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Field Inspection Notice
Town of Montville
Building Department
April 10, 2008
Address: 12 Ann Avenue
Job Description: Strip & ReRoof
Permit Number(s) B2008-0086 Permit Date: April 1, 2008
Not Approved.. AP roval
INSPECTION Date: Deficiencies Special Date
Conditions
Final inspection for 4/10108 CC
certificate of approval
Page 4 of 1
Rev. Date: 1/18/06
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: 82008-0086 Date: 01-Apr-08 Map/Lot: 109/073-000 Owner ID: 94000
Project Location: _ 12 ANN AVENUE Unit:
Job Description: Strip & ReRoof (20 Squares) ~m_
Owner Name: Mark K Sanders Tenant Name: N/A
Careof:
12 Ann Avenue
Uncasville CT 06382- Telephone: (860)848-0879 -
860443-8401
Contractor Name: Tri-State Windows Telephone:
DBA: _ Lic/Reg Type: HIC
_ Lic/Reg No: 519110
15 Lakewood Drive _ Exp Date: 30-Nov-08
Oakdale CT 06370-
~onstr~tiglral0 _ Permit Fees Construction Information
Building Value: $8,000.00 Building Fee: _ $64.00 Use Group: IRC _
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00_
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $8,000.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: _ $0.00- Comments: _e w
Plan Review Fee: $0.00
State Ed Fee: $1.28
Total Fee Paid: $65.28
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 framing ❑ 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 d Ce 'ficate of Approval
ertificate of Occupancy
7
-
Building Official's Approval:
Coy „0() I~
Town of Montville
Building Department
310 Norwich-New London Tpke. Fax. 860-848-7231
Tel. 860-848-3030, Ext 382 Uncasvilie, CT 06382
RESIDENTIAL PERMIT APPLICATION FORM Permit No.:
TYP2 of Work ccu anc T e Permit Type
❑ New Construction Single Family ❑ Building
C] Addition C3 Two-Family [:1 Plumbing VAlteration ❑ Townhouse Mechanical
❑ Accessory Structurr}e,, ❑ Electrical CRS#: 3~L
Job ,Address: la (Unit) (Number) (Street)
Job Description:
Owner.
Address: ~ S~ ~ ~ Z
~V/ State: 1 Zip Code:
City: 751 -
Telephone:
Contractor: ~jIn Doc-,, S
DBA:
l2 f fl-Q.
Address: 5- L / Imo--, 3 7 4
C~i1C state: Zip Code:
City:
Telephone: $~O~ N~ ~iIG 1 License Type:` I C License No.: _O x/09 I / b Expiration Date: her
by the
s as
Connecticu I hereby certify that the proposed work ill rro conform od to the Stat work I a Building hand all e ow et in eeeand that learn authorized to make a t llcation for a
of Montville and further attest that the
permit for such work as described above.
p,, By checking this box, I will follow there ements of the 2005 N s the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements i c apter 3 through 42 o Residential Code.
"Y'
11 Owner /Agent Signature: Date:
Permit Fees
Construction Value
Building Fee:
Building Value:
Plumbing Value: Plumbing Fee:
Mechanical Fee:
Mechanical Value:
Electrical Value: Electrical Fee:
Penalty Fee:
Total Value:
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
tensed ~uqust 23, 2007.. '
Town of Montville
Building Department
File Receipt
3278
Receipt No:
Date: 01-Apr-08
Received From: Tri-State Windows
Job Address: 12 Ann Ave.
Fees Collected State Educational Training Fee
Cash: $0.00
$0.00
Cash:
Check: $1.28
Check: $65.28
Check No: 0
Short/Over: $0.00 $8 000.00
Construction Value:
$0.00
Demolition Value:
Received By David Jensen G~'-
Address: 12 Ann Ave.
