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Home My WebLink AboutRoof Overlay 2013 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:82013-0512 Date: 22-Nnv-13 Map/Lot: M3/05611Q0 Owner ID: 5615000 Project Location: 41 POLLYS LANE Unit: Job Description: _oQLO Lewy Owner Nam _Belson H Ilton Tenant Name_NIL Careof: 41 PoIlvs I one Ilnccrsville CT _06382- Telephone: 18601208-2707 Applicant Name Yronnrty Owner__ Telephone: DBA: Lic/Reg Type Lic/Reg N 2 Exp Date: cooefn_ction_vahisa eanniticies C:onstnu;tinn Infnrmatinn Building Value: S5.250.00 Building Fee: $12,110_ Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: S.0.0Q_ Code: 2005 State Building Code Mechanical Valu S0.00 Mechanical Fe Electrical Value: $0 00 Electrical Fee: SM 0(L Construction Type IRC Total Value: S5 25S1QQ Penalty Fee: SUM_ Permit Code: R4 C of 0 Fee: S11.00 Comment Plan Review Fe MAL State Ed Fee: S1 32_ Total Fee Paid: !�^ 57137 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor(rami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Drafistopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation u --ifi • e of •.proval '- r c,$ - of Occupancy Juildina QfficioJ&nLQ a• S- - 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.: bc3013-051 - Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑``Electrical CRS#: Property Address: L' Numbe ( (St�eet I � (Unit) ("� Job Description: L 4 `w� � ((/o T` S 4t) t Owner: ,l v e( v //V tO 6l/V►l 41-(--*/ 'c/ Address: — &I / pV/1 City: L)(ALAI.St:67g ate: ( 7- Zip Code: 061-s5 a- Telephone( ' O ') C V Applicant: );&J e(S v V341 I DBA: Address: tp, (7y ) [�4i City: C State: C / Zip Code: f: U J Telephone Contractors - Complete the Following: 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: L Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Rrvised.August 23,2007 Town of Montville Building Department Bank Card File Receipt Date: 20-Nov-13 Receipt No: 5366 Received From: Nelson Hamilton Services Job Address: 41 Pollys Lane Fees Collected State Educational Training Fee Bank Card $73.37 Bank Card $1.37 Short/Over: $0.00 Construction Value: $5,250.00 Demolition Value: $000 Received By Carmen Kneeland rn Address: 41 Pollys Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ _ AMENITIES Kitchen EA $ - $ _ $ Full Bathroom EA $ $ - Half-Bathroom EA $ $ GARAGE Detached SF $ 71.53 $ - $ _ MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ Electric n Y/N Air Conditioning n Y/N $ $ - ELECTRICAL SERVICE Upgrade Amps $ Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - $ Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay 1500 SF $ 3.50 $ 5,250.00 Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 5,250.00 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,250.00 $ 72.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.37 TOTALS $ 5,250.00 $ 73.37 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut N .. .A. : Workers' Compensation Commission L- °+ J :re � low Please TYPE or PRINT IN INK `r 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 APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit e1 Jvv �+ " ' r /) Property located at C/ ( ft", in the City/Town of � v 1 6,A. J (id( ATTEST 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_ �- properly.I WILL NOTactas the general contractor or principal employer. Signature of OWNER Applicant-- 1 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 PROPRIE I OR Applicant ilrrrrr_---- Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Prop Address Job Description Required Approval Department Permit Issuance Approval • Tax Collector ,G� A— ///c.1o/f 3 Signature/date Comments: f I Planning & Zoning /( 0�3 Signature/date Comments: J II Fire Marshal (LULL—, I 1 (2 Comments: C Sig /date U n Health Department Required for properties with private septic or well Comments: \ / J [� WPCA, Administrative v I I -1!) � 1 3 Required for properties on sewer Sig ature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: n Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: n Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: �] State Dept. of Transportation Required for 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 Signature/date Building Department Review Complete Signature/date Revised May 23,2011