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