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Home My WebLink About275 Gal. Oil Tank and Pad 2001 Town of Montville Building Department Date // / 9 /pf Field Inspection Notice Permit # t42Lc c I 11-1 Job Location ��T�GL AVS /, Approved Type of Inspection cve t,. -TANk 1=t W o I-- Not !Not Approved - Please call for re-inspection when the following corrections have been completed: Building Official Town or Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number M2001-114 Permit Date 8/9/01 Permit Type Mechanical Permit Code C5 Job Street# 9 Job Location PETER AVENUE Map/Lot 070/080-000 Job Description Fuel Tank&concrete pad Owner Contractor MANAC Enterprises J-N-P-Building Address 9 Peter Avenue Address 9 Peter Avenue City Uncasville State Ct. City Uncasville State Ct. Zip 06382 Telephone 848-8082 Zip 06382 Telephone 848-8080 Lic/Reg Number 557910 Lic/Reg Type HIC Exp Date: 11/30/01 Use Group F2 Code 1996 BOCA Type Construction 5B Building Value $0.00 Building Fee $0.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $400.00 Mechanical Fee $10.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $400.00 C/O Fee $0.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.06 / o Fees $10.06 Building Official's Signature ��—�� Date '1/U/1/ It is the owners responsi it Tfi to schedule the following req ' d inspections(minimum 24 hours notice required): ❑ Footings -prior to pouring concrete ❑ Backfill -footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney -one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping El Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding El Gas piping -pressure test and installation V Final Inspection C Rough HVAC Certificate of Occupancy-PRIOR to use or occupancy 1 Town of Montville - Permit # r9 ac , i- i"-1 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction []Accessory Structure ❑Plum6ing ❑lfec(utnicaC ❑Action ❑'Demotztion ❑EE1 ctricaC El Alteration DOt�r- ?Ceating Air Conditioning Gas cP ping Job Location ? -- (,(' ^j42 r Job Description/Materials /11.04,u- - �1 l - k-----f-eS (( i( -- -2.51-(--(-A-.4-K" \(T4- ... .A. ,-,,,e_4.-- - (c.< DC fL.pA/v-trt./t.-Is a _ --Z- 0 Owner LA /I- 4-C - 7 (SE S Mailing AddressCj-^ - Qf"Q City 0..--vt.0 / StateJG- ( Zip 3£S a- el c- /Z / Wd ` Contractor — GfJ P o( MRU 6 Mailing Address P ''Q -- C SZ City c.(.-vtic State ('-` Zip 66 W ) Tel / Ti j7 S3 0 Contractor's License/Registration Type&Number ,C-r-) 51 7 d Exp. Date fqi / . / JOQ New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes ❑ No I hereby certify that the proposed work will conform to the Basic 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. l ei Owner/Agent Signaturec1` Date G / C; ,c(-- )--(2 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ /7,-..- $ ld Electrical $ $ Other $ $ Certificate of Occupancy $ -- Plan Review Fee $ State Education $ 0.o C Total $ -c-' . - $ /4.oG s STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors onn. en. Stat. § 31-2866) Property located at / - ' In the town of Co Name of building permit applicant: -i" GU – �, ____,es , ykr„.„„,� (LI Please check one: 1. /I am the owner of the above property. 2. I am the sole proprietor of a business. 2A.Name of business 2B. Federal Employer Identification Number(FEIN) Pursuant to § 31-2866, "a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers' compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. l-I do not intend to act as a general contractor or principal employer. [Sign and stopa, • •] N .�2k (S' ( ,mac* Si ture of applicant 2. I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200_. (Notary Public/Commissioner of the Superior Court) Town of oontvilleBuilding Departm Receipt 4;) Date 75 / 6 / o I No. 00963 From: r wr-vd% Job Address: 0 1:7cnz 4;;;) Amount $ fa _ � Cas Check Check # (circle one) Received by Permit t#jJ Z�t7iL/