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Home My WebLink AboutPergola 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: B2009-0147 Date: 30-Apr-09 Map/Lot: 131/045-000 Owner ID: 74000 Project Location: 8 ANDERSEN LANE Unit: Job Description: Construct 18x18 Pergola Owner Name: Ruriko I Rogers and Margaret R Dixon Tenant Name: N/A Careof: 8 Andersen Lane Oakdale CT 06370- Telephone: (860)391-1688 Contractor Name: Victor R. Cholewa Jr. Telephone: (860)376-8686 DBA: Construction Plus Lic/Reg Type: HIC Lic/Reg No: 537601 41 Pachaug River Drive Exp Date: 30-Nov-09 Jewett City CT 06351- Construction Value Permit Fees Construction Information Building Value: $2,200.00 Building Fee: $24.00 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: $2,200.00 Penalty Fee: $0.00 Permit Code: R9 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.40 Total Fee Paid: $24.40 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 d❑ Cerdf to of Approval rdficate of Occupancy r'te' 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.:, T )"t -x!`47 Type of Work occupancy Type Permit Type 0 New Construction 0 Single Family 0 Building ❑ Addition ❑ Two-Family ❑ Plumbing Il Alteration 0 Townhouse ❑ Mechanical ❑ Accessory Structure ❑ Electrical CRS#: Property Address: 3 A h d - ~ S & k L- !2~ - f/L tt c ~J ~ °c c z c. ''7 (Number) (Street) (Unit) Job Description: 70 C a-, s ' Tw a. e '7 Y° owner Address: Y C(le- Stater A) Code: 0 G Telephone( pP . DBA: G C' s'( C ~c\ a i°R t L &N S Address: - / P C;,,.. C. ca 1-1 c a -2 Y City: J 4E %.,u t -i 7 C. State: c,T Zip code: y G 3 Telephone (S-K C/ X ~ 41 Contactors - Complete the Following: bl' 3~ ~ y License Type: License No.:., Expiration Date: 1 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 wonoosed work is authorized by the owner in flee and mat I am authorized to make appiicafron for a permit for such work as described above. By checldng 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 thro gh 42 of the Residential Code. Owner /Agent Signature: / Date: Constructiori Value Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: _-T C of O Fee: Plan Review Fee: State Ed Fee: Total Fee. A s3, 2007 Town of Montville Building Department File Receipt Date: 29-Apr-09 Receipt No: 4447 Received From: Construction Plus Job Address: 8 Andersen Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $24.40 Check: $0.40 Check No: 2999 Short/Over: $0.00 Construction Value: $2,200.00 Demolition Value: $0.00 Received By Charles Corell I Address: 8 Andersen Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ - Basement, Finished SF $ 22.96 $ - $ - Basement, Unfinished SF $ 12.40 $ - $ - Cravd Sapce SF $ 9.30 $ - Interior Renovations SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors - SF $ 6.45 $ - $ - $ - Basement SF $ 12.41 $ - $ - $ - Crawl Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Attached SF $ 54.35 $ - $ Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Overhead, new Amps $ - Underground, new Amps $ - Subpanel EA $ 599.50 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/1 fireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove, free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS, PORCHES, SUNROOMS Deck SF $ 40.00 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS & HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 21,373.44 $ - $ - , Above Ground Round EA $ 6,100.00 $ - $ - Above Ground Oval EA $ 6,019.75 $ - $ - - Pool Heater EA $ 8,984.25 $ Inflatable Type Pool EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 22.00 $ - w/electrical SF $ 20.35 $ - $ - RENOVATIONS Roofing, Overlay SF $ 3.00 $ - Roofing, Strip & reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding SF $ 4.50 $ - Windows EA $ 600.00 $ - Skylights EA $ 1,051.10 $ - Doors, Exterior EA $ 625.00 $ - Oil Tank, 275 Gallon EA $ - Oil Tank, 550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 2,200.00 TOTALS $ 2,200.00 $ - $ - $ PERMIT FEE CALCULATIONS Construction Value Fee Building _ $ 2,200.00 $ 24.00 Plumbing Y $ - $ - Mechanical Y $ - $ - Electrical Y $ - $ - Working before Permit Issuance $ Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.40 TOTALS $ 2,200.00 $ 24.40 Figures are based on the 2006 RS Means Residential Cost Data STATE OF CONNECTICUT • COiVSUVIER PROTECTION VICTOR R CHOLEWA JR 41 PACIIAUG RnI E t`DR JE~XTTT CITY, CT 06351 CONSTRUCTION PLUS LIC.lREGNO, EFFLUIIVE EXPIRES HIC.053760 02/17/2009 - , , :4]x/30/2009 S4 i State of Connecticut Workers' Compensation Commission - Please TYPE or PRINT IN INK s,~ s r 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 Permit Building Applicant for ~J i Name of Applicant for Building Permit V c G ( y t tJ Property located at d J S C.._, ch ' Z° in the City / Town of U k, L S V L C ( 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 ONCE (1) BOX ONLY and complete the following: ❑ lam the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M --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 C S f Y C" 0 / Federal Employer ID# (FEIN) c) ! 6- -S Signature of SOLE PROPRIETOR Applicant • Town of MonWffie Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. EPM ),,g ccn l Lo-o e Property Address Job Des pion Required for all permits ® At least one required for ail permits ❑ - Required as indicated below Required Department Permit Issuance Approval Approval Tax Collector Signature/ date Comments: Planning & Zoning Signature/ date Comments: , vet G3 ~ Fire Marsh ® Signaturef date Comments: aC.~ L YV C, L ® Health Department Required for properties wifh sepfic systems - Not required for Plumbing Electrical Mechanical Roofina Siding. Windows & Doors Signature/ date Comments: in WPCA, Administrative Required for properties on sewer idate Comments: ❑ WPCA, Operations When Required by WPCA Signature/ date Comments: ❑ Department of Public Works Required when proiect includes driveway work or certain drainage requirements Signature/ date Comments: ❑ State Dept of Transportation Recurred for Structures over 100, 000 sa n or witty more than 200 paridna spaces - Official copy of STC Certificate 0f Operafion required -per CGS 14-311 Signature/ date Building Department Review Complete Signature! date ¢j~yRedXovaaber 3, 200R i f ' -Al y L ° , . 40, I - I ' . I I _ - Y y - E L FI . y VIE - JUNK `12 9 2009 i - I ~ - > NVta E T~ - - N-A 1 71 0 _ _ . _ _ _ i : s ~~yLJ y6 \wr i f I- , i ( ~ k ~ i ] ' ~ I ~ ' -'"r!E. I ;r:. I i 1 I t 7"y v.,~ ] ~ ~`..r 1 ~~e t i 1 I ] I 4 I A 1 bE ` ' . ` i I I I 3 I y ' ' { i t I I _ f.."'r I ; I I ' f , -r , T 4 , y f I f y. r ~t _ r l i 1 , E , r ! 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