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HomeMy WebLinkAboutSRF Plans in File i Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Building Permit Permit Number: B2002-734 Permit Date: 23-Dec-02 Permit Code R2 Job Location: 16 ANDERSEN LANE UNIT: MAP/LOT: 037/002-043 Job Description: Single Family Residence Owner Contractor HARTENS POND LLC Andersen Builders 39 Edgewood Avenue 183 QUARRY ROAD Unit: Westerly, RI 02891 MILFORD CT 06460 Telephone: 401-596-2236 Lic/Reg Type: NHC Use Group R4 Lic/Reg Number: 3258 Code 1995 CABO Exp Date: 9/30/03 Construction Type 5B Construction Values Permit Fees Building Value: $146,581.00 Building Fee: $880.00 Plumbing Value: $8,996.00 Plumbing Fee: $52.00 Mechanical Value: $10,792.00 Mechanical Fee: $64.00 Electrical Value: $10,016.00 Electrical Fee: $64.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $176,386.00 C/O Fee: $10.00 Comments: Plan Review Fee: $88.00 State Ed Fee: $28.22 Total Fees: $1,186.22 It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice requested): v Footing - Prior to pouring concrete ❑d Rough HVAC W Backfill - Footing drains and waterproofing ❑ Fireplace Throat d❑ Concrete Slab - Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble Q Rough Electrical Firestopping/draftstopping © Electrical Service Insulation d❑ Rough Plumbing and Leak Test ❑ Final nspection ri to us e or occupancy Gas Piping and Pressure Test ertificat79,_ Building Official's Signature: C. Town of Montville Building Department 310 Norwich New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 82 Fax. 860-848-7231 December 11, 2002 Andersen Builders 39 Edgewood Avenue Westerly, RI 02891 RE: 16 Andersen Lane 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 for the following reason(s): A (3) 2x10 in basement is over-spanned Engineering data required for 1 -joists MEC check does not match the floor plans Fee due $1,186.22 We will keep all documents received to date on file and renew your application when you have furnished all the required data. Thank a01L -r` p J. Summers 1 Asst. Building Official Cc: File 7 f Montville ` Building artment Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form New Construction D Addition ❑ Afteration Accessory Structure other Job Location Job Description/Materials Owner ~"/1~ SCI Mailing Address City Stated Zip / Tel- r Contractor~,~~j° Mailing Address City State Zip e!~~j/ Tel D/ Contractor's License/Registration Type & Number Exp. Date_ J7 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-ja permit for such work as described above. Owner /Agent Signature c-~e- Date Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ Town of Montville Building Departme"-t Receipt k Date No. 4 From J~c ? t -qii Job Address: - E s AIT10Un( Cash Check_ Check 9 f _ rdc onc) Reccivcd h}' I r.*SgA Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY) House Construction A (E=Economy, A=Average, C--Custom) OTY $/UNIT $1UNIT $/UNIT TOTAL Living Area 2040 SF $ - $ 67.05 $ - $ 136,782.00 Finished Basement SF $ - $ 20.20 $ - $ - Unfinished Basement 2040 SF $ - $ 6.55 $ - $ 13,362.00 Plumbing Full Bath 1 EA $ - $ - $ - $ - Half Bath 1 EA $ - $ 2,247.00 $ - $ 2,247.00 Garages Attached, 1 car EA $ - $ 8,054.00 $ - $ - Attached, 2 car 1 EA $ - $ 13,676.00 $ - $ 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 1 EA $ - $ 3,480.00 $ - $ 3,480.00 Masonry, exterior EA $ - $ 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 120 SF $ - $ 15.00 $ - $ 1,800.00 Enclosed SF $ - $ 82.80 $ - $ - Porches Open SF $ - $ 56.45 $ - $ - Enclosed SF $ - $ 111.55 $ - $ - Heating Adjustment 2040 SF $ - $ (2.82 $ - $ (5,752.80) Air Conditioning 2040 SF $ - $ 2.47 $ - $ - Electrical 2040 SF $ - $ (4.91) $ - $ (10,016.40) Plumbing 2040 SF $ - $ (4.41) $ - $ (8,996.40) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 146,581.40 Y is air conditioning included (YIN)? $ 57039 PERMIT FEE Building $ 146,581 $ 880.00 Y Plumbing $ 8,996 $ 52.00 Y Mechanical $ 10,792 $ 64.00 Y Electrical $ 10,016 $ 64.00 Other $ - CO Fee $ 10.00 Plan Review $ 88.00 State Ed Fee $ 176,386 $ 28.22 Total Fees $ 1,186.22 Based on 2004 RS Means Square Foot Costs 12/11/02 ` J STATE OF CONNECTICUT WORKERS' COMPENSATION CONvI141ISSION Building Permit Affidavit for Property Owners or sole Proprietors {Conn. Gen. Stat. § 31`-286b) Property located at In the town of Name of building permit applicant: , f Please check one: I • I am the owner of the above property. 2_ _Zj am the sole proprietor of a business. _2A_ Name of business 28. Federal Employer Identification. Number Pursuant to § 31-286b "a neral PrnP~Y owner or sole proprietor (who] intends to act a general contractor or principal employer" may y provide either a Gatificaft of workers' compensati0a 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: I. I do not intend to act as a general contractor or principal employer. [Sign and st ere] ZI Signature of applicant 2.intend to act as a general contractor or rinci provide. a certificate of workers' compensation in mior. Applicant must either 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 helshe engages in work on the above ro accordance with the Workers" Compensation Act (Chapter 568). P PAY 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 files his intent to accept required to have coverage unless he MELINDA L. ROBERT'S NOTARYPUBLIC rgnature of app tcant SIGN EXPIRES OCT. 31,2W7 Subscribed and sworn to before ire this, V day of 200 (Notary Public/ Commissioner of the Superior Court) Town of Montville Buuaing Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET All, Property Address Job Description: <n f- 0 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 848-3030-882 ` ^C>'Z ❑ Permit Not Applicable Septic S tern Date ❑ Permit ❑ Not Applicable Privat ell Date WPCA DEPARTMENT 848-3030, EXt. 881 11 ~d a Permit ❑ Not Applicable unicipal S r Date, ~`n Ceti use Co (D ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 F ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT - 848-3030 Ext. 81 i (/-Z 0)07, _cR- Permit #:,)Cja -;203 ❑ Not Applicable Zoning Date ❑ Permit ❑ Not Applicable Inland-Wetlands Date