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HomeMy WebLinkAboutInterior Work to Finish SFR 2014 ' c cl (- N Q\ 0 zI o z OT 6 .6 -1 LI O a) co 5 5 s c Cr (▪O a) U ca ce e- Q) n �, .� Q I � o ry a, C v— U 0 (n u) co O (a O •21 a- 11 'q Cr) CU�c c a ( ( 0 c C LLQ C C C a) Q a E ° a) I cn i D n 47,.— U L co3 6 a,I OO V 22 cu C Q W Z Z -Co > -C < Ca. .,J U O J or W o a) C U, 11 0eI I— V >, ce EI CI' ra ru N LI c 50 W LL v, -a -c a) TI I— (M ` 0 0 O .� C C M LL LU cn u -B C. 0 O E- � 113 C u, osi o HQ - a) 1- t4_0 NZ LJ H • Q J oa 4 a a3 J LL C a) o Q ciil O - - r E , U �° c .— _' 0 I o CO a) a� U O o c . L .- D a �� LU +- c U i%: ors, a m .. -� 0. � L: [f; i -� ,-,i- 1- d'•. O H • U U ' �( CC —. 4-- = L C in its 0) o 45V) U a) _, :1-5 a) C C E _ C E Em CO nI 0 1 4-, i v a Q E Q C ca co rB 0 4-i U D C 0 = N W -a z O .. („ a) C CU a) � no a) (o 0 - O cn c in O .fl 1- a)cr) o a c I- U N a i--, a D U cn 0 Town of Montville Building Department CERTIFICATE OF OCCUPANCY APPROVAL 1 G FracRYA/ Property Address Corn fLe -4-e_ ` F Job Description Required Department Permit Issuance Approval Approval Planning & Zoning CQ-Q 'v- ( - , \ z `I- Signature/date Nk)Comments: k ( ic-i cr•C\ 1' \C,C Health Department 2/0/7 / Required for all permits except Plum ' Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: /1(1 ) I L( WPCA, Administrative Required for properties on sewer Signature/date Comments: [ WPCA, Operations When Required by WPCA Signature/date Comments: ] Fire Marshal Required for all properties EXCEPT one and two family Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements 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 19,2010 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 19 Porach Road Job Description: Interior to Complete SFR Permit Number(s) B2014-0432,P2014-0071, M2014-0132, E2014-0198 Permit Date: August 13,2014 Not Appruveu , INSPECTION Date: Comments Special Date lnditions Rough Electric 8/14/14 DJ • • Rough plumbing 8/14/14 DJ • Fire place framing • 8/14/14 DJ • Framing 8/14/14 DJ Insulation 8/18/14 DJ • • One CO detector is required on each level with living�/• space. • All circuits in the main panel must be permanently ►/ labeled. • All bedroom circuits are require to be arc fault ✓ J2//y7��J +J- `- Electric protected. ( ' v • The GFCI protected receptacle in the master bathroom dose not reset. • The receptacles in the boiler room/laundry room I/ must be GFCI protected. • • The interior stairs require handrails on one side of • each stairway. Railings must return to the wall. Stairs • Sheet rock must be applied to the underside of the //46 �stairs and landing. • • The wood trim installed around the fire place opening •lacks the //4.Fireplace opening required 8"clearance from the edges of the Riw /2/f Z Final inspection for • The health department sign off is required prior to the Well Water / issuing of the CO /� Z //4- occupancy certificate of g ( After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR CIO& SFR Additions C/O)-S 10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 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 BUILDING PERMIT Permit Number: 82014_ 32 Date: D6-Aua-1Q,Map/Lot: 103/086-000 Owner ID 5664000 Project Location: 19 PORACH ROAD Unit: Job Description: Interior Work to Complete Sinale Family Residence Owner Nam HarrvPlcazJfl Tenant Name [BILA._._ Careof: 28 Grassy Hill Road Fast I vme CT 06333- Telephone: (A60)46n-8309 Applicant Name _P..ppertv..Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: rancon VnL o _ .PBmnit I'?PC Cnnetninfirm Infnrmntinn Building Value: 50.00 Building Fee: _ _$0.00 Use Group: IRC Plumbing Value: SO 00 Plumbing Fee: S0.00 Code: 2005 State Building Code Mechanical Valu moo Mechanical Fe S0 on Electrical Value: S0 n0 Electrical Fee: Sn 00. Construction Type IRC Total Value: SO Penalty Fee: .S0.00 Permit Code: R2 C of O Fee: Sn 00 Comment Plan Review Fe Sn on State Ed Fee: S0 00 Total Fee Paid: $0.00 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 Cl Electrical Service CRS No: ❑ Framing 0 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ■ Certi' ate of Approval :� -rtificate of Occupancy Building Officials Approval: TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number:2 014-0071 Date: _L3-Ai.a-14 Map/Lot: 103(0a6-nn0 ^Owner ID: 5664000 Project Location: 19 PORACH ROAD Unit: Job Description: PlumbingJp ComoJeIe Sfnale FarnityResidence Owner Nam Harry Pic• '• Tenant Name N/A Careof: • .s r••• last I vme CT 06333_ Telephone: Applicant Name Tndcf Moss Telephone: 18.60)910.8550__ DBA Lic/Reg Type PI Lic/Reg N 282526 ••• Exp Date: 3J_Oct14 �tvill . CT _06380- Cooefni8tion\/_moo Pe_.r j Ee c (:ornsLnictior Infnrmntinn Building Value: $0,00 Building Fee: Sfl.00 Use Group: IRC Plumbing Value: Senn Plumbing Fee: SILO Code: 2005 State Building Code Mechanical Valu 5.0.00 Mechanical Fe SUM_ Electrical Value: S0.00 Electrical Fee: 5000 Construction Type IRC Total Value: $0:00 Penalty Fee: S0.00_ Permit Code: R5 C of 0 Fee: sann Comment Plan Review Fe sn.nn Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 It shall be the owners repsonsibility to schedule the followina 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 0 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 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval /[�% ❑ Certificate of Occupancy hili ina OfficiCeL640LOv_71 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.: PAD0►—p(3D- Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing 0 Alteration 0 TownhouseMechanical ❑Accessory Structure 0 Electrical CRS#: • Property Address: ! r, tae-C4 ,/ (Number) (Street) (Unit) Job Description: C15/1p/e-/ )741:7 -4-)741:7 -4)741:7 -4- C 00y2 j Owner: A/ 7 2 Q� i b C4 r Address: City: State: Zip Code: Telephone( )Applicant: JO c"c /1 )) DBA: / Address: a/'7 Scs OC)1r City: / ( Vii///�' State: C T Zip Code: 6 �Q 7 Telephone ) //o - _slo Contractors -Complete the Following: / License Type: • 5 License No.:4/C 7/5 )1 ...-Expiration Date: 6—.. `C/e1 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. • Owner/Agent Signature: Date: Construction Value Permit Fees Building Value: /C', % ` 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: wised August 23,2007 Town of Montville Building Department File Receipt Date: 11-Aug-14 ReceiptNo: 9626 Received From: Todd Moss Job Address: 19 Porach Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $60.47 State Cash: $0.47 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: $1,800.00 Demolition Value: $0.00 CheckNo: 0 Received By: Carmen Kneelandl-lt/I,IM o en ri\ Address: 19 Porach Road ITEM OTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom - EA $ - $ - GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n- Y/N $ - Air Conditioning n- Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set - EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace - EA $ 7,096.65 $ - Masonry w/2 fireplaces - EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert - EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch - SF $ 149.38 $ - Sunroom - SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval - EA $ 7,019.75 $ - $ - Pool Heater - EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical - SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding - SF $ 6.75 $ - Windows - EA $ 550.00 $ - Skylights - EA $ 1,051.10 $ - Doors,Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon - EA $ - MISCELLANEOUS CALCULATIONS $ 800.00 $ 1,000.00 TOTALS $ - $ 800.00 $ 1,000.