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Home My WebLink AboutSFR 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: 62003-0359 Date: 08-Jul-03 Map/Lot: 131/042-000 Owner ID 2509 Job Location: LAS _ Unit Job Description: NEW SFR Owner: Contractor: Hartens Pond LLC ANDERSON BUILDERS 39 EDGEWOOD AVE 183 Quarry Road WESTERLY RI 02891- _ Milford CT 06460 Telephone: _(196-2236 Lic/Reg Type/No. NHC 3258 Exp Date: 30-Sep-03 Tenant: N/A Telephone: Construction Values Permit Fees Construction Information Building Value: $159,767.00 Building Fee: $958.00 Use Group: R-4 Plumbing Value: $10,282.00 Plumbing Fee: $64.00 Code: 1995 CABO Mechanical Value: $11,424.00 Mechanical Fee: $70.00 Construction Type: 5B Electrical Value: $10,526.00 Electrical Fee: $64.00 Permit Code: R2 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $191,999.00 CO Fee: $10.00 Plan Review Fee: $95.80 State Ed Fee: $30.72 Total Fees: $1,292.52 It is the owners resoonsibility to scheed ¢h follo~~ing in~nections (minimums 48 hours notice required)a Footing - Prior to pouring concrete Rough HVAC 0 Backfill - Footing drains and waterproofing Fireplace Throat 0 Concrete Slab - Prior to pouring concrete ❑d Chimney - One flue above thimble Rough Framing Firestopping/draftstopping Rough Electrical Insulation Electrical Service ❑ Final Inspection Q Rough plumbing and leak test Certificate of Occupany ❑ Gas piping and test Building Official's Signature: 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 [21~vw Construction F] A&fition F1 Airteration Accessory Structure []Other Job Location 71~,® Job Description/Materials Owner e~z~ Mailing Address. i U- City State X~7Zipe _J/ Tel G' f /'s 3~72_l Contractor ~~Z, le:W Mailing Address. 3 ~ 6-,g/ City Stated Zip ~L Tel/ Contractor's License/Registration Type & Number iZ ' Exp. Date I 13.G_ j_,V 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-_ . /,.U_/ c~ Construction Value Fee Building $ $ Plumbing $ Mechanical $ $ Electrical $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ (See *verse side for additional requirements) ~'eceipt ``.ville Building Department artment Town of Mc f Date/ Z~ j 03 No.:e r From: d~+r-~ ~G%sZ ~f-~ L Df3 Job Address: AN'! L -,,)'zse tJ - ->t' - Cash Chcck Check # ?-,q7 Amount $ 12 ~t (cirolc one) Permit Deceived by ~~,Ur~r^efS Ile'- At E. Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY) House Construction A (E=Economy, A=Average, C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 204Q:: SF $ $ 71.19 $ $ 145,227.60 Finished Basement SF $ $ 24.73 $ $ Unfinished Basement 2040SF $ $ 7.35 $ $ 14,994.00 Kitchen 1. EA $ $ - $ $ - Plumbing Full Bath 2EA $ $ 4,229.40 $ $ 4,229.40 Half Bath EA $ $ 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 $ $ W/2 fireplaces EA $ $ 6,746.25 $ $ Breezeway/Decks Open 120:SF $ $ 22.31 $ $ 2,677.20 Enclosed SF $ $ 94.76 $ $ - Porches Open SF $ - $ 62.69 $ $ Enclosed SF $ - $ 123.90 $ $ Heating Adjustment 2040 SF $ $ (2.76) $ $ (5,630.40) Air Conditioning 2040 SF $ $ 2.84 $ - $ Electrical 2040 SF $ $ (5.16) $ - $ (10,526.40) Plumbing 2040 SF $ $ (5.04) $ - $ (10,281.60) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 159,767.25 Y Is air conditioning included (Y/N)? $ 5,794 PERMIT FEE Building $ 159,767 $ 958.00 Y Plumbing $ 10,282 $ 64.00 Y Mechanical $ 11,424 $ 70.00 Y Electrical $ 10,526 $ 64.00 Other $ CO Fee $ 10.00 Plan Review $ 95.80 State Ed Fee $ 191,999 $ 30.72 Total Fees $ 1,292.52 Based on 2003 RS Means Residential Cost Data 6/24/03 Gb/'LS/Ygg3 14: 3L Vg1J46tgOO +=li.nva au.a.~+. CERTIFICA71-1E OF LIABILITY INSUR"CF,..Rc c DA OEM2Mrr4++Y03 ER HIR FICATE 9 ,~.P IAATTE INFOR ON ONLY ANO CONFERS NO RIOWTS UPON THE CERTIFICATE manstiold Tnsazance Agency Inc HOLDER. THIS CERTIFICATE OClS NOT AMENCI, EXTEND OR 115 Nigh Street ALTER THE COVERME AFFORDED BY THE POLICI.EB BELOW. Westerly RI 02891.1886 1NSUREIl11AAi:FORfiINGCOVBR/kO1P Phonmv401-596-2096 FAX2401-348-2060 INSURED INSUPERA., EMC Insurance Cowponies IN9urwo, 3ltnerioat5_Euriah Inset. Co.