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HomeMy WebLinkAboutWater Heater 2010 • Field Inspection Notice Town of Montville Building Department Address: 7 Pheasant Run Job Description: Replace Water Heater Permit Number(s) P2010-0052 Permit Date: June 3,2010 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Plumbing 1/7/11 DJ • Electric 117/11 DJ • Final inspection and • 1/7/11 DJ certificate of approval Rev. Date: 1/18/06 Page 1 of 1 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: P2010-0052 Date: 03-Jun-l0 Map/Lot: 028/005-019 Owner ID: 5457000 Project Location: 7 PHEASANT RUN Unit: Job Description: Replace Water Heater Owner Nam Timothy J and Marguerite Marley Tenant Name N/A Careof: 7 Pheasant Run Oakdale CT 06370- Telephone: (860)848-1660 Contractor Nam Home Owner Telephone: DBA: Lic/Reg Type Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $1,000.00 Plumbing Fee: $10.00 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: $1,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.22 Total Fee Paid: $10.22 It shall be the owners reosonsibility 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-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 -rtific. • of Approval ' //❑ -• icate of Occupancy Building Official's Approval: _ tCC�J� 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.: POUIO-005a Type of Work Occupancy Type Permit Type ❑ New Construction Q-Single Family ❑ Building ❑Addition ❑Two-Family 1 tom bing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure CI Electrical /ACRS#: 17 Property Address: /% G' �'/! I (/4,07 (Number) (Street) (Unit) Job Description: .6,/Ye*" 80 6 / Owner: /,s71-bV4? / —Th7 r04//v Address: 7/ "r/7 City: Y/i/e/d/c-- State: Cr Zip Code:-(04 f7e2 Telephone l ) W71 e.) Applicant: ..,5-G7//r- DBA: Address: City: State: Zip Code: Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration Date: 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 alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature Tom Date: t-)2"--72) Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: !G c3; Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: -2 Total Fee: /0. 02 vZ Revised August 23,2007 Town of Montville Building Department File Receipt Date: 02-Jun-10 Receipt No: 5479 Received From: Timothy Marley Job Address: 7 Pheasant Run Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $10.22 Check/Card $0.22 Check No: 6501 Short/Over: $0.00 Construction Value: 1,000.00 Demolition V e: _ $0.00 Received By Vernon D Vesey II / v�' State of Connecticut N 7A '11_ # Workers' Compensation Commission 1, .ty .) ��IN�^ � Please TYPE or PRINT IN INK ce 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 / /j � )Q�J� .-----1/i Q`4' Property located at /'Z7aPt!lCL—if/ ,i/2 in the City/Town of a� i�/� C� t/›6 7z) 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: /I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant , ❑ 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 employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant 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. 4e-/iff///( f y i Property Address Job Description Required Department Approval Permit Issuance Approval Tax Collector Signature/date Comments: �-- Planning & Zoning Ctils�- "O /7// Signature/date 7 ez 2 Comments: P/`/- J (]c ei/ Fire MarshaL .H(210 Comments: t L� ,Gy\x , Signature/date Health Department Required for all permits except Plumbing, Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative O C,_ � t G Required for properties on sewer Signature/date 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 Revised March 19,2010