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10x12 Shed 2003 i ° i.+ a) • Cn •• a \� ° \\N O cu L: a) ami 45 U .`� U •� U 4=0 U • 0 O �� a,� cW w ° �4- L. 11 d ico o O M d s. Up H \, L a a5 H Ol a.,4 au U • U o o H. .::•.io v O ril by.� o C c.) ; 1 r, cv U �. 5 U C7 2 �O O ..(-) - V 'Y (4 W o f4 o4 3 - W Iii E—• \ U O Ii .- +- 4. Z ° O ID▪ N • u a) H Cil ccri a o Q, U U O wf Town of Montville Building Department Date / /�,� / dg Field Inspection No • e Permit # ✓ ,49 df-/20 Job Location Approved Type of Inspection Not Approved - Please call for re-inspection when the following corrections have been completed: --'41-111 Building Official Town of Montville Building Department ,,r, 848-3030,Ext 82 ONE &TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET /‘ Q / ,�,�© � D r-- Prop y Address Job Description: I/` 4 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 Approved ❑ Permit#: ❑ Not Applicable Septic System Date Approved ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext.376 Approved ❑ Permit#: ❑ Not Applicable Municipal Sewer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit#: ❑ Not Applicable Director Date PLANNING ZONING DEPARTMENTz. 848-3030.Ext.379 In-Compliance = •'' 2 &5 Permit#:207-031 ❑ Not Applicable Zoning Date In-Compliance ❑ Permit#: ❑ Not Applicable Inland-Wetlands Date *visa 6/28/2002 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2003-0092 Date: 01-Apr-03 Map/Lot: 016/T29-000 Owner ID 122511 Job Location: 16 RAINBOW DRIVE Job Description: Shed -- Unit Owner: Contractor: Walter C&Geraldine K Buffinton Sr Geraldine Buffington 16 Rainbow Drive 16 Rainbow Drive Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-9527 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: —_ $3,150.00 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: $3,150.00 CO Fee: $10.00 Plan Review Fee: $2.20 State Ed Fee: $0.50 Total Fees: $34.70 ❑ Footing - Prior to pouring concrete LI Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney- One flue above thimble ❑ Rough Framing ❑ Firestopping/draftsto pping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test [] Certificate of Occupany ❑Gas piping and test Building Official's Signature: Town of Montville Li Building Department vqiii4 Permit# 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form 0 J1(ew Construction 0 Addition 0 Alteration 0 Accessory Structure El Other ) r7 ,56-'7.1 i Job Location/ to9T4,//Tbo2eJ 2:).,ii .,, III C ,-/ 4 L) 5e.a_, Job Description/Materials >9 d a4i. Rail,'" tl/H ,g i:.q/ " ,, ite , , Y 04:- Owner 6,e�a;,. 0 cr,,�-t c,,, Mailing Address 16 Z Aux).rov v 7:721 v.� City 0.1 L.01 v,c_i_e- State CT Zip O ,3 R Z Tel T 4O / 'WS `,57:7 Contractor _c 5Li= Mailing Address City State Zip Tel Contractor's License/Registration Type &Numbe r- Exp. Date / / ' CZ$rA x.888 4 tOn,-',et ii. I hereby certify that the proposed work will cot Ai/k, (,/� co `VieStsys -'1 other codes as adopted by the State of Connecticut and the Town of Montville .S 9 8�,s%(c ' prized by the owner in fee and that I am authorized to make application£" j v._ S> oz-.TA RS) Owner/Agent Signator c- '.% '� _ _ . c..,‘, gate /—2 7 / - Fee Building '4,. 'T Plumbing �'''�► Mechanical $ _ •`��o,co j Electrical $ 4) Other $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ (See*verse sidefor additional requirements) - .,3 ,' •7 Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,150.00 $ - Above Ground Oval EA $ 5,250.00 $ In-Ground EA $ 18,900.00 $ - Heater EA $ 3,465.00 $ _ Hot Tub EA $ 5,250.00 $ _ Roofing Strip&Reroof SQ $ 207.20 $ Overlay SQ $ 127.05 $ Plywood SQ $ 101.85 $ Sheds SF $ 26.25 $ Electrical Service 100 Amp EA $ 816.43 $ 200 Amp EA $ 1,519.19 $ 400 Amp EA $ 6,039.29 $ Breezeway/Decks Open SF $ 22.31 $ Enclosed SF 94.76 $ Porches Open 160 SF 25.52 $ 4,083.20 Enclosed SF $ 123.90 $ TOTAL BUILDING CONSTRUCTION COST $ 4,083/0 PERMIT FEE Building $ 4 083 $ 28.00 Electrical $ $ - $ - CO Fee $ $ 10.00 Plan Review $ 2.80 State Ed Fee $ 4,083 $ 0.65 Total Fees $ 41.45 Based on 2003 RS Means Residential Cost Data 4/2/03 Town of Montville Building Departme-it Receipt Nor Date y / // / 03 No. 02626 From: """)7/0 El AC 1�j��1NGG✓�U� Job Address: IC 72.AINSo( i 3>24 " Amount $ y/ . y 5 Cash E Chcc� Check # ,399 tt Circle one) Received by �h.� Permit #. 2-49c1-1-..o STATE OF CONNECTICUT ,d W RS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: /6) P--;-?' ) In the town of aLac;Zy/te) G74 C2'8i Name of building permit applicant: e.-,_r /(L5 - 'V 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(NEIN) 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 chfq one: 1. X I do not intend to act as a general contractor orrinci al employer. p [Sign top here] 47ignature 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 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) Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,150.00 $ - Above Ground Oval EA $ 5,250.00 $ - In-Ground EA $ 18,900.00 $ - Heater EA $ 3,465.00 $ - Hot Tub EA $ 5,250.00 $ - Roofing Strip&Reroof SQ $ 207.20 $ - Overlay SQ $ 127.05 $ - Plywood SQ $ 101.85 $ - Sheds 120 SF $ 26.25 $ 3,150.00 Electrical Service ...................... ...................... 100 Amp EA $ 816.43 $ - 200 Amp EA $ 1,519.19 $ - 400 Amp ;i;:EA $ 6,039.29 $ - Breezeway/Decks Open >SF $ 22.31 $ - Enclosed ,SF $ 94.76 $ _ Porches Open SF $ 62.69 $ - Enclosed >•SF $ 123.90 $ _ TOTAL BUILDING CONSTRUCTION COST $ 3,150.00 PERMIT FEE Building $ 3,150 $ 22.00 Electrical $ - $ - $ - $ - CO Fee $ 10.00 Plan Review $ 2.20 State Ed Fee $ 3,150 $ 0.50 Total Fees $ 34.70 Based on 2003 RS Means Residential Cost Data 3/27/03 Go_oc1 Life fo rJense" r 9 RESIDENTIAL COMMUNITIES Years March 24, 2003 Mr. & Mrs. Walter Buffinton 16 Rainbow Drive Uncasville CT 06382 Dear Mr. & Mrs. Buffinton: You have permission to install a 10' x 12' wood utility building as we have discussed. You may install the utility building on your site in a location to be determined, provided all specifications of the Rental Agreement's Rules and Regulations are observed. The building must be installed either on a proper concrete slab or on a properly treated wood deck set on concrete blocks. The exterior walls must be covered with wood shingles; plywood and pressboard and composite type sheets are not allowed. The roof shall be pitched and shall not exceed 10' in height at the center and 8' at the sides. It shall have at least two surfaces which meet at any angle to permit water to run off in a least two directions. The roof's exterior must be plywood covered with asphalt or wood shingles. In no case will used lumber and/or tar paper be permitted for exterior surfaces. There cannot be add-ons to the utility building, and it must be of a design to harmonize with the home. It must be kept in good condition and repair at all times. The shed cannot be less than eight foot by eight foot. Any permits required by the town and/or county must be secured by you and a copy submitted to the sales office or the corporate office. The project must be completed in a neat, craftsmanlike manner. The project must be commenced within 90 days of this approval and be completed within 30 days of the commencement. Timely clean up of all building materials and debris is considered part of the project, including the removal of the old utility building from the community. We have analyzed all documentation and we have reached a decision to extend tentative approval for your deck project. You or your representative may proceed with the obtaining of all and any applicable permits required by the local municipality. Our final approval is contingent upon Jensen's receiving the building permit. The deck must be supported by a minimum of six (6) 8" x 42" concrete piers, since the awning is attached to the home. Sincerely yours, JENSEN'S, INC. Utile P ike Kane 41, Operations Manager pc: Mike Jones Bob Walsh Jensen's,Inc.,246 Redstone Street,P.O.Box 608,Southington,CT 06489 Tel (860) 793-0281 Fax(860) 793-6909 Town of Montville Building Department 1 848-3030,Ext 382 ONE &TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: Ski 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. HEALTH DISTRICT 848-3030-882 Approved ❑ Permit#: ❑ Not Applicable 2p (System Date Approved ❑ Permit#: ❑ Not Applicable Private Well Date Y WPCA DEPARTMENT 848-3030,Ext.881 10 e 0ewer I i ( Approved l)3 ❑ Permit#: q Not Applicable unicipal SDate House Trap 0 Outside 0 Inside Approved ❑ Permit# 0 Not Applicable Municipal Water Date DEPARTMENT OF PUBLI ORKS 848-7473 Approved Director ❑ Permit#: 0 Not Applicable Date ,'PLANNING &ZONING DEPARTMENT 848-3030.Ext.81 `� , ! �, / In-Compliance L �/z8�0 Permit •#: 20 --as'7 ElNot Applicable Zoning l Date 7 In-Compliance ❑ Permit#: ,. Not Applicable Inland-Wetlands Date , . .... 0 \ L 14 i 1 7 1 1 N .., i .\ I \ 1 1 N 1N !`Q V ii .X6 i \ t ill ki - ."..1, \ 1 \J f'- '. .sj I 1 I i 1 1 1 i i - Lt-------... i I I 1 4, 1 I ; I lki i ! 1 ; i i , g'61 (7......_,.._ p 4 h , 2----) 4 , ...,..