^ Ande sea Builders, LLC ii~ Robert Andersen Westo lyoR1 02891 INwReeO i 1 INBURSr'R E: _ O v i-AAAES 7w. POLICIES OF INSURANCE LISTE6 BELOW HAVE SEEN WA F0 TO ThE INSURED NAMII) MEANS FOR THE POLICYPERIOD WpICAM NOTWITHSTANOWG ',;'QINRBMENT. TERM OR CONDITION OF ANY CONTRACT UK OTHM DOCtNA&M WRN R58PECT TQ NIMICH THIS CRRTIFICATE MAY" QW110 OR V I r RTAK 1411 INSURANCE APPOIXIM E'r THE POLICIES fASCM890 HBRCW 0 "JWT TO ALL THE ISWS, EKCLL 31ONS AND CONOMONS OF SUCH 1143.AGGREOATE 1,MIITS BHOVVN MAYWAVL 6GEN P.EOUc.FO BY PAID CLAIMS. a•Ft! TYPO OR'NEURAkCR POLICYNYMMR LIfmT* r' NERAL LIABILITY EPCN oc A"NM s i 1 G 0 O , 00 0 A I ][~COMMERCW GENERAL LIABILITY ZX5469604 06/29/03 06/29/04 ' FIRE bAWAQE(AAyonefl,V) !5100,000 CLAIMS IAAOE 7 » u OCrU1f I NIISC 1XP (Ary oM pow) 5 ~ , 0 0 0 PERSONAL, i ADV IN:Lgr e $1,0 0"1000 GENERAL AGORIGATE + s 2, 000 , 000 ` '4'LA3GREGATVL*ATAPPOeSPER: ~ 1PRG,OUCTS-OOMPropnGG $2,000,000 -I MT urONWEILELInIi,_IiT 1 COlNBINEOSINGIELIMi1' $1, Odd,000 A ANY At I { 2X5469604 06/29/03 06/29/04 fp+p°iv'""iS ALL OWNfin A;:705 MODfLY INJURY S SCHEUUf ;;u A~TQ^~ (Pal Woon) FSRGDAUTOS I E001LYINJURY j NO N-CWNEn AcITOS i ; IPeraeahmit) {I S I fPe4ryxttdl tIOAMAG6 i $ ' RAGR I+ASILTY i AUTO ONLY- EA ACCIDSNT II ANY A• ?0 { I OTHFR THAW EA iXC $ ALITS ONLY, AGG E SAS 1.IP!ul t: I IACH OCCURRENCE f 1LAIMS (BADE ~ AL{ClREWTi ---j5 06000TIGI c 15 j RETEM?Ir1N S ~ ' WOMOMCOM?LWTIONAND , ! rMPLOYEPS'UArr•.•~v ~ I ~ ' T RYLNNIT B 6ZZUB843x180603 09/12/03 i 02/12/04 i G.L.GACHACCIDENT 5100000 fi.L. DISSASE • EA EMPLOYE S Z OOCQO ( E-L.CI$EASE-POLICYt.UITT $500000 i I !'IO UI Opp ,LOCa1:CNSNEstICLESfE%CL'JSi7NS ADDED DY ENDORSEMENT PE r~i' _ICATE HOLDER N I ADDITIONAL INSURED:INSURML.rMg . CANCELLATION r+ KOUvIL SHOULD ANY OR THE ABOVE 0E&CRISED POLICIES Be CANOEI.LEDOCPORE THE EXPIRATfOW DATE THEREOF THE IBSLNNG W SURER WILL ENDEAVOR TO MAIL _%D_ DAYS Wpt rT)<N T ~a'n ~ f Montville, CT NOTICE TO Tie CERTiMGATE NOLOER NAMgO TO THE LEP7, ■ bHgl L E'] 1 I : 1 n q Ir G n t . 10'0" NO OBLIGATION OR LIAILLITY OF ANY KING UION THE INSURER. ITS AUNTA Oft 110 Norwich-'New London Trpk. RE NTATWii, U-Cavvil.le CT 083ti3 Av7H eil~p~ ACU~:'L+ 25-S (,"A171! VACOR1)CORPORATION 1Ji88 Town of Montville yi Building Department 848-3030, Ext 382 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET o Property Address Job Description: J y &o j Y 0 1 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 j , Approved jj, Permit # Not ❑ Applicable Municipal Se Date House Trap ❑ Outside Inside Approved ❑ Permit # ❑ Not Applicable Munici al Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 81 In Compliance 2 Permit ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date d' 1 J C T CONNECTI T`A'E U' DEPARfiMLNT OF CONSUMER PRO7ECTG►N 16S CAFIIL AVE + HAYtTt;C~RT706106-1630 $e it known that' Rye 13U1L.1lTcR► - ND 39 EDGEWOOD Avi?~EiJE W ESTERLY, KW80111 artt of G®rtisumer Protection as a rsgister~ed IS certified by the DeP 'TOR NEW lumber: 325 flegistrat+on i 120131 _ Effectivei gate; 10IQ DETACH CERTIFICATE ABOVE ALONG PERFORATION STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue, Hartford, Connecticut 06106-1630 Attached is your registration to perform work as a NEW HOME CONSTRUCTION CONTRACTOR as defined in the Connecticut General Statutes. . No such ion shall be shown to any properly interested person on request hom the Such registrat or used by any other person other than the person to w registration shall be transfmrac®ors shalt display their state reg registration was issued Contractors such number in a conspicuo commercial vehicles used in their business and shall display istration number on all bid proposals, contracts, invoices, and on all stationary manner us on all printed advertisements, used in their business. lease feel free to contact the Department of Consumer Protection, If you need assistance, p S~~®Ot~. License Services Division at (860)