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Home My WebLink AboutFinished Basement 2004 C) U o Q c N c z oI z M oc) o = 5 L. cv .4-J U U ro cc r:1- (o .4_, to C = E E '-' ., 4:1) co O- U +-, ? O teOa" jU 03 U -01 uu- U iO ro p vi _ L 4�-# U Y - L C c c .c I— U U (o L � I p c ci- U f 4 (� (J) Q) 4J V) I i u U i c 1 I, , U L r6 (o V E E 0 H Z U c > a s W Z Q -c O 0 JW d 0 U Q oR U 1 ! I . a • o 1 Ce" la V Z a 0 c i n Q W W o >. N \ LL W LU \, rts W m Z in C ‘\ o CO W _o a1= >. UE D C L. •U J C pI O =a 01 U v, � C° 0 Ui 1 "1 C m L C U OZ:k No! =a , s.., MI a) _Oi I I .5 c A TUU NI C N� Q) DC ra +-+ 4- H m — (I C (13 L .0 O N Lf1 if; (o J U U 4-' U Q Q E C N c C OV u C 0 W N � j3 -a V) z O L V) Q) c CI) U I . ro • ro p E C9i-.) U V) c Lf1 0 L_ U 10 C I- UN d d D U (f 0 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CERTIFICATE OF OCCUPANCY APPROVAL Pv I q°S (_ t �� i,Pr perty Address v�t 3V ` ��lSf 1VI( J Job Description No Certificate of Occupancy will be issued until all of the required signatures have been obtained. Required Department Certificate of Occupancy Approval Approval ✓® WPCA 1 1 6^l Required for all occupancies on sewer Comments: Planning &Zoning � i C ��, 1 12 \ c1 Required for all occupancies Comments: aS kkor vcN\y Health Department Required for all occupancies with septic systems spiji icALui cieric Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: ❑ State Dept. of Transportation Required when STC Certificate of Operation is applicable Signature/ gate Comments: ❑ Police Department Required for all occupancies-except one&two family Comments: ❑ Fire Marshal Required for all occupancies-except one 8 two family Comments: Rcvised,August s,2005 Field Inspection Notice Town of Montville Building Department January 3, 2008 Address: 24 Polly's Lane Job Description: Finish basement Permit Number(s): B2006-0279 Permit Date: 6/20/06 INSPECTION Not Approved Approval Date: Deficiencies Special Date Conditions FOOTING • 7/18/06 JS ROUGH ELECTRICAL • • 7/18/06 JS ROUGH HVAC • • Makeup air ROUGH PLUMBING 9/22/06 JS • Nail plates required 11/1/06 DJ DRAFTSTOPPING • 11/1/06 DJ INSULATION • 8/1/06 VV INSULATION • 11/1/06 DJ Final inspection for • • certificate of • 12/31/07 DJ opccupancy Rev.Date: 1/18/06 Page 1 of 1 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030,Ext. 382 Fax. 860-848-7231 12/21/07 Elizabeth and Rodney Dumond 24 Polly's Lane Uncasville Ct 06382 Dear Elizabeth and Rodney During a resent review of our files it was established that permit#B 2006-0279 dated June 20 2006 for finishing a basement has not been closed out because all of the required inspections have not taken place. Please contact our office between 8:00AM and 4:30 PM to schedule an inspection. Please be informed that the use of this basement without the required inspections and issuance of a Certificate of occupancy would constitute a violation under the Connecticut Building Code. Respectfully yours Charles Corell Building Inspector cc: File 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: B2006-0279 Date: 20-Jun-06 Map/Lot: 103/040-000 Owner ID: 5607000 Project Location: 24 POLLYS LANE Unit: Job Description: finish basement Owner Name: Elizabeth and Rodney Dumond Tenant Name: N/A Careof: 24 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone: (860)848-3050 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Constr ,ji•n Valu- Permit Fees Construction Information Building Value: $11,102.00 Building Fee: $96.00 Use Group: IRC Plumbing Value: $2,584.00 Plumbing Fee: $24.00 Code: 2005 State Building Code Mechanical Value: $460.00 Mechanical Fee: $8.00 Electrical Value: $1,030.00 Electrical Fee: $16.00 Construction Type: IRC Total Value: $15,176.