HomeMy WebLinkAbout12x16 Porch/deck Replacement 1999 Ilk
Town of Montville
Building Department
Tel. 848-7166 310 Norwich New London Tpke. Uncasville , Ct. 0638 Fax 848-7231
11) Permit Numbe I 99B28 I 2) Permit Date 12/6/99 113) Permit Type Deck
14) Owner! Malvin A Carlson I 15) Mailing Address 12 Penn Ave
16)City I Oakdale I 17)State Ct 8)Zip 06370 19)TelephoneI 859-0595
110)Job Location 12 Penn Ave 111) Map/Block-Lot
12) Contractor Malvin A Carlson I 13) Mailing Addres 12 Penn Ave
114)City I Oakdale 115)State Ct I 116)Zip 06370 17)Telephone 859-0595
118) Lic/Reg Numbe I I 119)Type Lic/Reg
20)Job Description Replace wooden porch
121)Size I 12x16 I 22)Type Heat 23) Use
Building Value $1,000.00 Building Fee $10.00
Plumbing Value $0.00 Plumbing Fee $0.00
Heating Value $0.00 Heating Fee $0.00
Electrical Value $0.00 I Electrical Fee $0.00
A/C Value $0.00 A/C Fee $0.00
Other Value $0.00 I 'Other Fee I $0.00 I
Total Values $0.00 I 'State Ed Fee I $0.16
C/O Fee $10.00
Plan Review Fee $1.00
Total Fees
i / -
Building Official's Signature , . , i �, .e-c Date`
Required Inspections
Footings-prior to pouring concrete Rough Heating and Air Conditioning
Footing Drains/Waterproofing -prior to backfill Chimney -above thimble
Framing Fireplace -throat and final
Rough Electrical Firestopping
Electrical Service Insulation
Rough Plumbing -leak test required Pool Bonding and Electrical
Final inspection for Certificate of Occupancy
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Town of 5frlontvtCCe � p
Budding Department 9 G 6
310 Norwich-New London Tpke.
ZJncasviffe, Ct. 06382
Tel: 848-7166 c'ax 848-7231
Applicationfor Building or Trades Permit
Owner: j/.q /01'4 4 a!- I S d n MailingAddress: / p2 ie__ , G V �_
City: Ce kd I State:C 1— Zip: Q 6 3 70 Tel: / Fs7/6 C-- 5.--
Job
"Job Location: ) Pc-A n Fh.e_ Map/Block-Lot /Contractor: /%-Gl 13,-,1 19 rat-lie)--) Mailing Address: ✓vt -e___
City: O 4--'01ac,1 e State: +- Zip: d 6320 Tel: /F59/ O5-SS
Type of Permit
❑New Single Family ❑New Two Family ❑Addition ❑ Commercial ❑ Industrial
❑Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing
❑Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical ❑ Gas
❑ Retaining Wall [X,Deck ❑ Pool ❑ Patio ❑ Porch
❑ Demolition ❑Siding ❑ Windows ❑ Fireplace ❑ Chimney
Job Description/Materials: (g e_ W c.,o de._.-, ffo {t
Size
j 5c i a, 1 Type of Heat Use
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.
New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed
work ? ❑ Yes ❑No
Owner/Agent Signature L-,G��� Date /A / ' /7
Contractors License/Registration Type &Number
Construction Value Fee
Building $ $
Plumbing $ $
Heating $ $
Electrical $ $
Air Conditioning $ $
Other $ /7 f/ l'c9 O, 'c' $ /o
Certificate of $ /e,
Plan Review Fee $ /,, o 0
State Education Fee $ o ,1 6
_
Total $ l 00c) $ -$ Z z-,./6 4lea.(.__ c.,,rit
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ZONING PERMIT
ZONING PERMIT NUMBER OR gN/A
EXPIRATION DATE
PROPERTY LOCATION /
MAP LOT
PROPERTY OWNER 1 c (/,,r ,1 0 (tut /Sc.. -
CONTRACTOR �ez/L.)r al-11 S CONTRACTOR LICENSE#
CONTACT ADDRESS TELEPHONE ?-Q p'
ZONE LOT AREA
PERMIT REQUEST eir) r Oe-c-4 - C i e S /z G Q-1, -�
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IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION:
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.
SKETCH PLAN OR GRADING PLAN OYES N/A
HEALTH DISTRICT APPROVAL
DYES [JWA
SC �r c
STATE HIGHWAY PERMIT
DYES pNiA
WETLANDS PERMIT
OYES [AN/A
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY DYES cgiNo
HAS BOND BEEN FILED
OYES (oN/A
FEE
0 CASH ❑CHECK# ❑ N/A
THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO:
t 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.
APPLICANTS SIGNATURE Gi DATE:
COMMISSION AGENT '/ DATE
vv CERTIFICATE OF COMPLIANCE DATE
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE
CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT
LOCATION.
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