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7x15 Addition 2003
Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 2/25/08 Donald and Heather Gressly 22 Powerhouse Road Uncasville Ct 06382 Dear Donald and Heather During a resent review of our files it was established that permit# B 2003 -0601 dated October 17 2003 to construct an addition has never been closed out because all the required inspections have not taken place and a certificate of occupancy issued. Please contact our office between 8:00 and 4:30 to schedule an inspection. Please be informed that the use of this addition without the required inspections and issuance of a Certificate of occupancy would constitute a violation under the Connecticut Building Code. Respectfully yours Charles Corell Building Inspector cc: File Town of Montville Building Department Field Inspection Notice Address: 22 Powerhouse Road Job Description: Addition Permit Numbers: B2003-0601 -P2003-0107-E2003-0326 Footing Not Approved: Approved: Comments: 1 Backfill Not Approved: Approved: Comments: 1 Framing Not Approved: Approved: 1/12/04 Comments: I Rough Electric Not Approved: Approved: 1/12/04 Comments: 1 Electrical Service Not Approved: Approved: Comments: 1 Rough HVAC Not Approved: Approved: Comments: i Rough Plumbing Not Approved: Approved: 1/12/04 Comments: 1 Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: 1/12/04 Comments: 1 Insulation Not Approved: Approved: 1/12/04 Comments: 1 Certificate of Not Approved: Approved: Occupancy Comments: I Not Approved: Approved: Comments: 1 Not Approved: Comments: 1 Approved: Not Approved: Comments: 1. Approved: Comments: Page 1 of 1 Town of Montville Building Department Field Inspection Notice Address: 22 Powerhouse Road Job Description: Addition Permit Numbers:B2003-0601 -P2003-0107-E2003-0326 Footing Not Approved: Approved: Comments: Backfill Not Approved: Approved: Comments: Framing Not Approved: Approved: Comments: Rough Electric Not Approved: Approved: Comments: Electrical Service Not Approved: Approved: Comments: Rough HVAC Not Approved: Approved: Comments: Rough Plumbing Not Approved: Approved: Comments: Gas Line Not Approved: Approved: Comments: Fireplace Throat/ Not Approved: Approved: Chimney Comments: Fire/Draft Not Approved: Approved: stopping Comments: Insulation Not Approved: Approved: Comments: Partial approval Not Approved: Approved: for Occupancy Comments: Certificate of Not Approved: Approved: Occupancy Comments: Comments: Page 1 of 1 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext.382 Electrical Permit Permit Number: E2003-0326 Date: 17-Oct-03 Map/Lot: 070/035-000 Owner ID 121007 Job Location: 22 POWERHOUSE ROAD Unit Job Description: wiring for addition Owner: Contractor: Donald L and Heather L Gressly Donald Gressly 22 Powerhouse Road 22 Powerhouse Road Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-3546 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 j<t is the owners responsibility to schedule the followina 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 O Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Officials Signature: I Town of Montville r Building Department Permit# � 3 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville,CT 06382 Fax. 848-7231 One &Two Family Trades Permit Application Form OPfumdfng El Electrical ['Mechanical Heating Air Condfitioning Gas Piping ❑Other Job Location 4)-a PWerlio,-h. Rth fANCa5 v,'lle C/ 46 342 Job Description/Materials Owner Do 110`\A 6I $'7 Mailing Address Rd P©we''nDukS e City L.lNcc,s vF ii e / State C Zip Tel 3 J?'9 Tel 0 /8vh' / 3 5—(1 Contractor Mailing Address City State Zip Tel I I 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. 41244/ Owner/Agent Signatureclg Date /v /7 I. 0 1 Construction Value Fee Building $ $ Plumbing $ $ \I Mechanical $ $ 1 Electrical $ $ t Other $ $ _ Certificate of Occupancy $ ��S 11 Plan Review Fee State Education $ Total $ $ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 9-c Pow IT h co se 06 3 8,2 In the town of uNC()sv►'//P 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(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 click one: 1. I do not intend to act as a general contractor or principal employer. [Si: uds p re] Signature of pplic 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 cover.ge by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is n% eq1,,• ave c a verage unless he files his intent to accept coverage. 11. • Signature of applic Subscribed and sworn to before me this day of , (Notary Public/Commissioner of the Superior Court) Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext.382 Plumbing Permit Permit Number: P2003-0107 Date: 17-Oct-03 Map/Lot: 070/035-000 Owner ID 121007 Job Location: 22 POWERHOUSE ROAD Unit Job Description: plumbing for addition Owner: Contractor: Donald L and Heather L Gressly Donald Gressly 22 Powerhouse Road 22 Powerhouse Road Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-3546 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ 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 El Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: .V� Town of Montville n Building Department Permit# 1',9C4 3 /657 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville,CT 06382 Fax. 848-7231 One &Two Family