HomeMy WebLinkAbout24ft Above Ground Pool 2004 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030,Ext. 382
Building Permit
Permit Number: B2004-0093 Date: 29-Mar-04 Map/Lot: 028/005-021 Owner ID 117007
Job Location: 15 PHEASANT RUN Unit
Job Description: Above Ground Pool
Owner: Contractor:
Timothy E and Paula L McDonough Trest's Pools/CB Construction
P.0. Box 205
15 Pheasant Run Norwich Ct. 06360-
Oakdale CT 06370 Telephone: (860)848-1268
Lic/Reg Type/No. HIC 556544 Exp Date: 30-Nov-04
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $3,150.00 Building Fee: $22.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $158.00 Electrical Fee: $10.00 Permit Code: R8
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $3,308.00 CO Fee: $10.00
Plan Review Fee: $2.20
State Ed Fee: $0.53
Total Fees: $44.73
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired)z
❑ Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑d Rough Electrical ❑ Insulation
❑ Electrical Service CRS#: 0 ❑ Final Inspection
❑ Rough plumbing and leak test 0 Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
Building Department Permit#
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Pool Permit Application Form
A6ove Ground ❑ In ground- ❑ E-ectrica- ❑ Deck ❑ Too-heater ❑ J-ot Tu6/Spa
❑Other
Job Location
Owner Tir r G plc Dory, Mailing Address /,5"-
City p AKOQI, State CT Zip p 6 370 Tel r 0 / 5`jfr/ 69L7
Contractor^[(Z,t-4-S Pao s Mailing Address 7c.) l3 a>( 7�U
City /Jp ecv tc. State (7 Zip p dU Tel
Contractor's License/Registration Type&Number Exp. Date
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.
Owner/Agent Signature r Date 3 / /5—/ �J
Construction Value Fee
Building $ 3)6c/ $ 2-2--
Mechanical
2-Mechanical $ $
Electrical $ /¢ $ /0—
Certificate of Occupancy $ /G
Plan Review Fee $ 2. .Zc>
State Education $ o•�3
Total $ .33 cs�^ $ '/'t. 7-3
(See Reverse sidefor additional-requirements)
Town of Montville Building Department Receipt
Date j / / Q V No. 0 3 611
, ,-- /
From: _ i . Aro' „:10.......z.„. ...e.... 1-.le.
Job Address: /40 (0_,.y, T/
Air
Amount $ IY. Cash heck Check # i?'Qe
Received by ►J, ,. w`,.__ i 1.r j Permit }J/y� :„.7 d 0 w^�
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, - : STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION -_
-,: ..
Be it known that ,z..
C B CONSTRUCTION INC
4
bM
i has been certified by the De • t of s . er Protection as a registered ��`
HOME IMPR��# T CONTRACTOR -
, - ter;
Contract ' ofRec ;EVQ� WYNN ' (-j,..'
, z _•
R : 4
t ANSTt 4/ ' ;. ,
'= Effective: 12/01/2003 ! „
' Expires: 11/30
2004 " f -0-.
___Edwin R.Rodriguez, Commission& "':-
�.,..%J.h H�y 40:Ail- .4 y •%�7ti': 14.011111' .•r 4 rt } 14.4::/iii? Igfr 5 'VW?4' 4.:::P -"C•
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�ASr`•.. :Ct'�h !•'4.• 4•M1ti•.� ''r..• •55\ •:5!.. .4:N• S.r.}ti�• t °• +.1:.a .r} 5{� r�,. f5 ti.,� r5 .. /{v>\
it 4•/t V•+/j •%l�, 4 :' •.tel /t. ••'/h /t`�
Client#:9909 TREAPOO
ACORDS. CERTIFICATE OF LIABILITY INSURANCE DATE( aD"
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Webster Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
914 Hartford Turnpike HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Waterford,CT 06385
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Scottsdale Ins Co
Treat's Pools, CB Contruction INSURER B: Acadia Insurance Company
P.O. Box 205 INSURER C: Westport Insurance
Norwich,CT 06360
INSURER D:
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY Binder 03/01/04 03/01/05 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DRS RENTED
PREEMI DAMAGE SES((Ea occurrence) $100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $5 000
PERSONAL 8 ADV INJURY $1,000,000
GENERAL AGGREGATE $1,000,000
GEN'L AGGREGATE LIMIT APPLIES^ PER: PRODUCTS-COMP/OP AGG $1,000,000
POLICY PRO I I LOC
JECT I
B AUTOMOBILE LIABILITY Binder 03/01/04 03/01/05 COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
1 OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
C WORKERS COMPENSATION AND WCX0008625 03/01/04 03/01/05 X WC STATU- OTH-
EMPLOYERS'LIABILITY TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000
If yes,describe under
SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $500,000
B OTHER property Binder 03/01/04 03/01/05 $350,000 BPP
$1,000 Deductible
RC,Spc Form
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Insured's Copy DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 11"1 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Lard)
ACORD 25(2001/08)1 of 2 #40213 IJV 0 ACORD CORPORATION 1988
Town of Montville
Building Department
848-3030, Ext 382
RESIDENTIAL SWIMMING POOL
CONSTRUCTION PERMIT
SIGN-OFF SHEET
1"5---
Property Address
Job Description: ,./69/ v '0--0 Aical �y/ rAa�
The owner/agent shall be responsible for the completion of the form, no permit will be issued until all signatures below
have been obtained.
