HomeMy WebLinkAbout2007 - Lawn Sprinkler System 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: P2007-0032 Date: 17-Apr-07 Map/Lot: 028/005-073 Owner ID: 5372000
Project Location: 34 PARTRIDGE HOLLOW Unit:
Job Description: install lawn sprinkler system
Owner Name: David and Michele Palmer Tenant Name: N/A
Careof:
34 Partridge Hollow
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)848-4326
DBA: Uc/Reg Type:
Lic/Reg No: 0
- Exp Date:‘
Qonstrion Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $1,000.00 Plumbing Fee: $8.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $1,000.00 Penalty Fee: $8.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.16
Total Fee Paid: $16.16
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 ❑d 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 INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
❑ Certificate of Approval
e i to 'f 0 pancy
Building Official's Approval:
•
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.: n .
Tvpe of Work Occupancy T
1=1 New Construction Permit Tvpe
Ingle Family ❑Buildin
IDAddition 0 Two-Family g
ED ❑Townhouse ❑Plumbing
❑Mechanical
0 Accessory Structure ❑Electrical CRS#:
Job Address: '3 "A. • " -
(Number) a�'0' `�
(Street)
Job Description: Seat a-4 Ica_ a2 S (Unit)
Owner: I 10 r�
Address: Pre--T2 TO e)
L�rj`N
City:
n State:
Telephone: tb [-,3'1—t• Zip Code: 031
.
Contractor:
DBA:
Address:
City:
State: Zip Code:
Telephone: License Type:YP License No.: Expiration Date:
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 requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature:
Date: ) 0 0
Construction Value
Building Value: Permit Fees
Plumbing Value: Building Fee:
r Plumbing Fee:
Mechanical Value:
Electrical Value: Mechanical Fee:
Electrical Fee:
Total Value:
Penalty Fee: v'
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee: /6
Rjvi,red rDecsm6er31,200.E
Town of Mbntville
Building Department
File Receipt
Date: 10-Apr-07 Receipt No: 2190
Received From: David Palmer
Job Address: 34 Partriid'a Hollow
Fees Collected State Educational Training Fee
Cash: $16.16 Cash: $0.16
Check: $0.00 Check: $0.00
Check No: 0
Short/Over: $0.00
Construction Value: $1,000.00
Demolition Value: $0.00
Received By David M Jensen a , � /` ��
..i / State of Connecticut F]
`' •., ',' i Workers' Compensation Commission ; 7A
�'7„„ Please TYPE or PRINT IN INK Ix
Proof of Workers' Compensation Coverage when Applying
for a BuildingPermit for the Sole
Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
p
Applicant for Building Permit .
Name of Applicant for Building Permit 1y I ("-) -7 tot-L-vv) 1---R....._
Property located at .1—,' f214 a�2)p C L 40 iJl. L)\(Ni
In the City/Town of DR 4 i-14 L� CI- n )b2)0
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.1 WILL NOT act as theeneral contractor onlractor 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.
Name of Business
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant
i
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
`3 1
D Lem 4yWo-ALF Cr^ 61,3"/ a
Property Address
(.14)0A fe- r-f\
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
Department
Approval Permit Issuance Approval
Tax Collector �}fo-c�,��
Comments:
WPCA, Administrative �°\"��
Comments:
❑ WPCA, Operations
Comments:
❑ Planning & Zoning
Sigilatt.ir,zY date
Comments:
❑ Health Department
:ig ;atu?e„ date
Comments:
[ Department of Public Works
Signature/date
Comments:
❑ State Dept. of Transportation
(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
Comments:
Fire Marshal • ;II ( ) 10 (
Comments: I
,se1August S,200