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HomeMy WebLinkAboutInground Pool 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: 62004-0773 Date: 09-Dec-04 Map/Lot: 131/050-000 Owner ID: 81000 Project Location: 23 ANDERSEN LANE Unit: Job Description: Inground Pool Owner Name: David A and Jill Marchini Tenant Name: N/A Careof: 23 Andersen Lane Oakdale CT 06370- Telephone: Contractor Name: William Leffingwell Telephone: (860)887-8203 DBA: Leffingwell Pools Lic/Reg Type: HIC Lic/Reg No: 579557 P. 0. Box 369 Exp Date: 31-Oct-05 Ledyard Ct 06339- Construction Value Permit Fees Construction Information Building Value: $24,165.00 Building Fee: $200.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $1,208.00 Electrical Fee: $16.00 Construction Type: 5B Total Value: $25,373.00 Penalty Fee: $0.00 Permit Code: R8 C of O Fee: $10.00 Comments: Plan Review Fee: $21.60 State Ed Fee: $4.06 Total Fee: $251.66 It shall be the owners rensonsibility 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 ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers R Electrical ❑ Backfill - Footing drains and waterproofing Elec Trench - with conduit installed ❑ Concrete Slab - Prior to pouring concrete 0 Pool Bonding ❑ Anchor Bolts - with sill plate and prior to floor framing ❑ 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 ❑ Certificate of Approval ertificate of Occupancy Building Official's Approval: ' ~ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Pool Permit Application Form E~+ VED Permit # app-~ Z3 UEI: 3 004 Fj A6ove ground -49'Tn ground F~ Electricaf E] Deck Tool heater If 2 1, P'(, Other RECEIVI- DEC 3 2004 Job Address a3 lete 55c L q), (Number) (Street) L±!WIL.LJAIII%x L09.9- ni Owner OCtve- :1 7511 MRS jo Mailing Address A. nn6e- pct) City a j(, 6jE_ State 4 ,7 Zip 06326 Tel 660 _1A~/ 21 7/ Contractor L 12 A ~ A Mailing Address City ed ~a tl State &r- Zip 06 3M Tel ?~O/ / a G Contractor's License//Registration Type & Number 5 Exp. Date/_3// e-5 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. Separate applications are required for electrical, plumbing, mechanical, etc. Owner /Agent Signature Date P Construction Value Fee Building $ v2~, y $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See Reverse side for additional requirements) &visedSeptem6er9, 2004 Town of Montville Building Department Receipt E em N o. C, 4 Date From: _ I Job Address:'' , M d Check # J Amount $ Cash Check (Ordc one Permit # Received by a~ Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ - In-Ground 1 EA $ 20,700.00 $ 20,700.00 Heater 1 EA $ 3,465.00 $ 3,465.00 Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof SQ $ 275.00 $ - Overlay SQ $ 185.00 $ - Plywood SQ $ 105.00 $ - Plumbing Full Bath EA $ 4,230.00 $ - Half Bath EA $ 2,690.00 $ - Garages Attached, 1 car EA $ 8,885.00 $ - Attached, 2 car EA $ 15,114.00 $ - Attached, 3 car EA $ 20,914.00 $ - Detached, 1 car EA $ 11,657.00 $ - Detached, 2 car EA $ 17,456.00 $ - Detached, 3 car EA $ 23,256.00 $ - Sheds SF $ 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ - Siding SQ $ 600.00 $ - Windows EA $ 445.00 $ - Doors EA $ 625.00 $ - Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST 24,165.00 PERMIT FEE CALCULATIONS Fee Building $ 24,165 $ 200.00 Plumbing $ - $ - Mechanical $ - $ - Electrical $ 1,208 $ 16.00 Work Commenced before permit issuance $ - CO Fee $ 10.00 Plan Review $ 21.60 State Ed Fee $ 25,373 4.06 Total Fees $ 251.66 Based on 2003 RS Means Residential Cost Data 12/3/04 R" VA" Wd, W'd NO, t j STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTI 1 Be it Knownia r H AND L CONSTRUCTION INC ~f PO" 369 j LEDYARD, CT 0339 is certified by the Depar"ent cf- onsitiner Pralection as a registered [ l HOME Ila1PRpVEMETT.CQNTItACTOR Regis. "579557 - - LEFFINGWELL POOLS L r " Effective: 12/01/1004 Expiration: 11/30/2005 BMW= WWI Ail WA, M a STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that WILLIAM Y LEFFINGWELL 384 PUMPICENT HILL RD LEDYARD, CT 06339 has been certified by the Dep'artme'nt of Con~uitier'Protection as a licensed ' i PLUMBING & PIPING LIMI'TED CONTRACTOR ' y SP, License 28~}3~'~ Effective: 11/01/2004 Expiration: 10/31/2005 Edwin R Rodriguez, `Cocnmissioner 12/3/2004 11:47 Smith Insurance, Inc- Cynthia Bean-)soown of Montville 2/3 Client: 2443 LEFFINGWEL aAT~, ~ YY, ACORarn GERTIFICATE OF LIABILITY INSURANCE T PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Smith Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 15 Liberty Way h'OLOE+R. Tilk'CERVF?IGArC-00E4§ NOr,dlNElotlG EXTLrjWOR II ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. Niantic, CT 06357 860 739-3322 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA. Continental Casualty H a.od L Ct+nrstrl,l#ilxttas,lna dba Leffingweli Pools INSURER B: P. O Box 369 INSURER C: Ledyard, Ct. 06339 INSURER D.- COVE . RAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANYREt'yJiREMENT, TERM u'lRCONCir'TiU1WOFAN'f'GL?IVT'1TAcrCRaiRERCS{3t ~1CERfT3rDiin'f2E5FL{i Proi0"4iu-HTFfsL^eiTr(RcArI MAYA i`ssue'itom' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIM ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER JR+L Y.S"TNrS .g.. A.ICY fXR1P,4T80JN LIMITS A GENERAL LIABILITY A2067313393 04128104 04!28!05 EACH OCCuRr{ENCE $1000,000 COAMASH^fAL 456C156CL L A,RL' ,7* ' DAMAGE TO RENTEI] PRMSES is, MIX tes -et GLALMS MADE 7 OCCUR MIED EXP (Any nne person] $ PERSONAL & ACV INJURY $ GENERALAGGREGATE Is GEN'L AGGREGATE I-IMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1-7 PRO. POLICY CT LOC A AUTOMOBILE LIABILITY 82067313104 04128104 04128105 COMBINED SINGLE LIMIT ANY AUTO q---L c;-id-"t $1,000.000 ALL OWNED AUTOS - SCI-A-LUX-DALIM5, BODILY INJURY $ (Per parson) HIRED AUTOS NON-OWNED AUTOS I g'~'4'~-'~ INJURY $ (Per accident) $ PROPEREdE CPer acciGARAGE LIABILrfY I AUTO O$ _ ANY AUTO C $ OTHERAUTO O. EXCESWUMSIRELL A LtA64LirY EACROCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND WC267313426 04128104 04128105' EMPLOYERS' LIAB11.ItY I ANY PROPRIETORIPRRTNER/EXECUTME I E.L, EACH ACCIDENT 5100,1}00 OFF,'CF$~k@EAORGFa EiYCLL'LLFn? If yyes, describe under ~.L. u`1~'ERSE• eK E'MP'Ct~'4ELS $11J8,~9181D SPEC4A5-PROV1ai^ALS betow E.L.04.EASE-POUCYLiM4T $500040 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 23 Anderson Lane CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Montville DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 313 DAYS WRITTEN Building Official NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE NSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOPJZED ESEEEE~vE ACORD 26 (2001108) 1 of 2 #2523 1y'~ CLB © ACORD CORPORATION 1988 Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL SWIMMING POOL CONSTRUCTION PERMIT CONSTUCTION PERMIT APPROVAL Property Address M' YLOSA444 PO-C) t Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval ® Tax Collector Zn N\\ -L 0%4 'nature/ dd ❑ WPCA i r Q "'date Planning &Zoning 3:G-~ 2 °-3VO Sigiuaturc / cute ❑ Health Department Sit,lat: rc:,/ date Comments/Conditions: ftvisedSeptem6er9, 2004 FILTER. i. NKf►1 /r ~`M4'itoER 3 RtTLRN I nrr~ 3 I ! s► ' ~ :rv:.. y: ra+urlweuey{ 5: ~::'%{}y}r•.,},{ry,•. r+HRHMI Y i"%'•{~. 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