HEALTH DISTRICT 848-3030-339
Approved
❑ Permit#: `<Not Applicable
Septic System Date
Approved
❑ Permit#: --) Not Applicable
Private Well Date
l- WPCA DEPARTMENT 848-3030, Ext. 376
Approved
32/5--JO C ❑ Permit#: ❑ Not Applicable
Municipal Sewer Date
House Trap ❑ Outside ❑ Inside
Approved
❑ Permit# ❑ Not Applicable
Municipal Water Date
ice-PLANNING &ZONING DEPARTMENT 848-3030.Ext.379
In-Compliance
• 314 Gl� . Permit#: 04 -042.❑ Not Applicable
Zogs ': Date
In-Compliance
�� ❑ Permit#: Not Applicable
Inland-Wetlands Date
Swimming Too( farm Affidavit
Date _j, is / a1/
Owner )dip-1-1,/
,faifing Address /s PA/e<-
0-k DAle_. d--r 0637e"
Location of'Property
4:1;v►^ c-1-11 t /V e Dam (` , owner/owners agent of the a 6ove rcfercnced
swear and attest that I am aware ofthe requirement PmPp hereby
ement for a pouf alarm to 6e irrstalle�f in the pool to 6e
constructed at the above referenecedproperty. cFurther, I am aware that the
ning at the time of theft-rid-(Cert to of O for must 6e instaQed
andfunctio
Occupancy)�'up�tiorc for the pool
... ,
3/2_5::/
(date) MELINDA L. ROBERTS
NOTARY PUBLIC
COMMISSION EXPIRES OCT.31,2007
(Nota .Commissioner offt Superior Court, `,Su6scri6cdand sworn to 6efore me
Justice of the Peace)this of
f
Date Commission F fires ] /
Inspected and Operational. / /
Building Official-
Town of Montville
Residential Pool Plan Review
Date: /✓I A ,N /$( 2,0 uy
Job Address: /5 P171X''gcL JT g-,✓IJ
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 d imensions o f rooms and Deck plans required
spaces and all framing information(112.1) Piers—size,material,depth below grade(minimum 42"required)
application not completed, Indicate joist hangers at flush framing and ledger
Building permitpp mpsigned,dated Stairs,handrails,and guardrails
Permit fee$ AP/, 7 Direction of framing
Worker's comp.Affidavit or worker'comp.Insurance Beam spans,size,species,grade
Copy Contractor's registration or license Framed openings
Construction permit sign-off sheet Joists— and species
Street address of project on all drawings and documents P 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 Time clock required
Site Plan Pool pump outlet location
Property lines not provided General purpose outlet location
Distance from property to structure 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:
cling Official
ABOVE GROUND POOL ALARM
MADE IN THE USA poolguard® PBM INDUSTRIES, INC.
MODEL PGRM-AG ASTM MEMBER
.
• Meets ASTM Standards
NATIO
fa) • Detects Intruders SPA $ POAOL
NST,T�TE
• Snaps On Top Rail
• Battery Powered
- _7- ____._
. • Low attery Inica or
=4 • Completely Portable
as- • Convenient Storage ,...11t7,____
- •• Easy To Use
-. ' -,.� yf,.:- REMOTE RECEIVER
sr • Automatic Reset
!- Affordable Price
_, 4 . _. ..._... • Important Safety Feature
POOLGUARD POOL ALARM ��. ...� , ...: :y._; K
Entry into the pool by children, pets, or 4
intruders is detected by the unit's electronic
sensor, and sets off a loud pulsating alarm. __
Safe, simple, and easy to operate, the 9-volt r -51
battery powered alarm snaps on to the top rail ' _.
of your above ground pool. To store your alarmf` `:
while using the pool, snap it on the outside of ,' '-
the pool. POOLGUARD comes with a remote -. # ;
receiver which sounds an alarm inside the £� a
home when the unit is activated at the pool. '�` x T y` -
The POOLGUARD alarm system can be usedIllpr
;„ �with a solar blanket on the pool. POOL- }'a 6 n s
GUARD comes with a 3 year limited warranty. ' IN-POO. _. T
r OUT OF POOL
Meets all ASTM safety standards for pool x ON P_'SL04 OFF POSITION
alarms: ASTM-PS 128-01 .
