HomeMy WebLinkAboutHVAC Electrical TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number: E2007-0111 Date: 18-May-07 Map/Lot: 039/087-000 Owner ID: 5537000
Project Location: 88 PIRES DRIVE Unit:
Job Description: wiring for HVAC installation
Owner Name: John F and Nancy A Allen Tenant Name: N/A
Careof:
88 Pires Dr
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)848-7851
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Constriction Valeo,, 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 Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $100.00 Electrical Fee: $8.00 Construction Type: IRC
Total Value: $100.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.02
Total Fee Paid: $8.02
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 framing ❑ 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 ❑ Certificate of Approval
❑ Certificate of Occupancy
Building Official's Approval:
V.42,12.w
r/
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.: ,&1 7-0 Iii
Type of Work Occupancy Type Permit Type
o New Construction []^Single Family 0 Building
E2'Addition 0 Two-Family 0 Plumbing
❑Alteration 0 Townhouse
0 Mechanical
0 Accessory Structure RElectrical CRS#:
Job Address: $S P' S Qr
(Number) (Street)
(Unit)
Job Description: tie!Yr;to( ru►v 4r— (4VAt. n ..XTHee//a►.N
Owner: To1,1,.i A//Q,,t,
Address: g3 P, c-es Dr
City: at Leda ie._ `�/- State: Q 7- Zip Code: O63 70
Telephone: pig-g-' 7 D 7 I
Contractor: O..ci e I--
DBA:
'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.
la By checking this box, I will follow the requirements of the 2005 NEC as the altemative 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: �� s
Date: /iyio 7
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:
&vise&'Decem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 17-May-07 Receipt No: 2333
Received From: John Allen
Job Address: 88 Pires Dr.
Fees Collected State Educational Training Fee
Cash: $8.02 Cash: $0.02
Check: $0.00 Check: $0.00
Check No: 0
Short/Over: $0.00
Construction Value: $100.00
Demolition Value: $0.00
Received By Sandra Pandora 46., jig ���4t i
Address:
ITEM QTY S/UNrr TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction 'i SF $ 114.17 $ • $ -
Basement,Finished i SF $ 20.87 $ - $ -
Basement,Unfinished > SF $ 11.28 $ - $
-
Crawl Sapce f SF $ 8.46 $ -
Interior Renovations - SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - $ - $
-
Basement SF $ 11.28 $ - $ - $
-
Crawl Space SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom • EA $ - $ -
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ -
-
Detached SF $ 63.21 $ - $ -
Under SF $ 9.12 $ - $ -
Carport - SF $ 18.08 $ -
MECHANICAL
Warm-Air N YM $ -
Hot Water N t--:-' YM $ -
ElecMc N `;I YrN $ -
AirConditioning N YM $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Overhead,new "'I Amps $ -
Underground,new IC Amps $ -
Subpanel EA $ 545.00 $ -
Gen Set EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace `. EA $ 5,907.00 $ -
Masonry w/lfireplace 1 EA $ 6,451.50 $ -
Masonry w/2 fireplaces I. EA $ 10,087.00 $ -
Wood Stove,tree standing i� EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
Porch SF $ 135.80 $ -
Sunroom - SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
Inground Pool EA $ 19 430.40 $ - 5 -
Above Ground Round EA $ 4,635.88 $ - $ -
-
Above Ground Oval > EA $ 5,472.50 $ - $ -
Pool Heater EA $ 8,167.50 $ -
Inflatable Type Pool - EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical - >i SF $ 18.50 $ - $ -
RENOVATIONS
Roofing,Overlay ! SF $ 3.38 $ -
Roofing,Strip&reroof - >. SF $ 3.76 $ •
Roof Sheathing f SF $ 1.19 $ -
Siding i SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights - EA $ 955.54 $ -
Doors,Exterior :- EA $ 401.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
....._._.... . ............__... ..._.... _..._..__..
MISCELLANEOUS CALCULATIONS -•$ 108.00
TOTALS $ 100.00 $ - $ - S -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 100.00 $ 8.00
Plumbing Y $ - $ -
Mechanical Y $ - $ -
Electrical y $ - $ -
Working before Permit Issuance N $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.02
TOTALS $ 100.00 $ 8.02
Figures are based on the 2006 RS Means Residential Cost Data
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
S8 Pi s S) r (Oakdale-
Property
OAGCdalEProperty Address
Ef oir; to, I c it >z_ - yr HVAe ► k? 5 arts
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building
permit will be issued until all of the required signatures have been obtained.
Required Department Permit Issuance Approval
Approval
Tax CollectorL5 Ji ijd 7
Signature/date
Comments:
❑ WPCA, Administrative
Signature! date
Comments:
❑ WPCA, Operations
Comments:
❑ Planning & Zoning
Comments:
❑ Health Department
zw:i ;.ature' ate
Comments:
❑ Department of Public Works
Signaturei date
Comments:
❑ State Dept. of Transportation
(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/ cat;:
Comments:
Fire Marshal b\1'1 U 7
Signature/date
Comments:
jvisedAuguse S,2005
•
y.° •,� State of Connecticut N
7A - 7 B - C
y,`�',41*r Workers' Com ensation Commission
•:� p DIRECTIONS
DIRECTIONS for FILING FORMS 7A, 7B and 7C ix
ezzeziiSJS{1Mt�
Building Permit Requirements for Workers' Compensation
Section 31-286b of the Workers' Compensation Act requires anyone who requests a building permit to first
submit"proof of workers' compensation coverage for all of the employees who are engaged to perform
services on the site of the construction project for which the permit was issued."
The only exceptions to this law are the sole proprietor or property owner who will not be acting as general
contractor or principal employer.
What to give to the Building Official to obtain a Building Permit:
1. The General Contractor or Principal Employer must provide a written certificate of workers'
compensation insurance for all of the employees on their project.This certificate may not be for liability,
disability or any other type of insurance.
2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal
employer is not required to have workers'compensation coverage. In order to obtain the building
permit, a FORM 7A should be completed and given to the building official.
3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal
employer must provide a written certificate of workers' compensation insurance for all of the
employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn
notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance
for all those employed on the job site.
4.- Th -General-Contractor or Principal Employer who has properly excluded-himself from`
•
coverage using the appropriate WCC form(see NOTE below)must file the FORM 7C with the building
official. This form certifies that they have properly excluded themselves, and attests that they will
require proof of workers' compensation insurance from every employee that works on the designated
job site.
NOTE: The general contractor or principal employer may exclude himself from workers'compensation
coverage by filing one of the following forms with the appropriate Workers'Compensation
Commission district office:
Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC
Form 6B-1 for employees who are Members of a Partnership
i State of Connecticut �:
`,.,,. = Workers' Compensation Commission7A .
��' Please TYPE or PRINT IN INK Ix
Proof of Workers' Compensation Coverage when Applying
ngfor a Building Permit for the Sole Proprietor
or Property Owner
who WILL NOT act as General Contractor or Principal Employer
ployer
Applicant for Building Permit
Name of Applicant for Building Permit J 0 LIP% A //4A)
. Property located at • • P( re' r
in the City/Town of Da h citi ISO
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 thee
g neral contractor or principal employer.
/
4
Signature of OWNERApplicant
UI am the SOLE PROPRIETOR of a business doing work al 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