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Home My WebLink About10x18 Shed 2004 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: 82004-0590 Date: 17-Sep-04 Map/Lot: 103/057-000 Owner ID: 5612000 Project Location: 35 POLLYS LANE Unit: Job Description: 10'x 18'Shed Owner Name: Elizabeth Tasca and Darius Fellows Tenant Name: N/A Careof: 35 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone:p (860)367-0542 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $4,725.00 Building Fee: $40.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $4,725.00 Penalty Fee: $0.00 Permit Code: R9 C of 0 Fee: $10.00 Comments: Plan Review Fee: $4.00 State Ed Fee: $0.76 Total Fee: $54.76 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. ❑ Footing -Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill-Footing drains and waterproofing ❑ R Electrical ❑ Concrete Slab -Prior to pouring concrete ❑ Elec Trench-with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping ❑ Final Inspection ❑ Insulation El Certificate of Occupancy Building Official's Approval: > Town of Montville ' Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit# ❑ New Construction ❑Addition ['Alteration XAccessog Structure ❑Single Family ❑ 'Two-'Famity ❑ 'Townhouse t Job Address 3 Ol t`{S L2 nom ) UI'nc `f t lie c.:-T- � g- 03(Number) (Street) (Unit) I Job Description 0 x 4 G �SJJ Shed - 1churecl) c. Tz„ Owner C 1 c 4-h �sC� Mailing Address 3 5 `s' t t---A___„Je City U .C2 I le State c I Zip CDC0-- -- Tel setie. /3(:,--1 / OS4,3- Contractor Mailing Address as--- - - City 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. Separate applications are required for electrical,plumbing,mechanical, etc. Owner/Agent Signatur�.� z/ �-� GO a,--1 Date / r LI / 0 L Construction Value Fee / Building $ /- O. -O $ IA/ ) Plumbing $ $ 6 Mechanical $ $ Electrical $ $ Certificate of Occupancy $ /gt, Plan Review Fee State Education $ / Total $ $ fil 7 (See&verse side for additional requirements) cRgviseiSepum6er9,2004 Town of Montville Building Department Receipt p Date ____9_-/ -/ d 9 No. 04277 From: I' �- Job Address: i111 I Amount / $___‘ _7 Cash Check # / / circle one Received by � f A t � �. / _ Permit #61624:40,5--,90 II i Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas Above Ground Round EA $ 3,200.00 $ Above Ground Oval EA $ 6,000.00 $ In-Ground EA $ 20,700.00 $ Heater EA $ 3,465.00 $ Hot Tub EA $ 5,250.00 $ Roofing Strip & Reroof SQ $ 300.00 $ Overlay SQ $ 185.00 $ Plywood SQ $ 105.00 $ Plumbing Full Bath EA $ 4,230.00 $ Half Bath EA $ 2,690.00 $ Garages Attached, 1 car EA $ 8,885.00 $ Attached, 2 car EA $ 15,114.00 $ Attached, 3 car EA $ 20,914.00 $ Detached, 1 car EA $ 11,657.00 $ Detached, 2 car EA $ 17,456.00 $ Detached, 3 car EA $ 23,256.00 $ - Sheds 180 SF $ 26.25 $ 4,725.00 Sheds with Electrical SF $ 26.25 $ Electrical Service 100 Amp EA S 825.00 $ - 200 Amp EA S 1.500.00 $ _ Siding $ Windows & Doors $ Decks/Porches/Sunrooms Open SF S 22.31 $ Covered SF S 62.69 S _ Enclosed SF S 123.90 $ _ TOTAL BUILDING CONSTRUCTION COST $ 4,725.00 PERMIT FEE CALCULATIONS Fee Building $ $ 40.00 Plumbing $ $ Mechanical $ $ Electrical $ - $ Work Commenced before permit issuance $ CO Fee $ 10.00 Plan Review $ 4.00 State Ed Fee $ 4.725 0.76 Total Fees $ 54.76 Based on 2003 RS Means Residential Cost Data 9/15/04 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 3S 1 p d ` In the town of UirCZavc l le , c T c3S- Name of building permit applicant: r_ ‘ ,-k-V\ SC Please check one: 1. 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 § 31-286b, "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 affidavit...stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please che4one: 1. V I do not intend to act as a general contractor or principal employer.[Signhere _ 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 568). 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) I .201 " ; I " ) 6.1-IMPlarallMiai N, • 1 i ( i . ____. _ I S 1 p I I I, _ tz 1 _ ____ 7 ') i 1 ; , J — L-- 1 ...* f--- --;.- -) I __ I _ c,o ,,, id 1. 0..‘. ___ I .- . MI _ 1,8 _____ a ______ i flarantaustimilelIri . 1 .., -T,,_ LL 20 4.. 1 I 3 15,- I.:) 4 :11 ________ t . ____ r-7 __ 11 ____________ -----1_ • III OM J 4- , I 4, • _ • •--;%4 i 0: qi 3 _. N.., .::! 1 i ____ . _.. '.1 VI 4.• 43 ty Nt: i - _ \_ 1111 \.r) • — t— s.C) 4., , - — * , e r Town of Montville Building Department 848-3030, Ext 382 COnTUCTION PERMIT APPROVAL y ctr\-147/c_ CT— 636P- — PropertAddress TQC ( Oikl Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval ® Tax Collector o�c � /;( � 9 1/1.4 o+ gnature, date WPCA 1 — 9 Signature.' Planning&Zoning 60044 a 4, /'S/o�/ ignature date T ❑ Health Department Signature; date ❑ Department of Public Works Signature/ date ❑ State Dept.of Transportation Si`mat tu.&date ❑ Fire Marshal Signature;date Comments/Conditions: cviseiSeptem6er9,2004