HomeMy WebLinkAboutKitchen Remodel - Plumbing Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 36 Pennsylvania Avenue
Job Description: Kitchen Remodel
Permit Number(s) B2014-0109, E2015-0114, P2015-0049 Permit Date: April 28,2015
Not Approved Approval
INSPECTION Comments Special Date
Conditions
Rough electric 5/21/15 DJ
Electrica 7/20/15 DJ
Final inspection and R •
certificate of approval 7/20/15 DJ
Rev.Date: I/18/06 Page 1 of 1
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:e20_15=0049 Date: f 9-, Map/Lot:2 158-000 Owner ID: 5402000
Project Location: 36 PENNSYLVANIA AVENUE Unit:
Job Description: _Kfthenl2ecnode); o_v_eSink&GasLin_e
Owner Nam Joe N and Patricia A Childs — Tenant Name NLA
Careof:
36 Penn Ave
. Oakdole CT 06370- Telephone:
Applicant Name Tom Buehler Telephone: .186016,32:12_90
DBA: Torn Buehler Piumhina&Heatinn Lic/Reg Type PI
Lic/Reg N 20334&
15 Chiniao Road Exp Dote: 31-C�ct-15
Griswold CT 06351-
r`noeb_dcti wt_ r 0. P_ennjt Fades G2netn_tcJjonJnfo_rmnfion
Building Value: S0.00 Building Fee: S(101L Use Group: IRC
Plumbing Value: SD00— Plumbing Fee: Slum_ Code: 2005 State Building Code
Mechanical Valu S0.00 Mechanical Fe 50.09
Electrical Value: sn on Electrical Fee: S110.Q__ Construction Type IRC
Total Value: SO 00 Penalty Fee: S0 09 Permit Code: R5
C of 0 Fee: MOD__ Comment
Plan Review Fe X00 Fees Included with Building Permit
State Ed Fee: Sf.on
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 INS•ECTION REQUIRED UPON COMPLETION
❑ Insulation 0 Certifi . e of Approval
/■ - 'ficate of Occupancy
euildino�ficial sAt yal: _ -t[— -
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.: 123015 —(Yft11
Type of Work Occupancy Type Permit Type
CI New Construction [Single Family ❑building
E.Addition ❑Two-Family a`Plumbing
Q Alteration ❑Townhouse ❑Mechanical
❑Accessory Structure 0 Electrical CRS#:
Property Address: J Pe,v/• 4'02-
(Number) (Street) (Unit)
Job Description: ,"i / //21U ?e r.D za- ( l'e,✓e. 3 //,-, / 2 )/ f nA-pt's/,
/ '-��!F;a> /44 O r/e._, / o- // '- !ct5 " (r1t- f?- v'
Owner: /rte r gef (.//
Address: b r/Oh.)• 4I/
City: i/�s 0t////�%,/ ),/dam/ State: G/ Zip Code:��� Telephone( ) -
Applicant: 17ipt. lev n-I6 e 'of ,/
DBA: -/---,-;,,,,/�6z,Y,,�r<>► )
1-21-1-(
Address: /,--, C��jAJ)l 21 7 /? /
1 /�
City: 'C'/S/,r'e�s/A / State: e-6 Zip Code:t2 3 S) Telephone(-26D--).. - /�J t_/
Contractors -Complete the Following:
License Type: "7 License No.: 20"i"--H Expiration Date: / V'5/ l
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.
0 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:
0/1/3-'
•
Construction Value 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:
&vited August 23,2007
VJ�v State of Connecticut o .
'+ N
�• Workers' Compensation Commission
J cc
ear j %rte Please TYPE or PRINT IN INK
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 ,I
Name of Applicant for BuldingPermit 1. d*Ce5 &elk's(
Property located at fAJ)J
civ�+
in the City/To n of O i/e3k (
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:
4
❑ I am the OWNER of the above-named property.I WILL NOT act as the general cos ill or principal employer.
Signature of OWNER Applicant-- --- - ----.
4..Y l am the SOLE PROPRIE I OR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business /0/11 (J&/t`• 'rjF
Federal Employer log(FEIN) 0-1/6 2/C ‘4 32
/-
Signature of SOLE PROPRIETOR Applicant ��� .�
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.
Property Address
Job Description
Required Department Permit Issuance Approval
Approval
Tax Collector � �- ' / am � (7/8/ I s'
Signature/date
Comments:
Planning & Zoning 6/61S
Signature/date
Comments:
Fire Marshal l/ b( ?-A[�
1S Signature/date
Comments: SLL I
❑ Health Department
Required for properties with private septic or well
Comments:
❑ WPCA, Administrative
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 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
Revised'May 23,2011