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Home My WebLink About275 Gal. Tank 2009 Field Inspection Notice Town of Montville Building Department Address: 62 Polly's Lane Job Description: Replace 275 Gal. Tank Permit Number(s) M2009-0203 Permit Date: December 14,2009 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Fuel line • • 10/5/11 DJ Fill and vent pipe 10/5/11 DJ • • • Final inspection for • certificate of approval 10/5/11 DJ Rev.Date: 1/18/06 Pape 1 d 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: M2009-0203 Date: 14-Dec-09 Map/Lot: 103/050-000 Owner ID: 5623000 Project Location: 62 POLLYS LANE Unit: Job Description: Replace Existing 275 Gal.Tank in Basement Owner Name: Susan B Young Tenant Name: N/A Careof: 62 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: Rick Hatch Telephone: (860)848-9997 DBA: R&W Heating LLC Lic/Reg Type: S1 Lic/Reg No: 303639 P.O. Box 97 Exp Date: 31-Aug-10 Uncasville CT 06382- 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 Value: $2,000.00 Mechanical Fee: $16.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $2,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.44 Total Fee Paid: $16.44 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 PECTION*2EOUIRED UPON COMPLETION Cl Insulation Ce ificat, of .proval r ❑ C ifi,: - of Occupancy Building Official's Approval: ��i1%t�l2s 'tr r V Town of Montville Building Department 0 Q n (=• 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:Mdi {--0303 Type of Work Occ . •ncy Type Permit Type ❑New Construction r5 Ingle Family 0 Building 0 Ad 'ion 0 Two-Family ❑Plu al-Aeration 0 Townhouseechanical 0 Accessory Structure ❑ Electrical CRS#: Property Address: `v Z--ets)i kt.J C (Number) (Street) (Unit) Job Description: T--Er Cs-�-" �,c, C��- ?1- �.11� f c�- (A-3 t.4- tem/ Owner: ` O F✓ci Address: City: State: Zip Code: Telephone( ) Applicant iZ- . _ f(0- DBA: (o DBA: (4j T`-c a.4-=,c Address: City: t1 C'P C State: C.J-- Zip Code: C)V 7I 7- Telephone(o(2. )0 -1)-- ?4'c Contractors-Complete the Following: License Type: S( License No.: 3c,3t C Expiration Date: (' t�' 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: 7_,C.9OcD Mechanical Fee: ' , CC) Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: .t l 1 Total Fee: IQ L14 Arvind August 23,2007 Town of Montville Building Department File Receipt Date: 10-Dec-09 Receipt No: 5122 Received From: R&W Heating Job Address: 62 Pollys Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $16.44 Check:_... $0.44 Check No: 3083 Short/Over: $0.00 Construction Value: $2,000.00 Demolition Value: $0.00 Received By Carmen Kneeland = .i . n '-� r =;� � h .4h�' �+�\t/-...,_46;:2.,-: f, 7 +•; r'„'! r._r1;'�`1 '/ 'd/..,!\Ei!-^` `�•-, --.� .>-y: • • -t,-":7-3-.. -,,v.-:-:" t er.�� : 1 ' f=,'. �r �!� � ; �1 �,.� a �u X35 . .nfF� •, aS ,�- u%f ``t� ; y 'Y.W71Y . :`•r}sk /' • ti. � „ ,,, i, ,> � '';;jk. ;r. x ` . �' - � ',• f: ,, ! 1 ` 11. `'d$ ''� 4. ;�• + . _ .jttt,t � �. u (,+ w` J��' , s .j , , J v 8,,. �'h i � STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION ' " Be it known that " �l �r ` RICHARD K HATCH : .. 49 GLEN.CRAG PL r UNCA MLLEN. , CT-06382-1400 l'11-7— ‘' �y has been certified by the Depart>itent of Cel sumer Protection as a .r i HEATING PIPING_&COG` I 1ThiLlMITED CONTRACTOR , _ �.- -�..�� +� 4339-S1 Effective: 09/01/2009 -°y Expiration: 08/31/2010 �, l..•-•Y 1 V •. , , - ,. � =i ,Jerry Farrel,Jr.,Commissioner� ` � z - vi. = ,,,:„,_;.'4.4,,,, ': a ',.r.- - ,s' _` � o4 'NV' = r ' x ,3„:,,111 tv:f + „ ,jt 1''i f? ti ? hj `. t Nas<i, f t ; t--- ,:>.e.: i ^�1�.'•�" ," � 4 ,`' !t, isA ,.• + s� t 1:14r.:* •\ r �4tfl t •Pi� ,,,I � }% Aet t1 fy��'r'Tti „„,,, .. ',,}4•' . . '':5 , m•, :.A . , 3 , ' e }d •�� i � y� � ' ,�,-- �: _=1 _ ,.__ -- . :.-i -,... ,_____:„.4�-��_ /om a_��\ .% -ce �_Jiti� -i� �- i�k , 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. �d)ki ' Lc ori t Prop rty Address Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval J® Tax Collector ,4/01 69 Signature/date Comments: J® Planning & Zoning e ,,Ld,-YMI olp ll Signature/date Comments: P / ( 76 o' 111 J■ Fire Marsiff tjdDS �� f Signature/date Comments: L ® Health Department Required for properties with septic systems—Not required for Plumbing,Electrical, Mechanical, Roofing,Siding,Windows&Doors Signature/date 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: ❑ 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 4 ised.9v-ovembcr5,2008