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Repair Sun Porch and Skylight 2013 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: B2013-0012 Date: 08-Jan-13 Map/Lot: 016/029-T08 Owner ID: 5745000 Project Location: 8 RAINBOW DRIVE Unit: Job Description: Repair Damage to Sun Porch&Skylight Owner Nam Alfred D and Edith Martinelli Tenant Name N/A Careof: 8 Rainbow Dr Uncasville CT 06382- Telephone: (860)848-3936 Applicant Name: Ralph Pollock Telephone: (860)334-6270 DBA: Jay's Mobile Home Service Lic/Reg Type HIC Lic/Reg No 558540 53 Jimmy Drive Exp Date: 30-Nov-13 Canterbury CT 06331- Construction Value Permit Fees Construction Information Building Value: $7,280.00 Building Fee: $96.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $7,280.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.89 Total Fee Paid: $97.89 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 framin ❑ 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 n Certificate Approval /. - fi'.te of Occupancy Building Official's Approval: ��G / 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.: b,;U(.3 - C.Ok(4, Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: ` +2-a-iv (Number) (Street) (Unit) Job Description: te.e 4- lam. Li- ( 0 .5c)04-8,---- 4=iS. Owner: �vc� / 4 t i(.Q\I e. Address: `2-4-t �J(��t���-r t, y City: J"/1( 6/ f 6 ' (�_ State: uC zip Code: O . 3 53 Telephone(6 " )a c d - 355 fc Applicant: 72-A a c�� J,/, DBA: �`� �'`I�ti( Address: } �/ State:CA"-- Zip Code:Q 3J / Telephone(P60 )13Le. 20;2 () Contractors - Complete` the Following: L l License Type: {7 1 e- License No.:6-Sg 5H0 Expiration Date:1` 130) 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.21 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature Date: I- 7-11 Construction Value Permit Fees Building Value: 2 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: Revised August 23,2007 Town of Montville Building Department File Receipt Date: 07-Jan-13 ReceiptNo: 8059 Received From: Ralph Pollock Job Address: 8 Rainbow Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: Bldg Check: $0.00 $97.89 State Check: $1.89 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $7,280.00 Demolition Value: $0.00 CheckNo: 2587 Received By: Carmen Kneeland `--i t/VIAA Address: 8 Rainbow Drive 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 $ - d' 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 $ 1,200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - 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 $ MISCELLANEOUS CALCULATIONS $ 7,28000 TOTALS $ 7,280.00 $ - $ - $ PERMIT FEE CALCULATIONS Construction Value Fee1. Building $ 7,280.00 $ 96.00 Plumbing y $ - $ Mechanical y $ $ Electrical y $ - $ _ (' Working before Permit Issuance n $ - , Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 1.891p TOTALS $ 7,280.00 $ 97.89 t.. Figures are based on the 2006 RS Means Residential Cost Data I STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVE,IvTENT CONTRACTOR ACTOR #014/.1 . POLLOC 5S `M1 RD Cj' ER$URY,CT 06331 JAY'S MOBILE HOME SERVICE EXPIRES gur LIC./REG NQ FE IVB HIC.0558540 12 461/.2Q -,a " 1/30/2013 4 r sl�1 �7'RANS7'(f� ;-�s SIGNED_.._. ___� __.._._.___ T=.:."'_'...__ ------•__...____ __—_— v�`v xA, ,�y�- State of Connecticut N 7A ti,`., :1if Workers' Compensation Commission „In Please TYPE or PRINT IN INK re 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 �""�f 1/5 1 Y/1r f o 5. Property located at rr 6 ttAs z–s –9.11...i.....— in 9A.a._in the City/Town of 14 r:+K l.", 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: )ilI am the OWNER of the above-named property.I VNLL NOT act as the general contractor or principal employer. Signature of OWNER Applicant- _. 4 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 /,L1 / L' 4o1 g.....-G, Federal Employer ID#(FEIN) c, t(S—f?-9)) L Signature of SOLE PROPRIETOR Applicant fry / Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. g-44 !�C9tR t b aD .! \ Property Address Job De ription j Required Department Permit Issuance Approval Approval 111 Tax Collector �o —� N��-�--� / /7 //J Signature/date Comments: FIP _ f ,/ Planning & Zoning f�� ;+ //.// 3 ev/,/J Signature/date Comments: �/ Fire Marsh n Signature/date Comments: ��flC' 4-QN,A.A n Health Department Required for properties with private septic or well Comments: WPCA, Administrative w' i3 Required for properties on sewer Sign re/date Comments: U 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 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 Review Complete Signature/date Revised May 23,2011