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HomeMy WebLinkAbout2006 - Switchgear Mezzanine • Town of Montville • • .. Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: Type of Work Occupancy Classification • Construction Type Permit Type .. • El New Construction ❑A-1 ❑B ❑H-1 ❑ 1=1 0 R-1 ❑S-1 ` 0 Type IA []Type IIIB` • Building ` .. • ❑Addition CIA-2 CI B,Medical El H-2 ❑ 1-2 ' 171R-2 E]S-2 CI Type IB El Type IV [1 Plumbing ®.Alteration ❑A-3 ❑ E ❑H-3 ❑ 1-3 ❑ R-3 ❑U ❑Type IIA ❑Type VA • ❑ Mechanical ❑Change of Use ❑A-4 ❑ F-1_ El H-4 ❑ 1-4 El R-4 El Mixed ❑Type IIB El Type VB. • ❑Electrical • ❑A-5 ❑ F-2 ��❑ M CI Type IIIA CRS#: Job Address: ?fsVl. /?peel• • .. . (Number) (Street) .. (Unit) • • Job Description: 75g."5 ,4%/- e2 Z.9,c../pc t= • Pv r • kie:ea s ea/TCrr G'64/ . Owner:7hosv-IS ‘, /I?II �vi2P • . Tenant: Address: � . Pet.v.< ( e)(4) �y� Address: • City/State/Zip: 1 k C 4 S\,r t//' e r - - City/State/Zip: • • Telephone: • e� ?.&7/. ,x/2Y7 . . Telephone: . . • Contractor:rL" F,,2,4 r,,,,„, DBA: - - • Address: City:. . . . . • :State: • Zip Code: • Telephone: • 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. Owner/Agent Signature: el 04,/./ , Date: •?�, 2 Construction Value Permit Fees. Building Value: Building Fee: ' Plumbing Value: Plumbing Fee: . Mechanical Value: Mechanical Fee: - Electrical Value: Electrical Fee: Total Value: Penalty Fee: •• - CofOFee: . . • - Plan Review Fee: . • State Ed Fee: Total Fee: cgvised Decem6er31,2005 Town of Montville Building Department File Receipt Date: 02-May-06 Receipt No: 1227 Received From: Faria Corporation Job Address: 442 Pink k Ro W Fees Collected Cash: State Educational Training Fee Check: $0.00 Cash: $117.71 $0.00 Check No: Check: 2227 $0.51 Short/Over: $0.00 Construction Value: Demolition V. .-• $3200.00 $0.00 Received By Joseph Summers COMMERCIAL PERMIT CALCULATION Address: 42 Pink Row Building PERMIT FEE Plumbing 3L_ Mechanical 32.00 Electrical $ Y CO Fee $ Plan Review $ State Ed Fee 50.00 Y $ $ 3.20 Work Commenced before permit issuance 3.200 $ Total Fees 0.51 $ 32.00 $ 117.71 DEMOLITION PERMIT CALCULATION Address: Demolition PERMIT FEE Total Fees • Town of Montville Building Department Tel. 860-848-3030, Ext 382 310 Norwich-New London Tpke.CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Z '1"-/tv ,'I Property Address o/LA is— -b ' &-Mfg Job Description The applicant is responsible for obtaining all of the required approvals checked off on this No form permit will be issued until all of the required signatures have , Required building been obtained. . A••royal Department Permit Issuance Approval II Tax Collector .. zL Comments: ig WPCA, Administrative G' Comments: r - -5••• '`j a ❑ WPCA, Operations Comments: Planning&Zoning Comments: '2 .a 6 ❑ Health Department Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation Comments: . li / Fire Marshal lAWir Comments: / . 'ed r4ugust 5,2005 • . ,.:,. ,;``> State of Connecticut „,,- Workers' <c.,. 7A 713 7C • }..� Compensation Commission o '�' h• DIRECTIONS • �, ss�•�� DIRECTIONS for FILING FORMS 7A,7B and 7C Building Permit Requ• irements for Workers' Compensa#ion Section 31-286b of the Workers'Compensation Act requires anyone submit`proof of workers'compensation coverage for all of the employees who are engaged services on the site of the construction project for which thewho requests a building permit to first was issued.” to perform permit The only exceptions to this law are the sole proprietor or propert ovine y r who will not be acting as general contractor or principal employer. • What to give to the Building Official to obtain a Building ng Permit: 1. . The General Contractor or Principal Employer must provide a writtencertificate of workers' . compensation insurance for all of the employees on their project.This certificate disability or any other type of insurance. may not be for liability, 2. The Sole Proprietor or Property Owner who will n act as ag e employer is not required to have workers'compensation coverage. In order to obtain the building permit, a F RM 7A should be completed and given to the buildingoff ral contractor or principal ictal. 