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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: 82003-0484 Date: 29-Aug-03 Map/Lot: 105/024-000 Owner ID 79529
Job Location: 55F LAUREL POINT DRIVE Unit
Job Description: Siding & Windows
Owner: Contractor:
William I and Helen Curtin Stephen Kaika
14 Pepperidge Drive
114 Maple Ave Quaker Hill Ct. 06375-
Uncasville CT 06382 Telephone: (860) 442-3977
Lic/Reg Type/No. HIC 551693 Exp Date: 30-Nov-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $7,700.00 Building Fee: $46.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $7,700.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $1.23
Total Fees: $47.23
It is h owners r sooncibility to schedule the following inspections (minimum 48 hours notice rea ui~ red(:
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service FV~ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature-
Town of Montville
Building Department Permit #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
F1 New Construction ❑ Addition Alteration n Accessory Structure
Job Location S rlezL a 0 / .!W
Job Description/Materials
Owner ?rcZ Mailing Address /,6
City State-CZ-- - Zip n& Tel (c C~ 1 XV / 276U
Contractor Mailing Address
CityT/7'/~ L1/ State Zip ~ 22S Tel _ kff 77
Contractor's License/Registration Type & Number
Exp. Date///
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 Date Q
Construction Value Fee
Building $ 2 1-26 U, $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education
Total $
(See Reverse side for additional" requirements)