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Home My WebLink AboutRoofing Overlay 2001 Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke p Fax: 848-7231 Building / Trades Permit Permit Number BP2001-493 Permit Date 8/27/01 Permit Type Building Permit Code R4 Job Street# 15 Job Location PIRES DRIVE Map/Lot 039/077-000 Job Description Roofing -Overlay Owner Contractor Michael DeSautels Michael Desautels Address 15 Pires Drive Address 15 Pires Drive City Oakdale State Ct. City Oakdale State Ct. Zip 06370 Telephone 367-0855 Zip 06370 Telephone 367-0855 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $2,275.00 Building Fee $16.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $2,275.00 C/O Fee $10.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.36 Total Fees $26.36 Building Official's Signature Date 7 2.7// O It is the owners respony 'il' to chedule the following required inspections (minimum 24 hours notice required): Footings -prior to p.uri g concrete 'Backfill -footing drains and waterproofing ❑ Fireplace Throat Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney -one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service ❑ Insulation [Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation V Final Inspection ❑ Rough HVAC Certificate of Occupancy - PRIOR to use or occupanc Town of Montville Permit #0), /- 93 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction ❑Accessory Structure ❑}Plumbing ❑9rfechanicaf ❑Action ❑rDemoation ❑'Electrical .?feating L Alteration ❑Otfter Air Conditioning i Gas`J'iPing Job Location j .7 1(C S O r G CL.�C Aar l e Job Description/Materials R t o t n j Q f t' r Owner m %C ka e I The c a I t 4 1 s Mailing Address I ?1 r e C IJ'C- city ( 'J kAK I e State Zip ( Tel Fs60 / 3( )/ 0 &sS Contractor cc 1 T Mailing Address City State Zip Tel / / Contractor's License/Registration Type&Number Exp. Date New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes ❑ No I hereby certify that the proposed work will conform to the Basic 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 (A)_Q Sa ij Date / 2C' / Construction Value Fee Building $ 7 Plumbing Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ GJ Total $ o o�7j $ � (-X2 I STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-2866) Property located at In the town of Name of building permit applicant: Please check one: I. I am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Name of business 2B. Federal Employer Identification Number(FEIN) Pursuant to § 3 1-286b, "a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. _I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200 (Notary Public/Commissioner of the Superior Court) t Town of Montville Buildg inDepartment Receipt j4;) Date ____X__Jsz2_0_1 From: No. 01002 F Job Address. g,t ,44:64..„,„/„..41r...e____ iL) Amount $ 6:4_. 6Cash Check # / f j (Circle one yam_ Received b 4tde, ' r_ 41,0L514414.„ - _�_ __ _ __ Permit # z 7 • Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ ;.00C $ Above Ground Oval EA $ 500000 $ In-Ground EA $ 1800000 $ Heater EA $ 3,300.00 $ Hot Tub EA $ 5,000.00 $ Roofing Strip&Reroof SQ 210.00 $ _ Overlay 13 SQ 175.00 $ 2,275.0. Sheds With Electric SF $ 25.00 $ No Electric SF 25.00 $ Deck SF 15.00 TOTAL BUILDING CONSTRUCTION COST $ 2,275.00 PERMIT FEE Building $ 16.00 Mechanical $ - Electrical $ - $ - CO Fee $ $ 10.00 Plan Review $ State Ed Fee $ 0.36 Total Fees $ 26.36 Based on 2000 Average Construction Cost 8/20/01