HomeMy WebLinkAboutSiding 2001 Town of Montville
Building Department
Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231
Building / Trades Permit
Permit Number BP2001-334 Permit Date 6/19/01 Permit Type Building Permit Code R4
Job Street# 41 Job Location POLLYS LANE Map/Lot 103/056-000
Job Description Siding
Owner Contractor
Angel A. Ortiz Angel A. Ortiz
Address 41 Polly's Lane Address 41 Polly's Lane
City Uncasville State Ct. City Uncasville State Ct.
Zip 06382 Telephone 367-0423 Zip 06382 Telephone 367-0423
Lic/Reg Number
Lic/Reg Type_ Exp Date:
Use Group R4 _ Code 1995 CABO Type Construction 5B
Building Value $4,000.00 Building Fee $22.00
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 $4,000.00 CIO Fee $0.00
Comments: Plan Review Fee $0.00
State Ed Fee $0.64
Total Fees $22.64
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Building Official's Signatur• , Date /2c / C�
It is the owners resp• '•ili to schedule the following required inspections(minimum 24 hours notice required):
u' Footings-prior to ••uring 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 ® Final Inspection
❑ Rough HVAC 0 Certificate of Occupancy-PRIOR to use or occupancy
Town of Montville Permit #A / )1 '-33 y
Building Department /
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231
Application for Building or Trades Permit
Buildinz Permit Trades Permit
❑ New Construction ❑Accessory Structure ❑Pfum&ing ❑Mechanical
❑Action ❑gDemoition ❑ECectrica! Hfeating
❑Alteration ❑Other Air Conditioning
`` Gas Ping
Job Location 47/ r,.(/ "S /4 ,l Vite45P U(/�
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Job Description/Materials [/.'it y / -jC7/7s1 cr
Owner/i5 rJ (r • 0 /r L /a Mailing Address 0 s %/1e
City / iiCAD. v//(( State 77. Zip Oa 3,6" Z Tel AV6( / 3 / / G!y 2)
Contractor Mailing Address .574—.447-11-7/
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.
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Owner/Agent Signature /� Date O6 / if / or
Construction Value Fee
cx' co
Building $ yQ��% $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ �
State Education $ 6 y
Total $ $ is ‘' 1
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Town of Montville Building Department Receipt
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1
Date 6 / /? /o/ No. 06810
,; From: AX...r£L A 0/7/2,_
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Job Address: W 4ee7; X/c
Amount $ _Ar Cash't C Check # Y9G
I (circle one)
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Received by % •< Permit #/:3,,,6t)/ - 33Y