CALL TOLL FREE: 1 -800-242-7163
P.O. Box 658 • North Vernon, Indiana 47265 • www.poolguard.com
INCREASES POOL SAFETY
SURVEY AND MAP WERE PREPARED PURSUANT TO THE REGULATIONS OF CONNECTICUT STATE AGENCIES
, ONS 20-300b-1 THROUGH 20-300b-20 AND THE "STANDARDS FOR SURVEYS AND MAPS IN THE STATE OF
jNNECTICUT"AS ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. ON SEPTEMBER 26, 1996.
ITIS A DATA ACCUMULATION PLAN CONFORMING TO HORIZONTAL ACCURACY CLASS D. NO PROPERTY/BOUNDARY
' OPINION 1€ PRESENTED HEREON. THH MAP IS..INTENDED TO DEPICT THE LOCATION OF THE PROPOSED HOUSE
AND GRA@$NO: TOPOGRAPHIC INFORMATION DEPICTED HEREON CONFORMS TO TOPOGRAPHIC ACCURACY CLASS T-D.
2. PROPERTY LINE AND TOPOGRAPHIC IN_FQ,RM,A.TION SHOWN HEREON IS BASED ON CLASS A-2 SUBDIVISION PLANS
ENTITLED:e4ROBUi"WtCC"'te`STA'TE`S-PRET ARED FOR OWNER/DEVELOPER DIOLINDA AND ALEJO ORTEGA LOCATED ON
BLACK ASH SWAMP ROAD, MONTVILLE CONNECTICUT" BY JOHN KOPKO JR. & ASSOCIATES, DATED JAN. 1990 AND
REVISED JULY 1990.
3. THIS PARCEL IS ZONED R40. IT WAS APPROVED IN ACCORDANCE WITH SECTION 5.5 OF THE MONTVILLE ZONING
REGULATIONS AMENDED THROUGH AUGUST 1, 1988 AS A CLUSTER SUBDIVISION. SETBACKS ARE GENERALLY:
FRONT 40'; SIDE 12'; REAR 40'.
�CB
TF = 484.47' .Aa6 PHEASANT RUN
INV = 480.0'
SF--
FOOTING
FOOTING FD D ,
DRAIN OUTLET 4 S70'08'09"W 672.55' (TOTAL)
—.- - - - - -
EL.=480.1' 475.00' 126:0 • 486 71.55'
1
"1 8" PLASTIC
INLET 40 FEET 0 20 40
'a
o ELEV.=482.0' 1
N5§3 , o
�.. I 'GALE: 1"=40'
• 2 •
I.Q
22.0' I
I I
r\-
4
i Z
OD (/l 28.0' w V1 z 4 17S
U; PROPOSEf6•,HOUSE '
1
F.F. = 49.1' o U;
(ii GAR. = 48w', C 1
p. I 50.0' '\ I
uInuIi `\ •
- 488 5
10'X12' WOOD
�o ' 1
/ 1 DECK & STEPS (0''' I
24 X 24 FUTURE,
\ SHED OR POOL AR A
1 1 L Is , 1
O( t °N'1
LOT 20 o I LOT 21 , LOT 22
32,760 sq.ft. ' S
0.752 acres
1 1 1
1 \ (\ 1
\ \
5
,
t
I 466 I
I 1 I
I
cci
505.00' _ _ _ _ 126.00' _ _ a� _ _ 127.00'
N70'08'09"E ,' 758.00' (TOTAL)
LOT 23
LEGEND
- - PROPERTY/STREET LINE
— — YARD/SETBACK LINE
---- 432- EXISTING CONTOUR
-- 72) PROPOSED CONTOUR
SF SILT FENCE DATA ACCUMULATION PLAN
1W INLAND WETLANDS PLOT PLAN
IWB INLAND WETLANDS BUFFER
LOT 21 ROBIN HILL ESTATES
TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP #15 PHEASANT RUN
IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
MONTVILLE, CONNECTICUT
/v,a1
SCALE: 1 "---=40' DATE: SEP. 29, 1999
v� , '� BY: BENNETT & SMILAS ENGINEERING, INC.
MICHAEL J. BENNET ' R.L.S. #10831 415 KILLINGWORTH ROAD, HIGGANUM, CT
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