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HomeMy WebLinkAboutFinished Basement 2001 Town of Montville .4.. Building Department ...., Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-38 Permit Date 2/02/01 Permit Type Building Permit Code R4 Job Street# 87 Job Location PARTRIDGE HOLLOW Map/Lot 028/005-069 Job Description Finished Basement Owner Contractor Joseph Summers Joseph Summers Address 37 Partridge Hollow Address 37 Partridge Hollow City Oakdale State Ct. City Oakdale State Ct. ZIP 06370 Telephone 848-3425 Zip 06370 Telephone 848-3425 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $2,500.00 Building Fee $16.00 PlumbingValue $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $500.00 Electrical Fee $10.00 Other Value $0.00 Other Fee $0.00 Total Values $3,000.00 C/O Fee $10.00 Comments: Plan Review Fee $1.60 paid check Receipt#430 State Ed Fee $0.48 Total Fees $38.08 II -i Building Official's Signature✓ 1,,/. 3- moi.,.“ Date / 7 / D/ It is the owners responsibility to schedule the following re ired inspections(minimum 24 hours notice required): ❑ Footings -prior to pouring concrete LI Fireplace Throat ❑ Backfill -footing drains and waterproofing ❑ Fireplace Final B Rough Framing ❑ Chimney-one flue above thimble ® Rough Electrical © Firestopping/draftstopping ❑ Electrical Service ® Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation ❑ Final Inspection O Rough HVAC V Certificate of Occupancy-PRIOR to use or occupancy Town of Montville v.400 Permit # gPioo/-3' Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New construction ❑ Accessory structure 0 Plumbing KMechanical ❑ Addition ❑ Demolition Electrical '> Heating Xi Alteration 0 Other Air conditioning Gas piping Job Location 3'7 PArz-rrzi b GE NoLLot„/' Job Description/Materials epolsi4 �A54Mj-NT Owner os eel, CjUtnt�ell Mailing Address 37 PAR-TR DQE 140/4-0W" City OA K+DALE State GT Zip 41637o Tel.T3'60 -TIN- 34)2-5 Contractor o56'714 5.uMMepj Mailing Address 37 PAW R.tDGc HOLLOW City State Cr Zip O6376 Tel. Uo -$Y$- Contractors License/Registration Type &Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed work? ❑ 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 t e application for a permit for such work as described above. Owner/Agent Signature7° Date / /3a /01 ConstructionValue Fee Building $ 25o 0" $ /6' — Plumbing $ $ Heating $ $ Electrical $ .Ea $ /o-- Air Conditioning $ $ Other $ $ Certificate of Occupancy $ /o -- Plan Review Fee $ /. 6 o State Education Fee $ o, g n 00 Total $ ,00°— $ 3$. STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at 3 `? Pc."--4,---,cif,,, /---%'1-1,--- In the town of "-'jG"-tv,‘L . Name of building permit applicant: cS-.P4- CiY�h---c4 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 § 31-2866, "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.') I do not intend to act as a general contractor or principal employer. (Sign and stop h• _ atur--.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) 1-0z 5 RnQQ 0 UcN U--_ ■ W _li] W _ L„I mLL, zvC' KZ 2- g w Z ��Z Qz =m^ J 13. W Y Qa V --- Q S 4:::F^ O J Z Z a Z ,_a 3g 2 s. 6 Q . &O 3w Ce ,� I lel I, �``i e 1'1" E LLI 42) 7-9 t___:7 ' f 2 —4f1 o W Z W 4 a ix W CO J 8 I d u d I I-- Zs I 0 1 0 6' ' ) '9 1 S i\ ---, 11.4 LLJ 7? 0 0 � � Q •� � gn 3.c�`m in 'F v ,� ' UVC)Asli� • ��� © 7 7/a i," kbTadd ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: PROPERTY LOCATION 3 7 n/.)3217 I Q Ct 6 DOLL O L.) MAPa a LOT 5-Loci PROPERTY OWNER N CS $'14 SC1 M ML Tr_S CONTRACTOR 'os /-1 T(/t1VIt- CONTRACTOR LICENSE# CONTACT ADDRESS .3) Pf2472.j p6 /4,41_0 t.../ TELEPHONE 4/3"-:U"?---G"?---GZONE Q — O LOT AREA . l l) STRUCTURE AREA HEIGHT NATURE OF REQUEST/PROPOSED USEF//v/S(-4 ,'/ 5.e3-- iii-Ar, A SKETCH,OR PROVIDE TWO COMES OP PLANS DRAWN TO A SCALE OF AT LEAST 1':N•SHOWUIO pqENSIONS OP THE LOT,THE SUE ATEA, AND LOCATION OF E>ISIDIG, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANUTAEY RACILITfa AND WATER SUPPLY, PARKING FACILITIES, AND ADJACENT STEWS; DISTANCES OF PROPOSED STRUCIURUS mon PROPErlY UPSS AND WETLANDS. A PLAN PREPARED MY A CONNECTICUT REGISTERED LAND SURVEYOR HAY UR REOUQED. TNN PROPOSED USE SPECIFIED ABOVE SHALL NOT RE Amman=UNTIL AN ACTUAL CKR'.TU7CATE OP COMMA/ICE IS ISSUED BY THE CONEWSSION OR ITS APPOINTED AGENTS. Office use only YES N/A SKETCH PLAN OR GRADING PLAN )( ❑ HEALTH DISTRICT/WPCA APPROVAL ❑ ❑ STATE HIGHWAY PERMIT ❑ 14:2( WETLANDS PERMIT ❑ r HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 0 0 HAS BOND BEEN FILED ❑ FEE , ��CASH/CHECK# l ZONING PERMIT NUMBER p7() - 1-{LI- OR I V I((N/A EXPIRATION DATE 0 NO 2- 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. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. APPLICANT'S TUR �V i E: 0//` 07 7-437t d ' ' •> 1-CeI L 'DATE 4/6/ X /� DATECOMMISSION APrzer, AGENT i CERT ICAT 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 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. REV. 6/29/99