HomeMy WebLinkAboutDeck Around Hot Tub 2002 Town of Montville
Building Department
Date -y //y /oZ. Field Inspection Notice Permit #
Job Location 111 PA27i2_1 n G—C //G/.LG
Approved Type of Inspection '-J c k
Not Approved - Please call for re-inspection when the following corrections have been completed:
t -
Building Official
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ex.t 81
Building Permit
Permit Number: B2002-032 Permit Date: 14-Feb-02 Permit Code R10
Job Location 14 PARTRIDGE HOLLOW UNIT: MAP/LOT: 028/005-078
Job Description: Deck around Hot-tub
Owner Contractor
JOHN J+YVONNE M FRENCH MEGAN John Keegan
14 Partridge Hollow
14 PARTRIDGE HOLLOW Unit: Oakdale,Ct.06370
OAKDALE CT 06370 Telephone: 848-3167
Lic/Reg Type:
Use Group R4
Lic/Reg Number: 0
Code 1995 CABO
Exp Date:
Construction Type 5B
Construction Values Permit Fees
Building Value: $4,650.00 Building Fee: $28.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $0.00 Mechanical Fee: _ $0.00
Electrical Value: $150.00 Electrical Fee: $10.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $4,800.00 C/O Fee: $0.00
Comments: Plan Review Fee: $2.80
State Ed Fee: $0.77
Total Fees: $41.57
It is the owners responsibility to schedule the following reauired inspections(minimum 48 hours notice requested):
✓ Footing-Prior to pouring concrete ❑ Rough HVAC
L Backfill-Footing drains and waterproofing ❑ Fireplace Throat
E Concrete Slab-Prior to pouring ❑ Fireplace Final
❑ Rough Framing [1 Chimney-One flue above thimble
✓ Rough Electrical ❑ Frestopping/draftstopping
❑ Electrical Service ❑ Insulations
❑ Rough Plumbing and Leak Test ® F � �.,•
❑ Gas Piping and Pressure Test -r- -of Occupancy-Prior to use or occupancy
Building Official's Signature:
Town of Montville
Building Department Permit # COQ —O3�
310 Norwich-New London Tpke.
Tel. 848-7166, Ext 81 Uncasville, CT 06382 Fax. 848-7231
One& Two Family Building Permit Application Form
❑ New Construction 154 Addition ❑Alteration ❑Accessory Structure
❑Outer
Job Location 1y P a rr r:d p e f-la//o
Job Description/Materials DQ c k $ vc (91 ;ous/,1 y,srk Ira d ) / Sr4; rs
F�a,N eh% s7:•.y De ro Pryprsed Dec it 67°f-rt.-ca/ 'lc 0-• let9 rS •
Owner Tat_ Ica Q yam„ Mailing Address /y Par Tr d pc /6 pe
City ('/ctda/, State Cr Zip 06J7e Tel 946 / SiYJ/ 3/6 7
Contractor 5e / f 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.
Owner/Agent Signature DateO2 / O6 / 0.2
Construction Value Fee
ov
Building $ 5/6r v $ ,y?fl
Plumbing $ $
Mechanical $ $
Electrical $ /SD"r' $ /O " '
Other $ $
Certificate of Occupancy $
Plan Review Fee $ o? '
State Education
Total $ Y)'bo ' $ '//. �1
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Buildin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors
(Conn.Gen. Stat. § 31-286b)
Property located at ?Cir T r,
In the town of
Name of building permit applicant 3
Please check one:
1• 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,"aro ••............
P perty 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 willo
compensation insurance for all those employed on the job site in accordance proofce wiworkers'chapter."
Please check one:
I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
/`
ignature .'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 orkers'compensation
contractor, subcontractor,or other worker before he/she engages insuaance for perry
in work
accordance with the Workers'Compensationrkkon the above property in
Act(Chapter 568).
I understand that pursuant to §31-275 C.G.S., officers of a co
partnership may elect to be excluded from coverage byfilingaapoaiv rn and thetps appropriate a
District Office; and that a sole proprietor of a business is not waiver to haveith
files his intent to accept coverage. required coverage unless he
Signature of applicant
Subscribed and sworn to before me this
day of ,200
(Notary Public/Commissioner of the Superior Court)
Town of Montville
Building Department
848-7166, Ext 81
ONE & TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
�7 Por 'r, 61 9e 1-10//ol✓
Property Address
Job Description: f .o a,-ov., d l-i0 , Tvi,
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.
H DISTRICT 823-1189
❑ Permit#: ❑ Not Applicable
Septic System Date
❑ Permit#: ❑ Not Applicable
Private Well Date
)(WPCA DEPARTMENT 848-7094,Ext 86
je_v_e_L
a f 7 /U ❑ Permit#: ( Not Applicable
Municipal Sewer Date J \
❑ Permit# ❑ Not Applicable
Municipal Water Date
-IMIPPIRT—MENT OF PUBLIC WORKS 848-7473
❑ Permit#: ❑ Not Applicable
\ / Director Date
PLANNING & ZONING DEPARTMENT 848-8549,Ext 7
❑ Permit#: ❑ Not Applicable
Zoning Date
❑ Permit#: ❑ Not Applicable
Inland-Wetlands Date
Town of Montville Building Department Receipt
Date 4 / 7 / o..2 No. 01451
i kw
From: �UHtiI Vi-.5-64.0Job Address: /v I/ L47(I,DG4 /1 c 0c.A-3
I
f C Amount $
74/L- S? Cash 410110 Check # „9/641r,
(Circ e one)
Received by , Permit # doo
/3 a —
o3.2.. 1
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 SF $ 25.00 $
Deck 310 SF $ 15.00 $ 4,650.00
TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 4,650.00
PERMIT FEE
Building $ 4,650 $ 28.00
Electrical -
CO Fee $ 10.00
Plan Review $ 2.80
State Ed Fee $ 4,650 $ 0.74
Total Fees $ 41.54
Based on 2000 Average Construction Cost
2/7/02
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ZONING PERMIT
IT IS THEPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING
INFORMATION:
PROPERTY LOCATION / / P G r T r• CJ t //d MAP c-98 LOT J" /0
PROPERTY OWNER s 04,
, b e y a
CONTRACTOR e/ c CONTRACTOR LICENSE# q
CONTACT ADDRESS / Par T r;19 e //o//at✓ , �G,t d G/Q TELEPHONE a Vg' -3/4' 7
ZONE Re--k) LOT AREA 1- 1 3 STRUCTURE AREA HEIGHT
NATURE OF REQUEST/PROPOSED USE b-e r b
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 N/A
SKETCH PLAN OR GRADING PLAN
HEALTH DISTRICTIWPCA APPROVAL LI LI
STATE HIGHWAY PERMIT 0
WETLANDS PERMIT u ❑
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ LI
HAS BOND BEEN FILED LI 0
FEE °CASH/CHECK# ❑
ZONING PERMIT NUMBER J(.0-L I OR nN/A EXPIRATION DATE
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 (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON
COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION.
APPLICCAAN ' SIGNATOR Q� DATE: U
DATE /7 OZ- DATE
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
REV 6/29/99