Trades Permit Application Form E]Plumding ['Electrical' Onfechanicaf Seating Air Conditioning —Gas LlOtker Job Location POwe4)0'49 CT O63id Job Description/Materials hotA Owner Ouoo-q- 6 f e 5$17 Mailing Address 40 r r Se City State Cr Zip 06 3 8a Tel 866 / yl' / 3 i-`1‘ Contractor 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 Signator Date l U / l 7 /.O 3 Construction Value Fee Building $ 50o `%' oci $ /6) Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ li.1/4t iG OCit is/rt— Plan Review Fee • $ . State Education $ O Total $ $ ./U 51 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: pc,e r }loco e In the town of (A^)(10-5 v, lie Name of building permit applicant: Do r J l 6 'ss l y Please check one: 1. A 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 § 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 check one: 1. ' I do not intend to act as a general contractor or principal employer. [Signan•f:to,here] Signature of'appli,ant 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 Vre d t have coverage unless he files his intent to accept coverage. Signature of appli t Subscribed and sworn to before me this day of 200 (Notary Public/Commissioner of the Superior Court) Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030,Ext.382 Building Permit Permit Number: B2003-0601 Date: 17-Oct-03 Map/Lot: 070/035-000 Owner ID 121007 Job Location: 22 POWERHOUSE ROAD Unit Job Description: Addition Owner: Contractor: Donald L and Heather L Gressly Donald Gressly 22 Powerhouse Road 22 Powerhouse Road Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-3546 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $5,891.00 Building Fee: $34.00 Use Group: R4 Plumbing Value: $300.00 Plumbing Fee: $10.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 58 Electrical Value: $295.00 Electrical Fee: $10.00 Permit Code: R3 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $6,486.00 CO Fee: $10.00 Plan Review Fee: $3.40 State Ed Fee: $1.04 Total Fees: $68.44 It is the owners resoonsibility to schedule the followina inspections(minimum 48 hours notice reauired): 0 Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble 0 Rough Framing Firestopping/draftstopping ✓ Rough Electrical V Insulation ❑ Electrical Service ❑ Final Inspection ❑d Rough plumbing and leak test V Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Z --�— r Town of Montville Building Department Permit#62C0 3 -6 O 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form El New Construction [l Addition 0 Alteration 0 Accessory Structure Other Job Location o2 o2 Po wer\A 0`x$e Rd , i/1,....;/1e Job Description/Materials A)0/'T/04-7 (� r 3 X /ci ' 7 Owner 001`caG i e S 5(i) Mailing Address ad Po w&h o�K QA City *-'C'-S us // C / State Cr Zip 06 3YV2 Tel e60 / ?YY /3 0 Contractor 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 Q.,,,d Date / / /7 / 3 Construction Value Fee qvU Building $ _.).-8 9i $ 3Y c-29 Plumbing $ $ Mechanical $ $ Electrical $ 0295 `26 $ /c) Other $ $ Certificate of Occupancy $ /0 Plan Review Fee $ 3 YY- State Education $ .99 Total $ $ Sa -2-7 (See*verse side for additional requirements) ,.. Town of Montville Building Department Receipt Date /0 / / 7 / D No. O326 ,. . From: -----30-)/pc_n ( J ;/ . Job Address: ,,a ()UWP +•.;„ r po , Amount $ G% • yY Cash 44:3Check # 77 --7/ one) Received by �✓%��� _ ��/ Permit# /5a9003 —GO/ U .Fpex)3 —3.2(.. i P0� 3 /° z STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 092 pot," ✓11oLA5 e to In the town of il0"i fvi' /(( Name of building permit applicant: Please check one: 1. X___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(FUN) 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 check one: 1. X 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 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 cov-rag- by filing a waiver with the appropriate District Office; and that a sole proprietor (7_5of a business is t r /resat ha e overage unless he files his intent to accept coverage. Signature of appli r. t Subscribed and sworn to before me this day of 200 . (Notary Public/Commissioner of the Superior Court) Town of Montville 44, Building Department 848-3030,Ext 382 ONE&TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: r� V00-16 l•O'$ ' R a (At-cs.,'or Cr 86 3 �'d 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. AO '7'enq G '3 X/y ' 7 '' HEALTH DISTRICT 848-3030-339 Approved No Permit ❑ Permit#: ❑ Required Septic System Date Approved No Permit ❑ Permit#: ❑ Required Private Well Date WPCA DEPARTMENT 848-3030,Ext 376 / I Approved No Permit r ►_ i , r--.- 411U El Permit#: cRequired f unicipal Sewer Date House Trap El Outside ❑ Inside Approved No Permit ❑ Permit# ❑ Required Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved No Permit El Permit#: El Required Director Date \/(PLANNING & ZO i'..IG DEPARTMENT 848-3030.Ext.379 Approved No Permit /i� U �` ) Permit# } p ❑ Required Zoning ate Approved No Permit El Permit#: El Required Inland-Wetlands Date ._....--_____]—: l N.)`-,•...0, ►i oG 4 Z. VQ ` ' — Gn 141.1 .9x •.4 1.4 , .t ......_ i--- .. w 3 ZtAe �- � o k , z M N d O3 X o �� a . _...............wer- _ ,.....%),.......9 r '0 0., Z I (IS XCS ti.ocgt t —Z19 i o -. .... .. . ... 1 VII NA Cl. v. 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