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HomeMy WebLinkAboutStrip and Re-Roof 2001 Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building /Trades Permit Permit Number BP2001-450 Permit Date 7/31/01 Permit Type Building Permit Code R4 Job Street# Y67 Job Location AKA 265)RAYMOND HILL ROAD Map/Lot 087/024-000 Job Description Roofing-Strip& Siding Owner Contractor Robert Chabot Robert Chabot Address 15 Occum Lane Address 15 Occum Lane City Uncasville State Ct. City Uncasville State Ct. Zip 06382 Telephone 848-8558 Zip 06382 Telephone 848-8558 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $4,500.00 Building Fee $28.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $4,500.00 CIO Fee $10.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.72 Total Fees $38.72 II Building Official's Signatur Date 7 / / / 0/ It is the owners resp itv to schedule the following required inspections(minimum 24 hours notice required): Footings-prior to pouring concrete ❑ Backfill-footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping • Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping-pressure test and installation 1l Final Inspection ❑ Rough HVAC 0 Certificate of Occupancy-PRIOR to use or occupancy y Town of Montville Permit #/ /��/—ylL,j Building Department 310 Norwich-New London Tpke. Tel_ 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction 0 Accessory Structure LElum6ing ❑Mechanical ❑Addition 0 Demolition D Electrical Yfeating laAttera tion [Other Air Conditioning Cas 4'iping Job Location 02_ G. 7 h /" y G/y 4 G-L C `( k d z..i Job Description/Materials te,a Rc /„t Q -t V 7 rj! 1 ,‹< oft fi Owner A v 4 K„-1 ( // ©07 Mailing Address S-. 6 CC vivi4 L 1A( City (/tk-k<v/ I L State (----t- Zip CI3(—Z Tel /C'9/ ' k 5 5— g Contractor ..S s--(--- Mailing Address City State Zip Tel / / Contractor's License/Registration Type&Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes ❑ No 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 #4/ Date 7 / 'r/ /O Construction Value Fee Building $ /' v + `'' ("` $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ /, Bim` Plan Review Fee $ State Education 670 $ ` 74 Total $ y,5 /) $ �8'' 7 I t00419 , Town of Montville Building Department Receipt Date 7/ NIC) / 0/ No. 00945 --,rali- iLizo From: e-t-- � Job Address: 0 ....2‘ 7 if-a-iz-roiXiii4WAV, :, 0 Amount $ ...18' lff,' 490 Check Check # / ((ircic one) .4:!;zido Received by \,/ ,,_, Permit pane/..g5-0 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at 1 C 7 r2 `� iit C 1 / !• # d� In the town of (/ /1 r,`I_ ( /1 Name of building permit applicant: 12,02 7z A C� I Please check one: I. I am the owner of the above property. 2. I am the sole proprietor of a business. 2A.Name of business 2B. Federal Employer Identification Number(FEIN) Pursuant to § 31-286b,"a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. C.--i–To not intend to act as a general contractor or principal employer. [Sign and stop here] >'.( —2/ Signature of applicant 2. I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200_• (Notary Public/Commissioner of the Superior Court) 406 TOWN OF MONTVILLE Building Department 0 310 Norwich-New London Tpke. Uncasville, Ct. 06382 Tel. 860-848-7166 Fax 860-848-3271 Property Location: ;6 i /c t i f\ p( � � �1lJN� /� 1 Accept this NOTICE OF VIOLATION as per 152.001 of the Montville Ordinances. You are hereby ordered to discontinue the violation at the above referenced property under the 1995 CABO,Section 106 or the 1996 BOCA,Section 116.0 as adopted as the Connecticut State Building Code. The violation consists of: /?oo/-7iJG Lii-,,/„,,,-7-- /4/40 iT You must :p • ork(see .. : 1 I: •95 CABO or Section 117,1996 BOCA)and contact the Buildi, _ P :