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Town of Montville
Building Department
CERTIFICATE OF OCCUPANCY APPROVAL
I a PO ) I,'� c&
� ne
Property A dress
Pe-10)66-e_ 1--rolnt- 'PO rC.V
Job Description
Required
Department
Approval Permit Issuance Approval
J II Planning & Zoning 7 - -t7 4 7/. (---//i
j Signature/date
Comments: ,
Health Department
equired for all permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors
Signature/date
Comments:
II WPCA, Administrative C'-- l \,l
Required for properties on sewer
Signa ure/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Fire Marshal
Required for all properties EXCEPT one and two family Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments:
❑ Copy of State Dept. of Transportation Certificate
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 Final Inspection
Revised March 19,2010
Field Inspection Notice
Town of Montville
Building Department
Address: 62 Polly's Lane
Job Description: Replace Front Porch
Permit Number(s) B2009-0129 Permit Date: April 22,2009
INSPECTION Date: Not Approved Approval
Deficiencies Special Date
Conditions
Piers • • 3—10 inch piers 4/23/09 CC
11/19/09 DJ •• The stairs were constructed with unequal risers. •
Stairs Building codes requires that all risers be equal. 7/28/10 DJ
Final inspection for
certificate of • 7/28/10 DJ
occupancy
NOTICE: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and
returned to the building department. Signoff sheets are available in the building department.
Rev.Date:1/18/06
Page 1 of 1
Field Inspection Notice
Town of Montville
Building Department
Address: 62 Polly's Lane
Job Description: Replace Front Porch
Permit Number(s) B2009-0129 Permit Date: April 22,2009
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
Piers • —10 inch piers 4!23!09 CC
11/19/09 DJ • The stairs were constructed with unequal risers. •
Stairs Building codes requires that all risers be equal. 7/28/10 DJ
•
•
Final inspection for •
certificate of • 7/28/1_0)D
occupancy
NOTICE: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and
returned to the building department. Signoff sheets are available in the building department.
2
Rev.Date: 1/18/06
Page 1 M 1
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: B2009-0129 Date: 22-Apr-09 Map/Lot: 103/050-000 Owner ID: 5623000
Project Location: 62 POLLYS LANE Unit:
Job Description: Replace Front Porch
Owner Name: Susan B Young Tenant Name: N/A
Careof:
62 Pollys Lane
Uncasville CT 06382- Telephone:
Contractor Name: Home Owner Telephone:
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $3,636.00 Building Fee: $32.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $3,636.00 Penalty Fee: $0.00 Permit Code: RIO
C of 0 Fee: $10.00 Comments:
Plan Review Fee: $3.20
State Ed Fee: $0.65
Total Fee Paid: $45.85
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 framing ❑ Electrical Service CRS No: 0
Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
ertific. :7of•c ..ancy
Building Official's Approval: e --
/
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.: –b( aC]
Type of Work Occupancy Type Permit Type
❑New Construction ❑Single Family ❑ Building
0 Addition 0 Two-Family 0 Plumbing
❑Alteration 0 Townhouse 0 Mechanical
0 Accessory Structure /❑ Electrical CRR
S#:
Property Address: (/` ,,D/l. 3 h.CL1i (2'1 C ezy✓� /• /e
(Nuber) / (Street) 7 (Unit)
Job Description: 76;c',1 7 QE Tel") (S7 f /7 / (. rn-.1:7L)
Owner LI5 D viw
Address:
City: 0/2 .4.c vi fie State: L-T Zip Code: ()6 38 Telephone( �60) /��: - yL/�7
Applicant: SQ/y1P.„-
DBA:
Address:
City: State: Zip Code: 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 J am authorized to make application for a
permit for such work as described above.
lir 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: 61lig Date: 0101/4,----"1 t%
Construction Valu 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:
Revised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 23-Mar-09
Receipt No: 4307
Received From: Susan Young
Job Address: 62 Polly's Lane
Fees Collected State Educational Training Fee
Cash: $45.85
Cash: $0.65
Check: $0.00
Check: $0.00
Check No: 0
Short/Over: $0.00
Construction Value: $3,636.00
Demolition Value: $0.00
Received By OG/1s_ r^ QcQ4
Address: (Cr-) Pol l y S Lrkn e
ITEM OTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 11303 $ - $
Basement,Finished SF $ 22.96 $ - $ _-
Basement,Unfinished SF $ 12.40 $ $ _
Crawl Sauce SF $ 9.30 $ -
Inlerior Renovations SF $ 3509 $ - $ - $
MANUFACTURED HOMES
Ground Anchors SF $ 6.45 $ - $ - $ _
Basement SF $ 12.41 $ - $ - $
Crawl Space SF $ 9.31 $ $ $ _
AMENITIES
Kitchen EA $ - $ - $
Full Bathroom EA $ $ -
Half-Bathroom EA $ $
GARAGE
Attached SF $ 54.35 $ - $ _
Detached SF $ 69.53 $ - 5 _
Under SF $ 10.03 $ - $
Carport SF $ 19.89 $ - -
MECHANICAL
Warm-Air n YIN $
Hot Water n YIN $
Electric n Y/N
•
Air Conditioning n Y/N $ - $
ELECTRICAL SERVICE
Upgrade Amps $
Overhead,new Amps $ -
Underground,new Amps $
Subpanel EA $ 599.50 $
-
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 96 SF $ 37.87 $ 3,635.52
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $ _
Inground Pool EA $ 21,373.44 $ - $ _
Above Ground Round EA $ 5,099.46 $ - $ _
Above Ground Oval EA $ 6,019.75 $ - $
Pool Heater EA $ 8,984.25 $ - -
Inflatable Type Pool EA $ 1,550.00 $ -
SHEDS
w/o electrical SF $ 20.35 $ -
w/electrical SF $ 20.35 $ - $
RENOVATIONS
Roofing,Overlay SF $ 3.00 $ -
Roofing,Strip&reroof SF $ 4.00 $ -
Roof Sheathing SF $ 1.31 $
Siding SF $ 3.50 $ -
Windows EA $ 500.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $
MISCELLANEOUS CALCULATIONS
TOTALS $ 3,635.52 $ - $ - $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 3,636.00 $ 32.00
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ - $
Working before Permit Issuance $
Certificate of Occupancy Fee $ 10.00
Plan Review Fee $ 3.20
State Education Fee $ 0.65
TOTALS $ 3,636.00 $ 45.85
Figures are based on the 2006 RS Means Residential Cost Data
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
Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained.
Lea P ) yIs Lcn
Property Address
Ev%r*- Pc,' rr h (&cpier �lac-(- /�.nj
Job Description I
II - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below
Required Department Permit Issuance Approval
Approval
Al Tax Collector C ,cs_,.,c-\.- 0 3\�1k.,c1
Signature/date
::i:; &zoning
/ `
J ® Z.,..-e_t<4 n -,--tea
Signature/date
Comments: k'/ j ...,.1.A__<
a (C9J ® Fire Marsh �* ,�. �,/ ��` �� ,1
- � 1 I ,(��� A;
Signature/date
Comments: L � YU �
® Health Department
Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical,Roofing,Siding,Windows& Doors
Signature/date
Comments:
I Si WPCA, Administrative ------N- 6e„,„__/- g --A--) i \ -,-.1Required for properties on sewer
.__Snature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainaoe requirements Signature/date
Comments:
❑ State Dept of Transportation
Required for Structures over 100,000 sq. ft or with more than 20Qparking spaces- Official copy of STC Certificate of Operation required—per
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
4 .vircd'vovemfiw.S,208
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