HomeMy WebLinkAboutRoof - Strip
Town ofl,l0ontvitle
Building Department
Phone: 848-7166 310 Norwich New t„ ondon Tpke ` Fax: 848-7231
Building / Trades Permit
Permit Number BP2001-352 Permit Date 6/19/01 hermit Type Building Permit Code R4
Job Street # 12 Job Location AVERY ROAD Map/Lot 104/034-000
Job Description Roofin - Strip
Owner Contractor
Michael & Mary Brycki Michael & Mary Brycki
Address 12 Avery Road Address 12 Avery Road
City Uncasville State Ct. City Uncasville State Ct.
Zip 06382 Telephone 848-3798 Zip 06382 Telephone 848-3798
Lic/Reg Number
Lic/Reg Type Exp Date:
Use Group R4 Code 1995 CABO Type Construction 5B
Building Value $1,375.00 Building Fee $10.00
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 $1,375.00 C/O Fee $0.00
Comments: Plan Review Fee $0.00
State Ed Fee $0.22
Total Fees $10722
Building Official's Signatur Date/
It is the owners res o t schedule the followin required ins ections minimum 24 hours notice required):
❑ Footings - prior to ring 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 ® Final Inspection
❑ Rough HVAC ❑ Certificate of Occupancy - PRIOR to use or occupancy
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Town of Montville Permit # G~ PZ-0 o)-_ -33 -e-
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
❑ %ew Construction ❑ Accessory Structure ❑Tfum&ng ❑Wechanicaf
I Q ~ It ition ❑(Demoartion ❑Electrita£ 9feating
heration ❑Other _-AirCon tioning
Gas T?ing
Job ]Location r e r s
Job Description/Materials <~'~1✓
Owner ` ll Mailing Address
City_ State Zip Tei~~ lyi~
Contractor Mailing Address
City~~l e--- 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 j Date 1165/
Construction Value Fee
Building $ f 3~ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
Stage Education $
Total $ ~~7~~ $ f~'
f Town of h~`ontville Building Departme----* Receipt
Date No.
From: H A e-Y
~ 1 - -
Job Address:
i -
4 AmountCh ' Check Check
(Cirelc onc)
Received by
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