HomeMy WebLinkAboutTruss Repair plus Ceiling and Drywall 2016 Field Inspection Notice
Town of Montville
Building Department
September 30, 2016
Address: 66 Polly's Lane
Job Description: Truss Repair- Ceiling & Drywall
Permit Number(s) B2016-0367 Permit Date: September 26,2016
Not Approved Approval
INSPECTION Deficiencies Special Date
Conditions
` • A half dozen of
the original roof
trusses have
been repaired in
Truss repairs the area of the 9/30/19 DJ
front entry.Roof
insulation and
the ceiling can
be restored in
this area.
•
Final inspection and •
certificate of approval 9/30/19 DJ
Rev.Date: 1/18/06
Page 1 d 1
- r
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: 82016-0367 Date: 26-Sep-16 Map/Lot: 103/052-000 Owner ID: 5626000
Project Location: 66 POLLYS LANE Unit:
Job Description: Truss Repaiur-Ceiling&Drywall
Owner Nam Paul H. Kleeman Jr., Barbara A.Choate, &Elizabeth M. Tenant Name N/A
Careof:
1370 Golf Blvd.
Clearwater Fl 33767- Telephone: (727)240-1400
Applicant Name Roberto Rodriguez — Telephone: (860)634-7188
DBA: R&R Home Improvement Lic/Reg Type HIC
Lic/Reg N 577773
84 Trappella Road Exp Date:
30-Nov-16
Willimantic CT 06226-
Construction Value Permit Fees Construction Information
Building Value: 5150.00 Building Fee: $30.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC
Total Value: $150.00 Penalty Fee:
$0.00 Permit Code: R4
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.04
Total Fee Paid: $30.04
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 frami ❑ 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 0 Certificate of Approval
e• cafe of 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.: t 0 le`030
Type of Work Occupancy Type Permit Type
LI New Construction ❑Single Family ❑ Building
❑Addition 0 Two-Family El Plumbing
❑Alteration ❑Townhouse 0 Mechanical
0 Accessory Structure ❑ Electrical CRS#:
Property Address: �P e L .. L /l/ �-,Q�/¢-1Lea —
(Number) (Strekt) (Unit)
Job Description: //-vss r'e_70a,r`r- - Cer .,i -rS (iYy/AJai/ ,
Owner: � L // -Li-e__--wt✓f A-
Address: & 7 .S.---. ol/I i e/ v /L V!J
L/
City: ! a/2/ y „e-e S State: /'L-- Zip Code: 0 7 Telephone( ?) 2 7 d OCA
Applicant: i!'Qi TO /6,Cr(a v e Z
DBA: �� /e ` /44.)--)1A-e' ---L-//l/l, /b!f _
/� i&d
Address: �y / � -? c,� /� /` 7 r �-/
City: /9 t/ i j State: C.— / Zip Code: /)6ZZe Telephone(�V)o3 7- f (T Q
Contractors - Complete/ the Following: /
LicenseType:/�--1 C °5—` ?71` 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 altemative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
� C
Owner/Agent Signature. ,2,4E ice. Date: --- 3
i
Construction Value Permit Fees
Building Value: i So "' Building Fee: 3b •cX.
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee: t
State Ed Fee: . OH
Total Fee: ,.. ") _DLI
Revised-August 23,2007
Town of Montville
Building Department
File Receipt
Date: 22-Seo-16 11688
ReceiptNo:
Received From: Rav Daniel's
Job Address: 66 Polly's La.
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $30.40 State Cash: $0.04
Bldg Check: $0.00 State Check: $0.00
Bldg Credit: $0.00 State Credit:
$0.00
Fire Cash: $0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $J 50.00
Demolition Value: $0.00
CheckNo: 0
Received By: David Jensen
Address: 66 Polly's La.
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 WN $
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 $ 8,01625 $ - $
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 SF $ 3.50 $ -
Roofing,Strip&reroof SF $ 4.50 $
Roof Sheathing SF $ 1.51 $
Siding SF $ 6.75 $ i'-
Windows EA $ 550.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon EA $
Oil Tank,550 Gallon EAl
$
MISCELLANEOUS CALCULATIONS $ 150.00 i
TOTALS $ 150.00 $ - $ - $ _
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 150.00 $ 30.00
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ - $
Working before Permit Issuance Polly's $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.04
TOTALS $ 150.00 $ 30.04
ii
Figures are based on the 2006 RS Means Residential Cost Data
rl
,-
is,
L. State of Connecticut
fc
Workers' Compensation Commission 7A
Q�---�/ tp� Please TYPE or PRINT IN INKc,.;
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 (R.tr/ r gdr-1 U e.
Property rtr located at d l/( S
in the City/Town of 04 CCU- U(W e • 07.-
ATTEST 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 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 A 6/0144 e _L ivy �-o
Federal Employer ID#(FEIN)
i
Signature of SOLE PROPRIETOR Applicant /�,�
Print Lookup Details
Page 1 of 1
11.
State of Connecticut
Lookup Detail View
Name and Address
Name DBA Address
ROBERTO E C RODRIGUEZ R & R HOME IMPROVEMENT
Registration Information
Registration Effective Expiration
# Registration Type Date Date Status
HIC.0577773 HOME IMPROVEMENT 12/02/2015 11/30/2016 ACTIVE
CONTRACTOR
Generated on: 9/23/2016 1:58:59 PM
https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?creel=3233 50&contact=255... 9/23/2016
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Building Department Town of Montville
CONSTRUCTION PERMIT APPROVAL
Ze (e C_Ly) S Li,.- t//VGG¢.Sv/CLC e
Property Address - /
"1-___Job Description
Required
Approval Department Permit Issuance Approval
II Tax Collector ,,•
Comments: Signature/date /
//� 7( i
® Fire Marshal (2:L'
f l L)
Comments: (,C_(_.' 162_,P__ XLA___ Signature/date v
S 442__
❑ Planning &Zoning
Required for all permits except
Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date
❑ Health Department
Required for properties with private septic or well
Signature/date
Comments:
Er WPCA, Administrative J\p( tomiL, WA) 7 1
?�
Required for properties on sewer 1
Signature/date
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments: Signature/date
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements
Comments: Signature/date
❑ Montville Police Department
Required for all permits EXCEPT one and two family residential
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
RevisedMarch23 2015
SEP 23 2016 23 I" GESSERT'SINC
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