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $10.00 Comments: Plan Review Fee: $14.40 State Ed Fee: $2.43 Total Fee Paid: $170.83 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 0 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 k Framing ❑d R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑d Fireblocking Draftstopping INSPECTION RE•UIRED UPON COMPLETION El Insulation d Certificate of:. a.. 0 - i icate o •ccu.anc Building Official's Approval: Town of Montville Ilf 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),075''e),0� Type of Work Occupancy Type Permit Type RECEIVED ❑ New Construction jg Single Family S Building ❑Addition ❑Two-Family g Plumbing MAY 2 4 2006 Alteration El Townhouse ❑ Mechanical ❑Accessory Structure Electrical CRS#: BUILDING DEPT. Job Address: 2 44 POlay S Lt/ (Number) (Street) I (Unit) Job Description: RE.IJoVkr BA-se.Aft�sNT` UNFuNSI.cD 12, ijp1151+S7� Owner: RaP N E y 4.0 D ELI z AII3 gr f .1$4 M,ON T Address: 2.4f POLc.ys L—", City: W./Gt5 v(L.C State: d 7- Zip Code: 04 38Z Telephone: ($( 0) 84 8 - 3 o co Contractor: /CJ,jitl DBA: Address: City: State: Zip Code: Telephone: 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: Date: 5 23, Zero Construction Value Permit Fees Building Value: ' /5 0 0 Building Fee: Plumbing Value: / 0 0 0 Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: 50 0 Electrical Fee: Total Value: 3 00 0 Penalty Fee: 7 CofOFee: Plan Review Fee: State Ed Fee: Total Fee: wised cDecem6er31,2005 Town of Montville Building Department File Receipt Date: 15-Jun-06 Receipt No: 1407 Received From: Roney Dumond Job Address: 24 Polly's Lane Fees Collected State Educational Training Fee Cash: $170.83 Cash: $2.43 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $15,176.00 Demolition Value: $0.00 Received By David M Jensen .1 /� a 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 Z�f 4/..ty 5 44A/6- Property Address gid-sEN,g's' PE.--)o v 47-1 Q,J lI N F,pAStrlt i cols NEI) 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 Permit Issuance Approval Approval Tax Collector C Q- -��- /Uo-c.,-R..._ v/a3/o Signatures tate Comments: 111 WPCA, Administrative0/ date Comments: ❑ WPCA, Operations Sidnatural date Comments: Planning &Zoning (M- S�2,3�6 NiIr- �- Signature/ date Comments: �1 ` w,kku 014 -i ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation Signature/ date Comments: Api //j Signature/ date Fire Marshal Sti / /Comments: Vii t kf �I � RcviseiAugust 5,2005 • v'� State of Connecticut N yrs ,,, r7A . :;., ti„..r x : Workers' Compensation Commission :.�'��`. . Please TYPE or PRINT IN INK z �St\Mc 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 , 'c)1,N Ey U f4 0,06 Property located at G-' ► `qL L y5 L4'1.ig in the City/Town of MOPrvsLC.e ((NC,i6'ActnLt'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: 4 I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant ❑ 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 rn dm8 c Z. G-L) = � • z oCD i Do 01 CD ' 1CA I I m ® / IV . — - N- o r-+• a, zan I — cjj �, vcoO -s173Zc-►- - — c CD C) - 9_ c N O — ccyE — — a 073 a 73 E a u, CU ri: CD I �,- o cco 0 o N v 0 D . I CD I NJ 0 T 14 11 p, N'' Ill ` , M-' ::11::- L] O I ,, CD m I -"ZIA' iii iiO � �` 0 . DC) r,b; ,,,e7,1 CD Q � ®� Z ` C t o . I -, . ---1 . k .-- ' :: 4_ N N N . 7,.,) ::•:—:—. ,..---------„... . N xi ::No:: ,. wZ00 z O .co .000,0007. o = m Dm� 51 0 33 a.11' 70 • , _, 0 _i, . = CD 0 — 1 ,� o Si o 3 \\I Il F.. 7.'0 o', 6. c _CD co CD E.1 0 \I) U. \ .� ;• c. nv° m n � o 'rte c rn 5 v O s D co v O� ° n°. y CD 73 CO c-i- * Q 0 N 0 N = c c-r 7 v •fl CD �- - 0 T Town of Montville Building Department Plan Review Form Date: NQ JJ l 2� moo Job Address: ( L/JN Job Description: ,'//•1(I /4 Your permit application is being rejected for the items checked off or commented on. The required information must submitted for review(two sets are required) (C.G.S.29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the State Building Code. SUPPORTING DOCUMENTATION CONSTRUCTION DOCUMENTS Permit application not completed Plans required 't Permit fee due$ j,cp,.R3 Proposed building or addition exceeds 5,000 square feet, plans must be Permit fee to be calculated stamped and signed by a Connecticut registered Architect or Professional Worker's comp.affidavit or worker's comp.certificate to be submitted Engineer Copy of contractor's registration or license required Construction documents are required to be shall be sealed by a CT licensed