HomeMy WebLinkAboutStrip and Re-Roof 2013 Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address:
100 Polly's Lane
Job Description: Strip & Reroof, Replace Sheathing
Permit Number(s) B2013-0528 Permit Date: December 11,2013
Not Approved Approval
INSPECTION Comments special Date
Final inspection and
certificate of approval 5/7/15 DJ
Rec.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: B2O13-0528 Date: _�___, 11-Dec_L3 Map/Lot:_M/0364 M Owner ID: 5635000_
Project Location: 100 POLLYS LANE Unit:
Job Description: Strio&ReRoof
Owner Nam _DanieLG o_ad Thea1 ohnson Tenant Name_N/A_
Careof:
100 Pollvs I one
Jinaasville rl04382 Telephone: (860)235fl9h3
Applicant Name 3_.[cmalty QwneL_�__w___
Telephone:
DBA: Lic/Reg Type -- —
--. Lic/Reg N — CL
Exp Date:
Cnosi u,etion 1/_ollo Pdrmit Fads Constrrrctinn 1_pfnrtnntion
Building Value: S9 61.6.00_ Building Fee: 8320.00 Use Group: IRC
Plumbing Value: SQ,00_ Plumbing Fee: SO,OII__ Code: 2005 State Building Code
Mechanical Valu __— S9Sl0� Mechanical Fe _MOO_
Electrical Value: ________________ SQOo Electrical Fee: SOLO_ Construction Type IRC
Total Value: __ S9„61_6.00__ Penalty Fee: ______________ S000— Permit Code: R4
C of 0 Fee: S110Q— Comment
Plan Review Fe —_ 8_0_011_
State Ed Fee:
Total Fee Paid: 5122.50
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
Cl Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No:
❑ Framing .— ---_0_
❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
e2 - ificate of Ap7al
❑ C-rti icat: of occupancy
_Building C?ffioiaJ'S-Ab,;zrc2v._aL.
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.: 83vl3—o sag
Type of Work Occupancy Type Permit Type
❑New Construction M..Single Family 'GI Building
❑Addition ❑Two-Family ❑Plumbing
Alteration El Townhouse
❑Mechanical
❑Accessory Structure ❑ Electrical CRS#:
Property Address: >�
(Number) (Street) (Unit)
Job Description: r p li C\O-P
Owner: — lam —it-'O
Address: I T O Q(11 S)
1\e- nf—State: ` .1 Zip Code( Q'3 2 Telephone kc,C) )73S
Applicant:
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 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: ,L._Q
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:
4cvised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 06-Dec-13
ReceiptNo: 9048
Received From: Thea Johnson
Job Address: 100 Pollys Lane
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
Bldg Check: $0.00
$122.50 State Check:
Bldg Credit: $2.50
$0.00 State Credit:
Fire Cash: $0.00
$0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value:
$9,616.00
Demolition Value: $0.00
CheckNo: 1122_
Received By: Carmen Kneeland 06Anu, -ry\
�av
Address:
ITEM OTY $/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 8 HOT TUBS
Hot Tub EA $ 8,016.25 $ - $ _
lnground 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 1600 SF $ 4.50 $ 7,200.00
Roof Sheathing 1600 SF $ 1.51 $ 2,416.00
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 $ 9,616.00 $ - $ - $
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 9,616.00 $ 120.00
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ - $
Working before Permit Issuance n $ _
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 2.50
TOTALS $ 9,616.00 $ 122.50
Figures are based on the 2006 RS Means Residential Cost Data
�- State of Connecticut N
Workers' Compensation Commission tl"
Mi
+f
en:�%`�• Please TYPE or PRINT IN INK o-
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 `Treck.
Properly located atiCr% PCA 1` S L
in the City!Town of SX) t ,\C
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(i) BOX ONLY and complete the following:
4
\tictam the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant-- -� ��_ -� r�
LI 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
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.
�,--p Property Address
1 'p C C ct .
Job Description
Required
Approval Department Permit Issuance Approval
Tax Collector �cnc�� ,
Comments:
Signature/date
,111 Planning & Zoning � C � / /2/G- /
j Signature/date
Comments: r /4iimpAl al 1/
1111 Fire Marshal
Comments:
Signature/date
❑ Health Department
Required for properties with private septic or well
Comments:
- WPCA, Administrative �I u I C.5
Required for properties on sewer
ignature/date 1
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
Revised May 23,2011