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Home My WebLink AboutBathroom Remodel 2002 41) Town of Montville fb Building Department Date */ / // Field Inspection Notice Permit # ' //J Job Location Iy� 41-4,1/y ,2 AlRii- pproved Type of Inspection644T/I /A) 4M O iel Not Approved - Please call for re-inspection when the following corrections have been completed: A'Ali' I II Building O' ci ' Town of Montville BUILDING DEPARTMENT 310 Norwich-New London la mpike Uncasville,CT 06382 860-848-3030, Ex.t 82 Building Permit Permit Number: B2002-111 Permit Date: 19-Mar-02 Permit Code R4 Job Location: 40 POLLYS LANE UNIT: - MAP/LOT: 103/044-000 Job Description: remodel bathroom Owner Contractor GEORGE T+CAROL E WOOD Roland construction Inc. 237 Willetts Avenue 40 POLLYS LANE Unit: - New London,Ct. 06320 UNCASVILLE CT 06382 Telephone: 445-5665 Lic/Reg Type: HIC Use Group R4 Lic/Reg Number: 501072 Code 1995 CABG Exp Date: 11/30/02 Construction Type 5B Construction Values Permit Fees Building Value: $4,600.00 Building Fee: $28.00 Plumbing Value: $1,000.00 Plumbing Fee: $10.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $50.00 Electrical Fee: $10.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $5,650.00 C/O Fee: $10.00 Comments: Plan Review Fee: $2.80 State Ed Fee: $0.90 Total Fees: $61.70 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice reauested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑d Rough Electrical ❑d Firestopping/draftstopping ❑ Electrical Service ❑d Insulation ❑d Rough Plumbing and Leak Test ❑ Final •ect•• ❑ Gas Piping and Pressure Test J .- ate of Occupancy- Prior to use or occupancy Building Official's Signature: 40,11" Town of Montville Building Department Permit #A206 (. 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ❑New Construction 9 Addition Er-Alteration 9 Accessory Structure ❑Outer Job Location W.) 4-1<y, Job Description/Materials S Owner 4,1/p-a--40 Mailing Address VO / �� % S City State L1 , Zip 0 4.?�Y�—TTe1 / S"517/70 6 Contractor/?e-L, J Mailing Address 7-7 7 71Ze. y-S '`� City 1-77.4A4,-- State Ems" , Zip D(, -3g_ v Tel / 9J7 -I-- Contractor's Contractor's License/Registration Type&Number /yogi.,,,, ,,,/6,tExp. Date // / 30 / 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 nDate 3 / /9 Construction Value Fee Building $ / l � / $ Plumbing $ d y6U $ �-- Mechanical $ $ Electrical $ JO $ /d Other $ $ Certificate of Occupancy $ Plan Review Fee $ /07 f F—c, State Education $ Total $ $ 7V • Town of Montville Building Department Receipt Date / / p No. Q..1565 From: A _. _./ . a _ -'-- _ - -w- Job Address: SY / rt el ' .3' Amount $_ /, 7O Cash Check #��c5 3 r (circle one) / �% Received by " , /� ," :r! Permit il /ODo —/1/ STATE OF CONNECTICUT • DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR ROLAND COLLINS 237 WILLETTS AVENUE NEW LONDON,CT 06320 DBA:ROLAND CONSTRUCTION COMPANY LIC./REG NO. EFFECTIVE EXPIRES 501072 12/01/2001 11/30/2002 SIGNED - ,,� ~ ' ~ . ' ____ ____ ______ _____ _- -- _-- - i .. .. ___-___-__-_ _ __-_ __-__-__ | AC~ " ~ CERTIFICATE OF IABUL 0TY !NSA UAN ��- DA rE ovimo»YY' 03 18 02 — — | - ^c''FnAnxxxArrsnup INFORMATION . ' wr rx*n�n UPON THE CERTIFICATE^ ' ' '.`^`L ross NOT AMEND. EXTEND OR � ' ` '''� ^''cRoE» BY 1 HE POLICIES BELOW. / -- - __ -____ mcuvcRw�c � � -� ~' / ' . / ' ` ..D- _—� . 0 / J | - -- __ . — - __2_ --- . ___ :o ___ . --- )00 — uno ----- '_•;ou ' --1 ` ~,m* THE ,u MAIL • /o/ LEFT. s Town of Montville Building Deportment 848-7166, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET 't 0 QII y l arV Property Address Job Description: r-e rr,Q<ix'j i rx--, bath roc/n 1 The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-339 ❑ Permit#: ❑ Not Applicable Septic System Date ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-7094,Ext 86 _ -/ 1/ I -,/,,/a.. 111Permit#: 5g q ❑ Not Applicable Municipal Sewer Date ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: ❑ Not Applicable Director Date PLANNING ZONING \EPARTMENT;at 848-8549,Ext 7 4 F ;.- ,1< �j 9 b7/ El Permit#: �Ii Not lApplicable Zoning Da vt 1`er c`Of � .---ii/ 3 L% ❑ Permit#: Not Applicable Inland-Wetlands To ate