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Town of Montville
Building Department
Date: V7--.410 14 Field Inspection Notice Permit#:
Address: 75 0 P'jau a-r-1-- PL G lg—
Not Comments/Corrections Required—re-inspection required:
Inspection Approved Approved
❑ Footing 0 0
❑ Backfill 0 0
❑ Concrete Slab 0 0
❑ Framing 0 0
❑ Rough Elec 0 0
o Elec Service 0 0
0 Rough HVAC 0 0
❑ Rough Plumbing 0 0
❑ Gas Line 0 0
o Fireplace Throat 0 0
o Chimney 0 0
❑ Fire/Draftstopping 0 0
❑ Insulation 0 0
0 Final Inspection 0 0
24/1 C of O J 0
0 0 Alf.410(4111.
z iv / A.—
..
r►..spector s Si•.ature '
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CERTIFICATE 0 OCCUPANCY APPROVAL
/6--0 it---a e_t— iq,a__ . -
Property Address
Z CL
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 Department Certificate of Occupancy Approval
Approval
❑ WPCA
Signature/date
0 Planning&Zoning z44.460 eitre.miL ?Z 7/oY
-�1'`2C 3—Z75— Siumaturef date
1
❑ Health Department C /2-9-0�
S n 'date
b
❑ Department of Public Works
Signature/date
❑ State Dept.of Transportation
Sienature/date
❑ Police Department
Signature/date
❑ Fire Marshal
Signature/date
Comments/Conditions:
RRCvisedSepum6er9,2004
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Building Permit
Permit Number: B2003-0525 Date: 03-Nov-03 Map/Lot: 001/004-S00 Owner ID 121527
Job Location: 150 PRUETF PLACE Unit
Job Description: Shed
Owner: Contractor:
John+Ricarla C Horsley John Horsley
150 Pruett Place
150 Pruett Place Oakdale Ct. 06370-
Oakdale CT 06370 Telephone: (860)701-0467
Lic/Reg Type/No. 0 Exp Date:
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $4,000.00 Building Fee: $22.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABG
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R9
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $4,000.00 CO Fee: $10.00
Plan Review Fee: $0.00
State Ed Fee: $0.64
Total Fees: $32.64
It is the owners responsibility to schedule the foliowino 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
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑d Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: i
„„i
STATE OF CONNECTICUT
/' _5 S
, DEPARTMENT OF PUBLIC SAFETY
4'..&p
se4 DIVISION OF FIRE, EMERGENCY & BUILDING SERVICES � ',�,,
rf OFFICE OF THE STATE BUILDING INSPECTOR .. • '��
CC \� '4A }��cly�;�, ... ,(mow
---_-,7t;If*J i9 , S>_
,,,NSl'uSeptember 19, 2003 0
Mr. John Horsley
150 Pruett Place
Oakdale, CT 06370
RE: M-1208-03 150 Pruett Place
Oakdale. Connecticut
Dear Mr. Horsley:
I have reviewed the referenced request for modification of Section 403.1, of the 1995
CABO One and Two Family Dwelling Code portion of the 1999 State Building Code,
which states in part that all exterior walls shall be supported on structural systems
extending below the frost line except that accessory structures 200 square feet or less in
area are permitted to be installed above grade on a base of naturally durable wood,
preservative treated wood, concrete, masonry or other approved material but shall be
designed to resist or protect against movement from wind.
It is my decision to approve this modification, as requested, to allow a 240 square foot
accessory structure to be constructed without providing the required frost protection.
This decision is based on Section R403.1.4.1, of the 2003 International Residential
Code, which exempts freestanding accessory structures 400 square feet or less with an
eave height of 10 feet or less, and decks of any size not supported by a dwelling, from
providing frost protection.
Please be advised that the approval of this modification does not relieve the applicant
from complying with other laws or regulations that govern construction of accessory
structures or from the requirement to obtain a building permit.
If you have any questions, please contact Daniel Tierney, Deputy State Building
Inspector, at (860) 685-8310.
R r s z ds
• istopher R. Laux, AIA
State Building Inspector
CRL:DT:pm
cc: Vernon Vesey, Montville Building Official
Telephone (860) 685-8310
I 1 1 1 Country Club Road P.O. Box 2794
Middletown. CT 06457-9294
http://www.state.ct.us/dps/dfebs
An Equal Opportunity Employer
. STATE OF CONNECTICUT FILE#
'. DEPARTMENT OF PUBLIC SAFETY
OFFICE OF THE STATE BUILDING INSPECTOR
P.O. BOX 2794 •
• MIDDLETOWN, CT 06457-9294
TELEPHONE: (860)685-8310
FAX: (860)685-8365
REQUEST FOR MODIFICATION
OF THE STATE BUILDING CODE - FOR OFFICE USE ONLY
1. Name and Location of Building oh -140
[60 frikiz-H- P OauKdAA o63 76
No. Street Town State
Zip
2. Building Owner _l, �� nY-S
3. Applicant's Name n Telephone —7 O i — o 14(� 7
Applicant's Address 1 Q &v-€M- i91 001/44d ci-Ga C-7— O ,
. 7o
(Include Finn Name if Applicable) No. Street Town State
Zip
Name of Person to Contact (el
(For information if required) n ' J Telephone �� Q ��j
4. A. Date of Application for Building Permit —� - IV--= p3
B. Applicable Code(Title and Date) I ( q; C A- 130
5. Use Grouplc 21
A: Was there a change of occupancy: 0 Yes j1 No
B. If yes from to
6. Building Construction Classification 5k€-4 5
7. Square Foot Area of Building(Total) .L/0
Maximum Square Foot Area per Floor
8. Number of Stories
9. Check Applicable Designation:
❑New Building 0 Existing 0 Addition 0 Other(Explain)
10. Fire Protection at subject premises(Check appropriate headings)
CO)D Smoke Detection ❑ Heat DetectionExtin uish
0 Sprinklers ❑ Extinguishers
0 Standpipes ❑ Other(identify)
i
REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE
Page 2
11. Describe alarm system(s)at premises
12. Building Code Section that modification is requested from 0
13. Modification Sought
• Ihk prD
-e••ui 'sr 0- LICD s • • --Cm
;
14. Applicant's Signature '
���' �"� '- Date Signed
15. Important Requirement Failure to provide the following information will delay modification
process. The Building Official must comment below on the modification request as per Connecticut
General Statute 29-254(b). *Note: Must be signed by Chief Building Official,Acting Building
Official or Provisional Building Official.
❑ Support Request
❑ Do Not Support Request
kThe decision on this request is left to the Office of the State Building Inspector.
❑ Please contact the undersigned.
Building Official's written comments, if desired.
XJ / , , �
Building Official(Pri ed) Town *:uilding Official Signa re Date Signed 0_3
r,
95'8— U0
Building Official's Telephone Number
Best Time to Contact
MODAPP
Rev.8/21/00
i
Town of Montville
Building Department Permit#
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 ❑Addition El A teration 0 Accessory Structure
UOtlier
Job Location 1 'S C P►vt'.-H- Pi, C 64 dam/
Job Description/Materials /2 y x Ll s A e J
Owner A c lin 14-0 r5 l Mailing Address I S C Prike- - Pt-
City ()XL d Gkde f' State C?" Zip 063q0 Tel 44 0 / 70// O Y( 7
-,
Contract, tila.t«Z�.S:.�ik Mailing Address
City — a -S ,1Ls 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 / /
Construction Value Fee
alu
Building $ 1/e phi ' 00
$ r
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $ /0=b
Plan Review Fee $
State Education $ .6 y
Total $ $ .3,26 y n&
(See Reverse side for additional'requirements)
Town of Montville Building Department Receipt
_ Date 9 / / r/ 03 No. 0316 '6 1
From: /(1J AL gs tit-y 1
1 i
Job Address: /SC) irei, IT A
- .„,
Amount $ ., - 6/ ash heck Check # 5-5/2_,
(Circle one)
—
— Permit #
Received by ,. _ / ! ae��j Sam
• STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at: 16 0 fru€.* 2(
In the town of 00„`{et id'e
Name of building permit applicant: Jahn 14o (S
(el,
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 check one:
1. `✓I do not intend to act as a general contractor or principal employer.
[Sign and p here
1e4-ir-10‘-------
ature of app icant
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)
1111),
Town of Montville
I Building Department
848-3030,Ext 382
ONE&TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
l' - -)i--ce-t_ ,e AL ,e7a-
Property A dress
Job Description: ova, d / 'Xp2()
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 848-3030-339
13"•1, Approved Not Permit
❑❑ Permit#: Required
Septic System 9"�.S 43 Date
Approved of Permit
❑ Permit#: Required
Private Well Date
WPCA DEPARTMENT 848-3030,Ext 376
Approved (-- Not Permit
❑ Permit#: Required
Municipal Sewer Date
House Trap ❑ Outside XITiside
Approved Not Permit
❑ Permit# �equired
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approvedof Permit
ElPermit#:. kri'INIZequired
Director Date
.‘,„, -PLANNING & ZONING PARTMENT 848-3030.Ext.379
Approved _ Not Permit
0__,f 03 Permit#: 201-27J ❑ Required
Zoning ate
c.
7 ..1„.
Approved Not Permit
ElPermit#: ❑ Required
Inland-Wetlands Date
10/02/2003 14:04 7173555305 • NHS PAGE 01
, .
__1\`•
UTDOO ERS WORK ODDER DATE: �`/A/.I
f r
Customer gt r/p R,i/y _ NOTES:
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.
VINYL PRICE Y� /l v 74
a / / TEMP OPTIONS �� �' 4/4._ ,e/eep<"
SIZE: A( ',o/ G' BEADED :401 ,'
STYLE: GARAGE q /AiOil Xe-1,/- Np c'/urs )
MINI BARN 4' ' 6' WALLS �V
ma
A-FRAME WALLS S-��f7�`-P
COLONIAL • • WALLS
DUTCH BARN6" WALLS
QUAKER 7'3" ' WALLS
ECONOMY 4'1 WALLS SUBTOTAL
OPTIONS:
WINDOW SIZE— TREATED FRAME PERMA TRIM CORNER
JALOUSIE WINDDWS: TREATED JO! L, FLOWER R.; -0
White Brown 3 Panel TREATED FLOOD Woo.
4111101
FLOOR JOIST 8" 12"CENTERS Cu-• •
VERTICAL SLIDER WINDOWS: INSULATED FLOOR: Wood Vinyl
hitt BroWn 3 1/2"Fiberglass WEATHER VANE
VINYL SIDING WI DOWS: 1" 2" Styrofoam RAMPS 3' 4' 5'4, 8'
White BroWn VENTS- 1 : - - • 16 8X8 LOFT-Siz " /
EXTRA SHUTTERS RIDGE VENT 2 x 1101111
EXTERIOR: 1
tRIM: ROOF;
Lite G -y GT:--n Lite Gray Green • Black Dark Green
Dark Gr: aril Dark Gray -Dk. Brown Burl s- Lite Green
Lite Blue :eige Lite Blue Beige e: ... Gray
Dark Blue Almdnd Dark Blue and Dese Shake White
White -.i• White dr
Red r ut Red estnut Tar Paper
Barn Red rrtln Cream Black Hunter Green Architectural Shingles
Hunter G een I
VINYL SIDING:
White Bone Harbor Blueay_ Ivory Country Beige Driftwood
Ibearl Grey Sandpebble
1
i
Shingle Colors Vinyl Colors
&i. Almond — Gray
Black Gray -
Burnt Bark -.,e.Zc :: Light Green Blue _ Pearl
Dark Green Weather Wood Clay Tan
Desert Shake WhiteCream White
Paint Colors Trim Colors
Almond Dark Gray _Almond _Dark Blue _Light Gray
` Dark Brown Red_
Beige Green Beige
CharcoalLight Blue Black Dark Gray White
---";-
Chestnut Light Gray Chestnut Green
Clay Red_ Light Blue
Dark Blue -__- ,—==--= White *NOTE:The above samples may vary from
-�_��� actual shingle,paint or vinyl colors
- - Foundation 4" x 4" Pressure Treated Timbers
<� l Floor Joists 2" xi
16" O.C. - Garages 12" O.C.
\ �- Flooring 5/8 " Exterior Plywood - Optional
/ �� '' Pressure Treated
Side Walls 2" x 4" - 16" O.C. C /ding��.+or;.,r rlddrs}nm T vSiding ?6.'r_kki3
Rafters 2" x 4" - 16" O.C.
AO Roof Exterior Sheathing, 3 Ply Plywood
- Shingles 20 Year Asphalt Shingles
Windows Jalousie or Vertical Sliding Windows
8'x12' Economy Barn - Light Gray/White/Gray
with 50" Wide Doors and 2"x3"- 16"o.c. Doors Heavy Constructed Reinforced Frame
Inside Door with 1" x 3" Trim on Outside
Placement Ski1 ■ 8 • I Fasteners Nails are used on all framing, sheathing
1113/4"1 68N '11%.' and siding construction
10' A large selection of options is available:
■ ■ a -, Larger Doors • Extra Doors • Larger Windows
' 1' 1 3414 1 241" • Insulated Floor • Flower Boxes
24W 34/ Extra Windows •
12' Ramps • Weather Vanes • Vents • Ridge Vent • Etc.
343/4" 341/4" 34Ya" 343/4" Ask Your Dealer For
14' Site Preparation Recommendations
■ ■ For more information contact . . .
1 ' 243/:' 1 23" 1 34Y" 1 34Y4" 1 23" 1 243/4" 1
I
OUTDOOR BROKERS
WEST HARTFORD,CT 0610'
860-521-6585
1