HomeMy WebLinkAboutSFR 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: P2007-0103 Date: 06-Nov-07 Map/Lot: 033/017-00E Owner ID: 5548000
Project Location: 19 PLATOZ DRIVE Unit:
Job Description: Plumbing for New SFR
Owner Name: Roger Watrous Tenant Name: N/A
Careof:
351 Wyassup Road
North Stonington CT 06359- �..._ Telephone: (860)460-9303
Contractor Name: Joseph Flynn Telephone: (860)44.5-4439
DBA: Flynn Plumbing&Heating Lic/Reg Type: P1
�_ — Lic/Reg No: 203374
37 Lewis Street Exp Date: 31-Oct-08
Groton CT 06340-
_. _._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 Value: $0.00 Mechanical Fee: $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 Comments:
Plan Review Fee: $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 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 E Certificate of Approval
❑ Certificate of Occupancy
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.: e col- 0103
Type of Work Oc_ cy.pancy Type Permit Type
tial New Construction Single Family ❑ mg
❑Addition 0 Two-Family Plumbing
❑Alteration 0 Townhouse ❑Mechanical
0 Accessory Structure 0 Electrical CRS#:
Job Address: / 2mber) sb(Street) (Unit)
Job Description: LV WI R 1 1'i J2Stn S/< F&- 1 I
Owner: WD6 1JVe+12___Ac.Cj
Address: 35 I VV a.Cs o �.
City: N . 1 nS'�-C '� State: �1 1 Zip Code:
O rE' r—'1[6,
Telephone: 1[ p -- 5363 O Co 3 S
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a, 8
Contractor: S Fly 1
n
-/ 1j /-� —
DBA: F L 6 I/) ^ � 't`_ 717
Address: A c- -tor S „S --,
City: r!Z-) T /�� t 't/ State: l Zip Code: t 3
Y
Telephone:D.6'O' V� -7 T 4License Type: p-/ License No.: U 3 7 V Expiration Date: d !)
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 t e requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requireme t in chapters 33 throu h 4 f the Residential Code.
Owner/Agent Signature:
9Date: i ( � C'
Construct' Value Permit Fees
Building Value: Building Fee: I
Plumbing Value: Plumbing Fee: e /u P C
Mechanical Value: Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
Rcvised August 23,2007
State of Connecticut `,.; 7A
Workers' Compensation Commission o
_��arn` n' Please TYPE or PRINT IN INK lz
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
5� �
Name of Applicant for Building Permit �l P-4M5S
Property located at I (
in the City/Town of rn 6-')/Cf V 1 I 0
EMIMEM=MINIa=MMIIIIMIMIMINIM
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 Applicant
U 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 emplo er.
Name of Business f-1,--1h k 4,66 /-1---/ t rily) / 1
Federal Employer ID#(FEIN) u - — ! /
Signature of SOLE PROPRIETOR Applicant )1e-21
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Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTIONPi4
PERMIT APPROVAL
C� -4-
Property Address
PI�,��►►�c_ ---CP SF k
Job pescription
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 Permit Issuance Approval
Approval
J ® Tax Collector C;C,;,i ?.‘, \ s
Required for all permits
Comments:
® WPCA, Administrative ,le I& J IU—)
Required for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
f Planning &Zoning ��n��� _ //HO 7
Required for all permits
® Health Department
Required for properties with septic systems-Not required for Plumbing,Electrical, Mechanical,Roofing,Siding,Windows&Doors
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements
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
Comments: f
Fire Marshal
Required for all permits I �� i
Comments: > r C'Il�
,cvLcedAugust 5,2005