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HomeMy WebLinkAbout9x20 Shed 2002 c� E a) a) t c) a" N N a. 'CN 0 N •--+ vi co O 9 a) O �, ti U 0 U R g2 .2 OSZ, a) E 0 'C U O 0 -0 U 0 a) - •'; O 44 U o 5 u C o etco V 0 a V (4, ©O O to y ..0 U Q -0 L. a/ cc aW xas U U o g0 a a) C7 a, 1 (.7t. ,.4 M 0 x H 0 O o o 0 U Q 6 H � b a) O vo M U U L" v, a) ‘ bA cn cn cn , H °o w° U 0 U Town of Montville Building Department Date z 6 / 5 /OZ Field Inspection Notice Permit # Job Location 3 G Pei 04. Approved Type of Inspection 'h C/° Not Approved - Please call for re-inspection when the following corrections have been completed: Building Official 41/ Town of Montville , Building Department 11111, Date 5-/_/37,I Q Field Inspection Notice Permit AilaFe }p7- 6 Qt,-°- fir. Job Location alp Pe, ra_ r d, ici k Approved Type of Inspection 163'/ (' /oe, l!' IX1 Not Approved - Please call for re-inspection when the following corrections have been completed: 0-7 /3"-C--UP--5- To G 2ovr.► tD N :uilding Official Town of Montville Building Department 848-3030, Ext 82 ONE &TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET / Ar' Property A dress Job Description: cL The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Approved ❑ Permit#: ❑ Not Applicable Septic System Date Approved ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext 881 Approved O Permit#: 0 Not Applicable Municipal Sewer Date Approved ❑ Permit# 0 Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved O Permit#: ❑ Not Applicable Director Date PLANNING& S + G DEP: •TMENT 848-3030,Ext.81 / 4 G In-Compliance Permit#:ate_)4 ) ❑ Not Applicable Zoning S ate In-Compliance 0 Permit#: ❑ Not Applicable Inland-Wetlands Date Town of Montville Building Department 848-3030, Ext 82 ONE &TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEE P (perry Address Job Description: The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Approved Septic System ❑ Permit#: ! Not Applicable Date Approved \ ❑ Permit#: Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext 881 Approved ❑ Permit#: Not Applicable Municipal Sewer Date Approved 0 Permit# SrNot Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit#: - Not Applicable Director Date pp PLANNING&ZONING DEPARTMENT 848-3030,Ext.81 Z In-Compliance _3/14.„1 4' Permit#: 0Y Z-- 0 Not Applicable Zoning Date In-Compliance ❑ Permit#: )27 Not Applicable Inland-Wetlands Date Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030,Ex.t 82 Building Permit Permit Number: B2002-095 Permit Date: 12-Mar-02 Permit Code R9 Job Location 36 PORACH ROAD UNIT: - MAP/LOT: 103/076-000 Job Description: Shed Owner Contractor VINCENT E+DOROTHY H LAGRAM Vincent LaGram 36 Porach Road 36 PORACH RD Unit: - Uncasville,Ct.06382 UNCASVILLE CT 06382 Telephone: 848-1830 Lic/Reg Type: Use Group R4 - Lic/Reg Number: 0 Code 1995 CABO Exp Date: Construction Type 5B Construction Values Permit Fees Building Value: $4,500.00 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: $4,500.00 C/O Fee: $10.00 Comments: Plan Review Fee: $2.80 State Ed Fee: $0.72 Total Fees: $41.52 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 ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test r Final Inspection ❑ Gas Piping and Pressure Test © -, icate of•-• pa •rior to use or occupancy Building Official's Signature: .i��< . 4 Town of Montville Building Department Permit # 4i 024647 nfy?7 310 Norwich-New London Tpke. Tel. 848-7166, Ext 81 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ❑ New Construction ❑Addition ❑Alteration ❑Accessory Structure pour S h (C Job Location 3 6 T 0 ra c ?t U A,Cq Si); /4_, Job Description/Materials Co+'1 S T r v c-7- 0. 517 e j ci'(X7-0(X 10 t-/o" v,,± 0(1w d u d Owner\ll n cz gl,r U0 ro T 11 y L Cjro ri Mailing Address 3 6 'Po r a L l, 12 D City V S Ai C GI i>i II- U e State C,1— Zip 0&3 ff 2- Tel (t-34.0 /& e / / li 3 v Contractor S'L ( f 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 application for a permit for such work as described above. Owner/Agent Signature , Date 3 / U i/ ZUb2 Construc ion Value Fee Building $ Plumbing $ `�1Sd $ ®� — Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee d $ tea, 5-d State Education $ 7a Total S 900 $ sf li: 4y. Town of Montville Blinding Department Receipt E E Date ,,_3 / 4 / 0 No. D 1534 From: Job Address: ,2(? Allt II--- ,A A .-..., ..-r. / Amount $ --e7j_4,1-°7 1 Cash Check Check # (circle one) 1 Received by +,, Lem` ,. ,,/ Permit # � 0 E 0,7 Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,000.00 Above Ground Oval EA $ 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 $ No Electric 180 SF $ 25.00 $ 4,500.0C Deck SF $ 15.00 $ - Porch SF 23.00 $ TOTAL BUILDING CONSTRUCTION COST S 4,500.00 PERMIT FEE Building $ 4,500 $ 28.00 Mechanical $ - $ - Electncal $ - $ - $ - $ - CO Fee $ 10.00 Plan Review $ 2.80 State Ed Fee $ 4,500 $ 0.72 Total Fees $ 41.52 Based on 2000 Average Construction Cost 3/6/02 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION BuiIdin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn.Gen. Stat. §31-286b) Property located at 3 (0o r4 GL In the town of aNf✓ i //e_ • Name of building permit applicant kt OA.L Please checkye: 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(FEIN) Pursuant to §3 I-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 require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check 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 orkers'compensation contractor,subcontractor, or other worker before he/she engagesworthe insurancebovfor every accordance with the Workers'Compensation568). in work on the above property in 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 byfilingcorporation waiver and thetappr in a District Office;and that a sole proprietor of a business is not to haveith appropriate files his intent to accept coverage. required 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 848-7166, Ext 81 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: 26 7o r'c 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 823-1189 Septic System Date ❑ Permit#: ,0}- Not Applicable ❑ / Permit#: � Not Applicable Private Well Date -WPCA DEPARTMENT 848-7094, Ext 86 34,4)_ ❑ Permit#: k Not Applicable Municipal Sewer Date ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: liEj- Not Applicable Director Date �• PLANNING & ZONING DEPARTMENT 848-8549, Extg I aft(0-713 'I'p (o Permit #:070,4 ❑ Not Applicable Zoning Date ❑ Permit#: Not Applicable Inland-Wetlands Date • • • • • • • I :4‘ti • . .14.1" .• 0 .;f g . • r ti;ji____,..____.,___z ,__.__ Ai _________ . : -. ri......1;.,,..___1.:..____,,.:_ A , 1-- . -A , : • . tt" ---- :_____„. a Mit . I 4111"1.14F— . . .----<—(77.7)- ----A'' '''''"'""'"'"'"'".'"'"'"in'" "a'"" "....'"'"'"'"'"''."'" '"'""'''.."'""'"'""'..""''"'"'"". ""i".."' 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