HomeMy WebLinkAboutStrip and Re-Roof 2005 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: B2005-0191 Date: 10-May-05 Map/Lot: 093/013-000 Owner ID: 5396000
Project Location: 21 PENNSYLVANIA AVENUE Unit:
Job Description: Strip&Re-roof
Owner Name: Donald R Davies Tenant Name: N/A
Careof:
21 Pennsylvania Ave
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)859-1732
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $4,550.00 Building Fee: $40.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
• Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $4,550.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.73
Total Fee: $40.73
It shall be the owners repsonsibilitv 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 0 Certificate of .pproval
111,41:00 - of Occupancy
Building Official's Approval:
.
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Building Permit Application Form
Permit'4,14 c7 )O ter' 0 / 2 /
New Construction 0 Addition E Alteration r]Accessory Structure
SingCe rFamify E] Two-Eamify Townhouse
Job Address c9 1 f W‘ Clot ® iltat C_-I— 06 3 `7 0
(Number) (Street) (Unit)
Job Description c--\/-•p P�' "'�� terns.,, ��
Owner �c,,,,�� Mailing Address j 1A V1 illke
•
City a kAAL, State Cr Zip %3)G Tel / 857/ / 73,.2
Contrac Mailing Address
City State Zip Tel / /
Contractor's License/Registration Type&Number 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.
Separate applications are required for
ajdelecttriical,plum •ng,mechanical, etc.
Owner/Agent Signature (€ 1,-, Date S / to / 0 3--
Construction Value Fee
Building $ r 6 ) $ /"
Plumbing $ $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State Education $ 73
Total $ $ 0), 70
(See l verse side for additional requirements)
Revised ge6niary 25 2005
Town of Montville
Building Department
File Receipt
Date: 10-May-05 Receipt No: 172
Received From: Don Davies
Job Address: 21 Pennsylvania Ave.
Fees Collected State Educational Training Fee
Cash: $40.73 Cash: $0.73
Check: $0.00 Check: $0.00
Check No: 0
Construction Value: $4,550.00
Demolition Value: $0.00
Received By Sandra Pandora Adm.,
Permit Fee Calculation Spreadsheet
MISCELLANEOUS PERMIT CALCULATION
Address:
Pools & Spas
Above Ground Round EA $ 3,200.00 $
Above Ground Oval EA $ 6,000.00 $ -
In-Ground EA $ 20,700.00 $ -
Heater EA $ 3,465.00 $ -
Hot Tub EA $ 5,250.00 $ -
Roofing
Strip & Reroof 13 SQ $ 350.00 $ 4,550.00
Overlay SQ $ 250.00 $ -
Plywood SQ $ 125.00 $
Plumbing
Full Bath EA $ 5,000.00 $ -
Half Bath EA S 3,500.00 $ -
Garages
Attached, 1 car EA $ 10,775.00 $ -
Attached, 2 car EA $ 18,600.00 $ -
Attached, 3 car EA $ 25,810.00 $ -
Detached, 1 car EA $ 13,850.00 $ -
Detached, 2 car EA $ 21,100.00 $ -
Detached, 3 car EA $ 28,350.00 $ -
Sheds SF $ 26.25 $ -
Sheds with Electrical SF $ 26.25 $ -
Electrical Service
100 Amp EA $ 825.00 $ -
200 Amp EA $ 1,500.00 $ -
Siding SQ $ 600.00 $ -
Windows EA $ 445.00 $ -
Doors EA $ 625.00 $
Decks/Porches/Sunrooms
Open SF $ 22.31 $ -
Covered SF $ 62.69 $ -
Enclosed SF $ 123.90 $ -
TOTAL BUILDING CONSTRUCTION COST $ 4,550.00
PERMIT FEE CALCULATIONS
Fee
Building $ 4,550 $ 40.00
Plumbing $ - $ -
Mechanical $ - $ -
Electrical $ - $ -
N Work Commenced before permit issuance $ -
CO Fee $ -
Plan Review $ -
State Ed Fee S 4,550 0.73
Total Fees $ 40.73
Based on 2003 RS Means Residential Cost Data
5/10/2005
vow
f State of Connecticut N
, * Workers' Compensation Commission `. 7A
\ten "�n�) •
cu
:— Please TYPE or PRINT IN INK C4
� vSJstOtI
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
Name of Applicant for Building Permit ,tVN = c).3`- `-�
Property located at 2 \ P-QA� `'�
in the Ci /Town of 0a Li 0CQ 3 —2C-)
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.
„9 ov--:
Signature of OWNER Applicant ����^'r' V`'
❑ 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
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant
•
Building Department
848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
?ery A-VC_
Property Address
Job Descriptio
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
A royal Department Permit Issuance Approval
pp
Tax Collector Ovzs., S I tol o s
WPCAgoo s
'bib<❑ Planning& Zoning
Signature; date
❑ Health Department
Signature'date
❑ Department of Public Works
Signature: date
❑ State Dept. of Transportation
Siunaturc f date
❑ Fire Marshal
Signature/date
Comments/Conditions: