HomeMy WebLinkAboutRoofing, Siding, and Windows 2002 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ext.82
Building Permit
Permit Number: B2002-471 Permit Date: 14-Aug-02 Permit Code R4
Job Location: 426 RAYMOND HILL ROAD UNIT: MAP/LOT: 032/003-000
Job Description: Roofing,siding,windows, kitchen and bathroom remodel
Owner Contractor
FRANCES S BILLINGS W. R.Allen
PO Box 506
364 RAYMOND HILL RD Unit: Quaker Hill,Ct 06375
UNCASVILLE CT 06382 Telephone: 860-447-2992
Lic/Reg Type: HIC
Use Group R-4
Lic/Reg Number: 503385
Code 1995 CABO
Exp Date: 11/30/02
Construction Type 5B
Construction Values Permit Fees
Building Value: $16,000.00 Building Fee: $94.00
Plumbing Value: $2,000.00 Plumbing Fee: $10.00
Mechanical Value: $4,000.00 Mechanical Fee: $22.00
Electrical Value: $4,000.00 Electrical Fee: $22.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $26,000.00 C/O Fee: $10.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $4.16
Total Fees: $162.16
Jt is the owners responsibility to schedule the following reauired inspections(minimum 48 hours notice requested):
❑ Footing-Prior to pouring concrete ❑d Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab-Prior to pouring ❑ Fireplace Final
• Rough Framing ❑ Chimney-One flue above thimble
0 Rough Electrical Firestopping/draftstopping
❑d Electrical Service Insulation
O Rough Plumbing and Leak Test ❑ Final Inspection
❑ Gas Piping and Pressure Test ❑d Certificate of Occupancy-Prior to use or occupancy
Building Official's Signature:
Town of Montville
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Building Department Permit#. zocrz c/"2)
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
New Construction 0 Addition ACteration 0 Accessog Structure
OOther
Job Location (311W /2.44//kov..1 hidiel
Job Description/Materials `Qp f /2212.4514S- 410 /,G-A4- 1/1/ZJ/2AJ 41444-A-0,?Id/
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Owner WO" 41/401 Mailing Address P(', ZC ( S 06 e
City -d, State &/ Zip Tel /W7 7 i 1'/9Contractor W i/( . dia0.+ Mailing Address /?ti 4K-S-0‘
City ZLIAMX State 4" Zip Tel / 00/p2ff 2
Contractor's License/Registration Type&Number , -O.33tc Exp. Date d 130 ICA.
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 C. 4 11.1.4 ad Date 6 'l "
Construction Value Fee
Building $ / OO $ >y-
- Plumbing $ Zoo.i" $ Jo
- Mechanical $ yet,c— $ Zz
- Electrical $ q ,— $ 2 z —
Other $ $
Certificate of Occupancy $ ,c'--
Plan Review Fee $
State Education $ hi,/e
Total $ 2 ^roo,— $ /4.2,/G
I
Town of Montville Building Department Receipt
1 Iri Date -se / /9 / oz
wr
No. 01039
From:
Job Address: 2 61/ ./2.4c4)1,10/.4) 1/1-1 R 0
0 Amount $ /6 Z. /6 Cash
Check #/_5 974
(circle one)
Received by Permit
STATE OF ('ONN1i1 '7'I(1.-I
IIII \T(II ((1\1( I/11;1'/ (11( 11(\
HOME IMPROVEMENT CONTRACTOR
W R ALLEN&CO INC
PO BOX 506
UNCASVIX..LE,CT 06382
Contractor of Record:WILLIAM R ALLEN
LIC./REG NO. I E ttCTIVE EXPORES
503385 12/01/2001 I 11/30/2002 .40
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SIGNED Ai. �L4
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FROM : CURT IN INSURANCE AGENCY FAX NO. : B6084E2207 Aug. 14 2002 09:21AM P1
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vin Insurance Agency, Inc. HLCL11ER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
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CERTIFICATE aDtxw Ir►+I.INSLXgC;INSURERLEfTER� CANCELLATION
!' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLLfI 1FOrte TM!
EXPIRATION DATE THEREOF.THE ISSUING 1NSURIM WILL ENDEAISOR TO MAIL.
_m__DAY$WRITTEN NOTICE TCI THE GLRYIFICAFP h OLDEA MASA TO THE LEFT,
Town of .Mantvi l J e 1 BtF?FAILURE TO YAW EUCH Ranct MBA.IMPOSE NO OBLIGATION OR LIABILITY
310 Route #32 of AIWA—PO LeAt 0*iNSL&SER.LTB AMENTS OR REPRESE/NTATIVES.
UnCaSvil l e, CT 06382 AUTHORED RRPRESENTATNE
,,ar1 as Cook/G7 +ty,
ACORD 23.5(7/9n FAX 848-7231 I CORX CORS N?AW