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C CI0 0 E .6 I- U ( o_ D 0 fa cn 0 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 62 Pollys Lane Job Description: Sliding Door& Deck Permit Number(s) 82011-0496 Permit Date: October 11,2011 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions • • Final inspection for • • certificate of • 10/05/11 DJ occupancy **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O&SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 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 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: 82011-0496 Date: 11-Oct-11 Map/Lot: 103/050-000 Owner ID: 5623000 Project Location: 62 POLLYS LANE Unit: Job Description: Replace Door&Window with Slider and 158 Sq.Ft.Deck Owner Nam Susan B Young Tenant Name N/A Careof: 62 Pollys Lane 4 ~� Uncasville CT 06382- Telephone: (860)908-4447 Contractor Nam Home Owner _ —_ Telephone: DBA: Lic/Reg Type Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $5,211.00 Building Feer $60.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00_ Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $5,211.00 Penalty Fee: $0.00 Permit Code: R10 C of 0 Fee: $10.00 Comment Plan Review Fe $6.00 State Ed Fee: $1.35 Total Fee Paid $77.35 It shall be the owners recsonsibility 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-Fooling 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 framin ❑ 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 Cl Certificate of •..royal .f Occupancy Building Official's Approval: 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.: 12)o6) I—04 qb Type of Work Occupancy Type Permit Type ❑ New Construction M Single Family ®Building ❑Addition Two-Family ❑ Plumbing ®Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: LaA eo l II5 Lae, (Number) (Street) (Unit) Job Description: ren 18tl-e aid door `I-IA)IYYio01 ter f reri - 01 S11dl(1�y aaec j ( p Lt / r1 PL.4 (t sg 0' J Owner: J U5LVI IOL21\ j Address: lea Po i l 15 L-ao( Ceti:. 3/06' e(o2 . Lt Lig 7 ( City: n(i v l Ile__ State: CT Zip Code: O toJ g o` Telephone( S 100) 361- 665(47 Applicant: /LZ Me- DBA: e- DBA: Address: City: State: Zip Code: Telephone( ) &flt Contractors- Complete the Following: etres License Type i4 1 l� License No.: 9 Y� ��Expiration Date �A/I la I 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 iper it for such work as described above. [I 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: t � _ p ate: Q( il 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: Revised.August 23,2007 Town of Montville Building Department File Receipt Date: 07-Oct-11 Receipt No: 6858 Received From: Susan Young Job Address: 62 Poflys Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $77.35 Check/Card $1.35 Check No: 2183 Short/Over: $0.00 Construction Value: $5,211.00 Demolition Value: $0.00 Received By Carmen Kneeland Cal ntkvi Vin , li Address: 62 Pollys Lane s ITEM OTT $/UNIT TOTAL Building Plumbing Mechanical Electrical i BUILDING AREA New Construction SF $ 113.03 $ $ - I Basement,Finished SF $ 22.96 $ - $ - Basemen6 Unfinished SF $ 12.40 $ _ I Crawl Sapce SF $ 9.30 $ $ I Interior Renovations - SF $ 35.09 $ $ - $ _ MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ - Basement - SF $ 12.41 $ - $ - $ - Crawl Space - SF $ 9.31 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ $ - Hall-Bathroom EA $ - $ - - GARAGE Attached SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water y Y/N - 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 vdlfireplace EA $ 7,096.65 $ - Masonry wr2fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Woodstoveinsert EA $ 1,859.77 $ - - DECKS,PORCHES,SUNROOMS Deck 158 SF $ 32.98 $ 5,210.84 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 Wo 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 $ 5.50 $ - - 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 $ 5,210.84 S - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,211.00 $ 60.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 6.00 State Education Fee $ 1.35 TOTALS $ 5,211.00 $ 77.35 Figures are based on the 2006 RS Means Residential Cost Data i, V 0 O M 1 g 3 1 o `' , RF , 1 , ....z__. I X.1. ! K. iig CI- .ice , # C. ' o, o - r h r 30 - re r sS SfstOPo/GtivJ , .�' ;3 .0 1 '! s -i �4 1 p j ,, 5"t' ter ,'R � •-ity s'S ., — - c, ,D. '--a ,r, o a , d t ,_ +I, o0 U �' 11. s \ , .� ►t II o� a�' l I I Aill 1 1. , I i , , i , , , f f 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. (�2 PccLtzne Occi (e Property Address Dcociu,..40-tz C1 {ac J der aeck Job Description Required Department Approval Permit Issuance Approval Tax Collector L(� „Al Stw, /a/ 7//r Comments: Signature/date 1 . 1 Planning & Zoning /C)) 7// /� Signature/date Comments: lye/ g Fire Marshal /414 Comments: Signature/date ,/ n Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative w_ 2 �f Required for properties on sewer Sig��ure/ to Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ 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 Itevi:sed May 23,2011