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Town of Montville
Building Department
Field Inspection Notice
Address: 165 Pruett Place
Job Description: Above Ground Pool
Permit Numbers: B2005-0282
Date permit issued: 6/14/05
Not Approved Deficiencies Approved
DECK PIERS Special Conditions
•
Not Approved Deficiencies Approved
POOL BONDING • Special Conditions
•
Not Approved Deficiencies Approved 6/24/05 W
ELECTRICAL Special Conditions
TRENCH .
•
Not Approved Deficiencies Approved
ROUGH • Special Conditions
ELECTRICAL .
Not Approved Deficiencies Approved
FRAMING Special Conditions
Not Approved Deficiencies Approved 8/12/05 DJ
CERTIFICATE OF 6/24/05 W • Equipment too close to pool—encroaches Special Conditions
OCCUPANCY on 4'arc from top of pool
• • Equipment moved 5'from pool.
I
Page 1 of 1
Revised 3/17/05
Sheet Printed:8/12/2005
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, Ct. 06382
Telephone 860-848-3030 Ext. 382 Facsimile 860-848-7231
Date: August 17, 2005
Paul & Joan Russell
165 Pruett Place
Oakdale, Ct. 06370
RE: Above Ground Pool
Dear Sir/Madam,
During a recent update of our files we found that the following item(s) are
outstanding in regards to the above referenced permit..
The required sign off sheet, signed by the other Departments that the structure is
properly completed as per their regulations has not been submitted to the
Building Department.
Please be advised that any use of this structure is a violation of the Building
Codes until the sign off sheet has been received and a Certificate of Occupancy
has been issued.
Thank You,
Building Department
Cc: File
-- -.—
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CERTIFICATE OF OCCU .• CY APPROVAL
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Property Address 7
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Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required Department Certificate of Occupancy Approval
Approval
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❑ WPCA `'\\ g(ps'
i
Si rnati��.r/dale
Comments:
A l
'1 Planning&Zoning 1.) P1 7//0'S—
.0 Signatures date 7
Comments:
NI Health Department p�a.IJ i;,, g�0 S
Si nature date
Comments:
❑ Department of Public Works
Signature/date
Comments:
❑ State Dept. of Transportation
Signature/date
Comments:
❑ Police Department
Signature/date
Comments:
❑ Fire Marshal
Signature/date
Comments:
❑ Wind Limitations Affidavit
wcvisea-August 5,2005
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
BUILDING PERMIT
Permit Number: 82005-0282 Date: 14-Jun-05 Map/Lot: 111/020-000 Owner ID: 5725000
Project Location: 165 PRUETT PLACE Unit:
Job Description: Above Ground Pool
Owner Name: Paul A and Joan P Russell Tenant Name: N/A
Careof:
165 Pruett Place
Oakdale CT 06370- Telephone:
Contractor Name: C B Construction Telephone: (860)437-3621
DBA: Treat's Pools Lic/Reg Type: HIC
Lic/Reg No: 556544
22 Avery Road Exp Date: 30-Nov-05
Uncasville Ct 06382-
Construction Value Permit Fees Construction Information
Building Value: $3,200.00 Building Fee: $32.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 w/2004 Amendment
$0.00 Mechanical Fee:
Electrical Value: $1.60 Electrical Fee: $8.00 Construction Type: 5B
Total Value: $3,360.00 Penalty Fee: $0.00 Permit Code: R8
C of 0 Fee: $10.00 Comments:
Plan Review Fee: $4.00
State Ed Fee: $0.54
Total Fee: $54.54
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS
❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill - Footing drains and waterproofing 0 Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑d Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certif ate of Approval
C= 'ificate of Occupancy
Building Official's Approval: ����
Town of Montville
Building Department
Residential Pool Plan Review
Date: Jon's 2_O(
Job Address: /, ' U&7 / PLA GL
Job Description: Pr13ofr 4•1z-,0(1 N*) Pb 0�-
The following information must be included on both sets of plans or accompanying documents (two sets are required)(C.G.S. 29-252a.) This list is offered as a
guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code.
Your application is being rejected for the following reason(sl that are checked-off or commented on:
Plans
• Supporting Documentation Pool barrier not proper or identified
Construction documents shall be of sufficient clarity to indicate the Gate cannot swing out over stairs
location,nature and extent of the work proposed(R106.1.1) Information on the pool barrier required
Construction documents are to match the orientation on the site plan Pool sidewall support brackets not protected
reversed plans are not acceptable, a full plan review can not be Door(s)to be self-closing or alarmed
performed with the submitted documentation Decks
Construction documents are incomplete or unclear,a full plan review Plans required
can not be performed with the submitted documentation Dimensions required
Building permit a licatio not completed Details on the existing deck guardrail required, (48" high barrier
Permit fee$ required)
Permit fee to be calculate Deck anchors—information required
Piers—size,material,depth below grade(minimum 42"required)
,(( Worker's comp.Affidavit or worker'comp.Insurance required Piers must be designed to resist uplift,lateral and shear loads
X Copy Contractor's registration or license
Construction permit sign-off sheet with approvals required Indicate joist hangers at flush framing and ledger
Provide all documentation to show compliance with the 2003 Stairs,handrails,and guardrails details required
International Energy Conservation Code(www.energycodes.gov) Direction of framing not clear or indicated
Street address of project on all drawings and documents required Beam spans,size,species,grade not clear or indicated
Field set of approved plans need to be picked up from our office Joists—species and grade,size,direction,and spacing
Two sets of construction documents required, this includes Joists over-spanned
engineering data,calculations,and other documentation Headers beams over-spanned
Wind Limitations Design Criteria
Submit supporting data to show conformance with the wind • Electrical Plan(s)
limitations(3 second gust @ 115 mph) Plans required
Design publication needs to be identified(WFCM,chapter 3,WFCM, Time clock location not identified
chapter 2,ASCE 7-2002) Pool pump outlet location with dimension from pool wall
Documents required to be stamped and signed by a CT registered General purpose receptacle location with dimension from pool wall
Professional Engineer Wiring method not clear or indicated
Routing of wiring not indicated
• Plans Burial depth not identified
_Wiring type not clear or indicated
Site Plan Bonding of metal components not identified
Plan required —
Property lines not provided • Mechanical plan(s)
Distance from property to structure
Structure dimensions Location of equipment with dimensions
Driveway LP-gas tank size,location and piping
Topography(existing and proposed) Manufactures data for equipment
Septic System and piping not indicated
Proposed utilities
Wetlands and flood zone limits and elevations
Comments:
�� ding Official
&vise6 9Iarck 30,2005
Town of Montville
Building Department
310 Norwich-New-London Tpke.
Tel.848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Pool Permit Application Form
Permit# OZp O �9 De2OR
RI Above Ground ❑ In ground ❑ E(ectrica( ❑ Deck ❑ Pool heater ❑ Mot Tub/Spa
ns Al/ di ,f abeor
❑Other /then / ire/4 c ,�xcS/7sny
ci/Art/ate 46 e,r/e
Job Address /6 5 0-44( (3 cr
(Number) (Street) (Unit)
Owner (/4 u/ /g csc 1/ Mailing Address /( 5 �/u r# 2/4cr
City Da t o/r State Ct 7- Zip 043' 0 Tel �tvc) / 4/3)114,g/
Contractor CQ Cons iuth ' (Peoi �C/s) Mailing Address al /9urvy a.„?
City uncus i,il State e T Zip 06.3V Tel FC-42 / V-11)
7S-0
Contractor's License/Registration Type&Number # .5'565 Yy Exp.Date // / 3o 1.2005-
I
2a0SI 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.
Separate applications are required for electrical, plumbing, mechanical, etc.
Owner/Agent Signature6:2,-..e.,‘? Date S / /3 / 05
Construction Value Fee
Construction Value Fee
Building $ 3 Zc)c; $ 3 Z^
Plumbing $ $
Mechanical $ $
Electrical $ /6cS— $
Work commencing before the issuance of a permit $
Certificate of Occupancy $ i O
Plan Review $ Li --
State
State Education $ 6 —59-
Total
S9}Total $ R1 3 6c) $ 51 ,5`")
(See averse side for additional'requirements) R E C E' E D
MAY 3 1 2005
sUvite4 March 1,2005
BUILDING DEPT.
Town of Montville
Building Department
File Receipt
Date: 08-Jun-05 Receipt No: 275
Received From: Paul A. Russell
Job Address: 165 Pruett Place
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $54.54 Check: $0.54
Check No: 4543
Construction Value: $3,360.00
Demolition Value: $0.00
.-"r9
Received By Sandra Pandora ,rt.:--- i
wpoliiit.:.....r.",:.{;rv, k8 tr r ,,�w yr•,�51'rw 4 +' �9L Sfr t'-',.b.:•,,,...'.rt/.r--- t/_ f/
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STATE __.����������,�������'�'
- OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION CTION
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C B CONSTRUCTION INC
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is certified by the Depo
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02./22/2005 01 : 26PM PAGE 2 OF 3
Client#:9909 TREAPOO
I ACORD. CERTIFICATE OF LIABILITY INSURANCE atizzro5"m
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Webster Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
914 Hartford Turnpike HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Waterford,CT 06385
860 444-3900 INSURERS AFFORDING COVERAGE NAIC#
MSURED INSURER A. Hartford Specialty
CB Construction INSURER B: Westport Insurance
DBA Treat's Pools
P 0 Box 205 INSURER c.
Norwich, CT 06360 INSURER D.
I INSURER E. 1
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Aim Ann XPIRATOM
LTR pm& TYPE OF INSURANCE POLICY NUMBER I YWDWI'
LIMITS
A GENERAL LIABILITY 31 UUNQS9784 103/01/05 03/01/06 i EAGI OCCURRENCE 151,000,000
LIABILITY
X coDAMAGE TO RENTED
uuEricLu GENERAL -c re.OCCAn VIOBr 5300,000 _
CLAIMS MADE X OCCUR MED EXP(Arty one Person) S10 000
_-
PERSONAL.8 AUV INJURY sI.000,000
GENERAL AGGREGATE 52,000,000
GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO 52,000,000
POLICY P, C —,LOC
A AUTOMOBILE LIABILITY X31 UUNQS9784 03/01/05 03/01/06 COMBINED SINGLE LIMB s1 000 000
X AN"ALTO (Eo accident)
ALL OWNED AUTOS --,
II
BODILY INJURYely) S
SCHEDULED AUTOS (PeiLY )
EiHIRED AUTOS
BODILY INJURY S
NON-OWNED AUTOS (Pe'accident)
PROPERTY DAMAGE S
(Per acacia,)
GARAGE LIABILITY AUTO ONLY-FA ACCIDENT S
■ANY ALTO
OTHER THAN —
FA ACC 5
AUTO ONLY: AGG 5
EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE S
OCCUR + CLAIMS MADE AGGREGATE S
5
. DEDUCTIBLE
S
KE TE NT ICN S S
B WORKERS COMPENSATION AND BINDER265594 03/01/05 03/01/06 X [TORWCY3TATU-IIMITS r 10R -
EMPLOYERS'
U T -
EMPLOYERS'UABIY ` r EA
ANY PROPRIETOR/PARTNEXECUTIVE E.L.EACH ACCIDENT S1OO,000
WE
OFFi CEKMEMBEK EXCLUDED? EL DISEASE-EA EMPLOYEE S100,000
n es Cesc,ibe rnCe�
sPEC41L PROVISIONS beI EL.DISEASE-POLICY uurT ,5500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Evidence of Insurance.
1 CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE E7LPRATION
DATE THEREOF,THE enema nonce WILL ENDEAVOR TD MAIL 9A DArs WNTTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OH
REPRESENTATIVES.
AUTHORIZED REPRESENTTATIIVEE�./
ACORD 25(2001/08)1 of 2 #,53922 �J� —�DLS O ACORD CORPORATION 1988
Town of Montville
Building Department
848-3030, Ext 382
RESIDENTIAL SWIMMING POOL
CONSTRUCTION PERMIT APPROVAL
cZ— c�/ 2Xe
Property Address ( /
t 2/Yi d/ Q✓!/,!Y •i—sti, /c�kKat 7 / 7'T% ✓YjJ/<ltt Z".(15 ) 15 �Vt $ cf.', 5
✓�`` I „�, .5 a"rte. /d r� � Job Descnption
/ ✓
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 Permit Issuance Approval
Approval
Tax Collector ( �� can1 t w, S \
os
0 WPCA
- r Planning& Zoning (L� �� 4=� Si .1/
OF, Health Department ,114
Comments/Conditions:
9riviad'Mfani 1,2005
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MAY 3 1 2005
BUILDING DEPT.
R #2-6800
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PRESENTS ITS NEW
1.
LADDER ENCLOSURE ,
p
Boca National Uniform Construction Code of
1996
Section 421.0 Swimming Pools
421.9.1 Enclosure:The enclosure shall extend less
than 4 feet above the ground.All gates shall be self-
closing and self-latching with latches at least 4 feet
above the ground.
Our product development team along with our
top-level engineers have conceived an /
exceptionnal enclosure that meets the strictest EXCEED
BOCA codes in the pool industry.
Materials
• 100%UV stabilized polyethylene p ll�iM /
Stainless steel hardware STANDARDS!
Lumi-O specifications
•Adaptable to Lumi-O outside ladders#6500A/C /
• Unique in its category
• 5 step easy installation!
BOCA compliance
• Self-closing and self-latching;
• Latch mecanism height:63 inch(5.25 feet);
• No horizontal or vertical members;
• No decorative cut-outs,indentions or protrusions; 1
• Bottom clearance less than 2 inches.11 —�`
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LUMI-O Industries (Canada) Inc.
850 de ('Industrie, Saint-Jerome, Quebec, Canada J7Y 4B8
Telephone: (450) 565-5544 or 1-800-265-1113 Fax: (450) 565-5958 E-mail: info@lumi-o.com
www./umi-o.corn
Lumi-O manufactures this product in accordance with the code requirments set forth by BOCA and NSPI while subject to intended proper and normal use as outlined in its instruction sheet.
Lumi-O reserves the right to modify its product specifications,designs or models at any time,without further obligation of its part