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2011 - SFR Plumbing
TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2011-0014 Date: 16-Feb-11 Map/Lot: 096/036-000 Owner ID: 5301000 Project Location: 47 PARK AVENUE EXTENSION Unit: Job Description: Plumbing for New SFR Owner Nam Guy F and Karen J O'Brien Tenant Name N/A Careof: 47 Park Ave Extension Uncasville CT 06382- Telephone: Contractor Nam Nick Sapiente Telephone: (860)373-8442 DBA: Nick's Plumbing&Heating Lic/Reg Type P1 Lic/Reg No 204614 528 Shennecosset Road Exp Date: 31-Oct-11 Groton CT 06340- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee S0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: 30.00 Comment Plan Review Fe $0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 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. 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 ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ 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 2 Certificate• •.proval e of Occupancy Buildin. Official's •••royal: 1 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 'P;DI -COM Type of Work Occupancy Type Permit Type ;EIJNew Construction :O.' Single Family ❑ Building ❑Addition 'LJ Two-Family 2-Plumbing EI Alteration ❑Townhouse /❑Mechanical ❑Accessory Structure ❑ Ele trical CRS#: Property Address: 7 ?4,44 / i/E- (Nu ber) (Street)..------ Street)_ (Unit) Job Description: , 4/44 JM -/ O L/ - 04 ?t /1 Owner: (' LA../ fr4i1t77-P 1-.44 Address:J "fie l� (7/� City:Ai71//1// (;>/7(0 State: Zip Code: Telephone( ) - Applicant: / �� zf r/t i DBA: */ L 'L s Z -GL / /1/4,1/ Address: : c ."/r ( ,5-,i.- 7/I ,dCity: 6 I,- State: C/ Zip Code: ei (M) )323- 8 V/ Contractors - Corn to the Following: Y ` / License Type: License Na0 K'l/YExpiration Date: �0 j/ // I hereby certify that the proposed work will conform to the State 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. ❑ By checking this box, I will follow the mire s of the 2005 1• as t alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical require_Te ifi ch ers 33 through;t .f the sidential Code. Owner/Agent Signature: / , / Date: 2// �/ Construction Value Permit Fees Building Value: ) /) Building Fee: Plumbing Value: _ 7(/OL/ �v Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised August 23,2W7 eLicense Online Page 1 of 1 Ktig°1 Ouick License Lookup ogin Y The State of Connecticut eLicensing Website 1sea1Dy Name) ONLINE Change Criteria SERVICES License License Lookup Search Results Lookup& Download Lookup a I Name I Credential Credential Description I Credential Status City 'State I Zip Code DBA License Generate details NICHOLAS M SAPIENTE JR PLM.0204614-P1 PLUMBING&PIPING UNLIMITED CONTRACTOR ACTIVE GROTON CT 06340-5239 Roster(s) Download Roster(s) Copyright®1997-2008 CAW Corporation All Rights Reserved,version 5.2.0.3275 https://www.elicense.ct.gov/LicenseLookupDownload.aspx 2/11/2011 v'%) State of Connecticut CVE.r Workers' Compensation Commission ,.., 7A CU re -VIM -'1' rg' Please TYPE or PRINT IN INK �r Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit /C/( /f /i Property located at V7 / / l0/ Zx in the City/Town of Jl i (/r /-C F- ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. /3-- Name of Business r� 1 Federal Employer ID#(FEIN) f /' 7 Signature of SOLE PROPRIETOR Applira z Zr // t/ Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. /2 ( /7/z Property Address Job Description Required Department Permit Issuance Approval Approval Tax Collector QC)ci r)---k, t Signature/date Comments: • Planning & Zoning Signature/date Comments: Fire Marshal Signature/date Comments: Health Department Required for all permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative l I 1 i t Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date pAsed a,1arch l9,2010