Copy of Major contractor Registration Required Architect or Professional Engineer(106.1.4) Construction permit sign-off sheet required with appropriate approvals,it shall Means of egress plan required designating the number of occupants on every be the applicant's responsibility to obtain the required signatures floor and all rooms and spaces, travel distances, and door, stair, ramp size Affidavit required from the holder of the registration or license authorizing you calculations(106.1.2) to apply for a permit with their information Architectural plans required Provide supporting documentation to show compliance with the 2003 IECC Structural plans required (www.energycodes.gov) Mechanical plans required Two sets of construction documents required, this includes all engineering Electrical plans required data,calculations and all other documentation(8106.1) Plumbing plans required Documents are copyright protected,provide original plans or a letter from the Fire protection plans required designer authorizing the duplication of the plans Use&occupancy classification not indicated on the construction documents Field set of the approved construction documents are required to be picked up Provide calculations for the mixed separated uses(302.3.2) from our office and must be available on site during all inspections Height&area calculations required Construction documents shall be of sufficient clarity to indicate the location, Ventilation calculations required to be submitted nature and extent of the work proposed as per section R106.1.1 More detailed plans required addressing accessibility Construction documents do not match the orientation of the structure on the Soils report not submitted(1802.6) site plan Statement of special inspections required(1704) Plumbing fixture calculations required STRUCTURAL DESIGN Construction type not identified Submit supporting data to show conformance with the wind limitations (3 Group classification not identified second gust @ 115 mph) Fire-resistance design must be documented by an approved source, Documents required to be stamped and signed by a CT registered Professional Building trap location&detail,not provided or insufficient Engineer Construction documents do not match the engineering data submitted SITE PLAN Ground snow load(Pt)for Montville is 30 psf No plans submitted or insufficient information MCE Spectral accelerations for Montville are; Plans do not match the building plans S,=0.255 Finish floor elevation not indicated Si=0.078 Distance from the property line(s)to the structure not identified Proposed structure or addition exceeds the "threshold limits" and an Structure dimensions not provided independent structural engineering consultant review and all fees for such shall Existing and proposed contours are not provided or insufficient be paid by the of the building project(106.1.5.1) Footing drain discharge not identified Design loads not indicated(live&dead) Utilities not provided(electrical,phone,cable,sewer,water,gas) FOUNDATION Delineation of flood hazard areas and design flood elevation is required per section R106.1.3 No plans submitted or insufficient information _ Private sewage disposal system to be identified along with all technical and soil Dimensions required data as per section R106.2.1 u11 uraamg is to slope away rrom the nun.rng,provide more detailed miorma Ion Footing size not identified Plan submitted is not the same plan that has been approved by the Zoning Frost protection not identified or is insufficient Department and/or Health Department Column type,size,spacing not identified or insufficient Retaining wall—construction documents required Waterproofing details not provided or insufficient Retaining wall documents required to be stamped and signed by a Connecticut Pier type,size and anchor details not provided or insufficient Registered Professional Engineer Engineered foundation plan required Crawl space ventilation,location,type and size not provided or insufficient Crawl space access,location and size not provided or insufficient Pcvired February 23,2006 