HomeMy WebLinkAboutFoundation Repair 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: B2006-0122 Date: 25-Apr-06 Map/Lot: 033/017-00K Owner ID: 5552000
Project Location: 36 PLATOZ DRIVE Unit:
Job Description: repair existing concrete foundation at 36&46 Platoz Dr.
Owner Name: Artemis G Mandes Tenant Name: N/A
Careof:
11 Devonshire Drive
Waterford CT 06385- Telephone:
Contractor Name: JILA Construction,LLC Telephone: (860)376-6766
DBA: Lic/Reg Type: _.
Lic/Reg No: 0
19 Kendall Rd. Ext. Exp Date:
Lisbon Ct 06351-
...__... Construction Value Permit Fees Construction Information
Building Value: $10,000.00 Building Fee: $80.00 Use Group: R-2
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: $10,000.00 Penalty Fee: $0.00 Permit Code: C4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $8.00
State Ed Fee: $1.60
Total Fee Paid: $89.60
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 d❑ Certific. - of Approval
ertificate s W Occ pa
Building Official's Approval: �` �f
•
.. Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 . Uncasville, CT 06382 Fax. 860-848-7231 •
•
PERMIT APPLICATION FORM Permit No.; ,A9‘r-N ,
Type of Work Occupancy Classification . Construction Type ) Permit Type
❑New Construction El A-1 ❑B ❑ H-1 ❑ t-1 0 R-1 ❑S-1 El Type IA . ❑Type IIB ' ❑Building
El Addition ❑A-2 ❑ B, Medical El H-2 ❑ 1-2 El R-2 ❑S-2IV
❑ ❑A-3 CIE ❑ K-3 ❑ I-3 1=I Type IB El Type VA ❑ luming
Alteration.
❑ R-3 . ❑ U El Type IIA ❑Type Mechanical❑
❑Change of Use 1=I A-4 CI F-1 ❑ H-4 El 1-4 El R-4 ElMixed ElType IIB ElType VB CIElectrical i,
El A-5 ❑ F-2 ❑ M ❑Type IIIA CRS#:
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Job Address: 2 J �� Com. . p./ Pi--- U2 `2-_ U G[�{�l�/ i/1—
(Number) (Street) (Unit -
•• Job Description: R(0,1 ,,,. . • ti--7(.,, , •I, ,,,dr, (1_2 ,7,, e-...,,el U FJ i'L/,,�A i�)L', .. t.
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Owner: 6//1j .r,l 4.�o � Tenant:
Address: 1 / .,&I Q Lc //j(— ,02 Address: I
City/State/Zip: t� E� f.
w ''-Ji/' ( / . _ City/State/Zip: ,• .
Telephone: • 16° -V V,32/yam , Telephone:
Contractor: jJ
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DBA: q / tiel / GIv /Po C l l o l.✓ . C . ( -
Address: '? �� C/e! /
City: —!S
Z f7 . State: • C / . Zip Code: 6:767.5-7
Telephone: j ,7t"�/66 License Type: 41/ ,C •License No.: /OS-O 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.
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Owner/Agent Signature: �a X� Date: 7,--c-K
/ • • •
Constru ion 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 O Fee:
• Plan Review Fee:
•
State Ed Fee:
Total Fee:
vised December 31,2005
Town of Montville
Building Department
File Receipt
Date: 24-Apr-06 Receipt No: 1201
Received From: John Mandes
Job Address: 36 &46 Platoz Drive
Fees Collected State Educational Training Fee
Cash: $89.60 Cash: $1.60
Check: $0.00 Check: $0.00
Check No: 0
Short/Over: $0.00
Construction Value: $10,000.00
Demolition Value: $0.00
Received By Sandra Pandora 4�„ �� � �� , *Adel.
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State of Connecticut N
7A
i Workers' Compensation Commission o
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Please TYPE or PRINT IN INK ir
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 TT
Property located at J U 1 J b 84 2_ a,
in the City/Town of on�4�l////s O 6 3 1j
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.
Signature of OWNER Applicant
LI 1 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 /
0
No
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COMMERCIAL PERMIT CALCULATION
Address:
PERMIT FEE
Building $ 10,000 $ 80.00
Plumbing $ -
Mechanical $ -
Electrical $ -
CO Fee $ -
Plan Review $ 8.00
State Ed Fee $ 10,000 $ 1.60
Work Commenced before permit issuance $ -
Total Fees $ 89.60
DEMOLITION PERMIT CALCULATION
Address:
PERMIT FEE
Demolition $
Total Fees $ -
` Town of Montville
Building Department
• 310 Norwich-New London Tpke,
Tel. 860-848-3030, Ext 382 Uncasvifle, CT 06382 . Fax. 860=848-7231
CONSTRUCTION PERMIT APPROVAL .
36 fid// „A-(�� 2 U/ ci--- .
Property Address
1Z _----.ell ‘ IA (f)C I c(fA.,5 aA, ciet-7e- ,evfrtifieel T1 dt,t)
. . Job Description
The applicant is respgnsibl.e 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
Approval Permit Issuance Approval
ill( Tax Collector -- .-Ce.a �/6 c .,o +41,, // 0 6
Comments:
_ y . WPCA, Administrative ”, ' 413-i b
Comments:
El WPCA, Operations
Siclnaturei date
Comments:
• Planning&Zoning • .L14-,--42t-4-,-, _ //2-1/C)CO .
)e
Comments: /I-I ))1 ? je2ii cJ2
(l Health Department
Comments:
Department of Public Works
Comments:
❑ State Dept. of Transportation
Comments:
. 1( Fire Marshal f / . 4000 ,
Comments:
2eviserfAugust 5,2005
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