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HomeMy WebLinkAbout2002 - Deck Replacement 8x14 with 18x28i, 1111 Town of Montville 0 Building Department Date 3 / 3 / d Field Inspection Notice Permit epembz —076,7 Job Location Q 44 , /N f Approved Type of Inspection d€ck F76 07 4 ,07,5 Not - I ApprovedPlease call for re-inspection when the following corrections have been completed: Building O ial Town of Mont%lle BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030, Ex.t 82 Building Permit Permit Number: B2002-202 Permit Date: 03-May-02 Permit Code R10 Job Location: 60 POLLYS LANE UNIT: MAP/LOT: 103/049-000 Job Description: deck Owner Contractor DONALD R JR MALLON Donald R. Mallon,Jr. 60 Polly's Lane 60 POLLYS LANE Unit: Uncasville,Ct.06382 UNCASVILLE CT 06382 Telephone: 848-2530 Lic/Reg Type: Use Group R4 Lic/Reg Number: 0 Code 1995 CABO Exp Date: Construction Type 5B Construction Values Permit Fees Building Value: $7,560.00 Building Fee: $46.00 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: $7,560.00 C/O Fee: $10.00 Comments: Plan Review Fee: $4.60 State Ed Fee: $1.21 Total Fees: $61.81 It is the owners responsibility to schedule the followina required inspections(minimum 48 hours notice requested): O Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test ❑ Final Inspection ❑ Gas Piping and Pressure Test Q C-•' . e . •ccupancy- Prior to use or occupancy Building Official's Signature: • r . Town of Montville Building Departmentment Peistie 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 0 Accessory Structure ElOther Job Location (1) POLi 3 Li ON\LA k CT t\t Sr Job Description/Materials RFP1AC1= C K1STin1 , V,t4- p u'f& i�t ,�\: 1 pa Owner )►JR,..() � rJ Mailing Address ICO Cl _ P sl..,�1 City 01J(,P�\1ILLL1�. State C7 Zip Mc). Tel 1 Z`CO /r S3O Contractors Mailing Address 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 applicat on for a permit for such work as described above. Owner/Agent SignatureDate / 30 / O Construction V lue Fee Building $ 7 , 6 d $ (� �� Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ / Plan Review Fee $ c-, D State Education Total $ $ / �r / .., Town of Montville Building Department Receipt Date / JO/ 0 R : c No. 01601 / `From: Job Address: '© )41. i ' © Amount $ l6) 3 Cash t Check Check # 4 �f` j —_ "l (c ircle one / J / f Received by ..1,--_,„: / _ . yjir ! ,: Permit # <---) 00 Q 1 • Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA S 3,000.00 $ Above Ground Oval EA $ 5,000.00 $ In-Ground EA $ 18,000.00 $ Heater EA S 3.300.00 $ Hot Tub EA $ 5,000.00 $ Roofing Strip&Reroof SQ $ 210.00 $ Overlay SQ $ 175.00 S Sheds With Electric SF $ 25.00 $ No Electric SF $ 25,00 $ Deck 504 SF $ 15.00 $ 7,560.00 Porch SF $ 23.00 $ - TOTAL BUILDING CONSTRUCTION COST $ 7,560.00 I PERMIT FEE Building S 7,560 $ 46.00 Mechanical S $ Electrical S $ $ $ CO Fee $ 10.00 Plan Review $ 4.60 State Ed Fee S 7.560 $ 1.21 Total Fees $ 61.81 Based on 2000 Average Construction Cost 4/30/02 Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET (06 Po(c.q3 Property Address Job Description: I )0 4 Sc , . - S(� 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 ❑ Permit#: Not Applicable Septic System Date ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext.881 Ay/3 AI_� � Permit#: ❑ Not Applicable Municipal Sewer Date D Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUB ORKS 848-7473 ❑ Permit#: ❑ Not Applicable ir: to Date PLANNING& _ONING DEPARTMENT 848-3030,Ext. 81 � n •ct�J i •-yte �;— /31CYZ_ Permit#:1,73:9--/00" NApplicable g Zonin ❑ ot 0 Permit#: of Applicable Inland-Wetlands Date pp lica b e Date STATE OF CONNECTICUT WORKERS' COMPENSATION COMhIISSION Buildin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn. Gen. Stat. §31-286b) Property located at k In the town of 1 Name of building permit applicant 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 Pursuant to ............................ 31-286 ," ----[••---- a property owner or sole .......... _ a general or employer"may proprietor[who] - tends to act as a geleral .-- insurance or a principalsworn notarized provide either a certificate of workers'compensation affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and- o. here] Signa o applicant 2. I intend to act as a general contractor or inc ri provide a certificate of workers'compensation P �employer.Applicant mast either below. insurance or sign the affidavit Affidavit I hereby swear and attest that I will contractor, subcontractor,or other worker bcfire �fof by he/she compensation 'insurance ce for every with the Workers'Com Aga in work on the above property in Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a co partnership may elect to be excluded from coverage by filingcorporation waiveri and the apps in a District Office; and that a sole proprietor of a business is not ��the appropriate files his intent to accept coverage. to have coverage unless he Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET to --P0i1y3 L0,2Q _ Property Addfess Job Description: d•5)(N ttErL 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 ❑ Permit#: LNot Applicable Septic System Date ❑ Permit#: 'Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext. 881 iet 36 /0)--- 01 Permit#: Not/ ❑ Applicable Municipal ewer Date ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: ❑ Not Applicable Director Date PLANNING ZONING D PARTMENT 848-3030,Ext. 81 Z'ems - 0 OZ Permit#:la-(0c ❑ Not Applicable Zoning D.to --- ❑ Permit#: (�, Not Applicable Date Inland-Wetlands I`i" pp 41. 11.1 0 1 z D C '- cvbei 0 t cl--...'' _ --T, 0 1 t a _� +u H- i ' 6 i ret, i.- o ,, , 1 0 --4, l: - x ' 1 1 v -(1 i 4 a 1 1 \*-- ' -, ■ .I' MENUi.l... ? III \ , c ' NMI \ 2 -.- .:==F ----:"---"--i 0 1,....„.....___, _t LeyI\-- %)/ -. 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