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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: B2005-0173 Date: 09-May-05 Map/Lot: 081/071-000 Owner ID: 183000
Project Location: 51 BEECHWOOD ROAD Unit:
Job Description: Strip & Re-roof
Owner Name: Jeffrey and Dawn Reslin Tenant Name: N/A
Careof:
51 Beechwood Rd
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)848-8231
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $4,900.00 Building Fee: $40.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $4,900.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.78
Total Fee: $40.78
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 framing ❑ 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 Certifica7eof f Approval
erti Occupancy
Building Official's Approval:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Building Permit Application Form
Permit # / 70
New Construction Addition -~XCteration 0 Accessory Structure
❑ Singfe Tamily Two-Tamily Townhouse
Job Address
(Number) (Street) (Unit)
Job Description_ ,.IIS-14 ~~o~✓
Owner J~~~{~~'/ Mailing Address J!
City a~ State r,,.n n . Zip 3 ;70 Tel
Contractor Mailing Address
City State.. - Zip Tel
Contractor's License/Registration 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 to make application for a permit for such work as described above.
Separate applications are required for electrical, plumbing, mechanical, etc.
Owner /Agent Signature Date 0 J / 03 / j
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State-Education $
Total $ $
(See &verse side for add tional requirements)
wised -February 25 2005
Town of Montville
Building Department
Tile Receipt
Date: 05-May-05 Receipt No: 158
Received From: Jeffrey Reslin
Job address: 51 Beechwood Rd.
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $40.78 Check: $0.78
Check No: 220
Construction Value: $4,900.00
Demolition Value: $0.00
Received By Sandra Pandora
Permit Fee Calculation Spreadsheet
MISCELLANEOUS PERMIT CALCULATION
Address:
Pools & Spas
Above Ground Round EA $ 3,200.00 $
Above Ground Oval EA $ 6,000.00 $ -
In-Ground EA $ 20,700.00 $ -
Heater EA $ 3,465.00 $
Hot Tub EA $ 5,250.00 $
Roofing
Strip & Reroof 14 SQ $ 350.00 $ 4,900.00
Overlay SQ $ 250.00 $ -
Plywood SQ $ 125.00 $ -
Plumbing
Full Bath EA $ 5,000.00 $ -
Half Rath EA $ 3,500.00 $ -
Garages
Attached, 1 car EA $ 10,775.00 $ -
Attached, 2 car EA $ 18,600.00 $ -
Attached, 3 car EA $ 25,810.00 $ -
Detached, 1 car EA $ 13,850.00 $ -
Detached, 2 car EA $ 21,100,00 $ -
Detached, 3 car EA $ 28,350.00 $ -
Sheds SF $ 26.25 $ -
Sheds with Electrical SF $ 26.25 $ -
Electrical Service
100 Amp EA $ 825.00 $ -
200 Amp EA $ 1,500.00 $ -
Siding SQ $ 600.00 $ -
Windows EA $ 445.00 $ -
Doors EA $ 625.00 $ -
Decks/Porches/Sun rooms
Open SF $ 22.31 $ -
Covered SF $ 62.69 $ -
Enclosed SF $ 123.90 $ -
TOTAL BUILDING CONSTRUCTION COST $ 4,900.00
PERMIT EE CALCULATIONS
Fee
Building $ 4,900 $ 40.00
Plumbing $ - $ -
Mechanical $ - $ -
Electrical $ - $ -
N '"Work Commenced before permit issuance $ -
CO Fee $ -
Plan Review $ -
State Ed Fee $ 4,900 0.78
Total Fees $ 40.78
Based on 2003 RS Means Residential Cost Data
5!5/2005
State of Connecticut
Workers' Compensation Commission -
Please TYPE or PRINT IN INK
54MEt
0!//TNAMt7~~ ~
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 . Building
Permit
Name of Applicant for Building Permit
Property located at S/ Cl ~PC~y !J✓
in the City / Town of I_k7
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:
1 am the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
❑ 1 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
Federal Employer ID# (FEIN)
Signature of SOLE PROPRIETOR Applicant
Building Department
848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
S,/ 6~!e6f/.-l✓ c 0 :2 ry 04"6- CO,--74.
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will
be issued until all of the required signatures have been obtained.
Required Department Permit Issuance Approval
Approval
Tax Collector /
.5
WPCA
`tint ; t.ra, Cate
❑ Planning & Zoning
❑ Health Department
Siuynanire/ date
❑ Department of Public Works
date
❑ State Dept. of Transportation
Sigiiaturc/ date
❑ Fire Marshal
Signature.1 date
Comments/Conditions: