The URL can be used to link to this page

Home My WebLink About12x14 Shed 2002 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030, Ex.t 82 Building Permit Permit Number: B2002-272 Permit Date: 03-Jun-02 Permit Code R9 Job Location: 15 PIRES DRIVE UNIT: MAP/LOT: 039/077-000 Job Description: shed Owner Contractor MICHAEL A DESAUTELS Michael A3esautels 15 Pires Drive 15 PIRES DRIVE Unit: Oakdale,Ct.06370 OAKDALE CT 06370 Telephone: 367-0855 Lic/Reg Type: Use Group R4 Lic/Reg Number: 0 Code 1995 CABO Exp Date: Construction Type 5B Construction Values Permit Fees Building Value: $4,200.00 Building Fee: $28.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $4,200.00 C/O Fee: $10.00 Comments: Plan Review Fee: $2.80 State Ed Fee: $0.67 Total Fees: $41.67 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested): ❑ Footing -Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring ❑ Fireplace Final ❑ Rough Framing 01Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test /I Final Inspection ❑ Gas Piping and Pressure Test ❑d Ce • ate . • •:• -Prior to use or occupancy Building Official's Signature: Town of Montviile s Building Department Permit 1662& -t 7 310 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 ❑Alteration i,3, Accessory Structure EfOtfier lax 10 S' e Job Location 1 5 t f PS D c U ct K., °`t e C+- o 6 310 Job Description/Materials 1 6 X ( ). h,4 Owner rif fn ,G hG et D ' `.)c' + "' Mailing Address IS- p i r e S l) r City Oa k AO, tC State C't Zip 0 63 90 Tel 36' /G8s S i Contractor S-e t f Mailing Address S n' e City S a "1-( State Zip 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 / ZCh Q(hk Date 5 / /6 / Ca. Construction Value Fee Building $ 5/c: D d ' $ a3 Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ V‘?) Plan Review Fee $ b2 r 5"-a- State Education $ /,' -7 Total $ 9&. e $ 2.1-.-`—..� •,....,A • STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. § 31-286b) Property located at 1 5 p 1 re 5 0 r In the town of 1Y16 . I- V ‘ 11 e Name of building permit applicant: (Y 1 C x'14 e I cam, i 1 c Please check c)ne: I. ✓ 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(FEIN) Pursuant to §3 1-286b,"a property owner or sole proprietor[who] intends to act as a general .. contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will requirecompensation insurance for all those employed on the job site inac rdnance with tf of his chapter." Please chec one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 56?). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of .200 . (Notary Public/Commissioner of the Superior Court) N/.r ✓ rr /y -_ _ . . ti • __.. ._ rt . _•;TEST•P/r LOT_.//_:___ -- N7- oP /l _ .__ __. _. .._ _ _ -• • 7-413 `'VVRYFiNE SRNOy - _ / \ • i .` Y3-92" .... : _ f/4/ S4N/,y.. _ •o - ' No w/9 TS/� _ -. '\ _..- / !! ._. to wiT/v •: .ay sE2/►':�PD P. sro�E . .•-c `�' -_a .i ._: .. 4/o, 384SF�- °,--- • . :1 3 _ '.J�.. 0. 92 7i.Ac,..~ o+`___ - a hi vip ii�A.erbY 76:dN•sr1v/;,�•J . 1 w : . - . .-- S2� l 1-4•SO%u` .�' a i._ •..—_._. .._ 10 �✓ L y50- - 4 Y, . �- 7AR PAPGe - \ / • ,'. • �. z • /Q ` t t uSiv10 / �� a� �„ o 0 ` .• °•-• .f• N•ei ` • ^ ._ ' y? -- �r —._.- ., ' • •¢ �1 � .: o • P,E4F Pelfr-:::7-7... STa/ MI • 1 — Al .`0 • .-. 5 -- ..-- ._... : > •_ ... .. OF V <. 1 j_.:_ T ._._ .. :_. tis. ... �Y. ' v1 c y . a ._ • _ - = • o %_. 6D • `ak0.04..e.3"• • o _ .._ \., At ,it w oe1 • - . . \ - :, Yu * - :» __ • • %. _-? ; -.•='.T_ . _FEg••7t^7—.).-i .• `.1.tEGI• ! 4a._:T-. 7--k�•� l::s. #r;k' ��-i . �' :7 f 7. ,-,€t-L.1...;,.....4,.7. - ..:': =+"..-'*--.)- ' '1,-;-.:•+r,.-...v......1,-;-.:•+r,.-...v.......,..._ ' — :-r ._ �-1 -ms—=' . �_s.. ' r . 'C1L • • `sst.r F• 7 _.r h. yt ,..../4_,„ • 'w2% '�t n a5,00, : • l. q- � r;nl _ AN r..... ....... .i....:....:•..,,...,..--.7...L......;:..., , '-....--71—li CURVE oq 7717 -77:77'7-7 -.� }1^�-4•-= Wi=t :: �" —' -�-' ��-= -- • ^� .: A t 211 -/0-/2 , . . - . ...__? I-i. ' _ � R �p 53• • .. _ . '; -; ' `,: - Pi.°rP.zi , GOT,' //;••• ••• • • !- t Sq . : -- - %...- 'bp 1....-:. f- _; _. e/4/ES Sve?Dw/S/oN SB`c.I G • 83 97 :: Selz E. /" . So'. .� ,♦el A.♦ P/Qc •AQ///�C' .•., .,.ire/ii , r ,"-r ii Town of Montville Building Department Receipt Date ,6" / c,v 4,z / 6-)- e, No. 01765 I cr) E . / / From: Aff. ,' , ,&.. 0 _ 1.41110,ee A ' e k Job Address: .1 . . _!....._ rIp II; Amount $ 3// '1 -0,7 Cash ,----Che(21.(----Th Check Iya —2 -7 (Circle one) 40 ) Received b 4001e,, _ ,, ik „--... ,.., ..., Permit #6.52,:cR _p 7 4 - 8 Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET ( 5 P\ r-es `bri ve Gak&ale C± Property Address., 1 Job Description: X S L af 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 848-3030-882 yore- / l oes. 5-- Z'6:97-- ❑ Permit#: )n-71 eel ❑ Not Applicable tic Syst Date ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext.881 ❑ Permit#: A ❑ Not Applicable M 'cipal Sewer Date 1• 0 Pe •*t# \,A1 ❑ Not Applicable Municipal Wate Date �� DEPARTMENT OF PUBLIC W I ' S _`� 848-7473 ❑ Permit ': ❑ Not Applicable Director l ate PLANNING&ZONING DEPARTMENT :48-3030,Ext.81 za ,pII S-/Z e/DZ ® Permit#: -�l2 `1' ❑ Not Applicable Zoning /// Date 7 0 Permit#: Not Applicable Inland-Wetlands Date I E1 C3LC S S-eN-t a?((o ‘tz,e/ G �Y 1+ S o`C w-e.,\\ ) )( \\ �1tirr�t a2 A6 A-a 3lV x rn"crp -Loa P tr k ��5 S �,�v .s,eS