TOTAL
ITEM QTY $/UNIT 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 $ $
Half-Bathroom EA $ $
GARAGE
Attached SF $ 54.35 $ - $ -
Detached SF $ 69.53 $ - $
Under SF $ 10.03 $ - $ -
Carport SF $ 19.89 $ -
MECHANICAL
Warm-Air n YIN $ -
Hot Water n YIN $ -
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 $ -
Masonryw/lfireplace EA $ 7,096.65 $ -
Masonry w42 fireplaces EA $ 11,095.70 $
Wood Stove, freestanding EA $ 2,692.25 $ -
Wood stove insert EA $ 1,859.77 $ -
DECKS, PORCHES, SUNROOMS
Deck SF $ 43.07 $ -
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 $ -
Inflatable Type Pool EA $ 1,550.00 $ -
SHEDS
w/o electrical SF $ 20.35 $ -
w/electrical SF $ 20.35 $ - $ -
RENOVATIONS
Roofing, Overlay SF $ 3.00 $ -
Roofing, Strip & reroof 2000 SF $ 4.00 $ 8,000.00
Roof Sheathing SF $ 1.31 $ -
Siding SF $ 3.50 $ -
Windows EA $ 500.00 $ -
Skylights EA $ 1,051.10 $ -
Doom, Exterior EA $ 601.50 $ -
Oil Tank, 275 Gallon EA $
Oil Tank, 550 Gallon EA $
MISCELLANEOUS CALCULATIONS
TOTALS $ 8,000.00 $ $ - $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 8,000.00 $ 64.00
Plumbing y $ $
Mechanical Y $ $
Electrical Y $ - $
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 1.28
TOTALS $ 8,000.00 $ 65.28
Figures are based on the 2006 RS Means Residential Cost Data
ATE VV
DISTRIBUTORS, INC.
CT. Registratiorl 'Al 5191 10
13 LAKEWOOD DR., OAKDALE, CT 063710 •(860) 443.8401 •TOLL FREE m CT 1-800.538.3160 • Fax (860) 443 -61 i,
BUILDING PERMIT AUTHORIZATION FORM
i. Richard A. Deabay, President of Tri-State Window Dist. Inc., 15 Lakewood Drive,
Oakdale. CF, authorizes ~ A-I,LfZ.9-n S_'/-) d k -S to procure a Building
Pc'rmlt, this work to be completed at
1 ~ _ ~ ~ ~t ~~Q t I 0(o3>~Z The type o#' worts to be done
v6II consist of
L.;:' 'a
HOME IMPROVEMENT CONTRACTOR
TRI-STATE WINDOW'DIST INC
15 LA~KEWOOD DRIVE
OAK',, CT 66'370
TRI-STATE VPNDOW DIST INC
LIC. ! REG NO,. FE IVE EXPIRES
HIC.051911012/01/100.7 11/30/2008
tl Y
Town of Montville
Building Department
310 Norwich-New London Tpke. Fax. 860-848-7231
Tel: 860-848-3030, Ext 382 Uncasville, CT 06382
CONSTRUCTION PERMIT APPROVAL
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building
permit will be issued until all of the required signatures have been obtained.
Required Department Permit Issuance Approval
Approval
® Tax Collector
si,nat~re; ~~~tc
Required for all permits
Comments:
WPCA, Administrative /
Required for properties on sewer
s4 a{
tLlre wEaiv
Comments:
WPCA, Operations
viacytur~'; date
When Required by WPCA .1~l
Comments:
. zl
Planning &Zoning =C) date
J
Required for all permits 1 C~ -Fr a J e _Signature/
® Health Department
Required for properties with septic svstems -Not required for Plumbiny,_Electrical Mechanical Roofing} Sidma Wind ows & Doors Hale
Comments:
❑ Department of Public Works
i d c
Required when proiect includes driveway work or certain drainage requirements Signature
.Comments:
❑ State Dept. of Transportation
Required for Structu s ver 1 0 00 . ft. or with m re than 200, n W aces - ficial of T Certifi a e of 0 ratin re uired - r
CGS 14-31.1 SIC i ,a date
Comments:
~ tfff__,
Fire Marshal J r
Required for all permits
Commen f
cif.Aq-n s, 20,0s.
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