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Home My WebLink About10x12 Shed 2001 Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-337 Permit Date 6/19/01 Permit Type Building Permit Code R9,___.____ Job Street# 7 Job Location PARK ROAD Map/Lot 097/038-000 Job Description Shed Owner Contractor Alfred Nixie Sheds USA/Home Depot Address 7 Park Road Address 816 Hartford Turnpike City Oakdale State Ct., City Waterford State Ct. Zip 06370 Telephone 848-3920 Zip 06385 _ Telephone 437-1900 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $3,000.00 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 Values $3,000.00 C/O Fee $10.00 Comments: Plan Review Fee $1.60 State Ed Fee $0.48 Total Fees $28.08 II Building Official's Signatur= L/ Date I ZP/b It is the owners resp• s' ttvv o schedule the following required inspections(minimum 24 hours notice required): ❑ Footings -prior to •• ng 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 P Final Inspection 10 Rough HVAC C/ Certificate of Occupancy - PRIOR to use or occupancy Town of Montville Permit #f /IA2LSC'1"'j-j 7 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 ❑Accessory Structure I Plumbing ❑9rfeclianical ❑Action ❑Demo6tion L ❑Electrical 7feating Alteration NOtfier S7 J 1A q e Shed d Air Conditioning ,p v ✓ Cas Piping Job Location 7 PA/1 !i No Ad CAxcA L e I C T, Job Description/Materials /0 /X /a. ' 51164-- Wood A-sphA L t s1, %vy1 t". 0i1/ CA/.16)- el_ Roos, Owner At F414---P o. //,x E Mailing Address 7 /1),4 i"K Rd City d 4 Kd,4 L. e state c / Zip a‘370 Tel g60 /87/8"/ 3 9�0 I /fang f'. Contractor 5 h ed 5 (,, S4 ait�;�p o 7" Mailing Address 'i 6 H.4 i, n e, F-J ru 1/0I KC City Wit re 10 rd / state c.? zip C)6 3 RS. Tel SCO 159 7 / /9do 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. tqq Owner/Agent Signature( 4) '-.2/(1Date C4 /coo / Os l CCCCCC Construction Value Fee Building $.......?.,...2-1-3-r-6-31 o oc•-- $ k Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ /0 Plan Review Fee 1. rA $ _,46.-----)•*'o State Education ,�vc Total $ 23--Y=5:74115— $ Z,07 Town of Montville Building Department Receipt Date 6' / ZS / a No. U083( From: Job Address: 7 1.20.4.t._ )Zo 6.0) - Amount Received by $ ZTO _ Cas Check Check # (Circle one) .e,� Permit # gp oo 33-7 J • cup,,, Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Above Ground Round EA $ 3,000.00 Oval EA $ 5,000.00 In-Ground, including fence&patio EA $ 18,000.00 Roofing Strip&Reroof SQ $ 210.00 Overlay SQ $ 175.00 Sheds With Electric SF $ 25.00 No Electric 120 SF $ 25.00 Deck SF $ 15.0n TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 3,000.00 PERMIT FEE Building $ 16.00 Electrical $ - CO Fee $ 10.00 Plan Review $ 1.60 State Ed Fee ., $ 048 Total Fees $ 28.08 Based on 2000 Average Construction Cost 6/12/01 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors a� (Conn. Gen. Stat. § 3I-286b) Property located at / /�,4}'k r0 d In the town of fliN l'V tL L C Name of building permit applicant: AZ FRED Q A/ixiE Please check one: 1. X 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 § 31-2866, "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. X I do not intend to act as a general contractor or principal employer. [Sign and stop here] '97, o Signatyrfe 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) Lot numbers refer to map titled "Subdivision Map, ;„,itville F"anor, Sectiox, 1, Property of Barber & Stev..•„ ss Inp., Mcintville, Conn. ;Scale 1" - 4.0 t , April 19,. 1960,' Certified Substantially Correct, Morton- 3. Pine, C. E. - L. S.” ..:, . ( 5 ‘.. \ .. k „._f,). a : � ( 38 ) . . ' =s ` D'X I � ShG tot - ,/ • n .. -c5.ce + . r. a�, .E, 37 \j l . G!. " • - ( �- C ..„. . ?. _ ____ .4,. ` 6.5 :c ------- - --_I . t I !:F:':'., . ' a.! . . . . . . . . • i:.. i. :(5(t:i 'i' . ' . is :. ;. ;': :...._ . .. i . . , (.. .. _.i' . , i..- -... :Z, II. , aul.1 •t._n .{!...4 ... .. ter..