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2004 - 17x37 Inground Pool
TOWN OFMONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 _ TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: 82004-0673 Date: 09-Nov-04 Map/Lot: 028/005-074 Owner ID: 5370000 Project Location: 30 PARTRIDGE HOLLOW Unit: Job Description: Inground Pool Owner Name: Christopher and Jean Sullivan Tenant Name: N/A Careof: 30 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: Bronson Pools Telephone: (860)376-0605 DBA: Lic/Reg Type: HIC Lic/Reg No: 549287 129 Beach Pond Road Exp Date: 30-Nov-04 Voluntown Ct 06384- Construction Value Permit Fees Construction Information Building Value: $20,700.00 Building Fee: $168.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $1,035.00 Electrical Fee: $16.00 Construction Type: 5B Total Value: $21,735.00 Penalty Fee: $0.00 Permit Code: R8 C of 0 Fee: $10.00 Comments: Plan Review Fee: $18.40 State Ed Fee: $3.48 Total Fee: $215.88 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. ❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill - Footing drains and waterproofing ❑d R Electrical ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench-with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping ❑ Final Inspection ❑ Insulation ❑d Certificate of Occupancy x Building Official's Approval: S Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Pool Permit Application Form RECEIVED Permit OCTeBizf rD� 1 3 2004 Ej Above Ground Kin-ground E Electricat El Deck 0 Toot heater DEPT. Other Job Address 3 Co pen-4-i- 14.e /1 CI w (Number) (Street) (Unit) Owner Ch l/S + Tee► S u ib Uq h Mailing Address 3 0 pal 4- - /Ire //off City OW k c I.e State C+- Zip D 6 3 ,0 Tel 8600 / 84c / ?73 3 Se/--F Contractor 6 Mailing Address J'-et a eq ck poyc 2cL- City vo!urrTawh State CT Zip d 6 3 51, Tel$6o / 374 / 0605- Contractor's 6osContractor's License/Registration Type&Number MQ T.Mevilehte of Exp. Date /( / 30 / O' Si+? g 7 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. Separate applications are required for electrical,plumbing, mechanical, etc. Owner/Agent Signature / &_ ; _ _/ / Date /0 / / 3 / O if- Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ / 8,43 0. o 0 $ Electrical $ 00. O O $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ 191 ). 30 . 0 0 $ (See 4 verse side for additional requirements) 1.LCT/,C 14r% Ko vac- C 1-1rehs-ems !©53 Town of Montville Building Department Receipt Date / /7 / 0 V No. 04368 From: • _ �, - 4 , ! 0. / , f f Job Address: Amount $ cV�i Cash Check Check # 9.°2 (('ircle one) AOI Received • ; Permit #� 1 i Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ - In-Ground 1 EA $ 20,700.00 $ 20,700.00 Heater EA $ 3,465.00 $ - Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof SQ $ 300.00 $ - Overlay SQ S 185.00 $ - Plywood SQ S 105.00 $ - Plumbing Full Bath EA $ 4,230.00 $ - Half Bath EA $ 2,690.00 $ - Garages Attached, 1 car EA $ 8,885.00 $ - Attached, 2 car EA $ 15,114.00 $ - Attached, 3 car EA $ 20,914.00 $ Detached, 1 car EA $ 11,657.00 $ Detached, 2 car EA $ 17,456.00 $ - Detached, 3 car EA $ 23,256.00 $ - Sheds SF $ 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA S 825.00 $ 200 Amp EA S 1,500.00 $ Siding $ Windows & Doors $ Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ - Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 20,700.00 PERMIT FEE CALCULATIONS Fee Building S 20,700 $ 168.00 Plumbing S - $ - Mechanical S - $ - Electrical S 1,035 $ 16.00 Work Commenced before permit issuance $ - CO Fee $ 10.00 Plan Review $ 18.40 State Ed Fee $ 21,735 3.48 Total Fees $ 215.88 Based on 2003 RS Means Residential Cost Data 10/13/04 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 3 0 pat 9,2 In the town of O n-kLa Ie Name of building permit applicant: Ch1-i sivp - p -f- 1-24►1 L. Sw I f i u et 1" Please check one: 1. v 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 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. (i I do not intend to act as a general contractor or principal employer. [Sign and t p kere 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 irad hayecov;0:ge s! e files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this I day of bCi-o , 200 (Notary Public/Commissioner of the Superior Court) LISA TERRY NOTARY PUBLIC MY COMMISSION EXPIRES OCT.31,2007 Town of Montville Residential Pool Plan Review RECEIVED Date: OC7o3e _ //'Z0 v,,c OCT 2 5 2004 Job Address: SO fAl2.-7- t:7 ,t.,..- h('LLL W BUILDING DEPT. _ Job Description: We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263,your application is being rejected for the following reason(s)that are checked-off or commented on: • Supporting Documentation Door(s)to be self-closing or alarmed Plans are to be drawn to scale including dimensions o f r ooms and Deck plans required s aces and all framingPiers—size,material,depth below grade(minimum 42"required) p information(112.1) Indicate joist hangers at flush framing and ledger Building permit application not completed,signed,dated Stairs,handrails,and guardrails Permit fee$ Worker's comp.Affidavit or worker'comp.Insurance Direction of framing Copy Contractor's registration or license Beam spans,size,species,grade Construction permit sign-off sheet Framed openings Street address of project on all drawings and documents Joists—species and grade(minimum Fb and E),size,direction,and Engineering data for pool spacing Pool alarm affidavit Joists over-spanned Field set of approved plans need to be picked up from our office Headers beams over-spanned • Electrical Plan(s) • Plans X Time clock required Site Plan Pool pump ou et location _ ____ Property lines not provided 7 -neral purpose location Distance from propertystructure Wiring method not provided Structure dimensions _. Wiring type not provided Driveway Bonding of metal components Topography(existing and proposed) Proposed utilities Wetlands and flood zone limits and elevations • Mechanical plan(s) Plans LP-gas tank size,location and piping Pool barrier not proper Manufactures data for equipment Pool sidewall support brackets not protected Comments: 10ding Official r--+ , O• ; - 0 Ct (ID V1W V1 i P4 H x 0 ; H — 0 ; 411Ct 0 ! L ) p c b r., H ; c b.b.0 I ! cu cr) 0 0 Q W E 4 c:14 0 O 0 i O 0c O ! 000 te) 4 H c �- —� t .. 0cu 7N van W M i cu U c z 4 rn or, II c4 1-44 x 0 H 0 cu • N .5 ct ,.. W U 0 3 �' O Q V Gu cam, N ; 0 O VI . Ch'' ;-i 0O , 4"4 0 T.^ • '� 0 0 • � a) ; 0• Q0 g)a ; w tI" Q o w . 0 0 a c+-1 cuc� 'd v) 0 O0 0 , 0 • k� eas 333 r�� y}# C© 4D _ J , df • $ ''�. 3 t' �l.(Y>, iia lii r► /,• 4 »A G . •/,*.,,fie . 4,1-.-) j 7'.,..''ildW g4:1;‘..4hl'i4':' g a „ 3 asa r: /.. 1 lb I : ifp h I ✓.. b 1 i I El! d -' 10 , A, 1,ECIiii tuio I 1 _I__IT - I o ' 144;:l w, ,l 7 a�a �_� I 12 ,.., ''',1i :N. 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' .r= g, to .�,/ _'_.\ 1 m 1 J L ! I z' • •• v.. xy";j `! iti4it f 1w O = t2e ImperialClastic and l�M� pab15 Contemporary Series 11 lJ b.F P[rrvo . 'uvv . .o[u[ .co6ui.nvr6 U .00+ceurav e-.na rn mown. •.e III 11 r.r[.11.10.(5111)-7116-11. ,... .-i Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL SWIMMING POOL CONSTRUCTION PERMIT CONSTUCTION PERMIT APPROVAL :‹;D 147/0k) Property Address 4-0,1 c-k-trOuk,c1 Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval A / Tax Collector G�� � ,�/ /V o c..�_ Jo//3 lo �-- S gnn to date WPCA 1111110*..- c/ /D/3/0 y Signatures date Planning& Zoning Cdree,24, 4PG.4.4" //3/97 Signature/date ❑ Health Department Signature/ date Comments/Conditions: viseiSeptemfer9,2004