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Home My WebLink AboutWindow and Door Replacements 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: B2006-0653 Date: 11-Dec-06 Map/Lot: 033/017-003 Owner ID: 5554000 :4i Project Location: 46 PLATOZ DRIVE Unit: Job Description: install door and windows Owner Name: Artemis G Mandes Tenant Name: N/A Careof: 11 Devonshire Dr Waterford Cr 06385- Telephone: Contractor Name: Property Owner W Telephone: (860)443-3198 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: onStrtc ipn ug______ Permit Fees Construction Information Building Value: $7,447.00 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: $7,447.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.19 Total Fee Paid: $65.19 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 111 Certificate of Approv erti w;te cupancy Building Official's Approval: --- -- G�i� I Town cif Montville sf Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.dfa2c: ..IL.1261,_ Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 E1 B 0 H-1 0 I-1 0 R-1 ❑S-1 0 Type IA ❑Type IIIB ❑ Building❑Addition 0 A-2 0 B,Medical H-2 0 1-2 0 R-2 0 S-2 0 Type IB0 Type IV Plumbing❑ ❑Alteration 0 A-3 ❑E 0 H-3 0 1'3 0 R-3 ❑U 0 Type IIA ❑Type VA 0 Mechanical al❑Change of Use ❑A-4 F-1 ❑H-4 0 1-4 ❑R-40Mixed 0 Type IIB 0 Type VB 0 ElectricalA-Q F-2 0 M x14, ❑Type IIIA CRS#: Job Address: 4 40 ( /M �.� f (Numb, (Street) alIII(� (Unit) Job Description: 'TL) - N AQarlPt-WIN"/ Owner: ,--�G 4 mt4 WO C=$ Tenant: - ( �jAddress: /7 �-Uf4( $f . Address: _ City/State/Zip: � c+(29 C �I% 'a, y City/State/Zip: Telephone: / ..,-,e) i'yi V Telephone: 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. / Owner/Agent Signature: r%71( Date: //----(71-s--- L.-/ 4010 . Construction Value�/ y Building Value: / / • • • Permit Fees / /7 Building Fee: �/ Plumbing Value: . .7 Plumbing Fee: Mechanical Vaiue: • . Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: • _ ftvireif'DecemBer31,2005 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 c/ /All 2_ o Property Address • v ‘;C-1^) TA- to �, :Z LA., c a titu Cc ii Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. .• el NT-t permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector 'a .. , ;1 cr-�- _ , / e le L_ Signature/r date Comments: WPCA, Administrative � is _ (9 -Cto Signatuc " Comments: C WPCA, Operations Signature; date Comments: Planning & Zoning C l I tti Comments: NI n Health Department #y?atu e_' date Comments: Department of Public Works Comments: n 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 14-311) Comments:2 Fire Marshal (1)0 i 2h/61 `-' :iQnature`date Comments: W1\U rfr 4- DCNY1.-s nt,li rijef rsedAugust 5.2005 . r. State of Connecticut N '. yr = Workers' Compensation Commission 7B tar. Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage whenApplying Applying for a Building Permit for the Sole Proprietor or Property P rty Owner who WILL act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Build' (q ) �. (ES` Property located at 6 (7i'A-Tv in the City/T..,. . _ `I - A 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 UI 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 I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named submit proof of workers'compensation insurance coverage,but I will attest to the following: property.I will not personally 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 with Section 31-286b of the Workers'C mpensation Act. Signature of OWNER or SOLE PROPRIETOR Applicant /1/17\-= Name of Business—if applicable E� to • Federal Employer ID#(FEIN) ifapplicab/e ik I...Norr ROBE BLIC • Subscribed and sworn to before me this ' " day of ,N,�( �M` 00 A Signature of Notary Public/Commissioner of the Superior ourt • c—, Zc .