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ 800.00 $ 30.00 Mechanical y $ 1,000.00 $ 30.00 Electrical y $ - $ - Working before Permit Issuance n $ - j Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.47 TOTALS $ 1,800.00 $ 60.47 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No •ermit will be issued until all the re.uired si•natures are obtained. Property Address 1` c( (C919j Job Description Required Department Approval Permit Issuance Approval Tax Collector � , a ct,k l‘ k Signature/date Comments: Planning &Zoning ` ° //(// Signature/ Signature/da//(// Comments: t3 Fire Marshal d Signature/date Comments: ❑ Health Department Required for properties with private septic or well Comments: l WPCA, Administrative 1 t I `I Required for properties on sewer Si ature/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: (� Montville Police Department • Required for all permits EXCEPT one and two family residential Signature!date Comments: • ❑ State Dept. of Transportation Re•uired for Structures over 100 000 s..ft or with more than 200 •arkin• s.aces-Official co. of STC Certificate of O•eration re•uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised May 23,2011 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:_,12014-0132 Date: i - u .L4_Map/Lot:.103/AMMO Owner ID: 5664000 Project Location: 19 PORACH ROAD Unit: Job Description: CormpleteAlegt_Losms Owner Nam Harrv_Picazio_III Tenant Name N/A Careof: 25 Grassy Hill Rood Fost I vme CT -06335- Telephone: Applicant Name Tadd Mncs Telephone: (860191041350__ DBA: Lic/Reg Type _S3 Lic/Reg N 401522 7 School Street Exp Date: 31-Aua_.14 Tofiville CT 2380- (`orLfru ion.WAL PArmj_t_Ecien CoeStfflccOninform_Otinn Building Value: SO 00_ Building Fee: S0,04_ Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: Saila_ Code: 2005 State Building Code Mechanical Valu S0.00_ Mechanical Fe S0.00 Electrical Value: Sono Electrical Fee: SS1,0t Construction Type IRC Total Value: S0.00 Penalty Fee: $Q.00 Permit Code: R5 C of 0 Fee: S0.00 Comment Plan Review Fe S0.00 Fees Included with Building Permit State Ed Fee: S0.00 Total Fee Paid: S0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Fooling-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete El Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draffstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation d❑ Certificate of Approval r El Certificate of Occupancy Building Official's AQCQLa ._ L _'_&ri -I/ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:C 1t-1-61C Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family ❑Building ❑Addition 0 Two-Family El Plumbing ❑Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure 15r Electrical CRS#: Property Address: 1 9 Pc R/ C )-/ Ad (Number) (Stree) ii �- (Unit) Job Description: t-rThi X y i f` ; i n 5 i 1 n 51-01 1 �c---1$-'__e 61 t c P.SS 11' IR/ S X5 6,11 ft;etv SK, :1 (L S -f "di e-s Lis hff Xiii re S- - S1)14-6 Owner: l44 r r y PI' c 07-2 ," U ----E-- Address: _Address: < ( �s-)-- - Gr X155 j /---1; I I Q[ City: c; / Ly Y" 4 State: C t Zip Code: Telephone(V�'a ) `/6 a- 8/3 a9 Applicant: 7--),r) 51Gr)Tk,/ 1e: ) DBA: /U SC. Address: 1/ 11 _S ro __51-- City: � ��!a State: p 063 d Telephone( U oO ) OS�- 66 o Zi Code: Contractors - Complete the Following: License Type: L c E/ License No.: f 10,75-Z Expiration Date: -/ 33 /4 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 10 NEC as the altemative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 thr.,gh.s 4 of the Residential Code. Owner/Agent Signature: #.. , Date: O"7/,,e7 Const •ction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: c=1 'O ,C0 Electrical Fee: Total Value: a cDO .00 Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised.August 23,2007 Town of Montville Building Department File Receipt Date: 12-Aug-14 ReceiptNo: 9631 Received From: NESC,Inc. Job Address: 19 