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Home My WebLink About27x27 Addition 1998 TOWN OF MONTVILLE D Building Cepartment 848-7'166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 14303 Approval Date: 8/13/98 Expiration Date: 2/13/99 Estimated Cost: 44,860«00 Fees: 258.00, PRF: 31.80 C.O., 10.00 Owner: Al Sholes Address: 8 Amanda Court Tel: 848-7756 Job Location: 8 Amanda Court Code: 02 Contractor: Paul Hagerman Address: 30 Vermont Drive Tel: 689-6339 Stick Built: x Modular Home: Manufactured Home: Commercial: Addition: x Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool: Demolition: Plumbing: Heating: Electrical: Air Conditioning: Gas: Patio: Porch. -.x Deck: Retaining Wall: New: x Repair/Replacement: Type of material used/discription: wood frame addition and porch. Size: 27' x.27' addition & 10' x 27' porch Type of Heat: Elec Fireplace: n/a No.of Stories: 1 No_ Rooms: 1 Breezeway: n/a No. Baths 1 Garage: n/a Use: residential 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 Applicant's Signature= ve, Date: If signed by Contractor, type of 1' a /reg' &,No: Building Official's Signature: Date: Date of Health Dept. Approval: Date of Zoning Approval: THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE, SECTION 119"~3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE. A MINIMUM OF 24 HOUR NOTICE-TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS- i ~D~ TOWN OF 14ONTVILLE Building Department / Applica'kon-for a'Permit Owner: Address:_ Tel :-77 ® d. Job Location: _(~►9 Contractor: .?Jq" C ~ ~ b°1riAy.l Address : F v5-OK49,41 Pr Tel : Stick Built: V Modular Home: Manufactured Home: commercial: Addition:. C/ Garage: - Car Port: - Shed: _ Remodeling:- Roofing: Siding: _ Fireplace: - Chimney: _ Windows: _ Pool: - Demolition: Plumbing: _ Heating: - Electrical: - Air Conditioning: _ Gas: Patio: _ Porch: Deck: _ Retaining Wall: _ New: _ Repair/Replacement: Type of Material to be used/ job description: 1d rx a'7 ` ed Size: ~7~X',2 R.R, L -;OATYPe of Heat: !"JCC.411c- Fireplace: No.of Stories:_ No. Rooms: Breezeway: No. Baths: Garage: use: i f NNW WM. 'i i ' f f This is to cerfity that under the provisions of the General Statutes the fOIIONan- -er50n or firm. t$ licensed or registered. HOME IMPROVEMENT CONTRACTOR Designee: NOT APPLICABLE H & 5 QUALITY CONSTRUCTION 30 VERMONT DR ~ PO BOX 288 OAKDALE, CT 06370 DB_A t_iG REG NO EFFECTIVE EXPIRES 00552423 '12/01/97 1 11/30/9 ZONING PERMIT ZONING PERMIT NUMBER fop- OR ❑N/A EXPIRATION DATE s-- APPLICANT p ~-r / APPLICANT a f i'u n L fiG~p m ~y S Qupq- r l i L consi. APPLICANTS ADDRESS I owe TELEPHONE re~ 6 3 J PROPERTYOWNER TTC Sk0l -C LOCATION A LOT AREA ZONE ASSESSOR'S MAP NUMBER LOT NUMBER y 1- BUILDING HEIGHT PROPOSED FLOOR AREA 7,2 9 Sa NATURE OF REQUESTIPROPOSED USE Red rtr-> m SKETCH ON REVERSE OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1'= 40' SHOWING: DIMENSIONS OF THE LOT, THE SIZE, AREA, AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND WATER SUPPLY, PARKING FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES. IN THE CASE OF FILL OR EXCAVATION REQUESTS (UNDER 500 CUBIC YARDS), DIMENSIONS OF FILL OR EXCAVATION AREA MUST BE INCLUDED. A PLAN PREPARED BY A CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. SKETCH PLAN OR GRADING PLAN ]YES DN/A SEPTIC PERMIT OYES NIA STATE HIGHWAY PERMIT OYES E34A WETLANDS PERMIT OYES N/A HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY OYES NN0 HAS BOND BEEN FILED DYES Lj" N!A FEE PAID ❑ CASH D CHECK # ❑ N/A THE APPLICANT AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 3. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. APPLICANTS SIGNATURE DATE: 3 ~5jp COMMISSION AGENT _ DATE CERTIFICATE OF COMPLIANCE DATE " THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS CONTACT THE ZONING OFFICER (848-8549y AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT LOCATION. REV. 7/25/97 CONI,"CTICUT HOMEOWNERS'/CONTRA`,--OR WORKERS' COMPENSATION INSURANc;E A F F I D A V I T HOMEOWNER Date: Homeowner(s)- Property Located At: In the Town of Waterford, Connecticut I , the owner of the above described property, hereby swear and attest that I will require proof of Worker's Compensation insurance from each and every subcontractor or other worker before he/she engages in work on my property. I understand that every person employed or engaged to perform services on the construction site (including sole proprietors, independent contractors, and both owners and employees of subcontracting companies), is required to have Workers' Compensation insurance. Signed: Dated: CONTRACTOR 1, its i )ftG C P k4,,4-r-/ , the contractor working the property located at _ Amft&2 C60 r$' , claim exemption from Public Act 96- 12 as a sole proprietor and I do not intend to act as a general contractor or principal employer. I also understand that there are new significant penalties under the Workers Compensation laws for misrepresenting ones employer status. Signed: Dated: 73 "Subscribed and sworn to before me this 1 -day of 19 OX " NOTARY Lisa DiMarco Notary Public My Commission Expires Oct 31 2002 CONNe,CTICUT HOMEOWNERS'/CONTRi OR WORKERS' COMPENSATION INSURAN(;E AFFIDAVIT HOMEOWNER Date: Homeowner(s): Property Located At: In the Town of Waterford, Connecticut 1, , the owner of the above described property, hereby swear and attest that I will require proof of Worker's Compensation insurance from each and every subcontractor or other worker before he/she engages in work on my property. I understand that every person employed or engaged to perform services on the construction site (including sole proprietors, independent contractors, and both owners and employees of subcontracting companies), is required to have Workers' Compensation insurance. Signed: Dated: CONTRACTOR 1, OeaeLr Z- tax )L-a el s , the contractor working the property located at R 4111,4w4W e-?'- , claim exemption from Public Act 96- 12 as a sole proprietor and I do not intend to act as a general contractor or principal employer. I also understand that there are new significant penalties under the Workers Compensation employer status. laws for misrepresenting p o Signed: Dated: "Subscribed and sworn to before me this 3-f-~ day of G~ tS~ 19 " NOTARY LIN DIMarco Notary public My Commission Expires Oct 31 2002