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