3. The Sole Proprietor or Property Owner who will act as a general contractor or employer must provide a written certificate of workers'compensation insurance for all of the employees on their project and must file a F a principal ema to ed affidavit it on F RM 7B with the buildingofficial— ew Rh stating that he will require proof of workers'compensation il nsurance eom for allr thoseedemployed on the job site. 4. The General Contractor or Principal Employer who has pro erl coverage using the appropriate WCC form (seeow) p Y excl ed himself from official.This form certifies that they have properly excluded themselvemust file s, and attests that require proof of workers'compensation insurance from every employee RM 7 with the building job site. they will . . . that works on the designated • NOTE: The general contractor or principal employer may exclude himself coverage by filing one of the following forms with the a Wrom workers'CmCompensation compensation Commission district office: appropriate Workers'Compensation Form 6B for employees who are Officers of a Corporation or Managers/ Form 6B-1 for employees who are Members of a Partnership g Members of an LLC # RP 2789 Thomas G. Faria Corporation REQUEST FOR PAYMENT GENERAL INFORMATION (COMPLETE ALL) Employee Name Date 0.? .2 DC Employee # yt ---=_ Dept. #�_ PAYMENT INFORMATION Payment Method: (Check One) Credit Card Vendor Will Invoice Payment Needed By: Check runs are processed each Wednesday And Distributed each Friday Vendor: Taxable Amount: $ Sales Tax: $ Shipping/Freight: $ Total Amount: $ Reason for Reque-t: (at ac proper documentation if applicable) Account #(s):� - $ 3-2&,v. $-- APPROVALS AND DELIVERY INSTRUCTIONS Check Delivery: (check One) <Mail to Vendor Phone ext/location: Extension # , 4, Deliver to Requestor ---az Location (circle one) Uncasville/New London Signatures/Approval: (Please sign the appropriate line) Requestor: Approval: 2 • I Form# F-301-01-078 Rev. B 09-20-00 WHITE-REQUISITIONER YELLOW-ACCOUNTING i .., Yankee SupplyJ 40 Hartford Avenue21 Phone: 800_ Johnston, RI 02919 232-7225 Fax: Website: 401-934-1960 TO: RICHARD V WWWyankeesuPply.com AT: THO ALLI MAS G. FARIA JR HARPER FROM:PHONE: FAX: E-mail:majl: jrh@yankeesupply,cam DATE: SUBJECT: Richard # OF PAGES: 1 The following is the quote you requested for the used and new material.. 1 - Used Mezzanine 9' 1 - 42„ wide x 38' long x 8' clear / 9' to wide stairway w/ 42" x 48" landing. p of deck. beck is corrugated steel w/ 3/4" 9 w/ hand railing. ply Material cost $ 4,600.00 delivered and n deck. stalled. 1 - New In-plant office 8' on 38' wide x 38' long x 8' high 4 sided. 1 - 3 Windowsside and 6" wide steel door with window. ar the stairs. Material cost $ 14,000.00 installed. 0sed Mezzanine Switch gear area. 12' d 1 - ladder t ype stair;-way(„--1-------- deep x 20' wide x 8' clear. Hand railing on 1 - 20' side Material cost delivered and w/ removable gate. a ' installed $3 200.00 , t Please give me a call after you consider. JR. Terms: Used Items-COD. Special Orders require 50% deposit. New Items-Net 30 with Refusal:Any order and Custom Fabrication Orders credit approval, installation cost i services refused at customers door 100%Pre_ any labor,mileage and freight cost incurred. Payment required. will be subject to a minimum 20%re-stocking Returns:Returns accepted only with written