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Home My WebLink AboutStrip and Re-Roof 2004 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: B2004-0584 Date: 13-Sep-04 Map/Lot: 092/149-000 Owner ID: 5407000 Project Location: 49 PENNSYLVANIA AVENUE Unit: Job Description: Strip&Re-roof Owner Name: Frank S Robbins Tenant Name: N/A Careof: 49 Pennsylvania Ave Oakdale CT 06370- Telephone: Contractor Name: New England Residential Telephone: (860)204-0720 DBA: Lic/Reg Type: HIC Lic/Reg No: 551234 1 South B Street Exp Date: 30-Nov-04 Taftville Ct 06380- Construction Value Permit Fees Construction Information Building Value: $4,800.00 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/2000 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $4,800.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.77 Total Fee: $40.77 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. ❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill -Footing drains and waterproofing ❑ R Electrical ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench -with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping Final Inspection ❑ Insulation ❑ Certificate of Occupancy Building Official's Approval: / Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit# ❑ New Construction ❑Addition ❑Alteration ❑Accessory Structure ❑Single Family ❑ Two-Family❑ Townhouse Job Address !6•;',2/01.4/14111 wi (Number) d (Unit) Job Description / ‹..rcic'$f f2d„zn,e_ (,\ c r rs-v•-el -4-14m , /teak* c- r tots 4S-M 36 Owner /,� Fr A /i in.3 Mailing Address 5/, , . Jv4 City aniadaja State t Zip 1943xj Tel Contractor/Pew Gu.4, J fir-ale/646t Mailing Address j j7,1;,4-f lJ ✓ z City7109/4, State �.7 Zip c„06-3.- Tel f5'0 I ddp/ tr7.0 Contractor's License/Registration Type&Number 567..),-5)Y Exp. Date Z7 cy 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 electrical,plumbing,mechanical, etc. Owner/Agent Signature Date 9 ,'o / (:31 Construction Value Fee Building $ d C D $ .c_!" Plumbing $ $ / Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education Total $ 8 • � $ y/Q t • 7 7 7 .c)( (See 1verse sidefor additional requirements) R cviceiSeptem6er9,2004 Town of Montville Building Department Receipt P Date /__/ - ,Z_ No. 04263 From: s ... s 4 !, - , / Job Address: in/MOV it . - Amount f $.---- � ' ---77 Cash Chcck_ Check # �j� ((.ircic one) --y��L Received by �i � _ '' , - e:� ,,:e-....: Permite-5,,,-, 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 16 SQ $ 300.00 $ 4,800.00 Overlay SQ $ 185.00 $ - Plywood SQ $ 105.00 $ - Plumbing Full Bath EA $ 4,230.00 $ - Half Bath EA $ 2,690.00 $ Garages Attached, 1 car EA $ 8,885.00 $ Attached, 2 car EA $ 15,114.00 $ - Attached, 3 car EA $ 20,914.00 $ - Detached, 1 car EA $ 11,657.00 $ - Detached, 2 car EA $ 17,456.00 $ - Detached, 3 car EA $ 23,256.00 $ - Sheds SF $ 26.25 $ Sheds with Electrical SF $ 26.25 $ Electrical Service 100 Amp EA S 825.00 $ - 200 Amp EA $ 1,500.00 $ Siding $ Windows & Doors $ _ Decks/Porches/Sunrooms Open SF $ 22.31 $ Covered SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 4,800.00 PERMIT FEE CALCULATIONS Fee Building $ $ 40.00 Plumbing S $ - Mechanical S $ - Electrical S - $ Work Commenced before permit issuance $ - CO Fee $ _ Plan Review $ - State Ed Fee $ 4,800 0.77 Total Fees S 40.77 Based on 2003 RS Means Residential Cost Data 9/10/04 .I . • • - - y'1'AT E �} � , r<+x7I (7'1()� • IIEPARTMENT 0Tu`CONS ` HOME IMPROV .� 6,6 C'TOR D S1 ,?TI • It: : Fvpif�S E IV f =" 1/30/2004 LIC./REG NQ 55.1234` •" owr eve c a{I __ ._ — _._-y-- STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 9 n n 53 I v ayo e, A vv.-. In the town of Name of building permit applicant: /9kA 4, i n Please check one: 1. am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Name of business: //e i..j• Cy j i v„a "s♦'C7'G 1-4 ‹.. ) 2B. Federal Employer Identification Number(FEIN) Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn affidavit...stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check owe: 1. do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature 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 property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to § 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 848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL t ( Property Address 2-C co o 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 Approval Department Permit Issuance Approval Tax Collector 0/4- .c4 �� /t o-{ � gnatature. date El WPCA 1/ /1/079Dcf Signature/date ❑ Planning&Zoning Signature/date O Health Department Signature/ date ❑ Department of Public Works Signature/date O State Dept. of Transportation Si<Lmature!date ❑ Fire Marshal Signature/date Comments/Conditions: • &visa'Septem6er 9,2004