Porach Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $36.65 State Check: $0.65 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $2,500.00 Demolition Value: $0.00 CheckNo: 4662 Received By: Carmen Kneeland Address: 19 Porach Road ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished - SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ _ $ Full Bathroom EA $ _ $ - Half-Bathroom EA $ _ $ GARAGE Detached - SF $ 71.53 $ - $ MECHANICAL Warm-Air n Y/N $ Hot Water n Y/N $ Electric n Y/N $ Air Conditioning n Y/N $ _ ELECTRICAL SERVICE Upgrade Amps $ _ Subpanel EA $ 699.00 $ _ Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces - EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ Porch - SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ _ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1200.00 $ - $ _ • SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ _ Oil Tank,550 Gallon EA $ _ MISCELLANEOUS CALCULATIONS $ 2,500.00 TOTALS $ - $ - $ - $ 2,500.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing Y $ - $ - Mechanical y $ - $ Electrical y $ 2,500.00 $ 36.00 Working before Permit Issuance n $ - Certificate of Occupancy Fee $ _ Plan Review Fee $ - State Education Fee $ 0.65 TOTALS $ 2,500.00 $ 36.65 r' Figures are based on the 2006 RS Means Residential Cost Data • • I-, .... .. \s- ; 1 • ----4 C4 ICICj ....7 ii L....., (..) I , cr E—i ..e''' E-4 • ', '.t . 1,.4,-/..6. .:-Li.-..,,,.,. I - 011.1 cg .e" 414.-7 ,-6,,,, '?'-• Viv:,'.:1 .! 4 - .4,4,t4-,, ,5:4, •oc..c.,..„ , . L' '-w',-, '",:,,,,,,,:,•4- lr'----:/," , 1 • -,,,,,o, . :,.., ? ; 0 ,;.,..• w . i \.. c.) ,c, ,.4...-, ,„,u. •,- ,..-- I: ..,,4,. ; . !i, --•-ilf ,1 - 1,44 ., ' ! 40 0 '4'.-''' ''q'. ' ,i• - '. , .. t.1.1 -17 I:C A 4; ANA ... LU cs . I • 1 :.-1 ,,..1 6! ,, "..... __ .. . .-- .„ - S,--- •••....s- (Th .Th ' ....---: . ...---- ..) ...) ......c.4 '''-- -;,-- __\;;......._ ,.. ,..._ --........, 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: E20.14-Q198 Date: 137Ar,j-14,Map/Lot: 10ataao-000 Owner ID: 5664000 Project Location: 19 PORACH ROAD Unit: Job Description: ___Eisjit tesior yliljLLas InstallBaserl>_ent Recess_l,i_ahls_Install_N_ew_Switches,QutletsLlialat E xtumes_B(.Snmoke Detectors Owner Nam Harry Pic'Sazio III Tenant Name N/A Careof: 98 Grassy Hill Road IastLvme CT 06333_. Telephone: (8(014(0-8309 Applicant Name .lohn Skorirnski Telephone: (8601857-M85 DBA: NFSC lnc:. Lic/Reg Type Fl Lic/Reg N 192799 4 Highland Street Exp Date: 30=S.en_14 L ille SL _G6380- _`oostris tip n.X/_cluo _mit Fees Ceesinictioejefortecifien Building Value: S0.00 Building Fee: 50,00 Use Group: IRC Plumbing Value: $0,00 Plumbing Fee: SiiD0 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe 6000 Electrical Value: $2.500.00 Electrical Fee: $$6 00 Construction Type IRC Total Value: $2,500,00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe silo L State Ed Fee: Total Fee Paid: $36.60 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 0 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: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation d❑ Certificate of Approval �Jy���/ ❑ Certificate of Occupancy 8uildlna_Olficio'S Apnra_va: _�'! _ Town of Montville Building Department 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. • ( c rc(CY) r (-)6C Property Address Job Descripn Required Department Approval Permit Issuance Approval Tax Collector r ;, , % kz,l ky Signature/date Comments: Planning &Zoning 2��f c� J z//y Signature/date 1t 't Comments: 111 Fire Marshal 8 03 Signature/date Comments: ❑ Health Department Required for properties with private septic or well 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: ❑ Montville Police Department • Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Ref uired for Structures over 100 000 s..ft:or with more than 200 parkin• s.aces-Official co• of STC Certificate of 0•eration re.uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature/date RevisTiMay23,2011 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 PermitNo.: C'.;1� �y — Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition 0 Two-Family 0-Plumbing El Alteration El Townhouse Cl❑Mechanical ❑Accessory Structure 0 Electrical CRS#: Property Address: / ? Pr -c C-1- (Number) (Street) (Unit) Job Description: -rJ-Ice/i Ne j'} ',. _ Owner: /4,.