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HomeMy WebLinkAboutSFR Heating TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2011-0148 Date: 30-Sep-11 Map/Lot: 003/001-00B Owner ID: 5555000 Project Location: 16 PODURGIEL LANE Unit: Job Description: Install LP Gas&Wall Type Heating&Hot Water Boiler with Baseboard Heating Elements for New SFR Owner Nam Allied Development LLC Tenant Name N/A Careof: 42 Washington Street Mystic CT 06355- Telephone: Contractor Nam Antonio Goulart Telephone: _060)656-8870 DBA: T.C.S. Lic/Reg Type Si Lic/Reg No 386276 25 Manor Road Exp Date: 31-Aug-12 Pawcatuck CT 06379- Construction ValuePermit 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 Fee 50.00 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: - __ _ 50.00 Comment Plan Review Fe _ _ S0.00 Fees Included with Building Permit State Ed Fee: S0.00 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 E R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Fooling 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 .. n_ - _ae • •.•pray• ❑ Ce '• 7y- upon 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.: (fl )J — l 9 Type of Work Occupancy Type Permit Type ❑New Construction ❑ Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse 'Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: i Co PO d u((5 iLk (Number) (Street) (Unit) • Job Description: to. 11 • v"l & 1 L„ a e, - 14j f/L )e i ( i'C. LA) 1- , e ho w/ Owner: `1 1Qd U-k_ 01%--1e v,-4- Address:Address: City: State: Zip Code: Telephone( ) Applicant: 4-hirt)n 1 O �77J� q r DBA: „�S� Address:�c / Y 'a{'frL City: &(AJcqLL,C_IzState -7Zi �7 ° Code: 616 3 ! � Telephone(�G ) Jfp- Eg / Contractors - Complete the Following: p License Type:SI License No.:D3aoz7//Expiration Date: F,3/ z0y 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 altemative compliance per section E3301.2.1 of the Residential Code, instead of the electrical require - Is in chapters 33 through 42 the Residential Code. Owner/Agent Signatur:: `� /Iii ”" Date: 9 057 !,S 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: P,evised August 23,2007 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION -EATING;PIPING,&CC OL 6 :1,itliktZD CONTRACT ANT(}NiO R G k IS�RT ` GWR 25 M NOR x fg PAWCATUCK; '063701332 ~'fir [IC !REG NO x$; FFECtIVE' % EXPIRES HTG.03862 S7. t Qo 101fN its-1 4!,-,,-08/31/2012 VRANSTti .: , SIGNED _-- -- r k v+v x�. State of Connecticut N Y7Ar Workers' Compensation Commission /) i CD _� 0"' Please TYPE or PRINT IN INK cc 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 r Ic b *_4_\Cl - 1 Property located at 1l_ P (.),_f ` e I in the City/Town of V\In C SSV 1 Ik-C_ 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: AI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant g1 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 ,C.! S Signature of SOLE PROPRIETOR Applica /� dL 1i� / / 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. I CP RALI-101� I -e Property Address 0.(1 cc Jnr 4n(f(-e Q --Cr Rem `S-F-.K. Job Description Required Department Approval Permit Issuance Approval J • Tax Collector • _ • \a• \ Signature/date Comments:J II / ' Planning &Zoning - ' . ( ZC1 l Signature/date {- Comments: N Af- 1 J�' k /11,// ( , I l Fire Mar a1. 9, 2J0( (1 Comments: it &2L Q.tLNAptnature/date /kr\(1 e Health Department Required for all permits except Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date {• Comments: Jll WPCA, Administrative 0 Required for properties on sewer Signature/date '; Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: l ❑ Department of Public Works r, Required when project includes driveway work or certain drainaqe requirements Signature/date Comments: 0 State Dept. of Transportation Required for Structures over 100.000 sq.ft.or with more than 200 parkin spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date RevrsrdMarch 19,2010