Address: 24 Polly's Lane ITEM CITY S/UNIT TOTAL Balding Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ $ - Basemen,Finished - SF 5 2087 $ $ - Basement,Unfinished - SF $ 11.28 $ - $ - - Crawl Sapce SF $ 8.46 $ - Interior Renovations 348 SF $ 31.90 $ 11,101.20 $ 459.36 $ 92638 MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ - - Basemeet SF $ 1128 $ - 5 - $ - Crawl Space - SF $ 8.46 $ - $ - $ - .WENITES Kitchen EA $ - $ - $ - Full Bathroom 1 EA $ 2,583.90 $ 102135 Half-Bathroom EA $ - $ GARAGE Attached SF $ 49.41 $ - $ - - Detached SF 5 6321 5 - $ - Under - SF 5 9.12 $ - $ - Carport - SF S 18.08 $ - MECHANICAL Warm-Air N Y/N $ - Hot Water It YIN $ - Electric N Y/N $ - Air Conditioning N Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ - - Underground,new Amps $ - Subpanel FA $ 545.00 $ - Gen Set - EA 9 3.50000 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace FA $ 5.907.00 $ - Masonry w/lfireplace - EA 5 6,45150 $ - - Masorvy w2 fireplaces FA S 10,087.00 $ - - Wood Stove,free standing FA $ 2,447.50 $ - Wood stove insert EA $ 1,690.70 $ - - DECKS,PORCHES.SUNROOMS Deck SF $ 39.16 $ - - Porrh SF $ 135.80 $ - Surroont - SF $ 160.82 $ - $ - POOLS&HOT TUBS Hot Tub FA 5 7,287.50 $ - $ - Irground Pool - EA $ 19,430.40 $ - $ - Above Ground Round - FA $ 4,635.88 $ - $ - - Above Ground Oval EA $ 5,472.50 $ - $ - - Pool Heater EA $ 8,167.50 $ - Inflatable Type Pool - EA 5 1,542.42 $ - - SHEDS w/o electrical SF $ 18.50 5 - wleleclrical - SF $ 18.50 $ - $ - - RENOVATIONS Roofing,Overlay SF $ 3.38 5 - - Roofing,Strip&reroof SF $ 3.76 $ - Roof Sheathing - SF $ 1.19 $ - Siding - SF $ 2.30 $ - Windows - FA S 423.50 $ - Slrytghts - FA $ 955.54 $ - - Doors.Exterior EA $ 401.50 $ - Oil Tank.275 Galon - EA $ - Oil Tank,550 Galon - FA $ - - MISCELLANEOUS CALCULATIONS TOTALS S 11,101.20 $ 2,583.90 $ 459.36 $ 1,029.23 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 11,102.00 $ 96.00 Plumbing Y $ 2,584.00 $ 24.00 Mechanical Y $ 460.00 $ 8.00 Electrical Y $ 1.030.00 $ 16.00 Working before Permit Issuance N $ - Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 14.40 State Education Fee $ 2.43 TOTALS $ 15,176.00 $ 170.83 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department Field Inspection Notice Address: 24 Polly's Lane Job Description: Electric Service & Demo basement - Stairs Permit Numbers:E2004-0098—Disconnect basement E2004-0108—P2004-0044 remove basement plumbing—M2004-0100— B2004-0202 Stairs Footing Not Approved: Approved: Comments: 1• Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: 4/13/04 JS Approved: Comments: 1. Workspace required in front of panel—30"Wx36"Dx72"H(110- 26) 2. No house meter or panel for well,heat and other common circuits 1. One service for both units Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: I. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1. Certificate of Not Approved: Approved: Occupancy Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Comments:During an inspection for the electrical service it was observed that the house is setup as a two family,one unit in the basement and the first floor as another,no interior stair,separate kitchen and bathroom,(4/13/04 JS) • Open electrical boxes • Abandoned electrical wires • No smoke detectors • Improper combustion air • No heat observed in basement unit • Improper clearances for electrical panel • Improper working clearance for boiler,can not be removed without removing walls Page 1 of 1 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PwIP[G U1 .IUAT'XD CONTRACTOR g0,41ERIX 99 ow AN N1* , 1IRO 20 'T P1 , LIC./REG NO., EC1`IVEr:=, EXPIRES 281237 1 afr, �,, , '::10/31/2004 SIGNED Town of Montville Building Department Receipt Date No. 0 5 ! b s From: C p HEfi-T ()V G 1+ C40L,� lvC� Job Address: c)9 RLLY,7 4 iv Amount $ 3 . 