HomeMy WebLinkAboutStrip and Re-Roof 12sq 2008 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: B2008-0303 Date: 27-Jun-08 Map/Lot: 092/116-000 Owner ID: 5412000
Project Location: 63 PENNSYLVANIA AVENUE Unit:
Job Description: Strip and Reroof(12 squares)
Owner Name: Roger P and Luwina M Busby Tenant Name: N/A
Careof:
63 Pennsylvania Avenue
Oakdale CT 06370- Telephone: (860)859-1839
Contractor Name: Self Telephone:
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: _ $4,800.00 Building Fee: $40.00 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: 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 Paid: $40.77
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers
❑ R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑Concrete Slab-Prior to pouring concrete
❑ Pool Bonding
❑Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
111Framing _._--------_--------__—
❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REOUIRED UPON COMPLETION
❑Insulation / Certificate of Approval
Ce ' •te ofu •.panty
Building Official's pprovaL
Town of Montville
' Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: .U.7[7GQ- 67 363
Type of Work Occupancy Type Permit Type
❑New ConstructionSingle Family ❑ Building
EAddition [1 Two-Family Plumbing
CI Alteration ❑Townhouse ❑ Mechanical
0 Accessory Structure ❑ Electrical CRS#:
Job Address: 63 "‘7.. ....y),-) 5 y Z--1i'.4,2s;„--) yt-e_
(Number) (Street) (Unit)
Job Description: /1---,---�G7-1 y
Owner: -17- Z1-4-12
Address: &5'
city= ( 2�} l`�` `�� G State: Zip Code: �/G$J
Telephone: , 1� — d 7f —7c 5
Contractor:
DBA:
Address:
City: State: Zip Code:
Telephone: License Type: License No.: Expiration Date:
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 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.
•
Owner/Agent Signature: ��-• /51-et_5 4 Date: 02 ! fi'
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:
&v sed_August 23,2007
Town of Montville
Building Department
File Receipt
Date: 25-Jun-08 3591
Receipt No:
Received From: Luvina Busby
Job Address: 63 Pennsylvania Avenue
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $40.77 Check: $0.77
Check No: 4115
Short/Over: $0.00
Construction Value: $4,800.00
Demolition Value: $0.00
Received By Charles Corell
Address: 63 Pennyslyvannia Avenue
ITEM QTY 8/UNIT TOTAL
Building Plumbing Mechanical Electrical
New Construction SF $ 113.03 $ - $ -
Basement,Finished SF $ 22.96 $ - $ -
Basement,Unfinished SF $ 12.40 $ - $ -
-
Crawl Sapce SF $ 9.30 $ -
Interior Renovations SF $ 35.09 $ - $ - $ -
Ground Anchors SF $ 6.45 $ - $ - $ -
Basement SF $ 12.41 $ - $ - $ -
Crawl Space SF $ 9.31 $ - $ - $ -
Kitchen EA $ - $ - $ -
Full Bathroom EA $ - $ -
Half-Bathroom EA $ - $ .
Attached SF $ 54.35 $ - $ -
Detached SF $ 69.53 $ - $ -
Under SF $ 10.03 $ - $ -
Carport SF $ 19.89 $ -
Warm-Air n Y/N $ -
Hot Water n Y/N $ -
Electric n Y/N $ -
Air Conditioning n Y/N $ -
•
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 $ 8497.70 $ -
Masonry w/lfireplace EA $ 7,096.65 $ -
-
Masonry w/2 fireplaces EA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2,692.25 $ -
Wood stove insert EA S 1,859.77 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 43.07 $ -
Path SF $ 149.38 S -
Saaoom SF $ 176.90 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $ -
Inground Pool EA S 21,373.44 $ - $
Above Ground Round EA $ 5,099.46 $ - $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 $ 20.35 $ -
w/electrical SF $ 20.35 $ - $ .
•
Roofing,Overlay SF $ 3.00 $ -
Roofing,Strip&reroof 1200 SF $ 4.00 $ 4,800.00
Roof Sheathing SF $ 1.31 $ -
Siding SF $ 3.50 $ -
Windows EA 9 500.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior BA $ 601.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS
$ 4,800.00 $ - $ - $ _
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 4,800.00 $ 40.00
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ - $ _
Working before Permit Issuance $ -
Certificate of Occupancy Fee $ _
Plan Review Fee $ _
State Education Fee $ 0.77
TOTALS 4,800.00 $ 40.77
Figures are based on the 2006 RS Means Residential Cost Data
v�v
4,4 �,.C State of Connecticut N
-, Workers' Compensation Commission .; 7A
: - ��0�
�le
Please TYPE or PRINT IN INK o:
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
Name of Applicant for Building Permit 4411/IZ/
Property located at 6 e /1� - ' �-2.7.01-'1-)fT71 /,
/ �
in the City/Town of lam'/C9-1(.-oC,a.//...e,_ 0 v 5 -7d
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:
4jI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant \Cy - l/?'"w - 6
❑ 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
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
8-1 (1/ i e74-0‘. 2c)
Property Address
�k 6� 7
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
1 _11)
Tax Collector C4/4S10
Required for all permits
Comments:
WPCA, Administrative #rd
• d for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
Planning &Zoning AckP
'-Regiitred 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:
❑ 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
Comments:
Fire rshal ,47 � r�
Required for all permitsMa <'
comments '2/47
Rrviseirfiugust 5,2005