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TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
BUILDING PERMIT
Permit Number: 82006-0445 Date: 29-Aug-06 Map/Lot: 131/043-000 Owner ID: 78000
Project Location: 16 ANDERSEN LANE Unit:
Job Description: 12x16 Shed
Owner Name: Jeff T & Sheri J Spence Tenant Name: N/A
Careof:
16 Andersen Lane
Oakdale CT 06370- Telephone:
Contractor Name: -Property Owner Telephone:
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $3,552.00 Building Fee: $32.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $3,552.00 Penalty Fee: $0.00 Permit Code: R9
C of O Fee: $10.00 Comments:
Plan Review Fee: $3.20
State Ed Fee: $0.57
Total Fee Paid: $45.77
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL ELECTRICAL PERMIT INSPECTIONS
❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill - Footing drains and waterproofing ❑ Elec Trench - with conduit installed
❑ Concrete Slab - Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts - with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
W/ Certificate of Occupancy
Building Official's Approval:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.:
Type of Work Occupancy Type Permit Type
Jew Construction ingle Family XP6uilding
❑ Addition ❑ Two-Family ❑ Plumbing
❑ Alteration ❑ Townhouse ❑ Mechanical
❑ Accessory Structure ❑ Electrical CRS#:
Job Address: \~o PW111INR ('XIQ d0 \4 ~ q ~
(Number) (Street) (Unit)
Job Description: \S~, 4
Owner: Add !z1~
Address:
City: State: Zip Code: Telephone:
--t~ Qxx
Contractor:
DBA:
Address:
City: State: Zip Code:
Telephone: License Type: License No.: Expiration Date:
I hereby certify that the proposed work will conform to the State 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.
❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner /Agent Signature: Date:
Construction Val a Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
&vised- Decem6er31, 2005
Town of Montville
Building Department
.File .Receipt
28-Aug-06 Receipt No: 1626
Date:
Received From: Sheri Spence
Job Address: 16 Anedersen Lane
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $45.77 Check: $0.57
Check No: 8584
Short/Over: $0.00
Construction Value: $3,552.00
Demolition V MOO
Received By Joseph Summers
Address:
TOTAL
ITEM QTY $NNR
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $
Basement, Finished SF $ 20.87 $ $
Basement, Unfinished SF $ 11.28 $ - $
Crawl Sapce i SF $ 8.46 $ -
interior Renovations SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - $ - $
Basement SF $ 11.28 $ - $ - $ -
Crawl Space SF $ 8.46 $ - $ - $
AMENITIES _
Kitchen EA $ - $ $
Full Bathroom EA $ - $ -
Half-Bathroom EA $ $
GARAGE
Attached SF $ 49.41 $ - $ -
Detached SF $ 63.21 $ - $ -
Under SF $ 9.12 $ - $ -
Carport SF $ 18,08 $ -
MECHANICAL
Warm-Air Y Y/N $
Hot Water ti Y/N $ '
Electric N k! Y/N $ -
Air Conditioning ''-NY/N $
ELECTRICAL SERVICE
Upgrade Amps $
Overhead, new Amps $
Underground, new Amps $
Subpanel EA $ 545.00 $
Gen Set EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry w/tfireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove, free standing ! EA $ 2,447.50 $
Wood stove insert EA $ 1,690.70 $ -
DECKS, PORCHES, SUNROOMS
Deck SF $ 39.16 $ -
Pomh : SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS & HOTTUBS
Hot Tub EA $ 7,287.50 $ - $ -
Inground Pool EA $ 19,430.40 $ - $ -
Above Ground Round EA $ 4,635.88 $ - $ -
Above Ground Oval EA $ 5,472.50 $ - $ -
Pool Heater - EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1.542A2 $ -
SHEDS
w/o electrical 1192 : SF $ 18.50 $ 3,551.81
w/electrical SF $ 18.50 $ - $ -
RENOVATIONS
Roofing, Overlay SF $ 3.38 $ -
Roofing, Strip & reroof~ SF $ 3.76 $ -
RoofSheathing SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors, Exterior EA $ 401.50 $ -
Oil Tank, 275 Gallon I: EA $ -
Oil Tank, 550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS -
TOTALS $ 3,551.81 $ - $ - $
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 3,552.00 $ 32.00
Plumbing Y $ $ -
Mechanical Y $ - $ -
Electrical Y $ - $ -
Working before Permit Issuance n $ -
Certificate of Occupancy Fee $ 10.00
Plan Review Fee $ 3.20
State Education Fee $ 0.57
TOTALS $ 3,552.00 $ 45.77
Figures are based on the 2006 RS Means Residential Cost Data
a,
State of Connecticut
Workers' Compensation Commission -
Qrr Please TYPE or PRINT IN INK
>snxsr~
7
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
1 Applicant . Building
Permit
Name of Applicant for Building Permit
} Property located at r
In the City / Town of
M
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer, you are not required to have workers' compensation insurance coverage.
CHECK ONE (1) BOX ONLY and complete the following:
am the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant
x
e.
❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property. I WILL NOT act as the general contractor or principal employer.
Name of Business
Federal Employer ID# (FEIN)
Signature of SOLE PROPRIETOR Applicant
Town of Montville
Buildina Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building
permit will be issued until all of the required signatures have been obtained.
Required rDepartment Permit Issuance Approval
Approval i
Tax Collector 1 a
Signature/ date:
Comments:
WP,CA, Administrative
Si atu e/ date
Comments:
❑ WPCA, Operations
Signature/ date
Comments:
Planning & Zoning ~b zi` kac~
Signature/ date
Comments:
❑ Health Department
:signature/ date
Comments:
❑ Department of Public Works
Signature/ date
Comments:
❑ State Dept. of Transportation
Signature/ date
Comments:
,tom 2t Fire Marshal kk_n A~K signature/ date
Comments:
RgviseQ'AugW 5, 2005
i
08/2512006 08:39 860-267-1018 CAREFREE BUILDINGS PAGE-01/01
06/2'/2006 08.19 EUti ~1l n„ i
1 FOOT Arm
MODEL
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ROSS SECTIONS CM12.1195
AUG 25,2006 10:41 CAREFREE SMALL 860 267 1018 Page 1