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Home My WebLink AboutCertificate of Occupancy - Above Ground Pool, Deck & Shed Via, r Town of Montville Building Department Certificate of Occupancy E ` for Above Ground Pool, Deck & Shed at 4 ANDERSEN LANE This is to certify that the construction described conforms substantially to the requirements of the State of Connecticut Building Code as per Section 29-265 of the Connecticut General Statutes and Zoning Regulations as adopted by the Town of Montville and is hereby approved for use and occupancy. Permit Number: B2003-0226 Special Conditions: Map/Lot: 131/060-000 Use Group: R4 Code: 1995 CABO Construction Type: 5B Owner: Nick J and Diane L Padjen 4 Andersen Lane Oakdale CT 06370 Sunday, March 11 007. Building Official: CO Issued: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Fact 382 Uncasville, CT 06382 Fax. 860-848-7231 CERTIFICATE OF OCCUPANCY APPROVAL a4~r:5f? ,~r2. e a /:/,a e d/ 370 Property Address Job Description No Certificate of Occupancy will be issued until all of the required signatures have been obtained. Required Department Certificate of Occupancy Approval Approval ❑ WPCA Comments: ~z Planning & Zoning ZZ,,~L7 ® r Comments: ❑ Health Department Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation (All conditions of STC Certificate of Operation (if applicable) have been satisfied) Comments: ❑ Police Department Comments: ❑ Fire Marshal Comments: isedyLugust S, 2005 Field Inspection Notice Town of Montville Building Department September 21, 2006 Address: 4 Andersen Lane Job Description: Pool, Deck and Shed Permit Number(s): 132003-0226 Permit Date: 19-May-03 F2003-0135 19-May-03 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date • The gate must be 48" high above finished grade. • • The latch on the interior side of the gate can be reached from the outside. The latch must be Certificate of 6/8/06 DJ protected 18" around and from the latch. Occupancy • The gate must be self closing and self latching A 9121/06 JS graspable hand rail is re required on all stairs. • The require GFCI receptacle located on the main deck is not working Rev. Date: 10/18/05 Page 1 of i r I Town of Montville ' Building Department p~ Date Field Inspection Notice Permit # ~~0 Job Location Approved Type of Inspection f f ` ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: f 1 E I f Building Official Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2003-0226 Date: 19-May-03 Map/Lot: 131/060-000 Owner ID 2501 Job Location: 4 DE SEN LA Unit jilild Job Description: Above Ground Pool, Deck & Shed Owner: Contractor: Nick J and Diane L Padjen Nick J. Padjen 4 Andersen Lane 4 Andersen Lane Oakdale Ct. 06370- Oakdale CT 06370 Telephone: (860) 367-9248 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $10,083.00 Building Fee: $64.00 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: $504.00 Electrical Fee: $10.00 Permit Code: R8 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $10,587.00 CO Fee: $10.00 Plan Review Fee: $6.40 State Ed Fee: $1.69 Total Fees: $92.09 rt.c the o~ Hers responsibility to schedule the following inspections (minimum 48 hours notice reauired): F-/] 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 V-1 Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test d Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Town of Montville Permit~~. Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Pool Permit Application Form Above Ground ❑ In ground ECectricaf a0eck ❑ Eoo(heater EyWot Tu6/Spa ❑ Other Job Location ' i O tk, , Owner 1, cj~ P& ~ r. Mailing Address t t f City Q Gi~`~C D , State-_U_-- Zip C> 4 17 0 Tel Y~,C /_3~ / ~ 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 / /0.1 Construction Value Fee Building $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See Reverse side for additionaf requirements) ,~t Receipt - - - - nr ntville Building Departm ,rt Town of No, Date From: Job Address: Check # ~hcek „cam cash (C' irclc Amount t # Pernv Received by Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools & Spas Above Ground Round 1 EA $ 3,150.00 $ 3,150.00 Above Ground Oval EA $ 5,250.00 $ - In-Ground LLEA $ 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 166 SF $ 26.25 $ 4,357.50 Electrical Service 100 Amp EA $ 816.43 $ 200 Amp EA $ 1,519.19 $ 400 Amp ` EA $ 6,039.29 $ Breezeway/Decks Open Is' SF $ 17.17 $ 2,575.50 Enclosed SF $ 94.76 $ - Porches Open SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 10,083.00 PERMIT FEE Building $ 10,083 $ 64.00 y Electrical $ 504 $ 10.00 CO Fee $ 10.00 Plan Review $ 6.40 State Ed Fee $ 10,587 $ 1.69 Total Fees $ 92.09 Based on 2003 RS Means Residential Cost Data 5/19/03 Y STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: e L - In the town of d, t f 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. /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 hav e nle,~s he files his intent to accept coverage. Signature of app Subscribed and sworn to before me this day of , 200_. (Notary Public/Commissioner of the Superior Court) ~I Swimming PooCACarm.Affidavit (Date _j/__ f C3 Owner sr-,, wajkV,gddress . ct 06370 .Location ofBmperty a I, owner/owners agent of the above referenccdproperty, hereby swear andattest that I am aware of the mquirement fora poofararm to 6e huta&din the pool to 6e consMutedat the above referenecedprvperty. Further, lam aware that the alarm must be instaQed andfunctroning at the time of the fina1(Cert fuate of Occupancy) inspection for the pool f~a -2 vaa (signed) (date) (Notary,Commissioner of the Superior Court, lustut "Su6~sc~r dandsworn to before me Of the Race) thu "'-'_-day of 1' 6ELINDA L. ROBERTS Date Commission Fires 1\T PiTBLtC _ t, s. fS"l}i CT. 89, 20,37 ~rrrrasr■rrrrrrrrrrrsrar.rrrrrr~rrarrwrrrrrrrrrrrrrrrrrrrrrr•rrrrrrrrrrrrsrrrr Inspected and operational- f__/ BuiOng Off vial Town of Montville Building Department permit 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 One.& Two Family Building Permit Application Form n New Construction [aAditwn ❑ Afteraiwn F~ Accessory Structure. []Other Job Location j nder-,,cY-•7 4m ea ka/ct Ae 0 Job Description/Materials Owner &(-L I r esi 'e O \T1` ' Mailing Address City o~ State 's" Zip &I ?6 Tel 9(o a l 3 ,6 / q4- Contractor S1 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. E t Owner /Agent Signature Date / /5-- /63 'oor /X Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See Reverse side far a4tionafrequirements) STATE OF CONNECTICUT WO RS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: Sv L n In the town of t3e4 ~ da Name of building permit applicant: f C ~ r d.J &I ` Please one: 1. theI 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 re uir o h Moe g ess he files his intent to accept coverage. Signature of ap scant 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 hod-e,s-e r7 L Pi. aAkA1- Property Address Job Description: 0 -eck- eX ~roS 1`d y 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 107 A-Z ❑ 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 DEPARTMENT 848-3030. Ext. 379 f In-Compliance ck 0 ❑ Permit ,2o), -,a% u ❑ Not Applicable 'Zoning Date In-Compliance 2. t' 6 t ~ 1 UZ ❑ Permit Not Applicable Inland- k etlands Date Town of Montville x-. a Building Department - 848-3030, Ext 382 RESIDENTIAL SWIMMING POOL CONSTRUCTION PERMIT SIGN-OFF SHEET L Property ddress Job Description: DUG a chp ck t The owner/agent shall be responsible for the completion of the form, no permit 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 J ❑ Permit Not Applicable unicipa Sewer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal Water Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379 2 In-Compliance S' 6 ® ❑ Permit ,aj - ❑ Not Applicable Zoning 113ate In-Compliance Permit ermit /KP Not Applicable Inland-Wetlands Date