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HomeMy WebLinkAbout15x46 Above Ground Pool with Existing Deck Town of Montville („) Field Inspection Notice Permit # Location: 50 Age-7r/. Type of Inspection:?a4 Dir c factrifu G Issued to: Delivered to: •' 'ROVED NOT APPROVED The following orders are hereby issued for their correction: Please call for in a ion when corrections have been com to 0-848 66 / Date: cUJ By: Building 0 dal Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-262 Permit Date 5/23/01 Permit Type Building Permit Code R10 Job Street# 50 Job Location PRUETT PLACE Map/Lot 004/019-000 Job Description Pool Deck _ Owner Contractor David Lozupone — David Lozupone Address 50 Pruett Place Address 50 Pruett Place City Oakdale State Ct. City Oakdale State Ct. Zip 06370 Telephone 442-9656 Zip 06370 Telephone 442-9656 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $7,850.00 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 Values $7,830.00 CIO Fee $10.00 Comments: Plan Review Fee $4.60 State Ed Fee $1.25 Total Fees $61.85 1 Building Official's Signatur / Date 0/ /C' It is the owners respo ay to schedule the following required inspections(minimum 24 hours notice required): V Footings-prior to pouring concrete EJ Backfill -footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing Cl Chimney-one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding Cl Gas piping-pressure test and installation Cl Final Inspection ❑ Rough HVAC ® Certificate of Occupancy-PRIOR to use or occupancy ' Town of Montville Permit #eepd45.0,-. 0?z,? Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction ❑Accessory Structure ❑Plumbing ❑9Kechanical ❑ActionDemolition ❑Electrwal Heating ❑Alteration L Other DECK Air Conditioning Gas cmping Job Location 52) PRuet1 Place Job Description/Materials Per, plan Owner / y/d LQZ/AA,QJJe, Mailing Address X70 Pruett / e City Oaidik / State eT Zip U3 Tel ego / 9‘V(3 , 9L56 Contractor Cll ) )LL4 Lf)2UpODe Mailing Address 670 Pruett- r(acCity State Zip Tel / / Contractor's License/Registration Type&Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes ❑ No 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 J5 / ( , /© / Construction Value Fee Building $ D Plumbing $ $ Mechanical $ $ Electrical $ $ Other Certificate of Occupancy $ �Q Plan Review Fee $ y State Education $ / Total $ 7 3D $ 6 / , ?6 Town of Montville Building Department Receipt Date 51 / 7 /c / No. 00704 • From: ., 4....;— f .6-..1.' ' Job Address: 5-0 K-* 0 Amount $ -a --ar Cash C1111i„) Check # ____ (Circle one) Li (... Received by 1t .,,.,_ .'...: ; or....../ A41.--% Pen-nit 14 6. 4,c ? _ — Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Above Ground Round EA $ 3,000.00 Oval EA $ 5,000.00 In-Ground,including fence&patio EA $ 18,000.00 Roofing Strip&Reroof SQ $ 210.00 $ Overlay SQ $ 175.00 $ Sheds With Electric SF $ 25.00 $ No Electric SF $ 25.00 $ Deck 522 SF k 15.00 $ 7,830.00 TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 7,830.00 PERMIT FEE Building $ 7.830 $ 46.00 Electrical $ - $ - CO Fee $ 10.00 Plan Review $ 4.60 State Ed Fee $ 7,830 $ 1.25 Total Fees $ 61.85 Based on 2000 Average Construction Cost 5/17/01 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at ) 4''ae#, In the town of atidk Name of building permit applicant: bi// i. 0.e- Please check one: 1. V 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 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 c c ti •ne: a--\ )1(1./ I do not intend to act as a general contractor or principal employer. d`r\ d stop re] [Si. .A ,/ vI `dot Signature of appli t 176 . 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) Town of Montville Building Department ``v 848-7166 via. CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Map/Lot Job Description: bCkCa6arV 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 Akaad1�`0E:1 Permit#:Ye ttired ❑ Not Applicable S is Syst Date ❑ Approved [ Not Applicable Plans for Food Service Establishment Date ❑ Permit#: 4 Not Applicable Private Well Date //// WPCA DEPARTMENT 848-7094 4 ❑ Permit#: ❑�ot Applicable I ul cip. Sewer Date // 1-11Permit# J Not Applicable unicipal Water Date DEPARTMENT OF P :LIC WORKS 848-7473 ❑ Permit#: Not Applicable to Date POLICE DEP. T 7848-7510 ❑ Plan Reviewed NotPP Applicable OCharge Date PLANNING&ZONING DEPARTMENT 848-8549 /% ' s1/7/0( ❑ Permit#: ❑ Not Applicable Zoning Date bops_ lcuovt,L,- t t l I.(`� i ❑ Permit#: I►0 Applicable Inland-Wetlands Date FIRE MARSHAL'S OF `ICE 848-1175 Plan Review iar ❑ Approved Not Applicable arshal Date ,.wa Swimming Pool-Afar-7n Affidavit (Date 6—/ / J Owner 2)4AVcC/ LP z-1- /00 f'J WailingAddress 3U / ra' Ace_ Ce Oakb.Je, ( Location of Property .404`C I, Y.41.4C 2 ([)C/) - , owner/owners agent of the above referenced property, hereby swear and attest that I am aware of the requirement for a poolafirm to 6e instafed in the poor to 6e constructed at the above referenecedproperty. Further, I am aware that the alarm must 6e installed andfunctioni ; at the time of theftnaf(Certificate of Occupancy)inspection for the pooC .??,W (s'g //7/©/ (date) KV\LUCY (4AJ\ otag,Commissionerof the Superior Court, "Subscribedand sworn to 6efore me tice of the Peace)this "f day of 1 ft ,Loo (" (Date Commission Expires / / J A DUDDIE III In COMMISSIONREXPIRES JAN.31,2004 Inspected and Operational / / Budding Official I t /(i: - A --- -u: '-------- - ill - - - .all I-A" el I o 1 , �' aE �� a' ;. ,o ,)______(: g. i . . :.-. a r , : •.4 . .. . 7 I m-,, -III --11 1 $ . .. 1 -- :1 :� 1 � � � ./ A. m A = x { 9 CT CP e o ! q to lab , %. ,,,,,, x c_ _c --k_il La 1 N 4. h eJ 3 ` 3 X w sO I % � N ; ± k V 1 . k ke r24, 101 t s rclo =yg � 4 c y p / ' - tr.. ).--,‘, cc\ V t W � 0. u 'C. :y a o 4.3 r y ° va(3 Y le ToN ° E v N ' 4 "5 x 1