-..,...,,4. Foundation located as shown y' . --- • • PROPERTY OF lereon. July 27, 1960 HOLIDAY, INC. q^� . = _ MON TVI LL!': MANOR I hereby certify that this _ OC _VZ LL!' , CONN . •map is substantially correct , •• SCALE 1'* ,�0 July 27, 1 and no zoning regulations .•: have been violated. . ,,.,.•�' V RTON S. FINE, C.E.-L.S. ...---1HARTFORD, CONN. 4' 0 o 0 0 0 0 0 0 0 0 0 a� ,- o000000000 . > U ��' v, v, V"1 v1 vl v) �. vn tt len L 'o O 00 I/ d S = oo ^ VM1 M �"' E�. .: . ti C' > U 6496'94.„rl 4,6Ms 4„rA on ' „ y �" 1 �° .c: . „ O O oA "� C� • t� x y i,,, O 0000000 00 O 00 iL cQ g j '" ❑ 000000 O O O O Ca k ... O t O v; v) v.i vi vi vi v-i M _ {N.� 0� C "O O N �O 7 M 00 M M V'1 L r4 M 5L I 1....., d O -y N 3 0p. _I NN on en N N N N N N OM M on v aD '° x G, s9 s9 vi-s9 s9 s9 s9 69 =, 3 ` , z c O l%') _v' �y 4.... , e, y r „`" °� p C00000 O 00 O C/� M al� ( -o t; - �• .� 4 O -a 000000 O O O O a F 01 y y (f+ U Vl V V V V v M r N - + N O 00 N 4 -. CO ,O s.0 M 1 ,� O O b y ,., r- O -. MvnNvn00 \o 4 �, ao OL C cc el Z > F u��sNs�sNs� � � � � ~ V 421 5' Imo+ 4. 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N * * * v ' • • 0 • C Town of Montville Building Department 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET 7 P,4#K Rd.- a4Kd-4 L e Property Address Map/Lot Job Description: IQ r' /:L' Seo y e SA e al The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 823-1189 ❑ Permit#: 9 Not Applicable Septic System Date ❑ Approved ❑ Not Applicable Plans for Food Service Establishment Date 9 Permit#: 9 Not Applicable Private Well Date WPCA DEPARTMENT 848-7094 ❑ Permit#: 9 Not Applicable Municipal Sewer Date ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 9 Permit#: ❑ Not Applicable Director Date POLICE DEPARTMENT 848-7510 ❑ Plan Reviewed ❑ Not Applicable fficer in Charge Date PL• ► t G &ZONING DEPARTMENT 848-8549 (4.. ❑ Permit#: �9/-/1 7 1:1Not Applicable Zoning D to (P'/&/O / 9 Permit#: /y//9 9 Not Applicable inland-Wetlands Date FIRE MARSHAL'S OFFICE 848-1175 Plan Review ❑ Approved 9 Not Applicable Fire Marshal Date JUN—19-2Pa1 14:0? SHEDS USA SO34367320 P. .01/03 • ,- : ,'1•i,:'"'a4", r -•,•:.E';''''...-11,••.'"_.,.-`i-.7,.a...',..xi � r,• } rf { c �i _ SL ',,t,„4.-J; y� . "'Yf•,• v ^Nr 7AC', �t —• . 1' . 7 � yr•��' M ±• e711-f...• ,, { -' , r i ' -,) .4,,1, i :-.`4.-.'i'',.. '1.' ,t rff g } ":x;n�a ..i.‘..,..•••••,_': 4-,� t} \l ',. ;'1 _ Crtt ,;',.....,.1_,..,,17'!..:•;:,..1:"11471t: 'tf r '1 +rr :'C 4iGI' {1; hjJ , ^ r 1h .10,t.::7-`.',"::::- 'I N { .tis - ".�,• �1i.k.`'Ti L ':i ,;t};c; JUN-19-2001 14 09 SHEDS USA 6034367320 P.02/03 Issue Date CERTIFICATE OF INSURANCE 315/01 .. Producer __ . .__. _..__..,�_.� 35807 ' This certificate is issued as a matter of inforraatiun . only and confers nu rights upon lite certificate Sigjria - huller. This certificate dues nut amend, extend or u +/ Woitcera'�'umpensahva Trust alter the coverage afforded by the policies below. r:/o Comp-SIGMA Ltd. Companies Affording Coverage PO Box 5313 Concord. New 1-lanlpshire 03302-0538 totrotMrN.ttNY A Granata State Workers'Compensation Manufacturers Trust COMPANY LittTkk B Employers Reinsurance Corp. Shed's USA - 399 Rustic 4 This policy is effective at 12:01 a.tn. on March 5, 2001 . and will Barrington , NI-I 03825 expire at midnight on December 31, 2001. This policy will automatically be renewed unless notified by either party by October 31 of any fund year. CO VII(M KS 'ibis is to certify Mat the Workers' Compensation and Employees Liability Insurance has beim issued to the insured named above fur the policy period indicated. nut withstanding any requirement. ier111 UI'condition of any contract or other document with respect to which this certificate pray be issued or may pertain.the insurance Worded by the policies described herein is subject to nil the terms.exclusions and conditions of such pi IieieN, Type of Insurance/Carrier