authorization. All returns equipment is returned for used merchandise credit only g charge plus INSTALLATION NOTE: Installations are preformed by will be subject to a minimum 20%restocking workweek. The customer is responsible forg charge. Used trained non-union personnel during hour proposed mateeicu and erto is resp anyProviding a clear area with f the course oaadequateus ze to receive opunless otherwise secure Unloading bya sound and level foundation of needed permits and compliance with local building codes. The use of the customer's forklift nots included electrical controls unless otherwise stated. An nve to od iclncluded ical errorsleare subject to less otherwise Additional filar electrical s changes workd is the responsibility of y changes made byy the customer. Conveyor klrft is belts that can not be the customer mayaY quotes do ACCEPTANCE •erformed due to electrical service not beinbe accessed if returnoi tri•is incurred to track cditional cost. tonvero hoc PTANCE OF PROPOSAL: available at time of installation. TO INITIATE ORDER PLEASE SIGN AND FAX TO 401-934-1960. Signed: accept all terms as stated Terms: Date: ALL USED EQUIPMENT IS QUOTED "SUBJECT TO PRIOR SALE" Town of Montville Building Department Date: Plan Review Form Jo 4 Job Address: Z _ Job Description: Ibb. Of Your Permit application is being ✓ �� '�`' Building Code. ) This list is offered as a ed for the itertts checked off or commented only. on. (C.G.S Y It is not meant to be all-inclusive for eve requirede information must submitted for review(two sets are required) SUPPORTING every Permit application,nor is it meant to take the place of the State __ Permit a..lication not co DOCUMENTATION Penn*fee due I 'feted _ Permit fee to be calculated CONSTRUCTION DOCUMENTS _ Co. of contractor'scertificate to ■ Proposed building or addition _ Co. t fee re:stration or licensebe submitted stamped and signed exceeds 5,000 s or contractor Re:' re uired geed by a Connecticutquare feet ]as Construction tstraionRere• Etmeer registered P muss be Permit sign_offsheet required Architect or Professional be the a..licant's res.onsibilit obtainthe with a Construction documents are Affidavit reto there, appropriate approvals,it shall Architect orP required to be shall be sealed by required from the holder of uired orsstaresIIII Professional required er 106.1.4 a CT licensed 1111 to a..1 fora'e the registration Meas of egress plan re 1111 mrit with their informationg [ration license authorizingfloor and all mors gspac vel supporting you and spaces,designating the number of Provideener_ g documentation to show co calculation 106.1.2 P travel distances, occupants on every 1111 v codes._ov compliance with the 2003Architectural and door, stair, Two sets construction IECC tura].las re.uired ramp size data,calculations oftiondocuments required, this includes all engineering ■ Documents are co all other documentation _ Mechanical.las re. copyright protected, R106.1 uired desi: er authorizin:the d provide original Electrical.fans re.sired Field set of thea d lication of the.las plans or a letter from the _ Plumbin: .la ns cos s re.uired 1111 from our office and construction documents are Usere•rotection.las re.uved must be available on sited required to be picked up Use&occ Construction documents shall of sufficient 'all oirode tins •anc classification not indicated on 1111 nature and extent of clarit Provide calculation for the the cos Construction documentsa work.r be osed y to indicate the location, an Hrovid mixed se.arated construction documents do as'er section R106.1.1 &area calculations re. uses 302.3 2 site.fan not match the orientation of the s Ventilation calculations erred III fracture on the _ More detailed.laps re. re.cored a be submitted _ Soils -.ort not submitted d addressin:accessibilit ■ Submit s STRUCTURAL,DESIGN _ Statement1802re supporting data to show ofs'eclat is.ectionsre. ■ second:nt , 1 IS ,h conformance with the Plumbm:fixture calculatio Wred 1704 Documents re wind linritatios (3 _ Costruction ns d uired En:ineer qd to be stamped and si Le not identified fined b g gin_ Gro classification not identified _ Constructiony a CT re registered Professional documents Fire-resistance desi• must be documented _ Ground snow load do not match the en:ineerin:data submittedSIM Bire-re: b an(P for Montville is 30.sf tra.location&detail,not.rovided or a.'roved insufficient so III MCE Spectral accelerations for ecce, I. Montville are; sufficient •• S.=0.255 Sm=0.078 No'las sub SITE PLAN Proposed s submitted or insufficient info fracture or addition _ Plans do not match the buildi c: information structural engineering exceeds the Finish floor elevation not indicated ns independent'aid by "trued allld limits" and anIIIIIII the of the buildin, . c°sultan[ and fees for such shall Distance 7 Desi: loads ro'ect(106.1.5,review _ Structure from m n o•ro.ert line s to the s not indicated live&dead structure not identified mill be s not.rovided 1) Existin:and.ro.osed contours are not.rovided or insufficient FOUND 11111 Footin:drain dischar:e not identified No.las submitted ori FOUNDATION Utilities not.rovided Dimensions re. insufficient information Delineation of electrical,'hone,cable,sewer, Wall thickness uired flood hazard areas and desi water':as kness not identified section R106.1.3 fin flood Footin:size not identified 1111 Private sewage elevation is required per Frost. B disposal system to be identified along rotection not identified or is insufficient data as'is to sl on R106.2.1 Column tp Gradin:.is to sloe awa with all technical and soil e,size,estis.ain:not identified or insufficient 111111 Plan submitted is from the builds at , Wate •roofin:details not.rovided or insufficient not the sameied more detailed info Pier t�.e,size and anchor details not' Dla a�tin and/or plan that has been information rovided or insufficient Health De.artment approved by the Zoning Pier t4.e,s foundation.Ian re. Retaining wall—construction documents re.uired Crawl s.ace ventilation, uired Retaining wall documents required to be stampedon, pe and e III and signed by a Connecticut vltFe6tualy 23,2006 Town of Montville Building Department Comments: DNBa-, Cyr/aIQ-i t o1J F M Ati1 LizrJ6l10613IL. 12grr=,nrza►NCA, Z eAR--i,JCz, 01= THS Go[- 4iJ oN 1146 GrXIcriP=I-c)'42- u Ap_ - uAp_o L 1 ' - Al Li fZ0-Q v 1 R-6-0 • 0-67Izess �� /4U51 >14 Acs .o a0 LJ)T1-1 o,-a e2 - TI-+� 4942Ar dr77oFS GM-Mr/9 )/ ) io09 r— j I4t 13G, PR-ov1 pa 1:::›e-nai C g PL./aIJJ Permit application reviewed by: / Vernon D.Vesey II � Joseph J.Summers David M.Jensen vise6Te6ruary 23,2006 r / Town of Montville Building Department '60-848-3030, Ext 382 310 Norwich-New Uncasville, CT 06382n Tpke. Fax. 860-84231 CON RUCTION PERMIT Liz !A _ APPROVAL © � �ECIyEp Property Address �' ./�• A Al Ai/ SEP 2 5 2006 Job Description , The applicant is responsible for obtaining all of the required • •pprovals checked off on this form. No building permit will be issued until all of the required signatures have been en obtained A.'royal Department I Permit Issuance Approval Tax Collector Comments: °_`'`� 0 S t_'I'utu`e 1 .1 Pte. Cute WPCA, Administrative Comments: 1111,1.4,..;_(% - a p ?ignature/date ❑ WPCA, Operations Comments: Signature/date 0 Planning &Zoning Comments: ❑ Health Department Comments: Signature/date 0 Department of Public Works Comments: Signature/date 0 State Dept. of Transportation Comments: �mm Ill Fire Marshal rrpr Aeciforrow.r /JAIllikiegr Comments: gnature/date secfAugust 5,2005