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HomeMy WebLinkAbout2004 - Above Ground 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: B2004-0390 Date: 09-Jul-2004 Map/Lot: 081/067-000 Owner ID: 191000 Project Location: 67 BEECHWOOD ROAD Unit: Job Description: ABOVE GROUND POOL Owner Name: Edmund and Frances R Glynn Tenant Name: N/A Careof: 67 Beechwood Road Oakdale CT 06370- Telephone: Contractor Name: RON SERVICES LLC Telephone: DBA: Lic/Reg Type: HIC 230 KATE LANE Lic/Reg No: 570535 - -MM - Exp Date: 30-Nov-2004 TOLLAND CT 06084- Construction Value Permit Fees Construction Information Building Value: $3,150.00 Building Fee: $32.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code w/2000 Amendment Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $158.00 Electrical Fee: $8.00 Construction Type: 5B Total Value: $3,308.00 Penalty Fee: $0.00 Permit Code: R8 C of O Fee: $10.00 Comments: Plan Review Fee: $4.00 State Ed Fee: $0.53 Total Fee: $54.53 It shall be the owners repsonsibility 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. ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill - Footing drains and waterproofing [-/1 R Electrical ❑ Concrete Slab - Prior to pouring concrete ❑ Elec Trench - with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑-Fireplace-Throat - One flue above throat R-HVAC ❑ Chimney - One flue above thimble ❑ Gas Piping and leak test ❑ Firestop _Draftstopping ❑ Final Inspection ❑ Insulation Certificate of Occupancy Building Official's Approval: r - - Town of Montville Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Pool Permit Application Form 1,46ove Ground ❑ in ground ❑ EfectricaC ❑ (Deck ❑ (Toofheater ❑ -7fot Tu6/Spa ❑Other Job Location 6-1 &,-"w d ~ c rcc?c ~a( Owner rrd4gc.*-s l~ it n Mailing Address 67' / q l ~ ~ City o titw State & " Zip 4 6 37 © Tel / rq 3 ® Ra- - Zan 49 Contractor YM 5 S of 00 J5 Mailing Address City d I lava State Zip-660Y Tele& D IY7a 16 Y7 -%r , t Contractor's License/Registration Type & Number C 1C Exp. Date / / / 30 1260K 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 -nd 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 l l ~y Construction Value Fee Building $ $ Mechanical $ $ Electrical $ Q $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See Reverse side for additionafrequirements) Cei t p - - ent Re - - ntville Building pepartm Town of Mo No, k µ Date From: t=j k~ ix € job Address: Check # Cash Check 0 Amounts permit it Received by j Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas 3,150.00 Above Ground Round 1 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 $ 225.00 $ Overlay SQ $ 130.00 $ 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 $ _ Windows & Doors Decks/Porches/S u n rooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 3,150.00 PERMIT FEE CALCULATIONS Fee Building $ 3,150 $ 32.00 Plumbing $ - $ Mechanical $ - $ _ Electrical $ 158 $ 8.00 Work Commenced before permit issuance $ - CO Fee $ 10.00 Plan Review $ 4.00 State Ed Fee $ 3,308 0.53 Total Fees $ 54.53 Based on 2003 RS Means Residential Cost Data 7/7/04 O 1 DATE (MNVDD/YYYY) ~ CSR 0 05 31/04 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3orman Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR :23 East Center Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2anchester CT 06040 Phone:860-643-1139 Fax:860-645-7460 INSURERS AFFORDING COVERAGE NAIC# VSURED INSURER A: Scottsdale Insurance Company INSURERB: Hartford Insurance Co. (SCxc) 22357 Ronald G. Chagnon INSURER C: Travelers Insurance Company Ron's Services, LLC 230 hate Lane INSURER D: Tolland CT 06084 INSURER E: OVERAGES ' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS TR NSR rGENERALIJAABILtTY URANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD EACH OCCURRENCE $1,000,000 A NERAL LIABILITY CL 5 0 6 8 9119 0 6/ 2 3/ 0 4 0 6 / 2 3/ 0 5 PREMISES (Fa occurence $ 5 0, 0 0 0 E D OCCUR MED EXP (Any one person) $ 1, 0 0 0 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 POLICY ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $300,000 ANY AUTO 02 UEC DI6203 06/15/04 06/15/05 (Ea accident) B ALL OWNED AUTOS BODILY INJURY $ (Per person) X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ • OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE OT $ RETENTION $ TDISEASE WORKERS COMPENSATION AND J C EMPLOYERS!LIABILRY 6RIIB_7728A32-A-03 06/03/04 O6/O3/05 CCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE - EA EMP10 0 , O O O OFFICERIMEMBER EXCLUDED? 