HomeMy WebLinkAboutHalf Bathroom in Basement Electrical TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860)848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number: E2016-0058 Date: 15-Mar-16 Map/Lot: 084/118-000 Owner ID: 5384000
Project Location: 24 PEACHVALE DRIVE Unit:
Job Description: Electrical for New Half Bath in Basement
Owner Nam Sean R.Perkins Tenant Name N/A
Careof:
24 Peachvale Drive
Uncasville CT 06382- Telephone: (860)462-2989
Applicant Name Property Owner Telephone:
DBA: Lic/Reg Type
Lic/Reg N 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
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: $0.00 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 frami ❑ 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 n Certificate •f'pproval
1106. .'•.te of Occupancy
Building Official's Approval: 0101/1
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.:CP(3((Q-- (-be
`ype o- f work Occupancy Type Permit Type
gi New Construction H Single Family ❑Building
El Addition ❑Two-Family
❑Alteration ❑Townhouse ❑Mechanical
0 Accessory Structure jo Electrical CRS#:
Job Address: y of cOlvake "be
Number) (Street)
(Unit)
`� `
Job Description: 1.►�,; Y 'S\-\ cn ()MP .cl ni
•
Owner: Se 0.,c) ec(r-\(\S
Address: a 4 QPrav'nJeA.11.
City: uY'0.�.,:\_Q. State: i
Zip Code: C` .o3Q
Telephone: (s(00 yLyo- Qq 9
Contractor: /O
DBA:
Address:
City: State:
Zip Code:
Telephone: License Type: 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.
VII
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 requiremen In chapters 33 thr gh 42 of the Residential Code.
Owner/Agent Signature: 6„
Date: CV 1 )í 6
Constr ction Vale
Permit Fees
Building Value:
Building Fee:
Plumbing Value: `
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:
RCvired rDecem6er31,2005
State of Connecticut N `,
jit ( j ]�
Workers' Compensation Commission i
��.4,,re",r;� Please TYPE or PRINT IN INK cern
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 ,QX(j-n Yn
Qd�ns
Property located at ,� l PUG C.XL
in the City/Town of 00(Com\\LA, C
ATTEST
If you are the owner ofthe 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:
pI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant - - --.-- (y
❑ 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
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No •ermit will be issued until all the re.uired si•natures are obtained.
•ia - v' v
Property Address
1`it w \'')P\Cy) fuer# z \Or,
Job Description
Required Department Permit Issuance Approval
Approval
® Tax Collector "--"d 1.l / 6
Signature/date
Comments:
1
Planning & Zoninglifi +' — —t /
Signature/date
Comments:
® Fire Marshal
Sign turd ate
Comments:
❑ Health Department
Required for properties with private septic or well
Comments:
WPCA, Administrative y o1 )_q' I y
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:
❑ Montville Police Department •
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ State Dept. of Transportation
Required for Structures over 700,000 sq.ft or with more than 200 parking s•aces-Official co• of STC Certificate of O.eration re.uired—.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
'(euisetf May 23,21111