Loading...
HomeMy WebLinkAbout2001 - Shed TovFi of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-118 Permit Date 4/2/01 Permit Type Building _ _ Penn it Code R9 Job Street # 47 Job Location BEECHWOOD ROAD Map/Lot 081/072-009,- Job Description Shed Owner Contractor Mark DeCora Mark DeCora Address 47 Beechwood Road Address 70 Beechwood Road City Oakdale State Ct. City Oakdale State Ct. Zip 06370 Telephone 848-7020 Zip 06370 Telephone 848-7020 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $3,000.00 Building Fee $16.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $3,000.00 C/O Fee $10.00 Comments: Plan Review Fee $1.60 State Ed Fee $0.48 Total Fees $28.08 Building OfFiciai's Signature Date/- / It is a owners res o to schedule the foil n re wired ins actions minimum 24 how notice re wired ❑ Footings - prior to u concrete ❑ Backfill - footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping - pressure test and installation ❑ Final Inspection ❑ Rough HVAC © Certificate of Occupancy - PRIOR to use or occupancy Town of Montville Permit # 01., ' Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction [EAccessory Structure ❑Tlum6ing ❑Wechanicaf ❑ Action ❑(Demoiition ❑Efectricaf 9feating ❑ Afteration ❑Other ----Air Conditioning Gas T' ling Job Location 47 e14 fu CVP A1`~1 Job Description/Materials Oil11 Owner &/9 P-A'. eeia Mailing Address 7 r c' flt~ 7Z`b ' City ,~2 ~14 L/i State C T Zip We Tell Contractor Mailing Address City State Zip Tel Contractor's License/Registration Type & Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes ❑ No 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 Construction Value Fee Building $ 30od $ 16 Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ /0- Plan Review Fee $ A0 State Education $ 0 , 47, Total $ on~T $ 7-'k . 0 1 ontville Building Departm-Pnt Receipt Town o o, Date From: Job Address; y Check # C'h Chheck AIOllTt PCrilli Received by ` 4 Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Above Ground Round EA $ 3,000.00 $ - Oval EA $ 5,000.00 $ - In-Ground, including fence & patio EA $ 18,000.00 $ Roofing Strip & Reroof SQ $ 210.00 $ - Overlay SQ $ 175.00 $ - Sheds With Electric SF $ 25.00 $ No Electric SF $ 25:00~ $ Deck 200 SF $ 15.00 $ 3,000.00 TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 3,000.00 PERMIT FEE Building $ 3,000 $ 16.00 Electrical $ - $ - CO Fee $ 10.00 Plan Review, $ 1.60 State Ed Fee $ 3,000 $ 0.48 Total Fees $ 28.08 Based on 2000 Average Construction Cost 412101 a STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at 7 1z C~ f/~ CU In the town of r wLr e-, Name of building permit applicant: /fit t]Z m/ Please check one:,., 1. f/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 notarized 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 o 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 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET 2 ~c© d) Property Address Map/Lot Job Description: ef-7__ The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 823-1189 ❑ Permit Not Applicable Septic System Date ❑ Approved Not A le Plans for Food Service Establishment Date ❑ Permit Not Applicable Private Well Date WPCA DEPARTMENT 848-7094 1 Permit ?a~ o~ ❑ Not Applicable lew-g", 159 Municipal Sewer Date ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 F ❑ Permit No icable 4 Director Date POLICE DEPARTMENT 48-7510 F-1 Plan Reviewed ~ No ccable Officer in Charge Date PLANN & ZONING DEPARTMENT 848-8549 ~J 0/ ❑ Permit #:U/ ❑ Not Applicable Zoning Date &tuk, VU. ~ ~~1 ~ Cg ~ ❑ Permit Not Applicable Inland-Wetlands Date FIRE MARSHAL'S OFFICE 848-1175 E Plan Review ❑ Approved TQ/ o cable Fire Marshal Date I \ ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: G PROPERTY LOCATION 1 7 9 iL - C Lvt~ b /Z~ D~1<>,4L g r o, ??&P j I LOT PROPERTY OWNER r CONTRACTOR S L F CONTRACTOR LICENSE # p CONTACT ADDRESS TELEPHONE 7e) 0 ZONE LOT AREA STRUCTURE AREA HEIGHT NATURE OF REQUEST/PROPOSED USE _ / O x 9-0 ;W6-12 °y Z /VO ~TLJ,t y 4aQ i /7)aiL) A SitETCN, ON PROVE! TWO COPIWS OF PLANK DNAWN TO A SCALE OF AT LEAST t" a 4W MOWDUk DILI MIONS OF TM LOT, THE SRE, ANNA, AND LOCATION OF RXKTiMO, PROPOSED, PYINCLPAL AND ACCESSORY STREICTI=M, DWVZWA", SANITARY FACKST1lS AND WATER SY WLV, PA> KWO FACL JVM, AND ADIACENT $3111= 1 DISTAMCES OF PROPOSED STROCTMIIES FROM PROPERTY LDSM AND WETLAHM A PLAN PREPARED WV A CONN>rCLICNT REa WWW LAND SNRVEYON MAY NE REOOIlM TN! PROPOSED an SPECLMIED AIIIOVR SHALL NOT = ASTMORII I NMlIL AN ACIr"L CMEMCATE OF COMIPLIANCE IS WWD SY THE COMMIMON OR ITS APPOOMM AQRIRS. Office use only YES NIA SKETCH PLAN OR GRADING PLAN ❑ HEALTH DFSTRICTANPCA APPROVAL ❑ ❑ STATE HIGHWAY PERMIT ❑ ❑ WETLANDS PERMIT ❑ ❑ HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ ❑ HAS BOND BEEN FILED ❑ ❑ FEE CAS HECK # ❑ ZONING PERMIT NUMBER cU/- -38 OR -]N/A EXPIRATION DATE ~c O Oc TIRE APPLICANT IS RESPONSIBLE FOR AND AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION. 3. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 4. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. TS NATURE TE -d I APPLIC77, O -DATE-3/--O W DATE 2 7i COMMISSION AGENT CERTIFICATE OF COMPLIANCE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR CONTACT THE ZONING OFFICER. (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. REV. 6/29!99 ~ZA A) 6- TOINN OF NIONTVILLE APPROVED PLANS FOR CONSTRUCTION FIELD COPY. FILE Ci~'Y 9 / DATE: / z 1 SIGNATUR I o 3 ~r i I/ q k i , I pSC iZ~~~ s ~ ----®a 1/2 34, Lo N Guru IAA f ~q irk i I I)akuEr. 3A~ 4 i Fj- v The scale : 211 ~a a rt t J i ' 1 P i f j f 4 i