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HomeMy WebLinkAboutBathroom Remodel 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: P2006-0052 Date: 18-Sep-06 Map/Lot: 028/005-076 Owner ID: 5367000 Project Location: 22 PARTRIDGE HOLLOW Unit: Job Description: plumbing for remodel bath,install sink and macerating toiled in basement Owner Name: Laura Pringle _ Tenant Name: N/A Careof: 22 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: William Harrison Telephone: (860)537-4877 DBA: Harrison Plumbing Lic/Reg Type: P3 Lic/Reg No: 208193 317 West Rd. Exp Date: 31-Oct-06 Colchester Ct 06415- Cons r ucti_pn Value Permit Fees Building Value: Construction Information $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: Mechanical Value: $0.00 Code: 2005 State Building Code $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: -----� $0.00 Penalty Fee:F $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping ❑ Insulation INSPECTION REQUIRED UPON COMPLETION ❑ Certi . e of .proval y-rt2 of Occupancy Building Official's Approval: . Town of Montville I \., ( 3.40 ...,4- L._ 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.: Type of Work Occupancy Type Permit Type ❑New Construction I Single Family ❑Building ❑Addition 0 Two-Family KPlumbing ,Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: (^k P(,,r l R\ „x_J (Number) (Street) (Unit) {� Job Description: `adk e_xx.z,A Q.L Aack jt L -7 A S-- -7-0 b Owner: GAAv-5 4 `&&,rte 1 c n,6.L,� Address: a 2, PiX(' r r( 4#r LLD D CC)) City: O 4 k dc-...C>e . State: err_ Zip Code: CDL 3 7 O Telephone: E34-42) CQ F Contractor: 1-4 A.. (`,'Sc:.,.L: 1/4,, ,b •=(L - C,), l f l d»1 )-Ji f e1. thi DBA: 0 Acc\5uill UVA.`© I175 Address: ,3/ 7 �z� re,/,City: ,�q1rPS lF' "" � C State: CD Zip Code: 06 ii i Telephone:k(,U-5,3 7-y i 7 1 License Type: p-3 License No.•''9Expirationf G b//a40v{ � 0 gI 9 3 Date: id 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 requirements of the 005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 thro,gh 42 of the Residential Code. OwEert gent Signature: j , / I/ / 9 :� l/r,.�� l Iliac— Date: l S U Construction Value Permit Fees Building Value: &tr,1 60e,' Building Fee: Plumbing Value: rj 6 D 6 Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: )�b t:7 Total Value: Z, 7 sElectrical Fee: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: Roister DecemEes31,2005 T , • , • • • LLI en NIL E z a' c�., tie _ ` <L' C IEI o 0 N w il . Z N 4. State of Connecticut:' i Workers' Compensation Commission o7A . c'�� � Please TYPE or PRINT IN INK Ix Proof of Workers' Compensation Coverage when Applying i for a BuildingPermit forg the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer ployer Applicant for Building Permit . Name of Applicant for Building Permit / - • Property located at a. . Jtlitik,^ I� ili[►i._►W ti r in the City/Town of Li I 11 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 Ap.licant Vm the SOLE PROPRIETOR of a business doingwork ork at the above-named property.II WILL NOT act as the general contractor or principal employer. Name of Business l.--e .,-- -- I e ' lf\ \c F---A L C \ Federal Employer ID#(FEIN) D(p---t 1306 g I Signature of SOLE PROPRIETOR Applicant t l, . Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Property Address ��. k , CSLIMOck L - 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 Approval Department Permit Issuance Approval lirTax Collector �,,� �//�/o Signature! date Comments: Imo( WPCA, Administrative .`1 / ... Si!� tun- date Comments: ' i L 5-- Co ❑ WPCA, Operations Signature/ date Comments: ❑ Planning &Zoning Signature/ date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Signature/date Comments: II/ Fire Marshal �� '1 (2VA t � Signature/ date l Comments: w 4 I L L� imAIL gteviseiAugust5,2005