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Home My WebLink AboutChimney Repair 2015 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 109 Polly's Lane Job Description: Install Chimney Liner& Repair Masonry Permit Number(s) B2015-0132 Permit Date: May 5,2015 Not Approved Approval INSPECTION Date: Comments Special Date Conditions Masonry Repair 5/12/15 DJ Chimneycap • • 5/12/15 DJ Flue pipe connection 5/12/15 DJ • • Final inspection and • 5/12/15 DJ certificate of approval **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 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:B20J5-0132 Date: 05_M a_v-15-Map/Lot: 1021027-000 Owner ID: 5638000 Project Location: 109 POLLYS LANE Unit: Job Description: InsfgliChimney Liner&Reogialasonry Owner Nam -losenh C;_ c nd Sa1al3,12.antoia Tenant Name_NL. Careof: 109 Pollvs I one llnc:nsville CT _()6.382- Telephone:18601908-4110 Applicant Name Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: Constmrction P_e,rrAILEees Cnnetnict on Ir1fnrmotinn Building Value: S2 500 Building Fee: $36,00_ Use Group: IRC Plumbing Value: 5n00 Plumbing Fee: SD,S10_ Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe SQSl1L Electrical Value: $0.00 Electrical Fee: $.0�0Q Construction Type IRC Total Value: $2,800.00 Penalty Fee: $100 Permit Code: R4 C of 0 Fee: MOO__ Comment Plan Review Fe State Ed Fee: SO 73 Total Fee Paid: $36_7_3 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 Certificato of Approval I e•' cote of Occupancy Buildina Officiats_AQ r vol: __ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860=848-3030, Ext 382 Uncasvil(e, CT-06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (-J ;11 --LIA3 Type of Work Occupancy Type Permit Type ❑ New Construction [mingle Family E building ❑Addition ❑Two-Family ❑ Plumbing 2-Alteration 0 Townhouse ❑ Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: c 'IDN (---t-N Number)) t (Street) (Unit) Job Description: tA.kv,t,y \tt r Ti- crmcy cq\C Owner: SGArit\N \OSQ Pq,AAp jG Address: \ 4A POI,VJ LM City: 1VtC4 v t 1W [ State: (-T Zip Code: 00(0WZ-- Telephone( gc,C5 ) Q0IS- - 4I l C) Applicant: cZtk.,‘ Qcv.,}05ci DBA: o I Address: I OA `0\`,r LAN City: Uyt ,nrt Ui'`2 ( State: Ci( Zip Code: O Z. Telephone( irtr0 ) lo* - `t l(d Contractors -Complete the Following: ff ff License Type: -YC- License No.: C.00Z2 5 Expiration Date: I I '3d 1JS 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—rmfor 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: , acak Date: V/3011 Construction Value Permit Fees Building Value: c- 4,ov - 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: ft-visa('August 23,2007 Town of Montville Building Department File Receipt Date: 30-Apr-15 ReceiptNo: 10294 Received From: Sandra Pantoja Job Address: 109 P011)/S Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $36.73 State Cash: $0.73 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: $2,800.00 Demolition Value: CheckNo: 0 $0.00 Received By: Carmen Kneeland Cali Address: 109 Pollys Lane ITEM OTY S/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 $ FA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/1 fireplace EA $ 7,096.65 $ Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,69225 $ - 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 $ 8,016.25 $ - $ lnground Pool BA $ 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 $ - 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 $ 2,800.00 TOTALS $ 2,800.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 2,800.00 $ 36.00 Plumbing $ $ z' Mechanical _____Y___y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee Plan Review Fee $ State Education Fee $ 0.73 TOTALS $ 2,800.00 $ 36.73 i a 1 Figures are based on the 2006 RS Means Residential Cost Data µ t t State of Connecticut Str` "�r 0 Workers' Compensation Commission tile'�� :��r 7A rg � :��4�/�� Please TYPE or PRINT IN INK -- 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 SG.s L f)CVn `C*1 Property located at [CA 9oi\yJ Lk in the City/Town of l'tkC l)�I .2 t 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: EJ tam the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant-y6 _(e _ _ t ❑ 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 lD#(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. t OCi Po I I y S Lck n e Property Address C-11 i n es--( Cr.n C — m SonrLf Petock„r I Job Description Required Approval Department Permit Issuance Approval ✓® Tax Collector -�r�- ' > y id. 9/ /_5-- Signature/ Signature/date Comments: ✓$ Planning &Zoning C � -L' / c� Signature/date Comments: ✓$ Fire Marshal e-/e7370//3 Signature/ Comments: ❑ Health Department Required for properties with private septic or well Comments: ✓� WPCA, Administrative /�/�%� Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: C 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 cop of STC Certificate of O.eration re.uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature!date Revised May23,2011