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Home My WebLink About2002 - Strip and Re-Roof oTown of Montville Building Department Date / //8'/ Iia Field Inspection Notice Permit # 1 Job Location __ �� I- 411 I I Approved Type of Inspection F ` -7 /tea 1 II Not Approved - Please call for re-inspection when the following corrections have been completed: ilsT/svG /4;;26-ir riG ,L/ZrK Build' g Offic Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-7166 Building Permit Permit Number: 82002-001 Permit Date: 04-Jan-02 Permit Code R4 Job Location 32 PORACH ROAD UNIT: MAP/LOT: 103/075-000 Job Description: Roofing-Strip Owner Contractor BERNARD I+ROSE MARIE SULMAN Victor Cholewa Jr. 41 Padiau9 River Drive 32 PORACH RD Unit: Jewett City,a.06351 UNCASVILLE CT 06382 376-8686 Use Group R-4Lic/Reg Type: HIC Lic/Reg Number: 537601 Code 1995 CABG Exp Date: 11/30/02 Construction Type 5B Construction Values Permit Fees _ Building Value: $5,880.00 Building Fee: $34.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $5,880.00 C/O Fee: $10.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0,94 Total Fees: $44.94 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test u .I Inspection ❑ Gas Piping and Pressure Test % Certif . - of Occ� Pri=use or occupancy Building Official's Signature: Town of Montville Permit # �' DOZ ^06 / Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit 0 New Construction 0 AccessoryStructure ❑PBum6ing DWecFianuaB 0 Action []QDemo&tion .n � L ❑Alteration DOther /? .� JC v0 V - ❑`ECectrzcaC ?Beating Air Conditioning gas PiPing Job Location 7 3 , p (J Y G► L IA ie Job Description/Materials S Ty , r/; I7) 1,--c. S. , ' t j L ,c 12v0 v� Owner ac ✓-'-1 -c- S 4- L C. Mailing Address City Ct ti C ; J V - C C -C <' State ( Zip U 6.3 81,74 Tel ,&G CJ /S of / /�'so( Contractor Li- c: F o ,- e C L, L, ( .<.-1 _ .. Mailing Address (f I taC C 4 a 5 j1-''v-t.r d Y City 7.e. w 7--r C 2 rState } Zip 0 e?S/ Tel<V 6 /?2C I 1 c,�cS Contractor's License/Registration Type&Number/iv i,.z .1-179 v ,,,Y ,,K _, Exp. Date// / 20/ 0 New Home Construction Contractors: s 3 7 Have you entered into a contract with a consumer for the proposed new home?0 Yes 0 No I hereby certify that the proposed work will conform to the Basic 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. i i / Owner/Agent Signature fl/7`'. C =--` /.--- v' DateAi- /" OF-- / C Construction Value Fee Building �` V ,� r1 Plumbing $ . � �d $ A 11 IU� i Mechanical $ $ Electrical $ Other $ D$ �/ Certificate of Occupancy $Plan Plan Review Fee $ State Education t Total $ • - `I' $ ' ' 11'1 $ A/V, 9r V e Town of Montville Building Department Receipt Date ____,Z7:10)::17� 0/ 1. No. 01396 From: jhr 7/0L / Lt..) 4 t Job Address: O/tric le 0 — -----_— r' C Amount $ l_ – — � ash Check Ch �f �j Check # -�---L SCirc c onc) Received by —fir I f c, Permit # Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,000.00 $ Above Ground Oval EA $ 5,000.00 $ In-Ground EA $ 18,000.00 Heater EA $ 3,300.00 $ Hot Tub EA $ 5,000.00 $ Roofing Strip&Reroof 28 SQ $ 210.00 $ 5,880 Overlay SQ 175.00 $ Sheds With Electric SF 25.00 $ No Electric SF 25.00 $ Deck SF 15.00 Porch SF 23.00 TOTAL BUILDING CONSTRUCTION COST $ 5,880.00 PERMIT FEE Building 5,880 $ 3400 Mechanical - $ - Electrical - $ - $ - $ - CO Fee $ 10.00 Plan Review $ - State Ed Fee 5,880 $ 0.94 Total Fees $ 44.94 Based on 2000 Average Construction Cost 12/28/01 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-2866) Property located at 7.1 3 r0 rctic. e (3 In the town of ✓ '- L n 5 '.— . ( ( -c. C Name of building permit applicant: C • c.- ( v I C -t I—^ Please check one: 1. I am the owner of the above property. 2. ,, I am the sole proprietor of a business. 2A.Name of business (. y S T v _ �, , f 6 L. S 2B. Federal Employer Identification Number(FEIN) c2 (t 4 - 6 S - c) 6 $ Pursuant to § 31-286b, "a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. = I do not intend to act as a general contractor or pipal employer. [Sign and stop here / ( ( Signature of applicant 2. I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public!Commissioner of the Superior Court)