51 Cash C Check # q Circle one) • Received by V Permit # ttlfAInti- 00 Town of Montville Building Department Receipt Date 47 / ,2‘,7/jag No. 03735 //74From: ,,,,�,„. `��'''_� Job Address: Amount $ o Cash Check Check # jep i 0 Circ c one Received b ; � Permit # y .,�, .ice 00 0,O50 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Plumbing Permit Permit Number: P2004-0044 Date: 26-Apr-04 Map/Lot: 103/040-000 Owner ID 120009 Job Location: 24 POLLYS LANE Unit Job Description: demo downstairs plumbing Owner: Contractor: Associates Home Equity Services, Inc Ken Hendrix c/o Janin M Becker, Klein&Becker Attorneys at Law 943 Ocean Avenue 3296 Main Street New London Ct. 06320 Bridgeport 06606 Telephone: (860)908-1056 Lic/Reg Type/No. P1 281237 Exp Date: 31-Oct-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $300.00 Plumbing Fee: $10.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $300.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.05 Total Fees: $10.05 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS#: 0 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's All, To\lin of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit#11, --0-611 �1'lum6ing ❑Electrical 03techanica( CPRS # 5f-eating Air Conditioning —Gas PiPing ❑Single EEamily [] Two-Family 0 Townhouse Job Address e;,' /4/'5 4/ (Number) (Street) (Unit) Job Description (./ 7--e.2 C//Cir �4G/y/s `- / j`-, 71i r 7"Z c Gp 0,c-ii / Owner -/mei'2 6a Mailing Address K -...1;77--,- City ,0-7 7c G i 'l4 �� / State Zip Tel e/�� /l. Contractor,K; j5` ./-f /r� //// Mailing Address �r ,a4 C'q!� Q(� City 4/- t State _ Zip '622 0 Tel 6P./ 79 7OS^>o Contractor's License Type&Number r°/ �f/ 7 Exp.Date /1d/ 7(/ 0 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 Date# 12- / a Construction Value Fee Plumbing $ �� $ / ,._?00 �Mechanical $ � Electrical $ $ Plan Review Fee $ State Education $ Total $ $ U $_______________ (Complete reverse side) Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2004-0108 Date: 26-Apr-04 Map/Lot: 103/040-000 Owner ID 120009 Job Location: Unit Job Description: disconnect electric circuits for basement Owner: Contractor: Associates Home Equity Services,Inc Lawrence De4Barros c/o Janin M Becker, Klein&Becker Attorneys at Law 138 Mistuxet Ave. 3296 Main Street Mystic Bridgeport Ct. 06355 06606 Telephone: (860)536-1004 Lic/Reg Type/No. El 122162 Exp Date: 30-Sep-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABG Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $300.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00Other Fee: $0.00 Comments: Total Value: $300.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.05 Total Fees: $10.05 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing -Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS #: 0 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑Gas piping and test Building Official's Signature: Town of Montville Buildingtepartment 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit#t-F7,‘) -7 - g l C,3- ❑Elum6ing (Electrical 0911echanical CR # .7feating Air Conditioning Gas Pzping EaSingle Family ❑ Two-Family ❑ Townhouse Job Address R %fib/lt( A, ' (Number) ��++'' 71.9 (Street) (Unit) Job Description -0; c...0)0 p p.4 N zry1B,yf- ,moi r�l.ew1 S Owner At, Al 11)9 &L C Mailing Address _ a .61• V-d, ' ,1Ql City ,tJ 0 n w I 1 c_d State fi� Zip 66 q(p 0 Tel / / Contractor keno�e.-4,c,e-- 'P &,-p,9 S Mailing Address /JR hi:S ILL j(e_i- Xi/A.( City ,/y�(/..s4 e- State&-fr Zip O(0 3 4'5` Tel (5bp /6-34 / /OO I/ Contractor's License Type&Number A / J AA 16 a Exp.Date // / /O / p 4/ 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 _ 1,70,1,•:_y--c' Date Y / 2? / 4 17 CY/ Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ BOO $ /D Plan Review Fee $ State Education $ Total $ '�'S (Complete reverse side) . Town of Montville Building pepartment Receipt Date f /aa /4 V E 3 j From: ialatste,..- ( Job Address: & ' Ar'e* fX - it Amount $_____7Z6_. 06 qldlaCheck Check # Circle one) Received by 41;�_�, /' _ �,i .% pest # 4-- -Ztj O -'-' Q) N 4, u N D G N Q) -15cZ U N Z... cn(1) CJ OO L to ca L '0 o n` � � O7 iN , \\11 p C O i O c _ D r � L Q0 o ® cc , `t p N rll N q N I f 1, cu =. -r......, �, N \ \� r'/O,1 z o0 L.L O ' N N z o _ U. fa.) w.—_A_'_ �..4 1N N N a ti -4- — 0 n O k .> tn 03 To V --- m U CZ -- I Ooc C ri /7 0 * 0 . ih o^ \� N a) a--+ ,� ' $ 03 to 7 EQt) 0 ® ® i. C o � — O _ E � O 4 O N c cCe a) z vo = m CO .