The URL can be used to link to this page

Home My WebLink AboutStrip and Re-Roof 2007 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: B2007-0698 Date: 27-Nov-07 Map/Lot: 096/007-000 Owner ID: 5347000 Project Location: — 177 PARK AVENUE EXTENSION Unit: Job Description: Strip&ReRoof Owner Name: Kenneth W Harper Tenant Name: N/A Careof: 177 Park Ave Ext Uncasville CT 06382- Telephone: (860)848-0637 Contractor Name: Ericsen Contracting Inc. Telephone: (860)447-2318 DBA: Lic/Reg Type: HIC Lic/Reg No: 602807 147 Ashcraft Road Exp Date: 30-Nov-08 New London CT 06320- ConstructionMalmo _ Permit Fees Construction Information Building Value: $7,520.00 Building Fee: $64.00 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: $7,520.00 Penalty Fee: T_ N $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: _ _ $0.00_ State Ed Fee: $1.20 Total Fee Paid: $65.20 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 E 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 C-.• ate of Approval • Ce i i . e of cc .•ancy +.-�- Building Official's Approval: i_ "--��1�� Y _ 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.:6.1)n-5/-C)td tQ Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building ❑Addition ❑Two-Family ❑ Plumbing s-Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: 11 —1 9AVOC ✓ .1 S7 'NIC I (Number) , (Street) (Unit) Job Description: 5-Si.9 ` )2e--)264)c t Owner: Ke—r1 ot— Address: - Y City: Ik-- - State: Zip Code: Telephone: 4g Ut l Contractor: 1Z‘ L >n (( 1, -L—TX DBA: Address: i k A��('C --orc"� V `' ,M,/� City: t v, • State: �i Zip Code: W Telephone: 1.4-7 2..---30 License Type: ._!-, License No.: C 0 2 aU Expiration Date: /1/Z Z 1/L)':4-,. 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 w5w- .I the req ements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical reenri ch tens 33 through 42 of the Residential Code. Owner/Agent Signature �c1,..... 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 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised August 23,2007 Town of Montville Building Department File Receipt Date: 26-Nov-07 3027 Receipt No: Received From: Ericsen Contracting LLC Job Address: 177 Park Avenue Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $65.20 Check: $1.20 Check No: 2338 Short/Over: $0.00 Construction Value: $7,520.00 Demolition Value: $0.00 Received By Carmen Roberts ricorytx0 rii , 0 Address: 177 Park Avenue Ext. • ITEM OTY $IUNIT TOTAL 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 $ - $ - $ - Crawl Space - SF $ 846 $ - $ - $ - 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 Y 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 $ 545.00 $ - Gen Set - EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry wllfireplace EA $ 6,451.50 $ - Masonry wl2fireplaces 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 $ 4,635.88 $ - $ - Above Ground Oval - EA $ 5,472.50 $ - $ - 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 $ 3.38 $ - Roofing,Strip&reroof 2000 SF $ 3.76 $ 7,520.00 Roof Sheathing - SF $ 1.19 $ - Siding SF $ 2.30 $ - - Windows EA $ 423.50 $ - Skylights EA $ 955.54 $ - Doors,Exterior EA $ 401.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon - EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 7,520.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,520.00 $ 64.00 Plumbing Y $ - $ - Mechanical Y $ - $ - Electrical Y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 1.20 TOTALS $ 7,520.00 $ 65.20 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 *. t_ -7' ‘ - Property Address112C-Zr2LK `, , 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 L, ® Tax Collector Required for all permits Comments: - WPCA, Administrative `'t OY/p1.c�-1�� I //v)-(2/07 Required for properties on sewer / Comments: ❑ WPCA, Operations When Required by WPCA Comments: — • Planning &Zoning 4./7 /`' Required for all permits Health Department Required for properties with septic systems—Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: n State Dept. of Transportation Required for Structures over 100,000 sq. ft. or with more than 200 parking sp- es-O ial copy of STC Certificate of Operation required—per CGS 14-311 Comments: f • Fire Marshal; i riLA• Required for all permits • r� Comments: — 1 N , visafAugust 5,2005 r State of Connecticut 7A - 7B - 7C x •, r Workers' Compensation Commission :. _� .. DIRECTIONS _zi " ?� DIRECTIONS for FILING FORMS 7A,7B and 7C Cr- SSP4 Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project.This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below)must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves, and attests that they will require proof of workers'compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers' Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/ Members of an LLC Form 6B-1 for employees who are Members of a Partnership STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR ERICSEN AGIONTCfiNG LLC •147 AS C NEW LQ r a 06320 LIC./REG NO. E TIVE HIC.06 EXPIRES X12307 °u /01/2007 11/30/2008 • SIGNED vv -�4 v. State of Connecticut N -, Workers' Compensation Commission .; 7A cp �....`��".. Please TYPE or PRINT IN INK IX t3/7r(/St`s` 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 Applicant for Building Permit AName of Applicant for Building Permit 1 J r '"`-4"1 Property located at 17.7 PAIL Ave xi - in the City/Town of \.J ii('" 'C.'Y( I le, Attest 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 ONE (1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant r 4,...., 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 ...--- ^\ CArt-t-r-C4---kYf.) Federal Employer ID#(FEIN) D -4 ` ` 7 2 (7.1r �t�/ 4 C lY/tn-,- Signature of SOLE PROPRIETOR Applicant