The URL can be used to link to this page

Home My WebLink About2012 - 22x40 Addition - 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: P2012-0100 Date: 11-Oct-12 Map/Lot: 070/114-000 Owner ID: 5491000 Project Location: 15 PINK ROW Unit: Job Description: Plumbing for Addition and Existing House Owner Nam Todd A.and Melinda A.Barber Tenant Name N/A Careof: P.O.Box 228 Norwich CT 06360- Telephone: (860)383-3525 Contractor Nam Home Owner Telephone: DBA: 325414.A. J2 Lic/Reg Type 4--- Lic/Reg No Exp Date: V.Wt 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: $0.00 It shall be the owners repsonsibility to schedule the followina inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING.MECHANICAL,ELECTRICAL PERMIT INSPECTIONS [11 Footing-Prior to pouring concrete i R Plumbing and leak test [11 Deck Piers Li R Electrical Li Backfill-Fooling drains and waterproofing Li Elec Trench-with conduit installed CI Concrete Slab-Prior to pouring concrete CI Pool Bonding Anchor Bolts-with sill plate and prior to floor framin Li Electrical Service CRS No: 0 CI Framing Li R HVAC CI Masonry Fireplace Throat or Chimney Thimble CI Gas Piping and leak test Li Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION CI Insulation J C-rtificate of Approve Certi - e o 0, upancy Building Official's Approval: _ le•• e---"ee, 10W11 01 1v1Un1villc Building Department 310 Norwich-New London Tpke. Tel.860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: Y 3O\c Ole() Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition El Two-Family El Plumbing El Alteration ❑Townhouse El Mechanical ❑Accessory Structure --E]Electrical CRS#: Property Address: IS --71C1/ n IS po LA) (Number) (Street) (Unit) Job Description: t' ILA nA rc{ -tom Acid l ho i'1 t Ek J Owner: Ci g /I r-b- V Address:11 City: n(C JV I ')i' State: CT— Zip Code:+`/63'43$ Telephone )32- W25— Applicant: /(/dd 6i1!mob Cr— DBA Address: /5 P ' ( a. A. , City: MUMS / Stale: Zip Code: W rr Telephone jC 13-W -3 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: Date: 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: taliartE August 23,2037 a rState of Connecticut N ?: ;,,,..,., _ Workers' Compensation Commission7A =trz. %��,� Please TYPE or PRINT IN INK `Y 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 Apptkant for Building PermitA 1 i1 116/' Property bated at / jVe Ko V// (/✓ V (/) C 1/-:/ C in the City l Town of (i/vr. IL,' /4 or5E2 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 constriction project at the above-named property and you WILL NDT 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: 1 1:211---am the OWNER of the above-named property,I WILL; act as the general contractor or prinapal employe. Signature of OWNER Appfiant-- --‘.- 7 _ A4 � ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT ad as the general contractor or prinapal employer. Name of Business Federal Employer IDS(FEIN) Signature of SOLE PROPRIETOR Applart 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. i S 'Pr' k_ koc k9 Pfoperty Addre s ❑ Building Code Violation Job Description �J Required Department Approval Permit Issuance Approval 7® Tax Collector Signature/date Comments: / $ Planning & Zoning Ca‘61 /uflc-/rZ Comments: Signature/date ❑ Fire Code Violation Penalty Fee-$ J ® Fire Marshal � ' � 1 Z Comments: ( /� L �(✓� Signature/date U Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative 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: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.R or with more than 200 parkinq spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date ftvisur9,fay 23,2011