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HomeMy WebLinkAboutGas Meter Relocation 2017 Field Inspection Notice Town of Montville Building Department June 19, 2017 2016 Ct Building Code Address: 140 Polly's Lane Job Description: Per Eversource, Relocate Gas Meter Permit Number(s) M2017-0070 Permit Date: May 11,2017 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Interior Plumbing 6/19/17DJ Gas Pressure test • • 6/19/17DJ • Final inspection and • certificate of approval • 6/19/17DJ 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: M2017-0070 Date: 11-May-17 Map/Lot: 102/046-000 Owner ID: 5650000 Project Location: 140 POLLYS LANE Unit: Job Description: Relocate Gas Meter Owner Nam Andrew Wong &Kar Shwin Tenant Name N/A Careof: 140 Pollys Lane Uncasville CT 06382- Telephone: Applicant Name David Gibson Telephone: (860)437-4113 DBA: Eversource Lic/Reg Type S 1 Lic/Reg N 303252 63R Myrock Avenue Exp Date: 31-Aug-17 Waterford CT 06385- 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: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $500.00 Electrical Fee: $30.00 Construction Type IRC Total Value: $500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.13 Total Fee Paid: $30.13 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: ❑ Framing 0 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 10 Certificate of pproval - i'c. - of Occupancy Building Official's Approval: �� 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.: 01,9017—Obi Type of Work Occupancy Type Permit Type ❑ New Construction Single Family ❑Building ❑Addition Two-Family ❑Plumbing p Alteration ❑Townhouse Mechanical t❑Accessory Structure Electrical CRS#: Property Address: 17C Po (. 17 .j s L 1/ (Number) /(Street) (Unit) Job Description: c ( i c 4t--- -- q Owner: i =.m ._ ..- y Address: I L-10 Pc (( 's �n e_ City: Win:LS V i I(e__ J State:c Zip Code: OCAS , Telephone( ) - Applicant: -1:>:( i(` � L s°-._ cGAOLt �! ' F0-1.-.1 !r-P DBA: C V 1`i S v (2- -- Address: `tAddress: 6 3 C.__ m y z0 . _ qv - City: 4...44"'%-- t-CI-itState: c__.7 Zip Coded 3 8 r Telephone(a° ) 9-3 7_ 41 ( ( 3 Contractors - Complete the Following: License Type: S ( License No.: 3-3 252- Expiration Date: �'' 3I 1 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. s ❑ 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 in chapters 34 through 43 of the Residential Code. Owner/Agent Signature: -_-,... -_-_-:"±::: Date: __ 7- 1 Construction Value Permit Fees " Building Value: Building Fee: Plumbing Value: Plumbing Fee: t Mechanical Value: Mechanical Fee: -C Electrical Value: Electrical Fee: Total Value: Penalty Fee: i. C of 0 Fee: Plan Review Fee: State Ed Fee: . I Total Fee: 30. Revised August 23,2007 Town of Montville Building Department File Receipt Date: 09-May-17 ReceiptNo: 12256 Received From: Eversource Enerav Job Address: 140 Polly's Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10 00 State Cash: Bldg Check: $0.00 $30.13 State Check: $0.]3 Bldg Credit: $0.00 State Credit: Fire Cash: $0.00 10.00 Fire Check: 10.00 Fire Credit: $0.00 Construction Value: 1500 00 Demolition Value: $0.00 CheckNo: 1471 Received By: Carmen Kneeland 060 rn k IA Q k IL Ad) Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL /yv (a / y . u �� << �- Property Address Job Description Required Approval Department Permit Issuance Approval Tax Collector Comments: Signature/date Fire Marshal I x/9/7 Comments: Signature/date ❑ 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: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: Signature/date ❑ 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 RevisedMardi 23,2015