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HomeMy WebLinkAbout12x38 Deck Around Kitchen TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2017-0354 Date: 15-Aug-17 Map/Lot: 072/025-000 Owner ID: 3929000 Project Location: 135 MAPLE AVENUE Unit: Job Description: Build Deck Around Addition Owner Nam Thomas E Simone Tenant Name N/A Careof: 135 Maple Ave Uncasville -LL— 06382- Telephone: (860)859-7942 Applicant Name Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $1,000.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R10 C of 0 Fee: $1000 Comment Plan Review Fe $3.00 State Ed Fee: $0.26 Total Fee Paid: $43.26 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. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test © Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: n © Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approval El Certificate of Occupancy ,�� n Building Official's Approval: �....,zt�/�`'r- / „e--r,,o<-7..--- Town of Montville Building Department iii 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No. 8a31 1 -05.94 35`x' Type of Work Occupancy Type P rmit Type ❑ New Construction 0 Single Family Building ❑Addition 0 Two-Family 0 Plumbing aATteration El Townhouse 0 Mechanical al-A-ccessory Structure 111 Electrical CRS#: / Property Address: 1...t5- m d /e au e (/t..L Caps 0, I('e Lit- o c -s (Number) /� (Street) (Unit) Job Description: S t^ti Led (2- a�-o« arc(� eeS t l t o LA-- Owner: . t a` S vN o ti - Address: C 5 A/t oo Q. cY u ^q City: I`N e et-S u t 11 e v State: 6 ( Zip Code: 0 6-g�d`Telephone(at7V ) - - //'o4 Applicant: 0 cn•.a Stu-` O A -e... DBA: I/ o (4 e 0 Lti tA e c-- Address: (. 1 C 1�/D(e 4 v r 9 �+ Q/ q �j City: U ti Ci a S U t �t-e State: et Zip Code: 0 6 -S aoZ Telephone(v moo ) c2 9 7 Contractors - Complete the Following: License Type: License No.: Expiration Date: I hereby certify that the proposed work will conform to the State 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 fr such work as described above. vBy checking this box, I will follow the requirements of the 114 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements"n chapters 34 thro,. e of the Residential Code. + AO Owner/Agent Signature: d - 1 • ' Date: V/ S/> Construction Value Permit Fees Building Value: .-OO, C D Building Fee: telitAk,3G£L) Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: `add.®a Penalty Fee: C of 0 Fee: \D.CC) Plan Review Fee: -00 State Ed Fee: ,o1..0 Total Fee: 43.c p G (A) Vtb I RA23,2007A 3 90)1 06 to/La+ 0 Jo as--- ooO Town of Montville Building Department File Receipt Date: 15-Aua-17 ReceiptNo: 12558 Received From: Tom Simone Job Address: 135 Maple Avenue Town Fees_Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: 10.00 Bldg Check: 143.26 State Check: $0.26 Bldg Credit: 10.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1.000.00 Demolition Value: $0.00 CheckNo: 184 op Received By: Carmen Kneeland cco.AA,,,, 4,1 m • p1 Yri , td vNv State of Connecticut N 7A ,, Workers' Compensation Commission �tr,_, i0� Please TYPE or PRINT IN INK cc Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit Property located at in the City/Town of . ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to-have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: lF� I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer Signature ofOWNERApplicant-- - _ .L Y1❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer 1 D#(FEIN) Signature of SOLE PROPRIETOR Applicant Iti Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL t--krk-oi.,,,..a. G(v4.1cv ,- ofouf,- ( 3 9.. 9000 Its Ot le 0 00cc,„0( i( d 1 d 6i ,S),k pviq /Lb-t Property Address S (A.41l. (.1-\ 'ed k a 0- 0 „, ,J vcidt,, , Job Description Required Department Permit Issuance Approval Approval ' Tax Collector �al,c2,-'`-�/h--c -- 7/,.9//-7 Signature/date Comments: ® Fire Marshal 4j, -60f1 Signature/ur /dao Comments: ,.., /Or . .7//47' . -7 ® Planning & Zoning Required for all permits except ,- nature/date Plumbin. Electrical Mechanical Roofin. dows&Doors Health Department Zu I-3- Required for properties with private septic or well Signature/date Comments: 115- WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Final Inspection Revised"March23 2015O(^' e••-�% 3 ! O� (00 D ql.)/Loi 0 5est/0,s-000 fs 1►h '"}tea 57 .,1QIs 'xC° 09S--"an,Z)4-6111421)1h7117 is)"74 A x t d1"est ,1, a&(,) )19 S. v,4,tro-nirw 10 -eta -ot 1 l... � v � ,.rU�v� . ) )0 -v►O4I 41 (-1 r.. vi a�s •24 n Q� \7: 0 7 Ty 19 °. / ,-S. / r§:1:c2..._,A •e_._ SI �0 s_ sli=1- = i ,91 1 I, 1 ' / 11 9/ II � I 1 II 1 / 1 i$ 1 f 1 I— II1 ') - i )► 9 1 OZ 5.---- 11 11 11 11 11 1) 1 i Q 11 P 11 Jl((k-e cf' I 1. . . F ! '§ 1) .. 1 d 't; I , 6 I, / 14 £ JA/ —s ?pec,�ld-A 7.0� ss o1►'v� ` �J ZI 11_8h .nosn �, ....,........)-.0 "1', 1 )'a ....r) a o 1 ,,r —io �- ,�a ,J,j,vr 9 Cndcc.0 ,cis'Yi/� '/ "II," �1voS 1 , (YKe.d ?7i8/t7 W54,. 1 ONE*T ICU Gl r• * i * DEPARTMENT OF ADMINISTRATIVE SERVICES ``a- •' T ` File#: REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE (Per C.G.S.Section 29-254) Office Use Only APPLICAN 1. Name: (max S l L&&o -t` 2. Company: 3. Telephone: Co D 81-S— / / /T 4. Email: 't-Lo wA.ck_S St w,ai. .e___@ =3(.6.d_n'o6w /. Jnr f 5. Address: (M� (Moto 1 C.u-e VAcc 0, (1 e I (5 6 3 a k_ Street AddresTown State Zip Code SUBJECT PROPERTY 6. Name of building: �) k....G ( . ro, ,, L, oz. e 9.i J.*,„,..e... ...... 7. Address: 1 S— Matok ciU -e_ Mo.S ti L(te 06- E" StreetAddressTown // State 1I Zip Code 8. Owner: btAc.S`1-S�'a�i�tmoot_ Lt 5014,0//Q au I�IAdetSu,ii 6 G 66-Is Name Address 777 9. Use group: 1fkr,hange of use: 0 I If yes, from : Yes No to: 11. Type of construction: Wo (P,rct, 12. Number of stories: rW 0 13. Area of building in square feet: Total building: l2-DO Sq.ft.of largest floor: /1 y 14. Check applicable designation: 0 12 0 ❑ I /// New Existing Addition Alteration/ Other(explain): eek) Building Building Renovation A,�t u � ( SC,,, (id.-e 15. Fire protection at subject premises: 0 0 ❑ ❑ ❑ (check all that apply) Smoke Heat Sprinklers Standpipes Extinguishers pption Detection Other(Identify) -,L 16. Describe alarm system(s)at premises: gV&O I(,2 W eCte c± ( (fit/- S Continued... Division of Construction Services Office of the State Building Inspector 450 Columbus Boulevard, Suite 1303 Hartford, CT 06103 Tel:860-713-5900 Fax:860-713-7410 Affirmative Action/Equal Opportunity Employer REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE(CONTINUED) 0 0-c o`� S7/4/a / THE REQUEST 17.Date of application for building permit: �/ 18.Applicable State Building Code (title and date): ) 01 b/Z r(R C 19. Building Code section that modification is requested from: See. 5-0%A,3 20.Modification sought and reason: � 'e C9.to r �1_l'- f S e 01:1 a k t e, at. . L& C�v- t1 chr yt s R S V� Se 40 V\ �`^-C o10 1 ill I c2 c -e. ed-0-1)t LAAPt\ %1 eNg C,af�1 O. v- u v tr ® te,- fR t)e J 0\k a 1.23-S ak L a e0P 4 0 /04./kvLcA----es_ Applicant's Signature ate Municipal Building Official To Complete 21.Important Requirement Failure to provide the following information will delay modification process.The Building Official must comment below on the modification request as per Connecticut General Statute 29-254(b). *Note: Must be signed by Chief Building Offi %,Acting Building Official or Provisional Building Official. nr7 ❑ ❑ a ❑ Support Do Not Support Decision left to Please contact Request Request the Office of the the undersigned. State Building Inspector 22. Building Official's written comments(if desired): 23. Building Official: Name: Pw;d M , 3;4'3 e/1 Signature: Town: Alo ii f V, e Date: 7 /8/7 7 Telephone: gid Best time to contact: /:Oo — y,'po /'61. CX4, 73,s- Instructions a cInstructions • One set of construction documents must accompany the request if they are needed to help illustrate a modification request. • A cover letter explaining your circumstance is recommended if it cannot be clearly explained in this form. • Please type all responses,or if not possible,print legibly. Complete application in its entirety. Any missing information may result in delays. Return completed application to the Building Official who will forward to this office. Rev. 12/21/16