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HomeMy WebLinkAboutHot Tub 2001 Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-545 Permit Date 9/18/01 Permit Type Building Permit Code R4 Job Street# 14 Job Location PARTRIDGE HOLLOW ---- Map/Lot 028/005-078 Job Description Hot Tub Owner Contractor John Keegan John Keegan Address 14 Partridge Hollow Address 14 Partridge Hollow City Oakdale State Ct. i City Oakdale State Ct. Zip 06370 Telephone 848-3167 Zip 06370 Telephone 848-3167 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $5,000.00 Building Fee $28.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $250.00 Electrical Fee $10.00 Other Value $0.00 Other Fee $0.00 Total Values $5,250.00 C/O Fee $10.00 Comments: Plan Review Fee $2.80 State Ed Fee $0.84 otal Fees $51.64 Building Official's Signature '1 z - 7/ .�,« —t Date a //�/GJ It is the owners responsibility to schedule the following requirg, inspections (minimum 24 hours notice required): q ed): Li Footings -prior to pouring concrete ❑ Backfill -footing drains and waterproofing El Fireplace Throat ❑Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney -one flue above thimble ✓ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service Cl 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 occupanc Town of Montville Permit # 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 []AccessoryStructure 02'lum6ing 11111edianzcaC ❑Action flgDemoL.tion ❑ ❑ACteration ❑Other �E�ectrzcaC ?feating Air Conditioning Gas Piping Job Location ��� Pc r-` r ;d9 1--/6/16 t J Job Description/Materials HG r rt Owner T!/t, ee f 4,N Mailing Address /V fC t T r, d g e U//e,4) City OGKdu/C State C i Zip G6 37G Tel g6 6/ gsi 3/e 7 Contractor Mailing Address City 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 Date (' / / Cr / o, Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ J �� Town of Montville BuildingDe ` Department ment Receipt Date __ __/ / ? No. 01068 8 From: Sa), it...-ems Job Address: //� 160 Amount $ —'�_. --- -__ ' — _ Cash AIM Check # __ -- L, Received by _.) . c./h, ' Permit Permit Fee Calculation Spreadsheet 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 1 EA $ 5,000.00 $ 5,000 r Roofing Strip&Reroof SQ $ 210.00 $ Overlay SQ $ 175.00 $ Sheds With Electric SF $ 25.00 S No Electric SF $ 25.00 Deck SF $ 15.00 $ _ TOTAL BUILDING CONSTRUCTION COST $ 5,000.00 PERMIT FEE Building 5 5,000 $ 28.00 Mechanical $ $ - Electrical $ '50 $ 10.00 $ - $ - CO Fee $ 10.00 Plan Review $ 2.80 State Ed Fee $ 5 '50 $ 0.84 Total Fees $ 51.64 Based on 2000 Average Construction Cost 9/10/01 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-2866) Property located at / / PGf;-r r ,o/y e /--/e///o4,) In the town of Oc,,tlo% Name of building permit applicant: T G ,,, k 'e Y c7 H 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 § 31-286b, "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: I. X I do not intend to act as a general contractor or principal employer. [Sign and stop here] ,�j Signature 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) /4 Pk- 1066 brat ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: p PROPERTY LOCATION /7 l-r i e HO//p LG J MIP 2 o LOT S-7 F PROPERTY OWNER -3-0J 1 a l'�.4 IS e ey a h CONTRACTOR � Se/ CONTRACTOR LICENSE# —(l CONTACT ADDRESS / p " j U1' r' dg e Nal/a,r ., 0 x J4/.2 C r TELEPHONE �T - J/6 7 ZONE h Y O LOT AREA /- / / STRUCTURE AREA HEIGHT I NATURE OF REQUEST/PROPOSED USE k '2 to r T-I, QL1)i, A SKETCH, OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1" =40' SHOWING:DIMENSIONS OF THE LOT, THE SIZE, AREA, AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND WATER SUPPLY,PARKING FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES AND WETLANDS. A PLAN PREPARED BY A CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. Office use only YES NIA SKETCH PLAN OR GRADING PLAN 't 0 HEALTH DISTRICTANPCA APPROVAL 0 0 STATE HIGHWAY PERMIT 0 WETLANDS PERMIT 0 HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 0 HAS BOND BEEN FILED 0 I% FEE 0 CASH/CHECK# kF. ZONING PERMIT NUMBER 00 I-a 6.9l OR ❑N/A EXPIRATION DATE q j t 1 CZ 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. 4. CONTACT THE ZONING OFFICER 1848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. APl4',S SIGNATOR if DATE: 9 - /0 O / DATE r/3/0/ 0 2 w �'u �„ DATE / /8/(0/ COMMISS{ON 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 REV. 6/29/99 Nik Town of Montville Building Department 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Map/Lot Job Description: 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#: - Not Applicable Septic System Date Plans for Food Service Establishment Da ❑ Approved t Not Applicable te ❑ Permit#: )4 Not Applicable Private Well Date WPCA DEPARTMENT 848-7094 ❑ Permit#: \K Not Applicable Municipal Sewer Date ❑ Permit# Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Director 111 Permit#: Not Applicable Date POLICE DEPARTMENT 848-7510 ❑ Plan Reviewed 4 Not Applicable Officer in Charge Date PLANNING&ZONING DEPARTMENT 848-8549 72:Lorx.., y/i5/0/ Permit#: /-,,)(.0/ ❑ Not Applicable Zoning Date ot 113/0 ) ❑ Permit#: , Not A licable Inland-Wetlands Date pp FIRE MARSHAL'S OFFICE 848-1175 Plan Review Fire Marshal ❑ Approved Not Applicable Date _ .... -, = 1 --f-- „,-.•^Nt (1)1 ' V• .,_ ....., ."... , . ., ... gnit i- t gr. ,.., %Id NC v--1 C) 0 (NI ., ,..„ ...,,,,,, • ; ..... ... / .•';''''''j. 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