HomeMy WebLinkAboutSiding 2010 Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 120 Polly's Lane
Job Description: Vinyl Siding
Permit Number(s) B2010-0251 Permit Date: July 14,2010
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
Siding • • complete 7/28/10 DJ
•
Final inspection and • •
certificate of approval 7/28/10 DJ
Rex. 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: b2010-0251 Date: 14-Jul-10 Map/Lot: 102/041-000 Owner ID: 5641000
Project Location: 120 POLLYS LANE Unit:
Job Description: Vinyl Siding
Owner Nam Paul J Gressly Tenant Name N/A
Careof:
120 Pollys Lane
Uncasville CT 06382- Telephone: (860)848-0215
Contractor Nam Donald Gressly Telephone: (860)608-5582
DBA: Lic/Reg Type HIC
Lic/Reg No 572729
22 Powerhouse Road Exp Date: 30-Nov-10
Uncasville CT 06382-
Construction Value Permit Fees Construction Information
Building Value: $8,800.00 Building Fee: $90.00 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: $8,800.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $2.29
Total Fee Paid: $92.29
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-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 Ce '' a % of •..roval
.f Occupancy
Building Official's Ap.roval: //. 42=—
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.:Q7p. D L l
Type of Work Occupancy Type Permit T e
❑ New Construction 01 Single Family Building
❑Addition 0 Two-Family ❑ Plumbing
Alteration 0 Townhouse 0 Mechanical
0 Accessory Structure 0 Electrical CRS#:
Property Address: a0 Pdi ''f,S LGA
(Number) (S)f eet) (Unit)
Job Description: e sx7 : ✓ 1) 51r J�^' /O
Owner: [36A (e SS
Address: /J Q POI S Lc,, e
City: GIIU(c15 /, 1( r State: c I Zip Code:OC 3/ Telephone(6)60 )d yd - OXS--
Applicant: Dot ct )c Gress
DBA: (LNG. la 6cr is
Address: Po r 1'1()1.1 .S f' 2
City: (3/Q cq S u,`/1(> State: C f Zip Code:(36 3 j a Telephone( 66° ) 64 - 5 i-k2
Contractors - Complete the Following: ��}
License Type: H L ( License No.:OC) a.7�1 Expiration Date: I)/.J"/r� 0
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.
11 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 require ents in chapt 33 th gh 42 of the Residential Code.
•
Owner/Agent Signat Date: 7/
I ) l
Construction Value Permit Fees
Building Value: # '000 e d o 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: 13-Jul-10 Receipt No: 5587
Received From: D G Carpentry LLC
Job Address: 120 PoHHy'S Lane
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check/Card $92.29 Check/Card $2.29
Check No: 3411
Short/Over: $0.00
Construction Value: $8,800.00
Demolition Value: $0.00
Received By David Jensen
Address: 120 Polly's Lane
ITEM QTY S/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 113.03 $ - $ _
-
Basement,Finished SF $ 22.96 $ - $
Basement,Unfinished SF $ 12.40 $ - $ -
-
Crawl Sapce SF $ 9.30 $ -
-
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 $ - $ _
Haff-Bathroom EA $ - $
GARAGE
Attached SF $ 54.35 $ - $ -
Detached SF $ 69.53 $ - $ -
-
Under SF $ 10.03 $ - $ _
Carport SF $ 19.89 $ -
MECHANICAL
Warm-Air Y/N $ -
Hot Water y YM $ -
Electric n Y/N _
Air Conditioning n YIN $
-
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/2fireplaces EA $ 11095.70 $ -
Wood Stove,free standing EA $ 2,692.25 $ -
Wood stove insert EA $ 1,859.77 $ -
-
DECKS,PORCHES,SUNROOMS
Deck SF $ 4307 $ -
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 $ -
InflatableTypePool EA $ 1,550.00 $ -
SHEDS
ado electrical SF $ 20.35 $ -
vdelectrical SF $ 20.35 $ - $
RENOVATIONS
Roofing,Overlay SF $ 3.00 $ -
Roofing.Strip&reroof SF $ 4.00 $ -
Root Sheathing SF $ 1.31 $ -
Siding 1600 SF $ 5.50 $ 8,800.00
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 $ 8,800.00 $ - $ - E -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 8,800.00 $ 90.00
Plumbing Y $ - $ _
Mechanical y $ - $ _
Electrical y $ - $
Working before Permit Issuance n $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 2.29
TOTALS $ 8,800.00 $ 92.29
Figures are based on the 2006 RS Means Residential Cost Data
State of Connecticut N 7B
.„'" :Jr c; Workers' Compensation Commission
y1-t
alezr- .-/ ot 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 act as General Contractor or Principal Employer
Applicant for Building Permit
Name of Applicant for Buildi•• •- .•• P r nt r -S
PO
Property located at I)0 ("0 I I S ' Lc P
in the City/Tg rn of - L.C.VmLA.5 "''We .
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 act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all
employees.
Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court.
CHECK ONE (1) BOX ONLY, provide the appropriate information,and sign:
UI am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'
compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property.
Signature of OWNER Applicant
plrI am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as
such,will submit proof of workers'compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-
named property.
Signature of SOLE PROPRIETOR Applicant
❑ I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally
submit proof of workers'compensation insurance coverage,but I will attest to the following:
AFFIDAVIT
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,
subcontractor,or other worker before he or she does work on the site of the construction project at the
above-named property in accordance with Section 31-286b of the Workers'Compensation Act.
Signature of OWNER or SOLE PROPRIETOR Applicant DO/`t 1 G rc SS
Name of Business—napplicable 01'1 a 1S gy'r 5 f
Federal Employer ID#(FEIN)—inapplicable 6(1 - Q - / Y /"7
Subscribed and sworn to before me this 7 day of I , 200 .
Signature of Notary Public/Commissioner of the Superior Court
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.
1 �o POIt�5 Lq.vc UN co.so,(lir ( /
Property Address
► a is 1, );/ �/' / 1)
Job Description
Required
Department
Approval Permit Issuance Approval
Tax Collector tiC<-.>.. �c-r-w� 7 h-3
Signature/date
Comments:
Planning & Zoning •1 f j,3 Jiu
Signature/date
Comments:
Fire Mars4., t Lo
Comments: �1 L�
1\ �L �� �(✓ Signature/date
Health Department
Required for all permits except Plumbing,Electrical.Mechanical, Roofing.Siding.Windows&Doors
Signature/date
Comments:
❑ WPCA, Administrative
Required for properties on sewer
Signature/date
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:
❑ 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 Mardi 19,2010