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HomeMy WebLinkAbout140sf Shed 2003 • Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2002-0433 Date: 15-Apr-03 Map/Lot: 039/078-000 Owner ID 118000 Job Location: 9 PI_RES DRIVE Unit Job Description: Shed Owner: Contractor: Christopher M Rein Christopher Rein 9 Pires Drive 7 Overlook Drive Oakdale Ct. 06370- Preston CT 06365 Telephone: (860)848-1815 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $3,500.00 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: $0.00 Electrical Fee: $0.00 Permit Code: R9 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $3,500.00 CO Fee: ($10.00) Plan Review Fee: $2.20 State Ed Fee: $0.56 Total Fees: $34.76 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required; ❑ 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 ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test El Certificate of Occupany ❑ Gas piping and test Building Official's Signature: _____ fs�%�2`"�2• ' Town of Montville Building Department viiiii Permit# 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ❑New Construction 0 Addition 0 Alteration accessory Structure 0 Other Job Location 1 1 'QS b{', C4(Cliccie C r i Job Description/Materials Owner C\ ç \rec ey Mailing Address Ck VVCC,N c, City 800. State Cr Zip c.(37co Tel cgc O /gqg I m i " Contractor so_,F. Mailing Address City State Zip Tel / / 1 i Contractor's License/Registration Type&Number Exp. Date / / 1 i 1 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 Date 7 / 3 i- / 02_ Construction Value Fee Building $ Plumbing $ $ Mechanical $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education Total $ $ I• n 1 i Town of Montville Building Department Receipt ipt 1VDate —Z_/ / / oZ No. 01988 From: / OPVtsoi M . 1 )hl Job Address: ___9_________t_ _ ----- t, /lam ilD Amount $ -----a_q_.- _ Cash ASP Check # 67 circle one Received by , . �� eil Permit _---------------------- ----_--- #�j7 Gd2_..y33 • Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,000.00 $ _ Above Ground Oval EA S 5,000.00 $ In-Ground EA $ 18,000.00 $ Heater EA $ 3,300.00 $ Hot Tub EA $ 5,000.00 $ Roofing Strip&Reroof SQ $ 210.00 $ Overlay SQ $ 175.00 $ Sheds With Electric SF $ 25.00 S No Electric 140 SF $ 25.00 $ 3.500.0C Deck SF $ 15.00 $ - Porch SF $ 23.00 $ - TOTAL BUILDING CONSTRUCTION COST $ 3,500.00 PERMIT FEE Building $ $ 22 Of. Mechanical S $ Electrical $ $ S S CO Fee $ 10.00 Plan Review S 2.20 State Ed Fee S 3,500 S 0.56 Total Fees $ 34.76 Based on 2000 Average Construction Cost 7/31/02 , STATE OF CONNECTICUT WOE'COMPENSATION COMMISSION BuiIdin_ Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn.Gen. Stat. § 31-286b) Property located at ' � • In the town of A. Name of building permit applicant t ` •e-C Please check one: 1. 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(FFA) Pursuant to§3I-2866 ...----•-----•-•--...-- _ ' a property owner or sole ....to act as contractor or principal employer" proprietor[who]intends .. ............ .. insurance or a sworn notarized a provide either a cite of workers'compensation general -. davit... stating that he will compensation insurance for all those employed on the job site in proof of workers accordance with this chapter." Please check one: 1. �I do not intend t. act as • general contractor or principal employer. [Si: a d 'p , gna - of app icant 2. I intend to act as a general contractor ori inc1 provide a certificate of workers'tom pr � employer'Applicant must either below. compensation insurance or sign the affidavit Affidavit I hereby swear and attest that I will -•--- contractor,subcontractor,or other worker�ubefore he/she by he�of �compensation insurance conordance ubwith the Workafor every Workers'Compensation Act(Chapter S68)_ in work on the above prop}, in I understand that pursuant to§ 31-275 C.G.S.,officers partnershipmayelect to be excluded of a corporation and partners in a from coverage by film a District Office;and that a sol proprietor of a business ' not waiver��the appropriate files his intent to acctrequired to have coverage unlcss he P cov. •e. alrAsibi.-.4440111161. la Signa -of applicant Subscribed and sworn to before me this day of 200_ (Notary Public/Commissioner of the Superior Court) jTown of Montville ,w Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT S) fe-s SIGN-OFF SHEET akCtaje , C `� Property Address Job Description: JO )( IL( s Led The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030,Ext. 882 OutilaL, p -9-02- ❑ Permit#: PP Not Applicable Septic System Date ❑ 1 ❑ Permit#: Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext. 881 ❑ Permit#: CW\ Not Applicable Municipal Sewer Date 0 Permit# ,f11 Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: $-.Not Applicable Director Date PLANNING&ZONING DEPARTMENT 848-3030,Ext. 81 6ce,faiAeOu, 7/5/6 Permit#: 2O2-Z 77 0 Not Applicable Zoning Date 0 Permit#: ❑ Not Applicable Inland-Wetlands Date Town of Montville Building Department 310 Norwich New London Rd. Uncasville Ct. 06382 848-7166 Date: k / /3 / va To: 4/s7'0,/f�ic'_ 4.0 9 4,i: k 61/7 40A c,,-, GZ 3 PC) RE: ,S;97/7.6- Job S;97/7,EJob Description: ,57/Ep /5/0 SQ FT 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): 4,X g'f l',7 n1STieee•cT/ate ( 6 iJ 0;'/ -ge4- 7-- Z./- a-) ru6 ,,-- We will keep all documents received to date on file and renew your application when you have furnis, •d all the res ire. data. / !� ,_______., -A. ,Ci-r-C--- ,ernon D. Vesey II Building Official