}.� - g ln g r lzu u _ m — g Q) CU I ou o x ,. mmiim.. 03 CO ooE vo eu � z < zT 0 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2004-0202 Date: 03-May-04 Map/Lot: 103/040-000 Owner ID 120009 Job Location: 24 POLLYS LANE Unit Job Description: New stairs to basement&storm Door • Owner: Contractor: Associates Home Equity Services, Inc CEBA, LLC c/o Janin M Becker, Klein&Becker Attorneys at Law 37 Golden Street 3296 Main Street Norwich Ct. 06382- Bridgeport CT 06606 Telephone: (860) 234-0024 Lic/Reg Type/No. HIC 580151 Exp Date: 30-Nov-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $2,000.00 Building Fee: $10.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2,000.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $0.32 Total Fees: $20.32 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill -Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS #: 0 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: f/11111111 V Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit#,,,,,,,,,,,y 0 __6-- ❑ New Construction ❑Addition ❑Alteration ❑Accessory Structure liti, Family ❑ Two-Tamity ❑ Townhouse Job Address `l PO/k L.�,"` (Number) Ca.5-- / (Street) (Unit) Job Description ;a - / -57/01141-,- -7:451:512— Owner jZOwner Tak ) Jl (L ( Mailing Address - 2 0 c: 4-f City Alr CcA- C 1-- State C*7— Zip 06360 Tel Q6 0 / E:oB/ ))/( Contractor 0 /L L C Mailing Address �� Gp f,��Q/fij 57 City /(fo✓uti t t State C ( Zip 0616a Tel g&O/22.t// 002(/* Contractor's License/Registration Type &Number llvev-e titan/. Exp. Date /l' /3o / 0'I 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. Separate applications a . -.uired for electrical,plum..- mechanical,etc. Own- Agent Si re �, �•� L •—=� Date / 3 / O Construction Value Fee Building $ 2090.69 e $ /iv Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ /D Plan Review Fee $ State Education c7 $ Total $ 20VO. $ ca a2dcc3'? (See averse side for additional'requirements) Town of Montville Builtling Department Receipt Date S` / /o 3 , , . 3 �'} No. � � i '� From: Job Address: 2-9 �s-- Amount $ Z v -92— g011PCheck Check # (circle one) Received by _ J rN "e,D Permit # ':''';71,:-'STATE'or'CONNECT- I UT DEPARTMENT OF CONSUMER PROTECTION. HOME LNIPRQVEMEN 'CONTRACTOR COASTAL 161:N `ER D$I DING A§SOC ,t OLL ` W sT QT 04160 F .F .r LIC./REG NO„,7 EFFECTIV EXPIRES 58 151' --- 1 /01i204�3.-- •i4 :-11/30/2004 t't!t,rc � �S�iN I SIGNED ^+—. ► sr-r- Clesgo c:12 ;IT • r RK .I�� B°llw .6- /1 i Doo��y ,i 3 " 14. 4, giebt 9 41(‘kt) `hR-uc STep - 4 CLOK764, k,&.t `-owl b • L.i_ L . O4"-ck, rgJ� .utSS 20 s1c,,.,.y fZt 'S.. �1',�, �,fec6 c f .oc3 ik - 60<6 — 77// s L iq//, U n.c as yr U a Rr 9iu tiO5� 3r r Town of Montville 4 Building Department Date: 711Z-101--/ Field Inspection Notice Permit#: Address: Z9 ,1_01 v l f L!-�i•.1G Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved ❑ Footing 0 0 .57-4A/R-) ❑ Backfill ❑ Concrete Slab 0 0 ,BoiL.6a-2 o Framing 0 0 ❑ Rough Elec 0 0 ❑ Elec Service 0 0 ❑ Rough HVAC 0 0 ❑ Rough Plumbing ❑ 0 ❑ Gas Line 0 0 o Fireplace Throat 0 0 ❑ Chimney 0 ❑ o Fire/Draftstopping 0 0 Insulation 0 0 Final Inspection 0 ❑ of 0 0 ❑ ❑ _/-:.--:" 4110 �o tor's Signature Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Mechanical Permit Permit Number: M2004-0100 Date: 03-May-04 Map/Lot: 103/040-000 Owner ID 120009 Job Location: POI ys LANE Unit Job Description: Boiler replacement Owner: Contractor: Associates Home Equity Services, Inc C P Heating&Cooling, LLC c/o Janin M Becker, Klein&Becker Attorneys at Law 35 Ke4nwood Estates 3296 Main Street Griswold Ct. 06351- Bridgeport CT 06606 Telephone: (860)376-0743 Lic/Reg Type/No. S1 303685 Exp Date: 31-Aug-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $3,200.00 Building Fee: $22.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $3,200.