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Home My WebLink AboutStrip and Re-Roof 11sq 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: B2007-0102Date: 29-Mar-07 Map/Lot: 078/054-OOB Owner ID: 5438000 Project Location: 59 PEQUOT ROAD Unit: Job Description: Strip and re-roof 11 sq. Owner Name: Joseph 3 and Kerry L Dougherty Tenant Name: N/A Careof: 59 Pequot Rd Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone: (860)848-9703 DBA: Uc/Reg Type: Lic/Reg No: 0 Exp Date: ._._ Construction Value_ Permit Fees Construction Information Building Value: $3,760.00 Building Fee: ' $32.00 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: $3,760.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: .,.. $0.60 Total Fee Paid: $32.60 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 0 Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: 6., r— ii, 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.: e© 7--diel-3 Tyof Work Occupancy Type 0 New Construction pe Permit Type ), ❑Single Family ❑ ❑A dition Building Iteration ❑Two-Family D Plumbing ❑Townhouse ❑Mechanical f' 0 Accessory Structure i ElElectrical CRS#: Job Address: 59 -/ U,OT 12 cj,. (Number) (Street) Job Description: , - (Unit) h l,� •.f / t Owner: l IS' 4- k -rr • 6ir'IL Address: City: Al �� Ur State: Zip Code: 638-2— Telephone: s, ay ); Contractor: i= f DBA: Address: );: City: State: Telephone: Zip Code: License Type: License No.: Expiration Date: t' i 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� By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the1 instead of the electrical requirements in chapter 33 through 42 of the Residential Code. t t` Owner/Agent Signature: iy •jr i Constrrrion Value Building Value: �QQ Permit � � Building Fee: ___--- f f Plumbing Value: ' Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Valuesg Total Value: _____/0/4—Tr Electrical Fee: Penalty Fee: • t" C of 0 Fee: t` Plan Review Fee: Vi, State Ed Fee: Total Fee: F Revised geam6er31,200E t t ii Town of Montville Building Department File Receipt Date: 27-Mar-07 Receipt No: 2148 Received From: Kerry Dougherty Job Address: 59 Pequot Rd. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $32.60 Check: $0.60 Check No: 2922 Short/Over: $0.00 Construction Value: $3,760.00 molition Value: $0.00 Received By Sandra Pandora / 411.f, /�. Y „of mot 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 5—q > qto4 12,1- ( pecksviI06313 2 Property Address S�tvltQuO`F- 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 Approval Permit Issuance Approval Tax Collector fo-c tL J 7) 07 `l ' t e r'e ''.:t:=- Comments: ❑ WPCA, Administrative Signature! ' Comments: ❑ WPCA, Operations Signature, date Comments: Planning & Zoning Signature/date Comments: ❑ Health Department Signature/ date - Comments: ❑ Department of Public Works Sici iaturei 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 —- - - omments! • Fire Marshal `4)1(�� Sig 1aturei date Comments �� IFvisuffugust 5,2005 -ii (- State of Connecticut N N.'. •., ,Y = Workers' Compensation Commission , • ._.. ., ;. 7A M °�7,� � Please TYPE or PRINT IN INK l., x 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 p p yer Applicant for Building Permit Name of Applicant for Building Permit 1J 0 Se/1,1 UbU j iieK _ Property located at 9 PU a c d in the City/Town of A b V/ / / Or, 0 6 3 e 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 444—"if ❑ 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