Policy Number Policy Policy �� LIMITS Effective Expiration Workers' Compensation I:aech Accident Unlimited d'c Employer's WCO101 178 3/5/2001 12/31/2001 - th.tivy limit UutittLiled GSWCM l/Sigma-One i)lseIISC . Each Employee Unlimited Excess Insurance 0513708;3 1/1/2001 12/31/2001 W»rears' C;nit,enxaititrn Unlimited t_anl)loyerx Reinsurance Corp. Employer's Liability sl,ault,ullo Deseriplion ur Operations: Athlitiunrtl insured: LI?It'I'l ICA'I'E 1101.1)RK CANCELLATION Shed's USA Should any of the above described putie.ies be canceledt before e 399 Routeexpiration date`thereof, the issuing company will endenvor io marl 30 days written notice to the Certificate holder named to the left, but Barrington , N H 03825 failure to mail such notice shall impose no obligation or liability'of any kind upon the company, its agents or representatives. Lto0 afik-h. slo I Authurlxed Representative, Sigma-One Utile JUN-19-2►001 14 16 SHEDS USA 6034367320 P.�3�G3 Sheds USA Inc. Delivered. Built. Guaranteed Roof Construction Roof Hem Walls 7/16" OSB 1 1/z"plywood 6ft wide peak- 8' 2x4 construction 2x4 construction, 24" on center 8ft wide peak- 8'3" Siding Types: T-111 Self-sealing asphalt shingles 8ft wide gambrel - 9' Pinewide peak- $'11" ton 1Qft Pine (tongue & groove) Cedar (tongue & groove) loft wide gambrel-9'5" Wall Height = 71" (Approx) 12ft wide peak-9'6" Ext front gable front wall =75" (approx) 12ft wide gambrel- 9'10" doof 41 -----7,---.i-.: -. .::-.. - ----*_7:::-- , -=... ::7--" L...,-.. ... Allow J." 1. i t J pirirr--, /,./p* p: .4 ��'rT� lfq .C •� •� Iii 1yn f r7 /• f1 1. 1•' . ' J,A.1 d ��J I fi t, t IJi � •�+� f i _-,C it.„: 1 ..\ It!: ,1 # . ',.` 1 ".1 1.,—,. , -,,t: --rai-- —"Am. , I S J -. , mili 4 !, !i ,• r ... ice+ ',I w • •y Jjr/ 111 -- Vin-' d` flow=s Doors ize: 18" wide x 22" tall (approx) Standard and 40" double door r unctional, side hinged 5/8"plywood/OSB ►dudes flowerdbox e shutters Optional 54", 66", & 78"double door Floor joists are 16" on center dudel window screens Optional 26" single door 10' & 12' wide sheds = 2x6 6' & 8' wide sheds = 2x4 Concrete block support OTE: Options may not be available for all sheds. Call your Distributor or SHEDS USA for more information. Shed Diagram—MI Distributors 04/OI TOTAL P.03 7 ?x_. `KD ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: PROPERTY LOCATION 7fARK /? iAd MAP _ LOT 1' PROPERTY OWNER A Z. FRED 12, 4/,x/c CONTRACTOR S -6L CONTRACTOR LICENSE# ��11 n CONTACT ADDRESS 75.1:7HONE V 1 3 -3�� o ZONE y v LOT AREA , 3 STRUCTURE AREA/0 x%:Z HEIGHT 9/ NATURE OF REQUEST/PROPOSED USE STo/''49 e 5'1 P4 - GA I^cI eAi 4- )/A Nd Too LS ,t Pin,//am e Al 7 /0K/Z A SUITOR,OR PMORI N Two COPIES OP PLANS DRAWN TO A SCALE OP AT Lamar is N'SNOWING.INIERNSIONS OP INT LOT,THE SUR, AIWA, ASO LOCATION OP INN TI G, PUOPO$la, PRINCIPAL AND ACCESSORY STMCIUNS, DIJVEU►AYS, SANITARY FACILITIES ANO WATER SUPPLY, PARKING PAC*JTRS, ANO AD1ACENT i.wt f DISTANCES OP PROPOSIP STRUC1INS PROM PROPOTY LIMN ANO WETIAIOS. A PLAN PRIPAOp NY A CONNECTICUT■EOISTEEEO LANG SURYRYOR MAY UP RlQRINa. TIER PROPOSED ESR SPRC1lRa mow SHALL NOT IN AUINORIZESI UNR AN ACIUAL CElIUIICA1U OP COIOUANCR IS ISSURU UY TRE COIN ISSION OR ITS APBONISEP mums. Office use only YES N/A SKETCH PLAN OR GRADING PLAN 0 0 HEALTH DISTRICT/YWCA APPROVAL ti3 0 STATE HIGHWAY PERMIT 0 WETLANDS PERMIT 0 HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 0 ISI HAS BOND BEEN FILED .i FEE . HECK 1t 0 ZONING PERMIT NUMBER 9V/- I `' 7 OR nWA EXPIRATION DATE (o/ %1O 2- THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION. 3 NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. AL CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. Q. TS SIGNATURE ,- :.L ., 1 d : TE 0 _ 10_57. O l / Z& 1' E) tw+��'y DATE M/ `IF �w `r- DATE /c/! a/ COMMISSION AGENT CERTIFICATE OF COMPLIANCE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION.