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10x16 Pole Shed 2012 N IC O N N 61 Q 0 O I Z O Z O O -c -o 4-,J 5 -5 D 4 Cn 4- 6 0 3 (i3 CU `-' 4-I (0 c CL Q Cl.) r0 Q M U O N > O Ni o r0 o I o, in C C C 0 Cc O a) (0 .- 'i a) _, _v >- 6j ° EE V a2 au -o 0 0 Z CD W Z o > < Q 1. 1 Fe V >,•_ r0 a, CC V `° a) fl o Q O CL CI'Lu _ -o -c •' H N \ Z QL LL W 0 O a\ 0 W I— o nu C -- :6 \\-..„ J LL p 1-1F"i Ill CD Z i ' r, W -ct ca) .- N in o U m Z U 2 -B D g -p ON C Z }Uon 1 `j L c) = :0O r0 a) U') , C > \� O C Q) ,NI m Q �N O O N a oN U -0 (73 01 O (n U -r.-, ..3 CU p C Q) 'a C - O IP .= \') rtf - (CO m tri 0 0 U >• .- : Q U ' m N D '- C Ln 0 _0 1_ a) -B a) C S a iHUCU 0 Town of Montville Building Department CERTIFICATE OF OCCUPANCY APPROVAL t)7/ ea,,v [( c� Property Address Job Description Required Department Permit Issuance Approval Approval Planning & Zoning 1 / Signature/date Comments: ❑ Health Department Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows& Doors Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations • When Required by WPCA Signature/date Comments: ❑ Fire Marshal Required for all properties EXCEPT one and two family Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Final Inspection Revised May 23,2011 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 21 Rankin Court Job Description: Pole Shed Permit Number(s) B2012-0320 Permit Date: August 7,2012 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Piers 8/8/12 DJ Framing • 8/8/12 DJ Final inspection for • • certificate of 8/8/12 DJ occupancy **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 NOTICE:Before a certificate of occupancy can be issued,a C/O signoff sheet must be completed and returned to the building department.Signoff sheets are available in the building department. Rev.Date:1/18/06 Page 1 of 1 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: B2012-0320 Date: 07-Aug-12 Map/Lot: 101/059-000 Owner ID: 5787000 Project Location: 21 RANKIN COURT Unit: Job Description: Pole Shed Owner Nam Barbara A.and David M Crosier Tenant Name N/A Careof: 21 Rankin Ct Uncasville CT 06382- Telephone: Contractor Nam Home Owner Telephone: DBA: Lic/Reg Type Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $500.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $500.00 Penalty Fee: $0.00 Permit Code: R9 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.13 Total Fee Paid: $30.13 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 ❑ Fooling-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Fooling drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ 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 ❑ Certifica - of Approval 'n C .' 'cafe of Occupancy Building Official's Approval: -72 - iC f Town of Montville Building Department 310 Norwich-New London Tpkc+. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 66)0 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family IA Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration NiTownhouse I=]Mechanical Accessory Structure ElEElectrical CRS#: Property Address: V kna/"/ �`/// • (Number)_/ (Street) (Unit) S�1�(0 Job Description: ° G o f P® Z e s 4el Owner: e a J/L7 /ui 0,2 a5' den Address: G" ,eahkl; (� Qq City: (tel"C� v�" v'v State: r. Zip Code: oeiv` Telephone( ) Applicant: $ice "e o heo/e DBA: Address: City: State: Zip Code: Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration Date: I hereby certify that the proposed work will conform to the State 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 1 am authorized to make application for a permit for such work as described above. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: ,k>r....,c..e � . Date: .c/9/2" Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised.August 23,2007 7A v'"v State of Connecticut N r���y`)4 t CWorkers' Compensation Commission CU Ce ,�'%�, rn'/� Please TYPE or PRINT IN INK itIMIZzy Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit ,i0 / A e d s j/2 Property located at 2/Z"[//(/ //r/ ef. in the City/Town of 4/Ne ✓ !' / ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: -21 I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER ApplicantX 4 ` 4,, ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department File Receipt Date: 06-Aug-12 Receipt No: 7645 Received From: David M. Crosier Job Address: 21 Rankin CT Fees Collected State Educational Training Fee Cash: $30.13 Cash: $0.13 Check/Card $0.00 Check/Card $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $500.00 Demolition Value: $0.00 Received By David Jensen ,� /yje_gp— Address: 21 Rankin Court ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n- Y/N $ - Air Conditioning n- YIN $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/tfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof - SF $ 4.50 $ - Roof Sheathing - SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon - EA $ - MISCELLANEOUS CALCULATIONS $ 500.00 TOTALS $ 500.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 500.00 $ 30.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Working before Permit Issuance n $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.13 TOTALS $ 500.00 $ 30.13 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department • 310 Norwich-New London Tpke. Fax. 860-848-7231 Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. V ,aff / 0- Property Address cW,e,&/ /gel( /0/ 1/, ,; Job Description 111 - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval ® Tax Collector ',Ns/6„// Y Signature!date Comments: C-It'2--12 ® Planning & Zoning YAP-Z- Signature!date Comments: iji , X 1 ' C g l-t S(f C ® Fire Marshal Signature/date Comments: ® Health Department Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical,Roofings gning,Windo datews &Doors Comments: \ S i Q ® WPCA, Administrative Y 4 -'I/ j---( I l )7 Required for properties on sewer Signature/date Comments: n WPCA, Operations Signature/date When Required by WPCA Comments: ❑ Department of Public Works Signature/date Required when project includes driveway work or certain drainage requirements g Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq. ft. or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date rR mrgv'nfxmfin 5,200,4 FJ o` t Z)) --t-cA 4_ i • � i c::::,._ S (--) t "E:Zli Nal i I g' t F\ t\\ i - _ C) - ts4:t . .._.._ 1---.....mmoniallii Milliil ----'-'r- vN.4 -k ONIINIM1101.111111111M1111 MIN Io i et, N. 11101111111111111 11111 I 11.1111111NNI IMO a '-' 4---... ill��_ N III Mill M1 ''.1) 1.1 NOTICE OF VIOLATION TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 7/11/2012 Barbara A. and David M Crosier 21 Rankin Ct Uncasville CT 06382- Delivery method: CERTIFIED MAIL. RETURN RECEIPT REOUESTED and FIRST CLASS MAIL property located at: 21 RANKIN COURT Unit: Map/Lot: 101/059-000 You are hereby ordered to discontinue the violation at the above referenced property per Section R113.1 of the 2003 IRC portion of the 2005 Connecticut Building Code. You must STOP WORK as per Section R114.0 of the 2005 Residential Code portion of the 2005 Connecticut Building Code and you must submit to the Building Department a plan of compliance within ten (10) calendar days from the date of receipt of this notice in order to avoid legal action. The violation consists of: The construction of a shed roof structure with out approval(s) and permit(s) a-Lpd David M. Jensen, Deputy Building Official Cc: File Office Use Only: Date: Inspector: Comments: 6 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. S gnatyre / 0 Agent item 4 if Restricted Delivery is desired. `/ g • Print your name and address on the reverse X14/./4` 1�FA,_. 0 Addressee so that we can return the card to you. B. Received by(Pnnt d Name) C. Date of Delivery • Attach this card to the back of the mailpiece, � / 6 i or on the front if space permits. ✓..,A4)C- tcf P <'hecGei-- 8 r D. Is delivery address different fro . 0 Yes' 1. Article Addressed to: If YES,enter delivery addre5 elow: .�Na" O cNi d, Ctosi e,r J CQ a 6cyhar� cnd Day.d, t^ Cou✓ 7 J\' c,, Rcnk-�'n .r-,.. J vIl( Cr °C'' 151 �n CO S <i 3. Service Type .Certified Mail 0 Express Mail ❑ Registered . eturn Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from service label) 7008 1300 0000 7705 9913 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 { U.S. Postal Service,. CERTIFIED MAIL, RECEIPT ni (Domestic Mail Only;No Insurance Coverage Provided) 1-1 Er For delivery information visit our website at www.usps.coma OFFICIAL USE (�- Postage $ N Certified Fee Postmark O Return Receipt Fee Here (Endorsement Required) O r Restricted Delivery Fee (Endorsement Required) O EZI m Total Postage&Fees r-R Sent To cp , .L Street,Apt.No.; C�--c n Qx�id CfOSlcr' O or PO Box No. City,State,ZIP+4 GG i Cr O(P30� PS Form 3800,August 2006 See Reverse for Instructions t.