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HomeMy WebLinkAboutSingle Family Residence Plans in File Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: 82003-0399 Date: 22-Jul-03 Map/Lot: 131/049-000 Owner ID 2508 Job Location: 19 AN RSfX ANE Unit Job Description: Single Family Residence Owner: Contractor: Hartens Pond LLC Michael Lenihan Builders LLC 16 Sherwood Drive 183 Quarry Road Stonington Ct. 06378- Milford CT 06460 Telephone: (860) 535-2462 Lic/Reg Type/No. NHC 2570 Exp Date: 30-Sep-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $184,343.00 Building Fee: $1,108.00 Use Group: R4 Plumbing Value: $11,955.00 Plumbing Fee: $70.00 Code: 1995 CABO Mechanical Value: $13,283.00 Mechanical Fee: $82.00 Construction Type: 5B Electrical Value: $12,240.00 Electrical Fee: $76.00 Permit Code: R2 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2211821.00 CO Fee: $10.00 Plan Review Fee: $110.80 State Ed Fee: $35.49 Total Fees: $1,492.29 It is the owners responsibility to schedule the following ins ion (minimum 48 hours notice required): Footing - Prior to pouring concrete W-1 Rough HVAC W Backfill - Footing drains and waterproofing ❑ Fireplace Throat 0 Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble W Rough Framing Firestopping/draftstopping Rough Electrical F-/~ Insulation © Electrical Service ❑ Final Inspection d❑ Rough plumbing and leak test 0 Certificate of Occupany Gas piping and test Building Official's Signature: Town of Montville Plan Review Form Date: 0, `Za C,3 Street Address: lT~ G~6Z t L 1~ Job Description: /vim S' f=R- We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, your application is being reiected for the following reason(s) that are checked-off or commented on: • Supporting Documentation Plans are to be drawn to scale including dimensions of rooms and spaces and all framing information Building permit application not completed, signed, dated =Permit fee $ lr L/49Z Worker's comp. Affidavit or worker' comp. Insurance Copy Contractor's registration or license Construction permit sign-off sheet Street address of project on all drawings and docurrients Comments: g Official Town of Montville Building Department ' Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, Cr 06382 Fax. 848-7231 One & Two Family. Building Permit Application Form Q Nfw Construction E] Additm Alteration AcwsmyStructure Other Job Location Job Description/Materials ; r V 11-0 NCO Ht3M. Owner M16#46- L-IDP lf~~ Mailing Address /i(e ~ S c„voot) De o City- jMMI A)G pJ State Ct- Zip -3-7 8 Tel 76® l ~ Contractor (f Mailing Address. City State Zip p Tel Contractor's License/Registration Type & Number l~f C`_. _7 Exp. Date-I 3 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. i Owner /Agent Signature . Dated Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See *verse side for additional requirements) Town of Montville Building Department Receipt No. 02984 Date From: t Job Address: Cash Check Chcek # ~ Amount J12003-3 9? Permit # Received by e /(/4 b N i Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (2 STORY) House Construction A (E=Economy, A=Average, C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 2372 SF $ $ 72.08 $ - $ 170,97376 Finished Basement SF $ - $ 16.01 $ - $ - Unfinished Basement 1186 SF $ - $ 5.72 $ - $ 6,783.92 Kitchen 1 EA $ $ $ - - $ - Plumbing Full Bath 2 EA $ - $ 4,229.40 $ - $ 4,229.40 Half Bath 1 EA $ $ 2,691.15 $ - $ 2,691.15 Garages Attached, 1 car EA $ - $ 8,885.10 $ - $ - Attached, 2 car 1 EA $ - $ 15,113.70 $ - $ 15,113.70 Attached, 3 car EA $ - $ 20,913.90 $ „ $ - Detached, 1 car EA $ $ 11,657.10 $ - $ - Detached, 2 car EA $ - $ 17,456.25 - $ - Detached, 3 car EA $ - $ 23,256.45 $ - $ - Under, 1 car EA $ $ 1,304.10 $ $ - Under, 2 car EA $ - $ 1,757.70 $ - $ - Fireplace & Chimney Prefab 1' EA $ $ 3,963.75 $ - $ 3,963.75 Masonry, exterior - EA $ - $ 3,963.75 $ $ - Masonry, interior EA $ - $ 3,701.25 $ $ W12 fireplaces EA $ - $ 6,74625 $ - $ - Breezeway/Decks Open 1: SF $ - $ 22.31 $ - $ 2,677.20 Enclosed - SF $ - $ 94.76 $ $ - Porches Open ~~13$ SF $ - $ 62.69 $ - $ 8,651.22 Enclosed SF $ $ 123.90 $ - $ - Heating Adjustment 2372 SF $ - $ (2.76) $ - $ (6,546.72) Air Conditioning 2372 $F $ $ 2.84 $ $ - Electrical 2372 SF $ (5.16) $ $ (12,239.52) Plumbing 2372 SF $ $ (5.04) $ - $ (11,954.88) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 184,342.98 Y Is air conditioning included (YIN)? $ 6,736 PERMIT FEE Building $ 184,343 $ 1,108.00 Y Plumbing $ 11,955 $ 70.00 Y Mechanical $ 13,283 $ 82.00 Y Electrical $ 12,240 $ 76.00 Other $ - CO Fee $ 10.00 Plan Review $ 110.80 State Ed Fee $ 221,821 $ 35.49 Total Fees $ 1,492.29 Based on 2003 RS -Means REsidential Cost Data 7/10/03 W O-~s oocolos NE Slo OG i4o Zy?o OtR F Y~ A 1 Y} a STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 1210(gG L4 In the town of ) ! !,21VT V 1 ILL J Name of building permit applicant: I VIC144eL, C 6WI H4A) -&Jo',,D6 ~ L,( Please chyck one: 1. I am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Name of business: 2B. Federal Employer Identification Number (FEIN) 6, ~S ~3CJ 5 Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn 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: 1. 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 property in accordance with the Workers' Compensation Act (Chapter 568). I 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 co a unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ~_u gin- , 2003. (Notary Public/Commissioner of the Superior Court) MELINDA L. ROBERTS NOTARY PUBLIC MY COMMISSION EXPIRES OCT. 31, 2007 Town of Montville r Building Department r 848-3030, Ext 382 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Al J,0 Y- Property Address Job Description: S n 2 C /t t~' c 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 i Permit 1 ~q ❑ Not 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 _ 2 3 kg Permit #:,`?o /S- S _ ❑ Not Applicable Zoning ate qJ- In-Compliance ❑ Permit flWf;L Not Applicable Inland-Wetlands Date