HomeMy WebLinkAboutExterior Door for Room 62 2017 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: B2017-0377 Date: 31-Aug-17 Map/Lot: 100/034-000 Owner ID: 2537000
Project Location: 49 GOLDEN ROAD Unit:
Job Description: Replace Exterior Door in Room 62
Owner Nam Town Of Montville Tenant Name N/A
Careof: Montville Board of Education
310 Norwich-New Lonauss ip,-e.
Uncasville CT 063n9- Telephone:
Applicant Name Park Roway Inc. Telephone: (860)442-8593
DBA: Lic/Reg Typc'
Lic/Reg N 0
51 Route 32 Exp Date:
Quaker Hill CT 06375-
Construction Value Permit Fees Construction Information
Building Value: $1,767.00 Building Fee:
$0.00 Use Group: E
Plumbing Value: $0.00 Plumbing Fee:
$0.00 Code: 2016 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
Electrical Value: $0.00 Electrical Fee:
Total Value: $0.00 Construction Type 5B
$1,767.00 Penalty Fee: $0.00 Permit Code: C4
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.46
Total Fee Paid: $0.46
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: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
El Certificate of •o.roval
in, - of Occupancy
Building Official's Approval:
e.-- e-me.---e--+ ,ate
Town of Montville
Building Department
• 310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
PERMIT APPLICATION FORM Permit No.: r? "0317
Type of Work Occupancy Classification Construction Type Permit Type
❑New Construction ❑A-1 0 B ❑ H-1 ❑ I-1
0 R-1 ❑S-1 ❑Type IA
❑Addition ❑A-2 ❑B,Medical 0 H-2 ❑ 1-2 yp ❑Type IV ❑ Building
Alteration 0 A-3 ❑E ❑ R-2 ❑S-2 CI IB CI Type IV ❑ Plumbing
❑Chanae of Use 0 A-4 ❑H-3 ❑ 1-3 ❑ R-3 ❑ U ❑Type IIA ❑Type VA 0 Mechanical
El F-1 0 H-4 0 1-4 0 R-4 ❑ Mixed ❑Type IIB ❑Type VB ❑ Electrical
❑A-5 ❑F-2 ❑ M ❑Type IIIA
CRS#:
Property Address: qg (So 1 cL °Tv-e
(Number) (Street) (Unit)
RAAJob Description: (p 2_ elanr le Dk( (' 7L
/ \
Owner: T. 0. IA - Tenant:
Address: Address:
City/State/Zip: City/State/Zip:
Telephone( ) - Telephone( ) -
Applicant: f� 4k 4/2 t pou.,41 T/lC--
DBA: /�
Address: -37 ROL. i 2 ^,�
City: Ca k . 1,4*I I State: C r/ Zip Code: ®63 75—
Telephone(S6 0 )4 l/Z _iffsq3
Contractors - Complete the
�lFollowing:
License/Registration Type: '"/ License/Registration No.: Expiration Date:
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.
Owner/Agent Signature: WtiA � /17
Date: /
JConstruction Value Permit Fees
Building Value: /7/ 7. 4-0 Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: �n Electrical Fee:
Total Value: / & 7 .fZ= Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
Revised.Azigrut23,2007
Town of Montville
Building Department
File Receipt
Date: 30-Aua-17
ReceiptNo: 12609
Received From: Park Rowav
Job Address: 49 Golden Road
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: 10.46 State Cash:
Bldg Check: $0.46
10.00 State Check: $0.00
Bldg Credit: 10.00 State Credit:
Fire Cash: $0.00
X0.00
Fire Check: $0.00
Fire Credit: 10.00 Construction Value:
11.767.00
Demolition Value: 10.00
CheckNo: 0
Received By: Carmen Kneeland rt„,, rn. k-,,. lia,LA/v0
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
LtC1 6c1cQtr\ Rocael
Property Address
Job Description
Required Department
Approval ' Permit Issuance Approval
Tax Collector
Comments: 4
Signature/date
/ Fire Marshal WM,
Comments:
/ Signature/date
❑ Planning & Zoning
Required for all permits except Signature/date
Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors
❑ Health Department
Required for properties with private septic or well
Signature/date
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:
❑ Copy of State Dept. of Transportation Certificate
Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per
CGS 14-311
Signature/date
Building Department Final Inspection
5(eviserfMarch 23,2015