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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: 82006-0006 Date: 14-Feb-06 Map/Lot: 109/074-000 Owner ID: 96000
Project Location: 16 ANN AVENUE Unit:
Job Description: add two windows in basement
Owner Name: Cathy Chen Tenant Name: N/A
Careof:
16 Ann Ave
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (203)918-8117
DBA: Lic/Reg Type: _
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $424.00 Building Fee: $8.00 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: $424.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.07
Total Fee Paid: $8.07
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
Certificate of Occupancy
Building Official's Approval: zt
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.: gyLzl_
Type of Work Occu anc T oee Permit T e
0 New Construction Single Family Building
❑ Addition ❑ Two-Family ❑ Plumbing
k iteration ❑ Townhouse ❑ Mechanical
❑ Accessory Structure ❑ Electrical CRS#:
Job Address:
(Number) (Street) (Unit)
Job Description: Dlj JLI/v IV 11!3
Owner: C~~IPNr.1r'F'l~
Address: f-fIi-1V AtdE
City: ,%L L State: / Zip Code:
Telephoner
Contractor: CL F
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 Value 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:
PSvised Decem6er31, 2005
Town of Montville
Building Department
File Receipt
Receipt No: 1021
Date: 08-Feb-06
Received From: Catherine Chen
Job Address: 16 Ann Ave
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $8.07 Check: $0.07
Check No: 0
Short/Over: $0.00
Construction Value: $424.00
Demolition Value: $0.00
Received By David M Jensen
C/'
Address: 16 Ann Ave.
TOTAL
ITEM CITY $/UNIT
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $
Basement, Finished SF $ 20.87 $ - $
Basement, Unfinished SF $ 11.28 $ - $ -
Crawl Sapce SF $ 8.46 $ -
Interior Renovations SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - $ - $
Basement SF $ 11.28 $ - S - $
Crawl Space SF $ 8.46 $ - S - $
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 N YIN $ -
Hot Water PA Y?N $
Electric N YIN... $ _
Air Conditioning N YIN S -
ELECTRICAL SERVICE
Upgrade Amps $
Overhead, new Amps - $
Underground, new Amps $ -
Subpanel EA $ 545.00 $ -
Gen Set EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCFS
Prefab Metal Fireplace EA $ 5,907.00 $
Masonry w/l fireplace 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 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS & HOT TUBS
Hot Tub EA $ 7,287.50 $ - $
Inground Pool EA $ 19,430.40 $ - $ -
Above Ground Round EA $ 5,472.50 $ I -
Above Ground Oval EA $ 4,635.88 $ - $
Pool Heater EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical SF $ 18.50 $ $ -
RENOVATIONS
Roofing, Overlay SF $ 318 $ -
Roofing, Strip & reroof SF $ 3.76 $ -
Roof Sheathing SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows EA $ 423.50 $ 423.50
Skylights EA $ 955.54 $ -
Doors, Exterior EA $ 401.50 $ -
Oil Tank, 275 Gallon EA - $ -
Oil Tank, 550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS
TOTALS $ 423.50 $ $ - $
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 424.00 $ 8.00
Plumbing $ - $ -
Mechanical $ - $
Electrical $ $
Working before Permit Issuance $
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.07
TOTALS $ 424.00 $ 8,07
Figures are based on the 2006 RS Means Residential Cost Data
Town of Montville
Building 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 Department Permit Issuance Approval
Approval
s-~/
Tax Collector
Comments:
❑ WPCA, Administrative
Comments:
❑ WPCA, Operations
date
Comments:
❑ Planning & Zoning
Comments:
❑ Health Department
Comments:
❑ Department of Public Works
Comments:
❑ State Dept. of Transportation
Comments:
w Fire Marshal 06
ignafurel date
Comments:
RgznsedAugust 5, 2005