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Home My WebLink AboutShed Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: 82003-0353 Date: 07-Jul-03 Map/Lot: 131/047-000 Owner ID 2504 Job Location: 11 ANDERSEN LANE Unit Job Description: Owner: Contractor: Tammy R Gibb Tammy Gibb 1 Andersen Lane it Andersen Lane Oakdale CT 06370- Oakdale CT 06370 Telephone: (860) 367-0326 Lic/Reg Type/No. 0 Exp Date: Tenant: N/A Telephone: Construction Values Permit Fees Construction Information Building Value: $2,100.00 Building Fee: $16.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 56 Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R9 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2,100.00 CO Fee: $10.00 Plan Review Fee: $1.60 State Ed Fee: $0.34 Total Fees: $27.94 It is the owners responsibility to schedule the following inspections (minimum 48 hours notice reg nu"red)s ❑ 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 Certificate of Occupany ❑ Gas piping and test Building Official's Signature: P17 'or July 1, 2003 Town of Montville Norwich & New London Turnpike Montville, Connecticut Dear Sirs, i Please accept my application to install an 8 x 10 storage shed on the enclosed listed property. I am enclosing all applicable documentation for your review. Thank you for your time in this matter. Respectively Submitted, Charlie Beckham II 11 Andersen Lane Oakdale, CT. 06370 860-367-0326 860-287-1821 Town Of Montville 'r Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, Cr 06382 Fax. 848-7231 One & Two Family Building Permit Application Form 9~(fw Construction ` ❑ AMtion ❑ Afteratwn Accessory Structure ❑ot6er L A) c~sA Ltv Job Location' Job Description/Materials Owner r V~e Mailing Address l Cpl ~G~S~ City State= Zi M . MTel~/~ ~v Contractor - Mailing Address. City State Zip Tel Contractor's License/Registration Type & Number _ Exp. Date !=1 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 . Dated / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See *verse safe for additional requirements) Town of °'-4ontville, Building Departw It Receipt No. U,,zi Date From: Job Address:_ .1•~ /~k cry - l~ I' Cash Check # Amount -m- Check J Permit # Zc3 G )r ,c~- ~'J Received by a Permit ~ee 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 SO $ 127.05 $ Plywood `SQ $ 101.85 $ Sheds 80 SF $ 26.25 $ 2,100.00 Electrical Service 100 Amp EA $ 816.43 $ - 200 Amp EA $ 1,519.19 $ 400 Amp EA $ 6,039.29 $ - Breezeway/Decks SF $ 22.31 $ Open Enclosed <SF $ 94.76 $ Porches Open SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 2,100.00 PERMIT FEE Building $ 2,100 $ 16.00 Electrical $ $ CO Fee _ $ 10.00 Plan Review $ 1.60 State Ed Fee $ 2,100 $ 0.34 Total Fees $ 27.94 Based on 2003 RS Means Residential Cost Data 7/7/03 ` STATE OF CONNECTICUT WORKERS' COMPENSATION CONMUSSION 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 ch c one: 1. I do not intend to act as a general contractor or principal employer. , s erel_-----~ [Sign a ~I 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) n Town of Montville Building Department 848-3030, Ext 382 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET C, V Property Address Job Description: 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. HEA DISTRICT 848-3030-882 Approved ❑ Permit ❑ Not Applicable Septic Sys Date Approved ❑ Permit ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030, Ext. 