HomeMy WebLinkAboutWindow Replacement 2015 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: B2015f.194 Date: 28-rvioyA,5 Map/Lot: Q93/Q07-f100 Owner ID: 5394000
Project Location: 16 PENNSYLVANIA AVENUE Unit:
Job Description: ___13e� 1ac�3¢x3.6Window on opt oLliouse
Owner Nam Connecticut Housing Authority Tenant Name N/A
Careof:
38 Foi lntciin San care
Cincinnati OH Telephone:
Applicant Name _Joseph I omits Telephone: 18601811-39n0
DBA: Miilherry Management _ Lic/Reg Type JIIC
Lic/Reg N 641696
170 Oberlin ienue Exp Date: 30-Nov-15
I akPwoad N.I 08701-
Conoruchon_V_ols�.e P rrrmees Gone ictionl fry oLmntinn
Building Value: Sznn.nn Building Fee: $3Ql00_ Use Group: IRC
Plumbing Value: Plumbing Fee: $D.nn Code: 2005 State Building Code
Mechanical Valu S0.00 Mechanical Fe 50.00
Electrical Value: San_ Electrical Fee: SQOn Construction Type IRC
Total Value: S200_00 Penalty Fee: 50,00 Permit Code: R4
C of 0 Fee: sewn Comment
Plan Review Fe 50.00_
State Ed Fee: S0.05
Total Fee Paid: S30,05
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 frami ❑ 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-n ' ate of App .val
Ce ''ca . occupancy
.Building Officials Apnrovat _ Ge-t-
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,-)E45--arCiti
Type of Work Oc i pancy Type Permit Type
❑ New Construction CI Single Family ❑Building
❑Addition ❑Two-Family ❑ Plumbing
❑Alteration ❑Townhouse ❑Mechanical
LI Accessory Structure ❑ElectricalCRS#:
Property Address: i& l evk/ y/f t4rv?ti /4✓e_ (1. 1( [t
� (T.
(Number) (Street) i r (Unit)
Job Description: 3(o X .3( GUI ,JAOC.. �t/ 0 NT S t rte-'_ a-t- lkexfi '
Owner: 'f 5 / . '-_ ( HL. 3111C{ ` 0
J
Address: 38 F)LA,'\ le-C. i vn E'Zt.\
City: ( ‘IN( t mac\[jt State: ti{- Zip Code: Telephone( ) -
Applicant: 5epti LOOMS
DBA: (7l j/7/A/ r laetii itit c i\P - /
Address: 170 Q()EALI p ,/�u !`- (5 .46L�Xi�
City: t G lie i e k , J State:N) (J Zip Code: 087 0 Telephone(&bO )g15 - Zoo
Contractors - Complete the Following:
License Type: H I C License No.: Q6 '1'b16, Expiration Date: /146/t'O/S
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.
E Bmiy 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.
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Owner/Agent Signature: / 74 c ---kt v Date: Z-7//�
Co, - ruction Va e Permit Fees
Building Value: Z ►d- Building Fee: `2 0
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: :O j
Total Fee: 30 .(?5:71
Sk vised.August 23,2007
Town of Montville
Building Department
File Receipt
Date: 27-May-15 ReceiptNo: 10376
Received From: Joseph Loomis
Job Address: 16 Pennsylvania Avenue
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $30.05 State Cash: $0.05
Bldg Check: $0.00 State Check: $0.00
Bldg Credit: $0.00 State Credit:
$0.00
Fire Cash: $0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $200.00
Demolition Value: $0.00
CheckNo: 0
Received By: Carmen Kneeland
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ri ' STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION
Be4
it known that
Mulberry Management LLC 't
170 OBERLIN AVE N I� ;
Suite#6 ^
Lakewood, NJ 08701 ,`
PI i is certified by the Department of Consumer Protection as a registered I K''
V HOME IMPROVEMENT CONTRACTOR I
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ii I Registration # HIC.0641696 1, =-
I kA -
411. '
4 Effective: 01/29/2015 y
Expiration: 11/30/2015 1�IF P a, ly- I
Jo athan A.Harris,Commissioner Ar,".'.-A.'j - _.
.. - - _----__✓ ♦ 4SAI-' — k 'IF:. _'r`___._-7..
Town of Montville
Building Department
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.
( (p rni1 f1 s {\,v"6-1-\((-&_
Property Address
Pe-Vace. x 3 n ‘ n
Job Description
Required
Department
Approval Permit Issuance Approval
Tax Collector ,{,Lt-.� t - Q__ k.57,2 7 /I 6--
Signature/
Signature/date
Comments:
v.! Planning & Zoning 7AnzA4 _ 7//i
Signature/date
Comments:
✓� Fire Marshal G / Signature/date
Comments: �j aJDAk__
2 (S
❑ Health Department
Required for properties with private septic or well
Comments: l
i 1 WPCA, Administrative OLdtky vV, t 51a-� �5—
Required for properties on sewer Signature/date
Comments:
WPCA, Operations
When Required by WPCA Signature/date
Comments:
n Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments:
❑ Montville Police Department
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
] State Dept. of Transportation
Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
Reviser'May 23,2011