HomeMy WebLinkAbout2014 - Strip and ReRoof 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:_B2014_0490 Date: _` 19=N_oy=L4_Map/Lot:_039J_047_000_—.__Owner ID: 5781000
Project Location: 16 RANDY LANE Unit:
Job Description: _ParfiaLSfrip&_ReRoof
Owner Nam chael 1 and Bropda J Sev_erino Tenant Name_NIA
Careof:
16 RandyLane
JJncns_ville CT _06362— Telephone:
Applicant Name J�vidCoonev ___. Telephone: 1860)917.17_82
DBA:.DlCConstrucfion Lic/Reg Type JiIC
Lic/Reg N 561.526_
21 Nattlaernj±ve Exp Date: 3_1Nov-14
Moosun _06354-
Cnottaiction_V_olu* Permit Fees � C.onstnaatiQninforB_nsatinn
Building Value: 8Z20Qd10L Building Fee: S9fi 00_ Use Group: IRC
Plumbing Value: 8_0_00 Plumbing Fee: MOO__ Code: 2005 State Building Code
Mechanical Valu SiLOQ_ Mechanical Fe 8_0_00__
Electrical Value: .0_0a_ Electrical Fee: __ _ SO 00_ Construction Type IRC
Total Value: $.1200,00 Penalty Fee: 20.00— Permit Code: R5 _
C of 0 Fee: MOO__ Comment
Plan Review Fe 5.000__
State Ed Fee:
Total Fee Paid: _ $9Z._13,7
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: _ p_
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping IN CTION REQUIRED UPON COMPLETION
❑ Insulation � rti ate of Approval
i7 ertificate of Occupancy
B�ildina_Officia1 Aanroyal: — .4:11111.11"
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.: C l9'd
Type of Work Occupancy Type Permit Type
❑New ConstructionSingle Family 0 Building
❑Addition ID Two-Family ❑Plumbing
0 Alteration 0 Townhouse 0 Mechanical
0 Accessory Structure 0 Electrical CRS#:
Property Address: `6 /3 m 'GI tr I=ti,
(Number) (Street) (Unit)
Job Description: pp,-,- !, 4 I ,t-n c c'- ,,, ,h,"„),- /6 5'C
1
Owner: 1t ) \ c e.t 'A,0 /
Address: /6 �1' -N 61 1 L
City: 1111 0 1-411,1 If IC State: (-_J Zip Code: Telephone( ) -
Applicant: 4U I C\ COvNicZr
DBA: -- C C7�S I^' v. C 1 !\-1
•
Address: 1 Ivy(34 C - -. t
City: (,'\C'Oc:t.'--Ip State: ` Zip Code: W)06 >S t- Telephone(061) )tel I ' _ 7-L0--
Contractors
Z ZContractors -Complete the Following:
License Type: N' C License No.: OS 611 SLS Expiration Date: // J 1_
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.
r /
Owner/Agent Signature: 1 _777 E`? - Date:
/ --
---------?
Construction Value Permit Fees
Building Value: `30 G0 0�— 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:
wired•August 23,2007
Town of Montville
Building Department
File Receipt
Date: 18-Nov-14 ReceiptNo: 9930
Received From: DJC Construction
Job Address: 16 Randy Lane
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash: $0.00
Bldg Check: $97.87 State Check: $1.87
Bldg Credit: $0.00 State Credit: $0.00
Fire Cash: $0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $7,200.00
Demolition Value: $0.00
CheckNo: 1463
Received By: Carmen Kneeland
Address: 16 Randy Lane
ITEM QTY $/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 [A $ - $ -
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&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $ -
Inground Pool EA $ 31,550.00 $ - $ -
Above Ground Round EA $ 6,299.46 $ - $ -
Above Ground Oval - EA $ 7,019.75 $ - $ -
Pool Heater - [A $ 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
Root 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
TOTALS $ 7,200.00 $ - $ - $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 7,200.00 $ 96.00
Plumbing y $ - $ -
Mechanical y $ - $ _
Electrical y $ - $ _
Working before Permit Issuance $ -
Certificate of Occupancy Fee $ _
Plan Review Fee $ -
State Education Fee $ 1.87
TOTALS $ 7,200.00 $ 97.87
Figures are based on the 2006 RS Means Residential Cost Data
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HOME IMPROVE}6 '*J'I~;CONTRACTOR
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tic./REG NQ,:. FE" IVES
JIC.0561526 , JOi/20 3 30/2014
SIGNED
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State of Connecticut
C.: Workers' Compensation Commission 7A
="', rj,;• Please TYPE or PRINT IN INK -
t
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
Property located at
in the City/Town of
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:
❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant-- --- - —••--•
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 \/ ( (46/v 5 o Gv
Federal EmployerlD#(FEIN) {L `7 LI 11-1 3
Signature of SOLE PROPRIETOR Applicant r /
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No •ermit will be issued until all the re•uired si•natures are obtained.
/ /f}', J(1
Property Address
Job Description
Required
Department
Approval Permit Issuance Approval
Jill Tax Collector = ., t I ►
Signature/date
Comments:
111 Planning &ZoningC & t 1 t - I►
Comments: Signature/date
Fire Marshal 1 ((r. 1
Comments: 1 ��I D �(� /' ►u, Signature/date •
it.
❑ 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:
❑ 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
Ref uired for Structures over 100 000 s..ft.or with more than 200 •arkin• s•aces-Official co. of STC Certificate of O.era tion re•uired—•er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
gteviserfMrtj23,2011