881 41 Approved -4 v--~-~ klo-j ❑ Permit ❑ Not Applicable Municipal Sewer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # Q Not Applicable Municipal Water Date DEPARTME PUBLIC WORKS 848-7473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030.. Ext. 81 In-Compliance 7/7/03 [fl' Permit V03 f 9// ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date i~ h . - urse~ SWA 00 Ij v ~r<vty rtty/ r PROPOSED IRON I / PIPE LOT 57 wOPEN SPACE (y9Oe a~ LOT 58 4/23/03 a%*% *to 362.83' N3854'2$"W ~w w 1448'2$'53"W _ - / 94.10' 32.00' t ~ ~ t M ° LOT 47 ai / 20283 sq.ft. i LOT 46 0.465 ACRES N W ! J WOOD DECK ~ ~c & S`EcPS LOT 48 Q'i / HATCHWAY j w t N M 21 y _0 36.0' 33.4 0 y EXISTING Z FoUNDA710N r 37.5' I ( PpRgl I 0 <~26 ~ 25' t 70 g0. 63.24 73.69' N38-5;P28 W 136.93 = 70'2504" A NDERSQN R = 275.00 LANE T = 194.05' L = 337.98 ZONING LOCATION SURVEY AS-BUILT PLOT PLAN LOT 47 PINE RIDGE ESTATES 11 ANDERSON LANE TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP MONTVILLE, CONNECTICUT SCALE:1 "=40' DATE: MAY 16, 200 IS SUBSTANTIALLY CORRECT AS NOTED HEREON. BY. BENNETT & SMILAS ENGINEERING, IN( 415 KILLINGWORTH ROAD, P.O. BOX 241 R.L.s. #10$31 HIGGANUM, CONNECTICUT 06441 MICHAEL J. BE ETT ORT_LOT47_AB.DWG 6vt %w -v.%. LOT 2Zp ~ cwr d+ 21173 sq.ft ^o. go. 0.634 ACRES 0.587 ACRES $1 ~g0 Z 20000 .f1~"• c°' r 0.486 ACR P ~iN w 12'6 112 tar 9 ACRES ~t .~1 rs IN ~s LOT 21 T 14 N+ $ w .~k"~41 to 20423 sq.ft. LA - L-88. do do 3 p.ft. w• v=t16er' p 65 11252 tyz LOT 20 0.469 ACRES 43.98'1 ACRES %S 20641 p. 2 g9 v R .1"W 180.00' N44'40'35" ,~2y1 y 0.474 .AC © 1.'' c30 101 26' ` !t LOT 19 ft.` 5 " 5 ' + C28 Z 5.05 41 124.04' y 20858 sq. 1 • 2. 0. .54 LOT 18 0.479 ACRES,, , \ Ids Vs13'1 5S S '54' °w,+. %:A 21076 sq.ft, T s15 q ft. 0.484 ACRES 1 , 44 ' 1250 . ~~9 Z a+ 7 ' '50 ~0 115 LOT 53 ACRES rn kul. 11 M P , y LOT 54 + • W g0 P 00 1 20830 a 20830 sq.ft. LOT " 177.30 LOT 170 9% s' y0~ ti -p0.478 ES 0.478 ACRES W 20448 25125 sq.ft. 40 '~`j 65 a5 + 112• 1`a~ LOT 55 to N a 0.470 0.577 ACRES P+ + y.~y 50 y 49 20841 aq.fL W .t N;$, ® 2 1N~ 0.478 ACRES 10 ap 6~ LOT 16 °1 ~ % to LOT 66 100. »yy+~ 177.08 1 , 20250 z 0.464 A RES N4 84.27' a 92.81 N 3815450 g0 RES N 1' 4"x:626 .11250 % LOT 57 _ 85' C C18 39 2 y~'x. 41 S%% . 20250 p.ft. ~ loot' /1y~ ~ 20000 q ft 2 x'43"w 122 3. 00 0.464 ACRES 1cp ~0 0.459~A RES o d 0 o OPEN SPACE 2 1 2 aq.ft. ~1Z y 0 alflc r• 2'50 LOT 59 6 ACRES t k97 ACRES 4 v+ + 3 20000 aq.ft. gp~ 50. • 65 .294 A S WETLANDS 1 LOT 80 ~ o* 0.459 ACRES .o~ X12• 93 36 3' 5' pR' G 1 20001 sq.ft. fn 25 N48'28 53 W Ar -s -E~SEME . . -AL 0.4 81 59 ACRES r^ b N38'S4'28" 88. •77""32 9 AREA-105Y4 eq.ft, ca w D o, ~o . 8~ 94.10' 32.00' 56.62' 98' 2. 2 00 ACRES 52 0' iv ~r LOT 50 ♦s _,~0,,. !Vg5$' ~6 N~ o~~~ LOT 48 A~ of +co• lo+, 0000 aq.fL 1 1ST' 10 10 20000 aq.ft. LOT 49 F` 0.459 ACRES ~o• F` 6t' ~y6 9~i• : _ 0.459 ACRES LOT 47 LOT 4$ 20928 agJL 6g ell' 20263 aq.fL w 21535 ft. ri 0.480 AC 10 R 'gyp 30 6,L 6 p~~ 2.50 O7 ~ 0.465 ACRES iv 0.494 RES 2 "LO 9 00 1~ , LOT 45 ~~;''ss. ~1 +a ® , t.21' 1 0.56 6 ACRES 9R 0%. ° 14 zt 18 +0 969 ~~2'1~ + w a ~9`R. 43 .g'~70.SO' , 7 os s LOT ?'S0~ g9 43. 8 N38'54928 W 136 93' L=54.8 G21 12 31 ~o~ 0.0460090. A % + 4~ .9A LOT 44 1 8 ~.,,r,,, 38 54 28 W 136.93 LOT 39 28623 aq.ft. 112.50' CZ 101 20000 sq.ft. .87 © so. ` 0.459 ACRES 0.655 ACRES 15 1=88-8. c ` LOT 43 $1 1~ o`bl ~ w Xt iQ j 27399 sq.f LQT 40 t' '1 0.629 ACRES ~E2 22377 12~.