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Home My WebLink About2000 - Siding Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2000-636 Permit Date 12/20/00 Permit Type Building Permit Code R4 Job Street# 80 Job Location Pruett Place Map/Block-Lot 004/025-000 Job Description siding Owner Robert Dubois Mailing Address 80 Pruett Place City Oakdale State Ct. Zip 06370 Telephone 442-5335 Contractor All-Time Manufacturing *Mailing Address Bridge Street *City Montville *State Ct. *Zip 06353 *Telephone 848-9258 Lic/Reg Number 505983 Lic/Reg Type Home Improvement Expiration Date 11/30/01 Use Group R4 Size Type Construction 5B Building Value $12,000.00 Building Fee $70.00 Plumbing Value $0.00 Plumbing Fee $0.00 Heating Value $0.00 Heating Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 A/C Value $0.00 A/C Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $12,000.00 State Ed Fee $1.92 C/O Fee $10.00 paid cash Plan Review Fee $0.00 • .1 Fees $81.92 Building Official's Signature / .e .- Date / /. 2C)/ Required Inspection Footings - Prior to pouring concrete ❑ Rough Heating and Air Conditioning ❑ Footing Drains/Waterproofing -Prior to backfill ❑ Chimney -One flue above thimble ❑ Framing ❑ Fireplace-Throat ❑ Rough Electrical ❑ Fireplace-Final Electrical Service ❑ Firestopping/Draftstopping ❑ Rough Plumbing - Leak test required ❑ Insulation ❑ Pool Bonding and Electric ® Final Inspection for Certificate of Occupancy -PRIOR to Use or Occupancy I o 4 Town of Montville Permit # )3r22 -c'`'4s4. 1 oel 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 ❑ New construction ❑ Accessory structure ❑ Plumbing ❑Mechanical 0 Addition ❑ Demolition ❑ Electrical Heating 411e1 Alteration ❑ Other Air conditioning Gas piping Job Location b n lir cl c_ P L_ 9a ic d#:_. I Job Description/Materials V cvi Y L t ID i to 6- Owner R.u fir* ID dap I S Mailing Address 0'0 ter L e II FL A c Zip eto - 7 OTel.Li 4 2- 5 City Oa K LI t State Contractor A L L -1- it-14 e_ M FG . Mailing Address i- ( 1 j e 1- • City Me n"+ V I f ( e__ State C-t- Zip Tel. SLE 8 1 Z'S 'S Contractors License/Registration Type &Number 5 er 5 1 - --, Exp. Date Pt /3e2 12— / New Ho construction Contractors: Have you entered into a contract with the consumer for the proposed work? Yes ❑ 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. Owner/Agent Signature -p.,_-,t--,1 9— rz L--Z __,.....e, Date 12- / I /Ur. Construction Value Fee Building $ 121 iLow.-Cori $ 7 D — Plumbing $ $ Heating $ $ Electrical $ $ Air Conditioning $ $ Other $ $ Certificate of Occupancy $ ie..— Plan Review Fee $ State Education Fee $ / , ?--. Total $ I Zcio -- $ 71 D ? , ________.....,.........................m........m. Town of Montville Building Department Receipt t Date /2 / /Y- / 00 No. 00364 f 4; From: r Job Address: ;o CAmount $ 'V / 9-2-- Cash QM Check #Wi7 ------ — (Circle on() Received by -V ‘1:1) Permit # B PLoo o-636 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at In the town of Name of building permit applicant: 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 2B. Federal Employer Identification Number(FEIN) 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 principal 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) Town of Montville Building Department 310 Norwich-New London Turnpike Uncasville,CT 06382 Tel. (860)848-7166 Fax.: (860)848-7231 Date: 12/14/00 ��`►� FIRST NOTICE OF VIOLATION / a /"` Robert E & Marguerite Dubois 80 Pruett Place Oakdale, CT 06370 Violation at Property Location Below: Street No: 80 Street Name PRUETT PLACE Accept this NOTICE OF VIOLATION as per Section 152.001 of the Town of Montville Ordinances. You are hereby ordered to discontinue the violation at the above referenced property under the 1995 CABO, Section 106 or the 1996 BOCA, Section 116.0, as adopted as the Connecticut State Building Code. Violation consists of: siding without a permit You must Stop Work as per 1995 CABO, Section 118.0 or 1996 BOCA, Section 117.0 and contact the Building Department within 10 days with a plan of compliance in order to avoid possible legal action. Joseph J. Summers Assistant Building Official Cc: file Town Attorney