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $0.51 Total Fees: $32.51 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing -Prior to pouring concrete ❑ Rough HVAC ❑ Backfill -Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS #: 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: 411, Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# 0(PCum6ing DECectrica1 9Kechanica oxs' # l/7feating Air Conditioning Gas Piping [ SiitgT'Family DTwo-'Family ❑ 'Townhouse Job Address ?y / 6//, cs (Number) (Street) (Unit) Job Description 46 w 4/2- / 2 c---Y2. 4,2 c ,,� c (— Owner fp.4 /J-* L C Mailing Address o2c' Sv U<QCI(Ic d 1() c--"c4 City A/0X w, c A State (1 f Zip D G 3 C) Tel -a /G G.F/ 7 7' / Contractor e/ .4A, -(,c f [CC Mailing Address S �c,.,�,, ,c, CSJc-, j. City G r o // State L9/4- Zip z)6117 Tel f-4a / 3>G / o7y� Contractor's License Type&Number SI 0c)3 4, J Exp.Date d / 71 / o2 a 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. 2 Owner/Agent Signature ` � Date U/ /17 /;" V onstruction Value Fee Plumbing $ $ Mechanical $ 3d $ as Electrical j� $ Ill, t 1?e r C JO $ O State Education $ f Total $ $ om Cete WiriVF:a.FD (C p reverse side) uv 0 Town of Montville da'/Opecti Building Department 413'Date: yField Inson Notice Permit#: Address: 27_ 4(ry c 1/1/. Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved ❑ Footing 0 0 ❑ Backfill ❑ ❑ ❑ Concrete Slab �� _c. " /l ,a ❑ Framing 0 0 �� (/ l ❑ Rough Elec 0 0 ❑ Elec Service 0 0 ❑ Rough HVAC0 ❑ Rough Plumbing 0 ❑ Gas Line El 0❑ Fireplace Throat 0 ❑ Chimney 0 0 ❑ Fire/Draftstopping 0 0 ❑ Insulation 0 0 ❑ Final Inspection 0 ❑ CofO 0 __lL._- ❑ 0 ", _ Inspector's Signature r STATE OF CONNECTICUT FILE# DEPARTMENT OF PUBLIC SAFETY OFFICE OF THE STATE BUILDING INSPECTOR P.O.BOX 2794 MIDDLETOWN,CT 06457-9294 TELEPHONE: (860)685-8310 FAX: (860)685-8365 REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE FOR OFFICE USE ONLY 1. Name and Location of Building #111 P0' g U/�dSUt t i e. CT e63% No. Street • Town State Zip 2. Building OwnerYC ALb, 3. Applicant's Name -3;,,reves � �;�.a . Telephone (DA)) 2 -& 2 y Applicant's Address 3 7 G p f d.Qm ST Alo2f vt, C 06 36 d (Include Firm Name if Applicable) No. Street Town State Zip Name of Person to Contact -rd,vtr,.e s hi:?Ir Telephone �(�o) 2 71/-m m2 (For information if required) 4. A.Date of Application for Building Permit 5)21 I d B. Applicable Code(Title and Date) 16101 Cab a Cr $ p c -,1 5. Use Group iZ A. Was there a change of occupancy: 0 Yes L7No B. If yes from to 6. Building Construction Classification 513 7. Square Foot Area of Building(Total) /000 S (� (ft-e fuer,ysfn,-e-r->4j Maximum Square Foot Area per Floor ic 0 0 S 8. Number of Stories 9. Check Applicable De_sation: 0 New Building Existing 0 Addition 0 Other(Explain) 10. Fire Protection at subject premises(Check appropriate headings) 12(Smoke Detection ❑ Heat Detection ❑ Extinguishers ❑ Sprinklers ❑ Standpipes ❑ Other(identify) REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE Page 2 11. Describe alarm system(s)at premises 12. Building Code Section that modification is requested from 3I9', p4,-,./ 4 13. Modification Sought . E ��7��r[.L l/ s Lc.et' k-/ t2 y 14. Applicant's Signa Date Signed cc/2 f 15. Important Requirement Failure to provide the following information will delay modification process. The Building Official must comment below on the modification request as per Connecticut General Statute 29-254(b). *Note: Must be signed by Chief Building Official,Acting Building Official or Provisional Building Official. ❑ Support Request ❑ Do Not Support Request The decision on this request is left to the Office of the State Building Inspector. Please contact the undersigned. Building Official's written comments, if desired. AA ;X:fiAld/V c'D /110-177/4-c I Building Official(Printed) Town uilding Official Signa Date Signed 8,0- 8 03o X.3.3 / y 014 Building Official's Telephone Number Best Time to Contact MODAPP Rev.8/21/00 . ' -74e. Aie-1.4-, hey>,-, a t.•bt-.I,,i;v 41 ;iu 3. 4t. -94,,,...4,g1ickb ft,,, p ,/ of %waft" piv24---c4-.1_, opv,,, -4,...,e, r'yv 5&14_c_ s )141-cy __S' e ft..- Ckt-,d wks ,e1-4)ett (34t - ....42.1 „.. ,..,*-- , A.& Ailm,„.„( OcA,pi.,eat_ er-Atuf_Le .3%-t“.--.t ct --CLitaa--- i&cs •-1,-0- __g_cet .4 pi A,5 s 4, „el Asl="7- e) -- s--/Q(1/26 .. (k),12.. b,,,,- H-- 0. s&-Y- sr, - 5-42-Che-aS (1) Q1-44KA°u-1,e et _ .fit.)c, A AI,i ii, ( q "--/,.../ . __ 4.