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Strip and Re-Roof 2014 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 18 Rainbow Drive Job Description: Strip& ReRoof Permit Number(s) B2014-0316 Permit Date: August 27,2014 Not Approved Approva; INSPECTION Comments Special Date Conditions • Final inspection and certificate of approval 9/9/14 VV **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)- $10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections (except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Rev.Date: 1/18/06 Page 1 of I 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: B20J4-030 Date: 2A -14 Map/Lot: 016/029-T18 Owner ID: 5754000 Project Location: 18 RAINBOW DRIVE Unit: Job Description: $i p_&ReRoo1 Owner Nam avid N i3<June C Roselund Tenant Name N/A Careof: 18 Rninhnw Drive llncasville CT 1)6382- Telephone: J8601367-0180 Applicant Name Pronertv Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: congfructior 1/_oing. P.err it Fags con,*iSliionJn_formntinn Building Value: $4.500.00 Building Fee: $00.00 Use Group: IRC Plumbing Value: 5100 Plumbing Fee: SJ.On Code: 2005 State Building Code Mechanical Valu 50.00 Mechanical Fe S0.00 Electrical Value: $0.00 Electrical Fee: SQ,00 Construction Type IRC Total Value: $4.500_00 Penalty Fee: S0.00 Permit Code: R4 C of 0 Fee: 51100 Comment Plan Review Fe $0.nn State Ed Fee: $1.17 Total Fee Paid: $61.17 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Fooling-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation e i i ae . '..proval ❑ Certi• . e of•c ..ancy _lit ildina Official's AC QL. • • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: e2D014--ON� Type of Work Occupancy Type Permit Type D New Construction J Single Family D Building D Addition D Two-Family D Plumbing JS]Alteration D Townhouse D Mechanical ❑Accessory Structure 0 Electrical CRS#: Property Address: / ;$ //t/ -Rent, 1) i (Number) (Street) (Unit) Job Description: ��P1i- ii_ Rco p- S'f�J /Nt L Owner: ) 4e l r / pSL L U4Jb Address: 1 g DR City: L>/9i CSS U / State:C1— Zip Code: D 6 3 8°2, Telephone( 'C;Com') 34 7- L^ / Applicant: S -ivy7P DBA: Address: City: State: Zip Code: Telephone Contractors -Complete the Following: License Type: • License 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:/ Z- -eGs�Y-72 C� / Date: Construction Value Permit Fees Building Value: 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: %visa:August 23,2007 Town of Montville Building Department File Receipt Date: 26-Aug-14 ReceiptNo: 9657 Received From: David Roselund Job Address: 18 Rainbow Dr. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $61.17 State Check: $0.17 Bldg Credit: $0.00 State Credit: $0.00 $0.00 Fire Cash: Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $0.00 Demolition Value: $0.00 CheckNo: 8470 Received By: David Jensen ), ,/� Address: 18 Rainbow Dr. 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 EA $ $ 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 EA $ 8,984.25 $ $ Inflatable Type Pool EA $ 1200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof 1000 SF $ 4.50 $ 4,500.00 Roof 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 $ If MISCELLANEOUS CALCULATIONS TOTALS $ 4,500.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 4,500.00 $ 60.00 Plumbing Y $ - $ Mechanical Y $ - $ _ I. Electrical y $ - $ Working before Permit Issuance n $ - Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.17 l TOTALS $ 4,500.00 $ 61.17 Figures are based on the 2006 RS Means Residential Cost Data 1 • ..0:...1..) State of Connecticut N ,..) .t r Workers' Compensation Commission ;. '}? ami .. f ) rL' �:�'"'��"�%fes Please TYPE or PRINT IN INK Proof ofWorkers' 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 �� �¢' ry Name of Applicant for Building Permit 1/ /G v ( I) )2e9Stin *7?) Property located at /45 i2,',' '5 ' , ) R in the City/Town of [/ x fr/e-cEi C r C9 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: 111` I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant-- --- - —..--.4/214/ Veati ❑ 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 Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant 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. 1 '6 R/171(1 Pe9w R Property Address Pi-111 C6 Roo S //1, - S Job Description Required Approval Department Permit issuance Approval 'Tax Collector � �` ` �; /a( f/ `.7` Comments: Signature/date Planning &Zoning8 WG Comments: 411141. ' / / Signature/date -Fire Marshal 4/I /1aaaa riff. I/�1 Comments: — b�P " Signature/date / 1 ❑ AMR Health Department Required for properties with private septic or well Comments: '® WPCA, Administrative ,411P7 C o /y Required for properties on sewer Signature ate Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date Li 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 Required for Structures over 100,000 sq.ft or with more than 200 parking s.aces-Official co. of STC Certificate of O.eration re.uired–.er CGS 14-311 Signature/date Building Department Review Complete Signature/date 7teaise(Mtaf23,207.1