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HomeMy WebLinkAbout2003 - Deck Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2003-0235 Date: 30-May-03 Map/Lot: 076/061-000 Owner ID 7000 Job Location: 3 BEECHILO, 0D &0AD Unit Job Description: Deck Owner: Contractor: John D and Julie F Cuff John D. Cuff 3 Beechwood Road 3 Beechwood Road Oakdale Ct. 06370- Oakdale CT 06370 Telephone: (860 848-1032 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $3,742.00 Building Fee: $22.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B . Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R10 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $3,742.00 CO Fee: $10.00 Plan Review Fee: $2.20 State Ed Fee: $0.60 Total Fees: $34.80 It is the owners responsibility to schedule the following inspections (minimum 48 hours notice reauired)• W-1 Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test 0 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, CT 06382 Fax. 848-7231 One & Two Family. Building Permit Application Form [Aw Construction Addition E] Arteration ~ accessory Structure pother Job Location -3 1d t-e-.c:-ue 1W0( (G( Qade-d ale - Job Description/Materials B u ad r)-.e-_ C K Owner_.,\obf1 Mailing Address City 0cJ,,6 Ie_ State CT Zip 06 -37() Tel 960/ LCD 2-- Contractor Mailing Address. CAI 0V q__, City State Zip Tel Contractor's License/Registration Type &•Number_ C6f . Exp. Date ! / 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 . U--/, ' Date /2- Q 3 Construction Value Fee Building $ $ Plumbing $ Mechanical $ Electrical $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See *verse side for additional requirements) ont~~*Ile Building DepartmF t Receipt Of Town o . No. U Date f -f From: Job Address: Check check # Amount (circle one) Permit # Received by Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools & Spas Above Ground Round EA $ 3,150.00 $ Above Ground Oval EA $ 5,250.00 $ In-Ground EA $ 18,900.00 $ Heater EA $ 3,465.00 $ Hot Tub EA $ 5,250.00 $ Roofing Strip & Reroof SQ $ 207.20 $ Overlay SQ $ 127.05 $ - Plywood SQ $ 101.85 $ Sheds SF $ 26.25 $ Electrical Service 100 Amp EA $ 816.43 $ ` 200 Amp EA $ 1,519.19 $ 400 Amp EA $ 6,039.29 $ Breezeway/Decks Open 240 SF $ 15.59 $ 3,741.60 Enclosed SF $ 94.76 $ - Porches Open SF $ 62.69 $ Enclosed SF $ 123.90 $ ' TOTAL BUILDING CONSTRUCTION COST $ 3,741.60 PERMIT FEE Building $ 3,742 $ 22.00 Electrical $ - $ - CO Fee $ 10.00 Plan Review $ 2.20 State Ed Fee $ 3,742 $ 0.60 Total Fees $ 34.80 Based on 2003 RS Means Residential Cost Data 5/13/03 STATE OF CONNECTICUT WORKERS' COMPENSATION CMalISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gcn. Scat. § 31-286bj Property located at t C L,) 0 0 c jl 2C~ In the town of 0e_&da& Name of building permit applicant: Please check one: 1. __L1 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 1 Pursuant to 31-286b, "a property owner or sole proprietor [who] i contractor actor or principal employer" m ~~to acct t as as a general may provide either a certificate of workers compensation insurance or a "sworn notarizod affidavit... stating that he will require proof of worker' compensation insurance for all those employed on the job site in accordance with this chapter." Please check g6e: I . I do not intend to act as a general contractor or principal employer. [Sign and stop here] aturo 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 ro accordance with the Workers` Com p Ply pensation Act (Chapter 568). 1 understand that pursuantto § 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 coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200 (Notary Public? Commissioner of the Superior Court) Town of Montville Building Department 848-7166, Ext 81 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: j Z Za The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until aU signatures below have been obtained. HEALTH DISTRICT 823-1189 ❑ Permit ❑ Not Applicable Septic System Date ❑ Permit ❑ Not Applicable Private Well Date WPCA DEPART NT 848-7094, Eat 86 ❑ Permit Not Applicable nicipal Sewer U Date ❑ Permit # ❑ Not Applicable Municipal Water Date DE F PARTMENT OF PU$LIC WORKS 848-7473 E] Permit E] Not Applicable Director Date PLANNING ONING DEPARTMENT 848-8549, Eat 7 2s~ © - ❑ Permit #:D ❑ Not Applicable Zoning ate C- _ ❑ Permit Not Applicable Inland-Wet ands Date 1 i I x -j ~ I i , I j ~ I : : j I I I I I I I : I : 1. ~ I I Q F : I I i I I ; ~I : I 1 i -4 -4 Town of Nk M II9 - - ;----j--- ' -a-- --..-p f4,-A-pprw4d-forCo strnctton- . be construed - pennft for, or approval of, as a - I - - . 0 ort the provisions_ - - I Qf eConnecticut Bui ding Code 1! Copy CVNFile Copy : : f t f 1 Y ~ t t Y 1 fi T ? ! 1 1 t 1 1 j { ' f ! ~ I I I i ; ~ I 1 I I • - t. ._1_. .1 t -Y_ Y _t___-~__ ..._.__t _ _ f. i ~__t _t _ ~ _ t 7 i t T . I I i 1 I j I I I I 1 ? t t t 1 _f 1 i t t. jI I }..--f---7- T. 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