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HomeMy WebLinkAbout2001 - 10x16 Shed Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-426 Permit Date 7/24/01 Permit Type Building Permit Code R9 Job Street# 30 Job Location PARTRIDGE HOLLOW Map/Lot 028/005-074 Job Description Shed Owner Contractor Lynn & Diana Demarest Lynn & Diana Demarest Address 30 Partridge Hollow Address 30 Partridge Hollow City Oakdale State CT City Oakdale State CT Zip 06370 Telephone 860-367-0306 Zip 06370 Telephone 860-367-0306 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $4,000.00 Building Fee $22.00 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 $4,000.00 C/O Fee $10.00 Comments: Plan Review Fee $2.20 State Ed Fee $0.64 Total Fees $34.84 I Building Official's Signature Date / /�' It is the owners respo o schedule the following required inspections(minimum 24 hours notice required): L Footings -prior to p•• g concrete ❑ Backfill -footing drains and waterproofing H 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 DLA 1(--(J.'IYIG�.Q ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: Dt h '•3 MAP LOT= ` -7 t( PROPERTY LOCATION 3 ���1`{�� IJ PROPERTY OWNER <-,--)1�Y\e" 4- }-�-kY\vl -E--V1/1A4- CONTRACTOR Cr - Q-- y�JZ-tO CONTRACTOR LICENSE# CONTACT ADDRESS TELEPHONE ZONE LOT AREA STRUCTURE AREA l HEIGHT NATURE OF REQUEST/PROPOSED USE nS\--",a\--",al� l 01\ ) OA A SKETCH, OR PROVIDE'IWO 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 A6") , ' SKETCH PLAN OR GRADING PLAN 0(' ❑ HEALTH DISTRICTIWPCA APPROVAL STATE HIGHWAY PERMIT ❑ 0 WETLANDS PERMIT HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ t] HAS BOND BEEN FILED FEE ❑CASH/CHECK# o70 ❑ ❑- f, ZONING PERMIT NUMBER U , — 0 ` OR N/A EXPIRATION DATE / I t I d 0 THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. FURNISH ALL NECESSARY , 11 " . • •N AND DOCUMENTATION TO PROCESS APPLICATION. 3. NOTIFY THE = , • • " ON OR ITS APPOI` D AGENT OF ANY ALTERATION IN THE PLANS. 4. CONTACT T E ZO I I. a FICER (848-85491 •T LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPL:TION •F 131-OJ=CT TO ALLOW Z•NING OFFICER TO INSPE T c �/ LO� •TION. LIY / J X J�/ APPLICANT' SIGNATURE —.AL—.ALDATE: ( Il CJ i ) DATE /ts \. 'd DATE T 18 f d I 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 Town of Montville Building Department Receipt Date 7 / /or--"/ 07 No. 00915 10 (-- -) From: -D/f)ev4 !WAI2,(S7— Job Address: .30 4A7,e/Dco,E" /1-440c.....) 11P Amount $ ;V . p{ / , Check Check # _ (Circle one) Received by /: ., / — Permit # P9Q0/— yah 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 160 SF $ 25.00 $ 4,000.01 Deck SF $ 15.00 $ TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 4,000.00 PERMIT FEE Building 22.00 Electrical $ - CO Fee $ 10.00 Plan Review $ 2.20 State Ed Fee $ 4,000 $ 0.64 Total Foes $ 34.84 Based on 2000 Average Construction Cost 7/18/01 I L /G r!2 5`'4j r 24p/1Vcfacvii, (moo/Su.iic✓i Q � T(� oo c� "1 1eurfP • (:). 't • ci - 1-4-t 0 ,fr a / t-,_ c„, _> o o ~� . N tea' ' to LU z D e .p e 4._' V k-- a .S ire ,.t W 0: m g cerge M -4- Ell a v o a)> .'I II v -8 a 0 ,l 2 2 ° oo0 0 m � 000 �m �� 0 4.E . O 8 8. 2vu. O• .. � CO Nm fe C ►:Q U O C1 C t >. 'd H N c > .c � o a) • \ ,--1 ^d O a > N OO .\ , W a cu �) to . (461, . .(:.-1 II poi-- pv r" r l 14 o -d 7' 1i'THt� II - t(,-tit , w • va I f 'c o c , \ Q 0 I#12 T ii N/vac,.,,, 1 to71r7cccoc-- x AT PAivEw Town of Montville Permit # BP -day y� 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 ConstructionAccessory Structure ❑cPlum6ing ❑!Mechanical ❑Action ❑Demolition ❑ECectrica( .{eating ❑Alteration ❑Other _�1irConditioning Gas(Piping Job Location 30 Pfkrktkr. Job Description/Materials 1 D X . 