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Home My WebLink AboutGas Line to Stove 2017 Field Inspection Notice Town of Montville Building Department September 21, 2017 2016 Ct Building Code Address: 28 Dock Road Job Description: Install New Gas Line to Stove Permit Number(s) M2017-0155 Permit Date: September 6,2017 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions 08/16/17 DJ • Flex gas line cannot pass thru the floor—re-test • 15 PSI Gas Line and test required after this condition is corrected 9/21/17 DJ • Final inspection and • • certificate of approval • 9/21/17 DJ 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 MECHANICAL PERMIT Permit Number: M2017-0155 Date: 06-Sep-17 Map/Lot: 070/071-OOA Owner ID: 1409000 Project Location: 28 DOCK ROAD Unit: Job Description: Install New Gas Line to Stove Owner Nam Paul G.&Mary Jo Guillemette Tenant Name N/A Careof: 28 Dock Road Uncasville CT 06382- Telephone: (860)608-6064_ Applicant Name Dan Pickett Plumbing &Heating Telephone: (860)460-5155 DBA: Lic/Reg Type P1 Lic/Reg N 277667 11 Donald Avenue Exp Date: 31-Oct-17 Quaker Hill Ct 06375 Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $200.00 Plumbing Fee: $30.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $200.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.05 Total Fee Paid: $30.05 It shall be the owners repsonsibility 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-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 frami ❑ Electrical Service CRS No: p ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble I Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation -. - -•• • OfAppro oI ❑ C if ca : of occupancy Building Official's Approval: c .% 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.: maot7-ot j Type of Work Occupancy Type Permit Type ❑New Construction Si Single Family 0 Building ❑Addition Ll Two-FamilyinPlumbing Alteration ID Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 28 Dbc k MaIfIV►LLE—. (Number) (Street) (Unit) Job Description: NEW trfts It AIX 7Z, Owner: /f/viGrk-4,A Address: 02a ,Dock a ,p City: tfL kU61 ILLE— State: Zip Code: Telephone( ) - (on t,4 Applicant: DBA: (7 r114 Pt cJ r FL p113 i J&/Ht-Irr Address: // a((h..4 th,� / /�'— City:I Y'Il j4 k �{(L L_ State: C r Zip Code: 04,3 7 S Telephone( Fljb ) yQ() -5255 Contractors - Complete the Following: License Type: ? 1 License No.:0z77k,7 Expiration Date: /b/3/ Zo j 2 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 1 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 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements'n chapters 34 through 43 of the Residential Code. Owner/Agent Signature: r / t//.•g - !/ Date: S 7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: ' b b. Plumbing Fee: 37, Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: 4 2mob.CADPenalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: _ C71 Total Fee: - 0 S Revised Azgust 23,2007 • • Town of Montville Building Department File Receipt Date: 0S-Sen-17 ReceiptNo: 12619 Received From: Dan Pickett Job Address: 29 Dock Road Town Fees Collectpd State of Connecticut Fees Collected Bldg Cash: $30.05 State Cash: $0.05 Bldg Check: $0,00 State Check: $0,00 Bldg Credit: $0 00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0,00 Construction Value: t200.00 Demolition Value: $0.00 CheckNo: 0 Received By: Carmen Kneeland Ca4nitx ryl k , „ 0c, ,,, 7A v ' State of Connecticut N )i r Workers' Compensation Commission �`zr.-i I Please TYPE or PRINT IN INK 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 ofApplicant for Building Permit !ltrA/.j. 42. Pi C ^je T Property located at 2/ Poe k D in the City/Town of n1'p..,,T v., LL e 7-- ATTEST -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: ❑ lam the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature ofOWNERApplicant— ---.- --- 0 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 T),+1 ?I C k 1K7— PL.UNt Q m LS /fic-ion-lk' Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant 0 54 • Town of Montville Building Department Ivor CONSTRUCTION PERMIT APPROVAL Oock-Rad Property Address Nem aPt1 &xS Lt AC -f-z) Cis S-(L/rC) Job Description Required Department Approval ' Permit Issuance Approval ill Tax Collector OK0-1 �w su �71 � ,/.S Signature/date Comments: 7- ® Fire Marshal — ( { r Comments:l [2� Signature/date 1 ❑ Planning & Zoning Required for all permits except Signature/date Plumbing, Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: g,/-07 "PI RV WPCA, Administrative 0KaPew (� ic&cG Cf /s1, C 6m Required for properties on sewer Signature/date J 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection Revised March 23,2015