- — y ud % �~� rd • Address: • City: State: Zip Code: Telephone( ) _ Applicant: DBA: • Address: C AIX) ( City: C---4)vi//'O State: CD-Zip Code:0C 3(KO Telephone( k6C) )c/C9 - Contractors -Completefthe Following: License Type: • / .- ( License No.:,oLcrj C Expiration Date: /°1/1/A l 1/1/Al hereby certify that the proposed work will conform to the State Building Code and al(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. Owner/Agent Signature:• / Date: �/1//f/ Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: S o©. CPC 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: ct ed•.gugust 23,2007 .,:i..-:,, k. '%) State of Connecticut N Workers' Compensation Commission Air..--4, rri:A-,� Please TYPE or PRINT IN INK cc 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 ,{%� CIC1 /` Name of Applicant for Building Permit �( rO) 5 Properly located at / ( frTcAC L in the City/Town of V0C4)U!//&' / C / ' ' 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: ❑ l am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant-- --- - --.--. ¢4I 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 v. aIVa 15 Federal Employer IO#(FEIN) (. / V 5-6 -7659 9 .I Signature of SOLE PROPRIETOR Applicant (t STATE OF CONNECTICUT t STATE` OF CONNECTICUT ., DEPARTMENT OF CONSUMER PROTECTION DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING UN4Ap ED CONTRACTOR I i itBR'I•tNG PieING `.:Li.1t !Nt;J iTL:.D CONTRACTOR ''TODD A MOSS 1 6 Q DGE AVE., 146 TDOD(ti_.A. i.. L�'�S- }A i CT 065A2-3338 i r ' F rt.ST,1. y is Iti Cr C 2-3338 LIC./REG NQ, `4.FFECfiIVE T EXPIRES LIC./REG NO. EFFECTIVE „ EXPIRES 1.6 ?LM.C282526 1 iQ 1/2013• c . '46/31/2014 1 kyr G.0401522-S3:' 09/01 ri!.3 08/31/2014 SIGNED SIGNED . _. __ 214 d , • r, State of Connecticut:?; Workers' Compensation Commission .. ) L ,fes Please TYPE or PRINT IN INK a knzizar- 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 of Applicant for Building Permit ( )4r I Property located at /y / .—CArL 99 in the City/Town of ()/‘CO) 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 the general contractor or principal employer. Signature of OWNERApplicant-- --- - ------ 6.J tam 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 ,72o4-1 Federal Employer 113#(FEIN) D r/ C% /PJ Signature of SOLE PROPRIETOR Applicant �� Town of Montville Building Department 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. Are-c,(C L_,_ Property Address /')�LC�/ / /)( LA) / r} Job Description Required Department Permit Issuance Approval Approval Tax Collector �� ,` _ %1 << ku Comments: Signature/date Planning &Zoning �.-� l i ( 7( - Signature/date Comments: Fire Marshal j�- ts I I '4 Signature/date Comments: ❑ Health Department • Required for properties with private septic or well Comments: 1 • • '® WPCA, Administrative V l 6 Required for properties on sewer Si nature/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: ❑ Montville Police Department • Required for all permits EXCEPT one and two family residential Signature/date Comments: O State Dept. of Transportation Re•uired for Structures over 100 000 s.•ft or with more than 200 •arkin. s.aces-Official co. of STC Certificate of O.eration re.uired—.er CGS 14-311 Signature!date Building Department Review Complete Signature!date RevicedWay23,2011