1\--e (Cokr-g•—q 0 �Y _ t 46-) Owner L---k 41 (�y\(i — Mailing Address City r„,1),,7 0,,,Q x StateC Zip%d2 ��(7 Tel 1mdik / "D *-1/ .tr)(0 Contractor A1 QF�� N-J►lOi 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 pr..os,. • ark will confo , =B • ' ding Code and all other codes as adopted by the State of Connecticut and e Town o ontville . d furthe attest that the oposed work is authorized by the owner in fee and that I am authoriz:. to make apcatio for a permit or such work as ,cribed above. Owner/Agent Signature Date ` / ir / \f I Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31- 86b) Property located at B v Vt-A-A(Vc" I b .(5\.).3 In the town of MC.X\1 vCe Akcd1 Name of building permit applicant: i cb -6 —1 Please check one: I. 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 'of inten•‘, o act as : general contr for or principal employer. ib- [ [ • 1 1 I ; Sere X Signature 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) S0_6'24'41"E __ 309.08'(TOTAL) r -_ 54.09' 156.33' 98.66'' 46�r s - - - 4 1 Q 40-• ; 464 - FOOTING DRAIN F,_-- OUTLET 466.6' I 3:, 51 -466 -- I I � 0 ...46a-_ _ � 03 24' X ' o u m ISAED OR POOL24FUTURE AREA (9 I'. o -472- --\- -. . LOT 74 \ 38,362 sq.ft. J �o 11� 0.881 acres �6 _ 474- _ _ _ . _ _ _ o I SF poo L 1. — L0T73 LOT No 75 \ ,__ 10' X 12' WOOD '. I I DECK AND STEPS ' I, I / Iii 48.0' \ PROPOSED HOUSE ,,, - I I 472 I N FF m 478.0' A (n I I o GAR. 476.0' o M 28.0' �I reewrip a I, o PORCH I. / I % I I (r 40 FEET 0 20 40 (C 55_56' 393.09' SCALE: 1"=40' 0 48 0' L=64.44' -- N06'58'47"W 448.65 '(TOTAL) 0=12.53'04" PARTRIDGE HOLLOW R=500.00' �l T=56.46' L=112.44' - LEGEND `— _ - -- PROPERTY/STREET LINE — YARD/SETBACK LINE 432- --- -- EXISTING CONTOUR 41" PROPOSED CONTOUR DATA ACCUMULATION PLAN SF SILT FENCE PLOT PLAN LOT 74 ROBIN HILL ESTATES TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP #30 PARTRIDGE HOLLOW IS SUBSTANTIALLY CORRECT AS NOTED HEREON. MONTVILLE, CONNECTICUT ,/ /1110." _ _ A _ : 1 "=40' DATE: MAR. 08, 2000 _ ,asiziou'r BY: BENNETT & SMILAS ENGINEERING, INC. ICHAEL J. BENNE, R.L.S. #10831 415 KILLINGWORTH ROAD, HIGGANUM, CT 07/18/2001 14:31 8608484354 WPCA PAGE 01 Town of Montville Building Departtatot 648-7166 CONST. . . .ON PERMIT SIGNOFF SHEET C73 C) INV Qay�" Pr•I"- Address ,pitot )b D es+rription: - .. S • e cwnet/agent shall be responsible (or the completion of the form, no construction permit will be issued until all natures below have been obtained. ALTR DISTRICT873-1189 ❑ P— #: 0 Not Applicable — Septic System Date — ❑ Approved L1 Not Appfiicatrk Plans for Food Service Establishment c Permit At: _ _ 0 Not Applicable _ _ Private Well Date _ P CA DEPARTMENT7' _^ _ ---SOLS-7094 tr'. _4 . r =I--- Permit Pmit Si: – )4\Not A,'vplicahle e<ur icipal S - " arc �T_ 0 Permit H ❑ Not Applie be sic Water Date - EPARTMENT OF PUBLIC WORKS 848-7473 74;3 __ ❑ Permit ip _ ❑ Not Applicable Director s . c DUCE DEPARTMENT848-7510 _ _ – --.�.� ._�_ 0 Plan Reviewed 0 Not Applicable Officer in Chace Date _ L.&IQNING&ZONING DEPARTMENT84g-8549 Mr LI Permit#: a Not Applicable Zoning Dot 0 Permit II: — ❑ Not Applicable __ Inland-Wetlands Date IR ) E MARSHAL'S OFFICE -- 848--115 Plan pp Review 0 Approved 0Not Applicable – ---- 1 irtAhsrsfiati--- Dili--__. _ 1olli Jd3ta `Jx1CCII.7B 1CZLM Tlid ZC:ZU 10'BI,40 Town of Montville Building Department 848-7166 CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET Property Address ap/Lot Job Description: The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures be •w have been obtained. HEALTH DIST' CT 823-1189 Approved ❑ Permit#: ❑ Not Applicable Septic Sy - Date Inspected and ❑ Approved ❑ Not Applicable Food Service Establishme Date Approved ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-7094 Approved ❑ Permit#: ❑ Not Applicable Municipal Sewer •ate Approved ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved Permit#: ❑ Not Applicable Director Date POLICE DEPARTMENT 848-7510 App eyed ❑ Permit#: ❑ Not Applicable Officer in Charge Date PLANNING & ZONING DEPARTMENT 848-8549 CM-hti c,ek(DGCL In-Compliance 4%16iPermit#: �6 ❑ Not Applicable Zoning Date l In-Complian �' - 11%16 / ❑ Permit#: Not Applicable Inland-Wetlands Date FIRE MARSHAL'S OFFICE 848-1175 Approved Permit#: ❑ Not Applicable Fire Marshal Date