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Home My WebLink AboutSFR 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: P2007-0104 Date: 06-Nov-07 Map/Lot: 033/017-OOF Owner ID: 5549000 Project Location: 25 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)445-4434 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 Certificate of Approval �iy� ❑ Certificate of Occupancy Building Official's Approval: j'// Town of Montville Building Department 310 Norwich-New London Tpke. Tel 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 . I RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 'P )t)7— Ot tL Type of Work Occupancy Type Permit Type New Construction [N'Single Family ❑� B�ilding 0 Addition 0 Two-Family ['Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: ��11 Job Address: cg S T h Zt__+LJ` (Number) (Street) C \ (Unit) Job Description: �l t J yyi 6/n L) FS fz_ S 1.e._ i---44-11 I l PW.S eill p_444- / F1- Owner: VD4 C, ) / S Address: City: i 14 c.f./NI State: l ' Zip Code: _ad 3 SY Telephone: 6 — (06 — '130 -3 FL11Contractor: � s 71-�) ,,r, DBA: f [-V kl 1- k66 --1---ti- T6/ 3 f t 1� 5-', Address: h City: 6 2 6+V 11, State: 0 Zip Code: I e 3 6 Telephone:�OJ) • vs- ` V3 cense Type: /?"--/ License No.: c.__ -D.3 3 7 V Expiration Date: O 3 i 4 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 •- requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirement- in chapt= 33 throug 2 o the Residential Code. C Owner/Agent Signature: /, Date: i / )---/e)7 Construct'• Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: ---- iiC°1 U Cl e(. Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &Timer August 23,2007 >4 v� State of Connecticut N 7A - 7B - 7c Workers' Compensation Commission L. ' DIRECTIONS DIRECTIONS for FILING FORMS 7A,7B and 7C sz i;Std� Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project. This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below)must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves, and attests that they will require proof of workers'compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers' Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/ Members of an LLC Form 6B-1 for employees who are Members of a Partnership v�v �,� State of Connecticut N j • . C Workers' Compensation Commission .7, 7A • :� �`4L. `� 'rte Please TYPE or PRINT IN INK Ix 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 �1)3 '� `�'"��R✓U'��-�-a Property located at �� "Pk LC_-� [.___ � in the City/Town of P')U/^t /-�-^ 1 V 1 1-e _ Chi'1 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 1217I 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 1-. 1__'/;, ,, + - C t/ !7 --^ I f Federal Employer ID#(FEIN) 0 V-6 — S g --2`x 6 I Aidd Signature of SOLE PROPRIETOR Applicant ! ----- C\ �y / ^ ' ' ^ . ' . ~, . . , . . . yol i5 n q )-i o p� . - ~ (t414,..9, ' i , I ' ti z'''7,-6,4-,(4.: : `4! 2. �� - . '-- -- 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 (-9'3 )Z 04'6/e Property Address Job Descrition 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 ® Tax Collector < Qom"; , k\ 1, Required for all permits Comments: WPCA, Administrative �� , � I01 Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: ■ Planning &Zoning �cc • �Qe 1//-1°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: 1 Fire Marshal n- l 1 Required for all permits r^(1 �.,�^ Comments: IKV 't� ( Wrvise6August 5,2005