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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: P2010-0053 Date: 03-Jun-10 Map/Lot: 033/017-00H Owner ID: 5551000 Project Location: 35 PLATOZ DRIVE Unit: Job Description: Plumbing for New SFR Owner Nam Abco Realty LLC Tenant Name N/A Careof: 50 Bayview Road Niantic CT 06357- Telephone: Contractor Nam Chris Samuelsen Telephone: (860)739-7787 DBA: Nordic Plumbing&Heating Lic/Reg Type P1 Lic/Reg No 203919 P.O. Box 192 Exp Date: 31-Oct-10 Niantic CT 06357- 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 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 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 dans in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING.MECHANICAL,ELECTRICAL PERMIT INSPECTIONS E Footing-Prior to pouring concrete © R Plumbing and leak test ❑ Deck Piers ❑ R Electrical E 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test E Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ;Y2 _ icate•- •proval -rt'i ; e 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.: IPaol 0-0053 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical 0 Accessory Structure ❑ Electrical CRS#: Property Address: 3S F!jqlô7. �C/. CIA1t eCi /it Cr (Number) (Street) /� (Unit) ff Job Description: U%tbin/j A "kw.) S/„✓s/t. Fk �i I y 1LQS�41f'E'NGL Owner: c.r3 keel/7 zlCL Address: ` '.Y2 [>/17`/1/�':cJ . "e /J City: //A ' / - State: C7 Zip Code: 337 Telephone( ) 4/r7f' Applicant: C42./ I2./c 5x41-%t/GISP,r✓ / DBA: /I/Il/C�//L / 'mj ,tom /pT/ti/� Address: �. C) � ' /A' Z_ //'/ City: " State: C-` - Zip Code: 06 5C7 Telephone( C ) 711- 7777 Contractors - Complete the Following: 2 o3�1 f License Type: r--j License No.:��M- Expiration Date: /Gs 3/ —20/a 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 l 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 ch 33 through 42 of the Resid tial Code. Owner/Agent Signature: i /� Date: 1 - 7—2 W 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: Raised August 23,2007 JUN-2-2010 06:52A FROM: TO:8608487231 P.1 atm 1 '^ L NORDIC PLUMBING & HEATING P 0 BOX 192 NIANTIC, CONNECTICUT 06357 (860) 739 7787 flu U[L�L W rp-r- 1 Ce-wsC' LAn C-L.) ©07 e-lia v �'Z -O /9pjoiR- Fv-k-- r ,oma- 3s R� -ate let) . . Ci2Ck(34C4.+C. , STATE OF CONNECTICUT IMPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING UNLIMITED CONTRACTOR CHRISTOPHER A SAMUELSEN PO BOX 192 I MANTIC,CT 06357 LIC ;RETNO 1 EFFEniV - I FXPIRF` PLM.0203919-Py 11/01/2009 j 10/31/2010 SIGNCO`i e TUN-2-2010 09:15A FROM: TO:8608487231 P.1 ;'� State of Connecticut Workers' Compensation Commission7A �,� Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Prgprietor or Property owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name ofApplicant for *Parrott Drapery located at In the Cay!Teen d ATTEST If you ars the owner of the a-named property or the sole proprietor of a business doing work on the ale of the censtructtan project at the abeve-named property and you MU.NOT act as tho general contractor or principal employer,you aro not required to have workers'compensation Insurance caveragrt. CHEb(ONE(1)BOX ONLY and complete the fallowing: W 1 nm the OWNER of the sbwa.nomod property.t taiit.NOT as as WIG genual tarmeotor er principal empioYor. Skims,re of OWNER Applicant G 1 am the SOLE PROPRIETOR of a business twang work at the above—paned property:i w►U.NOT ad tta the genetat eontroetor or ptkadpy emptaya._ Name of 8uatness /t/e;/2-7,/G 71:::?"- 1••••••• •••••••11= cy SlonaAue°MOLE PROPRIETOR•.:. . 401,9 y6t 7?Q- 7757 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. S PI& nz Drive- Property Address RA 11110111C1 r NPS SFr.`/� _„ Ubb Description Required Department Permit Issuance Approval Approval Tax Collector ��� (Q l a,( I o nature/date Comments: 44- 3s - 3 7 Planning & Zoning yfl r (Q/ f io Signature/date Comments: 24 Fire Mars I I J Lo Signature/date Comments: Health Department Required for all permits except Plumbing,Electrical,Mechanical,Roofing,Siding.Windows&Doors Signature/date Comments: ® WPCA, Administrative 1p Required for properties on sewer Sign ture/date Ii 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: ❑ 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 Reviser Warch19 2010