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Home My WebLink About2001 - Deck Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-202 Permit Date 5/07/01 Permit Type Building Permit Code R10 Job Street # 59 Job Location BEECHWOOD ROAD Map/Lot 081/069-000 Job Description Deck Owner Contractor Pat Sheflott BDR Contracting Address 59 Beechwood Road Address 91 Route 163 City Oakdale State Ct. City Montville State Ct. Zip 06370 Telephone Zip 06353 Telephone 848-3714 Lic/Reg Number 2546 Lic/Reg Type NHC Exp Date: 9/30/01 Use Group R4 Code 1995 CABO Type Construction 5B Building Value $2,800.00 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 $2,800.00 C/O Fee $10.00 Comments: Plan Review Fee $1.60 State Ed Fee $0.46 Total Fees $28.06 Building Official's Signature- Datecl;_/ I It is the owners res onsibili t schedule the foll win reui in ctions minimum 24 hours notice re uired : ® Footings - prior to pouring 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 # 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 ❑ Accessory Structure ❑ Thim6ing ❑ Mechanical ❑ Action ❑oemofztion ❑ Efectrizal %eating ❑ Alteration other ___AirCo;;ditiming Gas Oping Job Location 25 t, i~~~c-1 ~„4 r,~~ i~ [i~~t~►1~ c1 Job Description/Materials cm c 4- P - i t a~ M( `'Z Owner ? 0.zt' -5iaEV-4-0-TT' Mailing Address City State Zip Tel Contractor V:ipxL S Mailing Address 51 ft-N 1 b-i City MCe4 UI i.1_Z State C-r' Zip 0 Tel $4l~ / 3 j 4 Contractor's License/Registration Type & Number NICw -2-54L Exp. Date / / Z~ New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes fR 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. Owne /A.gent ignature &2z~ Date 4 z Construction Value Fee ,ter Building $ ~Q o o $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee State Education $ , Total $ T $ 62-82,_ 4 E: Town of Montville Building Department Receipt Date No. Q 0 612' 9 oo, 4 From: y Job Address: Amount Gash Check Check 4' a Circle one) F > ' l /app y~~r I`cceivcd hy, Permit , f M ' 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 $ - Siding Sheds With Electric SF $ 25.00 $ - No Electric SF $ 25.00 $ - Deck 192 SF $ 15.00 $ 2,880.00 TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 2,880.00 PERMIT FEE Building $ 2,880 $ 16.00 Electrical $ - $ - CO Fee $ 10.00 Plan Review $ 1.60 State Ed Fee $ 2,880 $ 0.46 Total Fees $ 28.06 Based on 2000 Average Construction Cost 4/27/01 a y STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at S`5 '2,C-F- w e)c~ fD_ Op In the town of CY,14,C A LEE- Name of building permit applicant: R.tsti~,~R Please check one: I . _ I am the owner of the above property. 2. '>1 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 one: I I do not intend to act as a general contractor or principal employer. [Sign and stop h •e] Signature of app ' t 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 pro rietor of a business is not required to have coverage unless he files his intent to accept cove Si ture of a p i t Subscribed and sworn to before me this -4?1 day of AMA L , 200, . (Notary Public/ Commissioner of the Superior Court) Town of Montville Building Department 848-7166 CONSTRU TION PERMIT SIGN-OFF SHEET Property Address Map/Lot Job Description: 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 Syste Date ❑ Approved Not Applicable Plans for Food S ablishment Date ❑ Permit Q/Not Applicable Pri ate Well Date WPCA DEPARTMENT 848-7094 ❑ Permit Not Applicable Municipal Sew r Date ❑ Permit # Not Applicable Municipal t Date DEPARTMENT OF PUBLI ORKS 848-7473 F ❑ Permit hot Applicable D Date POLICE DEPART 848-7510 ❑ Plan Reviewed 21- Not Applicable iceili~d Charge Date PL ZONING DEPARTMENT 848-8549 _Q 0 ❑ Permit aQ/ /a ❑ Not Applicable Zoning Date /50/() ❑ Permit Applicable Inland-Wetlands Date FIRE MARSHAL'S OFFI 848-1175 //Y/ Plan Review ❑ Approved Not Applicable Fir sal Date Sarre-^° 'a ZONING PERMIT IT IS THE APPLICANlrS RESPONSIBILITY TO FURNISH _ THE FOLLOWING INFORMATION: / MAP (9F LOT PROPERTY LOCATION 59 - PROPERTY OWNER S J-~V= CONTRACTOR 1~ (Z i~C~ l rJ CONTRACTOR LICENSE # _ a.2J~ 4 G'1 CONTACT ADDRESS A Wl TELEPHONE ZONE LOT AREA STRUCTURE AREA 2 x/6 t HEIGHT NATURE OF REQUESTIPROPOSED USE tJ Gw teC j!~ A i1t>l1G 4 O= POOWNIN TWO COFRS OF PLANS ONA/M TO A $CUR OF AT LIIAST t' m 4W SHOWIN& DIMENSIOM OF THIS LOT; TLS AM ANOA, AND LOCATI011 OF 10 1 1 116 POOPOSMv PROWWAL AND ACCSSSORV STUMC'I0111110, DNSVNWAVS, SAtOTAtY FACM,ITNL77 AND WAV= S0PFLY, PANKOW FACiLtNlf. AM ADJACIN[ t WtTANCRt OF PROPOSED, tZOOC10Na MOf1 FROPOM LNES ANO WN1LNSkU A PLAN PEEPARL'p SY A CONNOCTICUT NLOISTIIN LAM SowvLWOO MAW SIR THIS POOPOSM No SPEClM AMOM SMALL NOT W ANiNOJNN O ITgIN. AN ACIIVAL CWMWATO OF COMPLIANCE IS - 4 MEN WV TIP! COMINESS M ON M APPONiIIM A42MUM Office use only YES NIA SKETCH PLAN OR GRADING PLAN ❑ ❑ HEALTH DISTRICTAVPCA APPROVAL ❑ STATE HIGHWAY PERMIT ❑ ❑ WETLANDS PERMIT ❑ ❑ HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ ❑ HAS BOND BEEN FILED Q 5zv ❑ FEE tHECKIF ZONING PERMIT NUMBER /U OR FITUA EXPIRATION DATE 02- THE 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. & NOTIFY THE COWASSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 4, CALL FOR FINAL INSPECTION AND REQUEST C RTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. AP S SiGNATU E DATE. r+ :21 z4~/ _ DATE 3 Q 7amn-o `0 DATE 7 ! 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 BUILE)iNG INSPECTOR CONTACT THE ZONING OFFICER (848$549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. REV. 6!29/99 j ~X►SitNG }{au5E i 43FrtC+1~RAlL - 7 a0" - 18' CARRIRG~ $a LA `TO FY2Ar^tN& Ih~, ~ ~ - - _ ; _ Da-~a►~ _ Zk,$. BEAM _ _ _ _ - _ _ _ _ . - RESttr~6 oa' ►~E t P-6 .r - - - 10 Drq. , I6 \ _ - - _ _ Zr ~ar5r 2x 16 CAP i 4 x~ - n►c. pErtts_ 70_Sr--- A- ET-:- cti wooer P\AIL csGiAtt , i Sheflott Residence ' 59 Beechwood Road Oakdale, CT 06370 Lot Size 85'x 150' Scale 1 cm = 10ft ' l3~_ oo 36 - - 2y` - A T-- i - , i i i '354 h"•i'S t._. 4t':~