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Home My WebLink About8x14 Shed 2003 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext.382 Building Permit Permit Number: 82003-0585 Date: 16-Oct-03 Map/Lot: 087/T02-000 Owner ID 124022 Job Location: 260 RAYMOND HILL ROAD Unit 10 Job Description: Shed Owner: Contractor: Enrico Ripani Enrico Ripani 260 Raymond Hill Road,Lot 10 260 Raymond Hill Rd Unit 10 Uncasville, Ct. 06382- Uncasville CT 06382 Telephone: (860)848-0069 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $2,359.00 Building Fee: $16.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO 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: $2,359.00 CO Fee: $10.00 Plan Review Fee: $1.60 State Ed Fee: $0.38 Total Fees: $27.98 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ 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 0 Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Tow!tit of Montville Building Department Permit#(1/5700 3.--5-616- 310 j 5310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form 9&w Construction El Addition []Alteration [Accessory Structure []Other Job Location Job Description/Materials WO'4a/ 2 f' !//;tfyi Owner,11/)--- C ' e 1 P1Q Af, Mailing Address.2‘O 8/QymoA/1 1/4( /ap� City L/ii/CRSY////_ State C T Zip O63,P2 Tel Q'yQ'/ 0O/ 6 Contractor Mailing Address City 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 Building $ 3 5- Plumbing Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ 70 Plan Review Fee $ /1 State Education / cy' $ Total $ 2. 3�/ $ n� (See*verse side for additional requirements) Town of Montville Building Department Receipt iii Date /4 / —/- - r No. 03245 From: Cg:„„fr:cn...0... / ` 10 .irfirMV: 40, Amount $ 4110P--- Check Check # / lwpie Circle one) Received by / , /.%. �,w _ !'�..rsr' Permit #�r 6D3- -"J-c3': Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,150.00 S - Above Ground Oval EA $ 5,250.00 S - In-Ground EA $ 18,900.00 S - Heater EA $ 3,465.00 S - Hot Tub EA $ 5,250.00 S - Roofing Strip&Reroof SQ $ 207.20 S - Overlay SQ $ 127.05 S - Plywood SQ $ 101.85 S - Sheds SF $ 26.25 S _ Electrical Service 100 Amp EA $ 816.43 S - 200 Amp EA $ 1,519.19 S - 400 Amp EA $ 6,039.29 S - Breezeway/Decks Open SF $ 22.31 S - Enclosed SF $ 94.76 S - Porches Open SF $ 62.69 S - Enclosed SF $ 123.90 S - TOTAL BUILDING CONSTRUCTION COST $ - PERMIT FEE Building S 2,359 $ 16.00 Electrical S - $ _ $ - $ - CO Fee $ 10.00 Plan Review $ 1.60 State Ed Fee S 2.359 S 0.38 Total Fees $ 27.98 Based on 2003 RS Means Residential Cost Data 10/10/03 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: In the town of Name of building permit applicant: 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 stop here] Signature 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) Town of Montville • Building Department 848-3030,Ext 382 ONE&TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET a Lo 0 eakinclProperty Address rn f (ci Job Description: 6 ( lU L-eri 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. _.-s.--HEALTH DISTRICT A-- 848-3030-339 �2_ ApprovedNo Permit Ce� 5 Q� ❑ Permit#: Required Septic System Date ❑ q Approved No Permit ❑ Permit#: ❑ Required Private Well Date WPCA DEPARTMENT 848-3030,Ext 376 Approved o Permit ❑ Permit#: Required Municipal Sewer Date House Trap ❑ Outside Inside Approved \ No Permit CI Permit# J Required Municipal Water Date "` �� DEPARTMENT OF PUBLIC WORKS 848-7473 Approved No Permit ❑ Permit#: PJRequired Director Date -PLANNING & ZONING I EPARTMENT 848-3030.Ext.379 ' Approved No Permit Aed" • •% ic> 3/ bJ ❑ Permit#: Z03 3°Y. 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