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