkAboutExpand Deck Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2004-0308 Date: 14-Jun-04 Map/Lot: 131/045-000 Owner ID 2503 Job Location: 8 ANDERSEN LANE Unit Job Description: add to deck 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: $6,735.00 Building Fee: $40.00 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: $6,735.00 CO Fee: $10.00 Plan Review Fee: $4.00 State Ed Fee: $1.08 Total Fees: $55.08 It is the owners responsibility to schedule the following inspections (minimum 48 hours notice requiredj_ 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 d❑ 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 Signature: Town of Montville L Building Department Permit 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Appl' -©pm rr^-^I M IR _ .ate New Construction F-1 Addition 0 Alteration Accessory Structure Other FA V k3 o % Job Location g~ li , s o h L -c ?'slAcsr & -e Job Description/Materials'I )q . ( L; Q J -k _ Y'k, Fv u i S~ v- uv` i To o4 i --T,7s tt Ao 4o ®-cc_-c•`L,.-=k 4~ Owner /41 a, a,, G-T ~f e) Mailing Address A tn J r s o" -e City. /11 v ~r 7 (-k < State G : d Zip 06 d' Tel 0"0 /3 ~q / 16& Contractor U L-( v ~n v C -e L~, e 71 Mailing Address Lt 4'v - 10 ti City } t~ . z -T % State C-( Zip 06-3 s t Tel 56c113,)6' / J C l Q Contractor's License/Registration Type & Number /yo _2 Exp. Date /1 13 c' s3 ~6® 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 .S' 10' / Construction Value Fee Building Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy Plan Review Fee State Education $ D Total $ $ ,~c~ Town of Montville Date B~ildin - - Department Receipt From. No. ~7/Z~crr~ ~z, Job Address: /,J~ ,S Amount $ Cash Check Check # 2-/ 7 ~('irclc nnc) Received by ernvt 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 $ 1,5 9.19 $ - 400 Amp EA $ 6,03929 $ - Breezeway/Decks Open 432 SF $ 15.59 $ 6,734.88 Enclosed SF $ 94.76 S - Porches Open SF $ 62.69 $ Enclosed SF $ 123.90 S - TOTAL BUILDING CONSTRUCTION COST $ - - 6,734.88 PERMIT FEE Building S 6,735 $ 40.00 Electrical - $ - $ CO Fee $ ' 10.00 Plan Review $ 4.00 State Ed Fee $ 6,735 $ 1.08 Total Fees $ 55.08 fi Based on 2003 RS Means Residential Cost Data 6/1/04 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Scat- § 3 i--2866) Property located at /111 _ v so L, L In the town of C C r G Name of building permit applicant: t C_ ~v C LI e C o._,, J ~ Please check one: 1 _ I am the owner of the above property. 2. dam the sole. Proprietor of a business. - _2A. Name of business C ° '7 s 7" " e I C' S 2B. Federal Employer Identification Number Pursuant to § 31-286b, "a property owner or sole . contractor or ci proprietor [who] intends to act as a general Pte. Pal CMployer" may provide either a cerfficate of workers' compensation insurance or a "sworn notarized affidavit... stating that he will require proof of worked' compensation insurance for all those employed on the Job site in accordance with this chapter Please check on I . I do not intend to act 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. 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 ro accordance with the Workers' Compensation Act (Chapter 568). P Ply in 1 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) r ' Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: 14 0 0 To e- c r d -e- c- f K 7T Lu 0 a/ v -r- S Y l~ C Tv n, is. `cv ~ The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030, Ext. 882 ❑ Permit Not Applicable Septic System Date ❑ Permit ❑ Not Applicable Private Well Date ~WPCA DEPARTMENT 848-3030, Ext. 881 Z _ ❑ Permit ❑ Not Applicable Municipal Sewer Date ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 F ❑ Permit Tot Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030, Ext. 81 40~jj -7 0 Permit - ~ ❑ Not Applicable Zoning Date ~J~~~~ ❑ Permit ❑ Not Applicable Inland-Wetlands Date 44* v, C-L uj L,7 o v- Li V, 0-7 7a S, --e o c1 C IN ® C- i' v" A? irt '7 c- j, C, L Al, e, ~j f~ Dh 7o eS T Ff~ 3~ v ~.e, _ S g i i , I ~ ~ i ~ ! I, ~ ~ ~ a- ~ ! i ; ~ r ~ • s'L~, a ~ a ` ~ ~ P 'd " I 1 j' I 1 I ! p, ILSI ' ; j } 1 f i I F i l r-, I ~ f CA i i l I i 1 I I i i I I p! 1. I ` i s i S IN, 1 ~ I I I I I 1(~ ~ i{{ I~~ ~ C r 1~ I I I~~ ~ I f I~ ~ ! ! i ~ ~ ~ f r ti t ~ t ~ I , t I 1 I j t f DL-