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Home My WebLink AboutRe-Sheath House 2006 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: B2006-0057 Date: 21-Mar-06 Map/Lot: 033/017-00K Owner ID: 5552000 Project Location: 36 PLATOZ DRIVE Unit: Job Description: re-sheath building on 36 and 46 Platoz Dr. Owner Name: Artemis G Mandes Tenant Name: N/A Careof: 11 Devonshire Drive Waterford CT 06385- Telephone: Contractor Name: JILA Constructio Telephone: (860)376-6766 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $7,600.00 Building Fee: $64.00 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: $7,600.00 Penalty Fee: $0.00 Permit Code: C4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.22 Total Fee Paid: $65.22 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 REOUIRED UPON COMPLETION ❑ Insulation d Certif - of Approval Certifica - of Oct ancy Building Official's Approval: ,�/i i�.o._, '-._I. — Town of Montville ,: Building Department 310 Norwich-New London Tpke. TeL 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-8484231 PERMIT APPLICATION FORM Permit No.:i64 }P/9Z,' ': Type of Work Occupancy Classification • Construction Type • Permit Type . 0 NewtonstrUction 0 A-1* ❑ B ❑H-1 0.I-1 0 R-1 *Q S-1 - ❑Type IA ❑Type.IIIB 0 Building ❑Addition • ❑A-2 ❑ B,Medical ❑ H-2 ❑ 1-2 9 R-2 ❑S-2 ❑Type IB ❑Type IV ❑ Plumbing ❑Alteration ❑A-3.. ❑E 0 H-3 . 0 1-3. ❑ R-3,. ❑U ❑Type IIA ❑Type VA ❑Mechanical . ❑Change of Use . ❑A-4 ❑ F-i ❑ H-4 0 1-4 ❑ R-4• ❑Mixed ❑Type IIB ❑Type VB_ ❑ Electrical ❑A-5 ❑ F-2 ❑ M ❑Type IIIA CRS#: • Job Address: 3 t __.f (, em;-,. -z_ �r2 (Number) // (St) / (Unit) . • Job Description: R��I/.J at--- C)A NA it), ' • i Ze o Sb:c-�4-'S' Owner: tN V'1 ll& rk,6 ec Tenant: Address: \ ) . 0 L�vO>uck V,L(1- /2/-L Address: City/State/Zip: tnaFlT(/fru 41/) • CC) _ City/State/Zip: Telephone: .1 Sf Cr?• .k ((( 1.3 / el ` - . - Telephone: Contractor: L 4 ( ��! S/ �(/u,J • L� ( .r�— • DBA: Address: • city: -7 . • / State: • . . Zip.Code: . • * TelephJam!one: G7 License Type:/'/f/ tLicense No.: <-23 c . 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. I? Owner/Agent Signature: ,V\j f\'V' G'�/1. ��- Date: '� —2v — O.0 • • Construction Value . Permit Fees • Building Value: • 7t 4.0.— Building Fee: .ci Plumbing Value: . Plumbing Fee: • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: • Total Value: 7, 4CC'"— Penalty Fee: • • . • C•ofOFee:.. • . . Plan Review Fee: • ; • State Ed Fee: /.Z2— Total ZTotal Fee: 65, ZZ 7igvised(December 31,2005 Town of Montville Building Department File Receipt Date: 20-Mar-06 Receipt No: 1101 Received From: Job Address: 36 & 46 Platoz Drive Fees Collected State Educational Training Fee Cash: $65.22 Cash: $1.22 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $7,600.00 D: olition Valu • $0.00 Received By Joseph h Summer � • Town of Montville Building Department • 310 Norwich-New London Tpke. Fax 860-848 7231 Tel. 860-848-3030, Ext 382' Uncasville, CT 06382 CONSTRUCTION PERMIT APPROVAL 3b 9c Property Address SPL �cG�QT'r�1G Job Description The applicant is responsible for obtaining all of the required approvalschecked 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 ,^-a-- L-91-1- °/° 6 Comments: _ • • � WPCA, Administrative to- 3 a6/6 Comments: WPCA, Operations Comments: D Planning &Zoning Comments: n Health Department Comments: I Department of Public Works { Comments: • n State Dept. of Transportation Comments: . Fire Marshal • 62/ S Comments: wfvisedAugust S,2005 • State of Connecticut N , Workers: ' Compensation Commission • 'n Please TYPE or PRINT IN INK CK ozzittir- Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL act as General Contractor or Principal Employer Applicant for Building Permit • Name of Applicant for Building Parm:e /^n/w Property located at 1 J/ 6 @ 1 f17 ) y,6 (�L7 i (J in the City I Town of VV) U t' a I��1e n)(o N k) (l -1 (/ 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 act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all employees. Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. CHECK ONE (1)BOX ONLY, provide the appropriate information,and sign: ❑ I am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers' compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property. Signature of OWNER Applicant ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'compensation insurance coverage for all employees who are doing work on the site of the construction project at the above- named property. Signature of SOLE PROPRIETOR Applicant aI am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally submit proof of workers'compensation insurance coverage,but I will attest to the following: AFFIDAVIT . I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he or she does work on the site of the construction project at the above-named property in accordance wi SectiSn 31-286b of the Workers'Compensation Act. 1 Signature of OWNER or SOLE PROPRIETOR Applicant ' MELI I h'y A Name of Business—if applicable tl NQTA 1Ln +�#rri ON Ex Federal Employer ID#(FEIN)-inapplicable /�MM)SSt! P' FiES-C1"-it200 Subscribed and sworn to before me this g 0-frt.'s- day of ��1C�� C_ - , 200 CO . • r Signature of Notary Public/Commissioner of the Superior Court i 00 •