%5 )__. Dte 4 . 4.1..4 twk;46.1 Cctany i'A"-) b••12Ca es... lA-r-‹ CO L.1 it2t 41..)'4 ectik.e -7Zo SA,-,1-e_S ______thri6J____4! 8." .6 ( &Do frt---- _t Ci4-1.-e tvIckt , 001-arLy 1 1-, __IAle.t_S__________IkA2 kit-"C- W.A.S.f. Wax, -.611C1S.L.424_49 C411.44 (44‘4' ,45-74./ , . ,...A •.it 1/4k, CAA, COVI e.,OS itaAi k 0 /'.vast! 0K-ei syy ,Q., ,- , -/c, 5,44- 0-,,,_ ,),....eed e,' sSt 11,-e.,J tee, ,, , Lii-1,e. 0(012 ks Y7 ii144".€ at-5 -. '- 1-1-ci 0 i - ig-e-r-e Al s , __..a,,,,/ A,...„..,,,/ €_.,e, 674,.7,,, _ t /V itt , A, Alie, j Ilr1 -1..1 n X -icAit.5Lt a--to ,1 -75 - ,--. g4164,1-.2-a_ rl sbC.).-L- 4S 60-IL OP: -r let a 1.,041 . 41:i51,- ;5 02. N STATE OF CONNECTICUT DEPARTMENT OF PUBLIC SAFETY DIVISION OF FIRE, EMERGENCY& BUILDING SERVICES v. OFFICE OFFICE OF THE STATE BUILDING INSPECTOR rRANSTVV• May 26, 2004 �o Mr. James Cantino II 37 Golden Street Norwich, CT 06360 RE: M-733-04 24 Polly Lane Uncasville, Connecticut Dear Mr. Cantino: I have reviewed the referenced request for modification of Section 314.2, of the 1995 CABO One and Two Family Dwelling Code portion of the 1999 State Building Code, which states in part that stairways shall have a maximum riser height of 8-1/4 inches and a minimum tread depth of 9 inches. It is my decision to approve this modification, as requested, and allow a riser height of 8-3/4 inches for a reconfigured stair in order to gain the required headroom leading to a basement being converted to habitable space. This decision is based on existing conditions that preclude compliance with requirements for new construction. If you have any questions, please contact Daniel Tierney, Deputy State Building Inspector, at (860) 685-8310. IR,- . ds, Ch. `"op -r R. Laux, A ate Building Inspector CRL:DT:pm cc: Vernon Vesey, Montville Building Official Telephone (860) 685-8310 1111 Country Club Road P.O. Box 2794 Middletown,CT 06457-9294 http://www.state.ct.us/dps/dfebs An Equal Opportunity Employer Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2004-0098 Date: 12-Apr-04 Map/Lot: 103/040-000 Owner ID 120009 Job Location: 24 POLLYS LANE Unit Job Description: Electric Service Owner: Contractor: Gary P and Mary L Stott-Guindon J. F. Riley 23 St.John Street 24 Pollys Ln Jewett City Ct. 06351- Uncasville CT 06382 Telephone: (860)376-8621 Lic/Reg Type/No. El 103486 Exp Date: 30-Sep-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $800.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $800.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.13 Total Fees: $10.13 ;t is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑r Electrical Service CRS#: 331409 ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑Gas piping and test Building Official's Signatur-• I Town of-Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# -- 0 0 P(um6ing Electrical ❑ltechanica( CRS # - (3 1 5/0 !�y 9feating Air Conditioning G p Gas PiPing � Q Single'Family El Two-'Family 0 Townhouse 'Job Address L (Number) � �!t )( (Unit) Job Descriptions'•-4 e / c 0 .c77-7,..i)/C E Owner .--5-2-r!L / Fig- L[---C__ Mailing Address 242 s ivr.,,y� rat �' /' City/p,". /i C, 4 State (74-- C ZipC� Y 6, ( Tel � Fee 160E-2 ?? l Conttrractor.%/ i'/ / Mailing Address 2$ S7 •✓ re, Ci �� ' ( C / State( ( ZipOBJ)Z Tel no /��, / 6 Z( Contractor's License Type&Numbers" ( / dJ�' 'f Exp.Date i / 3 Q/ ZC 0 4 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 7- _. i c."--- -7,. -6 7 Date y / /ii v/// v Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ CI t 6 0 $ - Plan Review Fee $ State Education $ , (, Total $ Fa0 ; (Complete reverse side) Town of Montville"Building Department Receipt P Date _ /______ K/ f No. 03688 From: ` // r Job Address: / ty �..:r � _ it Amount $ __,L3 Check Check # (Circle one) -- Received b ` _ � / — Permit #.t_tf:2004/...-0677?-- I • • ST, E OF CONNECTICUT"- `` • DEPARTMENT OF CONSUMER PROTECTION . ELECTRICAL UNL,1} 1TED,cONIRACTOR JO IU 1 ..:r t>ls 1; 351 TY1T4 Er LIC./REG NQ. • E IVB EXPIRES 103486- l i /200309/30/2004 gUrrr:'` Kti�E, SIGNE _ ?:?