The URL can be used to link to this page

Home My WebLink AboutRoof Overlay 2002 ! Town of Montville ` Building Department Date /~~Z/ Field Inspection Notice Permit # 4 Job Location ja4proved Type of Inspection i c ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: ! s l f I - gal Build" 0 Town of°Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, Cr 06382 860-848-3030, Ext. 82 Building Permit Pen-nit Number: B2002-59 Permit Date: 01-Oct-02 Permit Code R4 Sob Location: 7 ALASKA ROAD UNIT: MAP/LOT: 089/034-000 Job Description: Roof Overlay Owner Contractor ARTHUR P + NANCY E ZIEGL R Arthur Ziegler 7 Alaska Road 7 ALASKA RD Unit: Oakdale, Ct. 06370 OAKDALE CT 06370 Telephone: 859-1634 Lic/Reg Type: Use Group R4 Lic/Reg Number: 0 Code 1995 CAB Exp Date: Construction Type 56 Construction Values Permit Fees Building Value: $2,100.00 Building Fee: $16.00 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 Value: 2,100.00 C/O Fee: $10.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.34 Total Fees: $26.34 It is the ownarLcesp=Jibm1*JX to schedule the follomring required inspectoons (wiftnomum 48 hours notice requesteAk ❑ Footing - Prior to pouring ncrete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to you ing ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test W inal Inspection ❑ Gas Piping and Pressure Test Certifica cc p - Prior to use or occupancy Building Official's Signature: 1100' -10011- e Town of Montville Building Department Permit # 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 Addition E] Alteration Q Accessory Structure ZOtker Job Location -7 ✓4A \c.-c; At'b Job Description/Material ' of Z ~S d V 12 S Owner'- Mailing Addresses ~o City Dom- - State C- Zip 06310 Tel 'RGu 18V I / tC 3 Contractor Mailing Address 5:A-t-rz !-s Ako-wiF- City State Zip Tel Contractor's License/Reg stration Type & Number Exp. Date / / 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 t make application for a permit for such work as described above. Owner /Agent Signature Date / / 2 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other (ScfwG oF,5) $ $ Certificate of Occupancy $ Plan Review Fee $ State Education do $ Total $ $ ~y Town of-'Montville Building Departrr ant Receipt Y Date No. 02218 From: - Job address: a= s Amount $ _ Ca Ghcck Check # Rcc cIVcd hy ~J Permit tiger. Z- ` r: t §,5 ac STATE OF CONNECTICUT WORKERS' COMPENSATION 001, MWSSION BuiI in Permit Affidavit for PFO-PertY Owners or Sale Proprietors (Conn. Gen. Stat. § 3 t 286b) Property located a ~ ~~-y<,~ 2~) A--D In the town of V$ Name of building it applicant: Az,,, bLa Please cheek one: I. ✓I the owner of the above property. 2. I the sole, proprietor of a business. -2A. Name of business 2B. Federal Employer Identification Number ) Pursuant to § 3 i 2 6b, "a Ply owner or sole proprietor (who] intends to act as a general contractor or principal employer" may provide either a insurance or a "sw M notarized affidavit... stating that hrequire lp ofworktxs' compensation compensation i cefor all those employed on the job site icordproof of worke& ance with this chapter. Please check oone: i _ &i do of intend to act as a general contractor or principal employer. [Si and stop here] L Si ature of applicant c 2- _ I intend to act as a general contractor or principal employer. Applicant must either prov de. a certificate of workers' compensation fi= ance or sign the affidavit below. Affidavit I hereby swear and ttest that I will require proof of workers' compensation contractor, subcontractor, or other worker before he/she engages ioro insurance for perry accordance with the Workers' Compensation Act (Chapter 568). I understand that p tto § 31275 C.G.S., officers of a corporation and partners in a partnership may el to-be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not acquired to have coverage unless he files his,intent to a pt coverage. Sigin ature of applicant Subscriibed and sworn to before me this day of ,200 (Notary Public/ Commissioner of the Superior Court) Permit Fee CalculaVon Spreadsheet w MISCELLANEOUS PERMIT CALCULATION Pools & Spas Above Ground Round EA $ 3,000.00 $ Above Ground Oval EA $ 5,000.00 $ In-Ground EA $ 18,000.00 $ Heater EA $ 3,300.00 $ Hot Tub EA $ 5,000.00 $ Roofing Strip & Reroof SO $ 210.00 $ Overlay 12 SO $ 175.00 $ 2,100.00 Sheds With Electric SF $ 25.00 $ _ No Electric SF $ 25.00 $ Deck SF $ 15.00 $ Porch SF $ 23.00 TOTAL BUILDING CONSTRUCTION COST $ 2,100.00 PERMIT FEE Building $ 2,100 $ 16.00 Mechanical $ - $ - Electrical $ - $ CO Fee $ 10.00 Plan Review $ State Ed Fee $ 2,100 $ 0.34 Total Fees $ 26.3d' Based on 2000 Average Construction Cost 9/30/02