HomeMy WebLinkAboutStrip 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: 62007-0036 Date: 08-Feb-07 Map/Lot: 072/032-000 Owner ID: 5418000
Project Location: 12 PEQUOT ROAD Unit:
Job Description: Strip&Re-roof,replace front steps and replace windows
Owner Name: Wadd Power, LLC Tenant Name: N/A
Careof:
66 Cross Road
Waterford CT 06385- Telephone:
Contractor Name: Property Owner Telephone: (860)848-1692
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
construction Value Permit Fees Construction Information
Building Value: $8,952.00 Building Fee: $72.00 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: $8,952.00 Penalty Fee: $32.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $1.43
Total Fee Paid: $105.43
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
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑� Certificate of App oval
ir- ific. e • occupancy
Building Official's Approval: /y is
/"
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.
Tvpe of Work �—���
Occupancy Type Permit Type
❑New Construction ❑Single Family
❑Addition ❑Two-Family0 Building
❑Plumbin
❑Alteration ❑Townhouse ❑Mechanical hanical
0 Accessory Structure 0 Electrical CRS#:
Job Address: i Z p cJc,7 RT>.UWGfi-SV r t-Le.
(Number)
(Street)
(Unit)
Job Description: grit 1P 4-- �
►�- tZ60-C .e-- ranN -rte- , -P
tAic. ..CJS
Owner: I AV 17D L1/412,-Di7 eVCIA, 1/
Address: 1"2 ?es:2CJ 0 T --0
City: V(IC—A.-sit 1 e State: eT
Zip Code: QG3$2
Telephone: $'(op—gi.g_l(.0ci2
Contractor: 3 RM e
DBA:
Address:
City:
State: Zip Code:
Telephone: License Type:Yp 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 encs of the 2005 EC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requireme in chapte 33 through 42 o the Residential Code.
-6 Owner/Agent Signature OL,
Date: 1 -31 ,0 4
Construction Value
Permit Fees
Building Value: �g j� ,Qa
Plumbing Value: Building Fee: -7a
Mechanical Value: Plumbing Fee:
Electrical Value:
Mechanical Fee:
Total Value:
Electrical Fee:
Penalty Fee: ------------
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee: 7n C y.
&viaea December 31,2005
Town of Montville
Building Department
File Receipt
Date: 31-Jan-07 Receipt No: 2033
Received From: D W Transport
Job Address: 12 Pequot Rd
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $105.43 Check: $1.43
Check No: 0
Short/Over: $0.00
Construction Value: $8,952.00
Demolition Value: .00
Received By Vernon D Vese II ���, _
O
.1i State of Connecticut E 7A
Workers' Compensation Commission
tr'�60iIIIK Please TYPE or PRINT IN INK it
Proof of Workers' Compensation Coverage when Applying
for a BuildingPermit 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 .--1)11.0 l.• LAJ4IPy(NG-TOtV
. Property located at )z- I"eQ001- R-D
In the City/Town of U tJC.v V"Q
'tt@St
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:
)'11
I am the OWNER of the above-nameOCC---
act as the general contractor or principal employer.
Signature of OWNER Ap�c s
UI 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
lZ 'PegUo7 +Z?
Property Address
S-1- -r Re.>z.occ Pe?wc-c Fcv'l Sy
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
Tax Collector -C � �c-,.�, i/3,40 7
Signature,'date
Comments:
WPCA, Administrative r)\f j i131\07
Signature!date
Comments:
❑ WPCA, Operations
Si n at'{
Comments:
Planning &Zoning /g//c,7
Comments:
Rizoad ,-
111 Health Department
Signaturei date
Comments:
❑ Department of Public Works
Signature! date
Comments:
❑ State Dept. of Transportation
(Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14311)
Signature! date
Comments:
Fire Marshal
1utufe`date
Comments:
.cvisedfiugust 5,2005
I Z. Pa c44..)c)7 --e-rr • S'T Fri P 1:7‘c pi_.fc..emed-T
11 ,
- --(..1 —..........
-Ft.01V r -po ec(.4
411,
-...
11 It el
44 4 — i
....._,.......
I
...,,--.
II 43„
F 11.0 NT 51 erp s
1 1 i
.14.......-
ll ""
1
t+etts:rts
,. .
‘
i — ,
1 i 1
li
. %
)
-
•,
, .
,
L.2.255 Te-f otAl 1-t i .
t......
11
, ..
,
., .
...,
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECT:ON ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature/�"�
item 4 if Restricted Delivery is desired. 0 Agent
■ Print your name and address on the reverse X
so that we can return the card to you. , p 0 Addressee
• Attach this card to the back of the mailpiece, jy,eiv=d b _. j,/_ v , : Date of Delivery
or on the front if space permits. �O i „i/,....-.. ,, ri
1. A icle Addressed to: D. I delivery address�fffere t from' 1? 0 Yes
' Cf�YfLfl/gp�e�de�ery d -ss below: 0 No
,dci Wr,),,,, ad ,
/ c "(0'';------41`
/1...le_t / / �y 3. Service Type-��� r_ / �(Q 2U`�'- ❑O CCertified Mail ❑ Express Mail
G/' ✓ Registered ❑ Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Arti
—
PS,Fa
+ 102595-02-M-1540