10G, 000 If yes, describe under E.L. DISEASE - POLICY , SPECIAL PROVISIONS below OTHER - Y ENDO EMENT / SPECIAL PROVISIONS MCTOR HOME BwRD ~rCO Q 711 . N R ";tt'~S . 1.23 (~n h r0 CANCELLATION 's. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION /i DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN LIC.1 REG N© xE TIV EXPIRES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 570535`,__:JOf~3~ X1/30/2004 Cat R-.x wry IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR p? .rte, _ ~ ~ REPRESENTATIVES. SIGNE_ © T-~ AUTHORIZED REPRES£NTATNE - - -v ]Tony Gorman,CPCU,CIC ACORD 25 (2001108) © ACORD CORPORATION 1988 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: b-7 Feec4woc4 In the town of Name of building permit applicant: G 0, " V1 V1 Please checkpne: 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 chec one: 1. I do not intend to act as a genera contractor or principal employer. [S' Peof here] Sign plicant 2. J'. 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 848-3030, Ext 382 RESIDENTIAL SWIMMING POOL CONSTRUCTION PERMIT SIGN-OFF SHEET 67'7 c LA ci Property Address Job Description: 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 1JEPARTMF-NT 848-3030, Ext. 376 Approved El Permit Not Applicable Municipal Sewer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal Water Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379 In-Compliance Not Applicable oning Date In-Compliance f ❑ Permit Applicable + Inland-Wetlands Date Swimming Poo f ACarm,Affidavit Date 0 -7 0 Owner- z~ JKa - Address Location of ogerty lG~ 7 ( ceC L•- oumer/owners agent of the a6ove rcferencedprvperty, hereby swearandat that I am av✓are of the requirement fora poofmGm to 6e instaQ in the pool to 6e constructedat the about referenecedproperty. Further, I am =are that the alarm must 6e instalfed andfunctiamng at the time of the finaf (Cenji to of Occupancy) inspection for the pool (signed) ®3l~T (date) ( otary,Commissionerof the Sup Court, 'Su6sai6cdandsworn to 6efore Justi e of the Peace) this day of (k sfJcttxorr.ti~nA T~EIRY/ _ NOTARY PUBL7c t660h#AISSIONEXPIRES ocT.31,2007+ssrrrr~rrrrrrrrrr~rrrrrrrrrrrrrrrrr~rrrrrrrrrrrrrr.~rrrrrrrrrr~rr~r~rrrr~rLr Inspected and operationaf--_ f/ BuiOng O ffi iaf r OPAL FDIC SIDE DECK (ADD 5'-5" TO 'E' DIMENSION) DECKS ARE OPTIONAL & NOT ALL ARE 1 FOR ALL POOLAMODELS. END E DECK 41 POOL IN LADDER TIE STRAPS AND UPRIGHTS lip 1-1 1 DER T-7' FOR 52' Pns SWING-OP SELF LOCKING LADDER ADD 6'-6' TO '0' DIMENSION 52' UNDISTL~BED EARTH ~ OPTIONAL AOTE.• PRESSURE GAUGE COPING THIS IS A Aff-OIVIAG PL~IL AS LFFIAE9 IN PC WALKOECK CU,OPENT 'NATIONAL SPA AND PLU IASTITOTE' MULTIPORT VALVE RETURN STAA47AR0 FOP AOOYE LRl~1V0 SYINIX HIGH RATE PLUIS. (NSPI-4). FILTER INTAKE WALKOECK SUPPORT SKIMMER XTE.- POOL WALL DELTA A0T ALL PLUL SIZES ARE AYAILA3E OY WASTE LINE LINER UPRIGHT ALL ICLLS PUMP & SANG FOOTING MOTOR BASE BLOCK OVAL SIZES 52" GAL, C D E TIE CROSS SECTION LF NIO SECTION 15'x24' 10,100. 15'-0' 24'-0' 17'-2' FIL TRATIOV SCHENATIC STRAP Fy OYAL PLUS 15' x30' 13,050 15'-0' 30'-0* 17'-2' Sea I EDWARD S. GLENN I8' x33' 17,000 18'-01 33'-0' 20'-2' }$004p5p o' . - PROFESSIONAL ENGINEER 12'x16' 6,400 12'-6` 18'-6' 14'-8` ~cr~4 CUSTOMER SERVICE DEPARTMENT 12'x2 1' 7,500 12'-61 21' -6` 14'-Bs 8600 RIVER ROAD DELAIR NEW JERSEY 08110 SUMMIT, MILLENNIUM s FS ~ONdIENG~9,~~4~®~ TITAN AND ULTIMA 9"O~oremanaaaesasb 03/11/97 9350J W.B.M. NAMCO POOL INSTALLATIONS POOL SIZES $ PRICE POOLS WITH DECKS $ PRICE $ FENCE ONLY & FENCE [D&F) 15' 595 18' 635 18' D&F 1010 230 21' 700 21' D&F 1100. 250 24' 750 24' D&F 1250 275 27' 840 27' D&F 1375 300 39 965 30' D&F 1475 325 12'X18' 810 12'X18' D&F 1275 230 12'X20' 810 12'X20' D&F 1275 .230 15'X25' 935 15'X25' D&F 1375250 15'X30' 1040 15'X30' D&F 1460 275 18'X3T 1140 ° 18`X33' D&F 1595 300 FOR 4 -PIECE DECKS ADD 150 OVAL POOLS WITHOUT BUTTRESSES ADD $150 ADDITIONAL COSTS 1) EXTRUDED SLAT WALL POOLS, DEPENDS ON SIZE__ $150 to $350 2) WALK-AROUND ON EXTRUDED WALL POOLS $300 to $600 3) YARDS WHICH ARE OFF LEVEL MORE THAN 6 INCHES $10.00 PER-INCH OVER 6 INCHES . EX. IF YOUR INSTALLATION AREA IS 11 INCHES OFF-LEVEL AN ADDITIONAL $50.00 WILL BE CHARGED 4) TRAVEL FEE OF $45 BEYOND WORKING ZONE. 5) IF FOR ANY REASON (BEYOND THE CONTROL OF THE RON'S SERVICES) THE POOL CAN'T BE COMPLETED BECAUSE OF STUMPS, LEDGE OR MISSING PARTS A $35 CHARGE WILL BE APPLIED TO COVER COST OF FUEL AND TRAVEL TIME. 4 i a7 nnaa~ , / pea$ + tip 4 . r G'~ x cjo,S* `X)2. Ltd. ~'j 2crcC `~4t~ Cbisv Eikk t=exc to . We 200 A~t~ ~ i $',~-eaussi Tim CfoLki 4q -o"