HomeMy WebLinkAboutBoiler 2007 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: M2007-0017 Date: 13-Feb-07 Map/Lot: 004/014-000 Owner ID: 5699000
Project Location: 35 PRUETT PLACE Unit:
Job Description: replace boiler
Owner Name: Darren A and Shannan Mcnair Tenant Name: N/A
Careof:
35 Pruett PI
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)447-9631
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
CgnstrCc#ier,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: $3,000.00 Mechanical Fee: $24.00
Electrical Value: $0.00 Electrical Fee:
---- $0.00 Construction Type: IRC
Total Value: $3,000.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: .,,_ ,.$0.48
Total Fee Paid: $24.48
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:
❑ Framing 0
❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation 0 Certificate of Approval
i Certificate. • pa -
Buildin9 Official's Approval:
'� ...
Town of Montville
Building Deartment
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382
Uncasviile, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit
Type of Work Occ anc T e
❑New Construction Permit Tvpe
Ingle Family
ID Addition ❑Building J
I]Alteration 0 Two-Family 0 Plumbing
0 Townhouse [g-tvtechanical
0 Accessory Structure 0 Electrical CRS#:
Job Address: _ rue Pt
(Number) (Street)
Job Description: euo -1 1-e r (Unit)
Owner: hQ A Qrre
n (Yluvat r-
Address: ` 1
City: a t Q \ State: C
Telephone: La. (I') q 60:3 1
� Zip Code:��(�J 3---703---70Contractor:
t
DBA:
Address:
City:
State: Zip Code:
Telephone: License Type:________YP 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
w 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
,of as� and 1 then above. raend thefTown
�t tty checking this box, I will follow the requirements of the 2005 NEC as the
instead of the electrical requirements in chapters 33 through 42 of the Residential Code compliance per section E3301.2.1 of the Residential Code,
Owner/Agent Signature:
IT
&1-4.A4tvL._.
Dater _Q:L
Construction Value
Building Value:
Permit Fees
Plumbing Value: Building Fee:
Mechanical Value: Plumbing Fee:
DI7n
Electrical Value: Mechanical Fee: 2 o
Total Value: Electrical Fee:
Penalty Fee:
C of O Fee:
Plan Review Fee:
State Ed Fee: `/e
Total Fee:
24vtted Teeem6er31,20Rf
I
•-.c• / State of Connecticut
`. 4,,. Workers' Compensation Commission g 7A .
.+ p
:cam "''-+r
Please TYPE Of PRINT IN INK_... .) lz
Proof of Workers' Compensation Coverage when Applying
for a BuildingPermit g pplying
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 5vint.to na n L A(
Property located at 3 t V ) TT PI
in the City/Town of 00,0cci,d e O -)D
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:
/yL1' I am the OWNER of the above-named property.I WILL NOT act as the
{{ general contractor or principal employer.
_____ Signature of OWNER Aoplicant x
D(0---24.÷..a-v•__ In112—k.DC"'---;
❑ I 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.
Y
Name of Business
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant
Town of Montville
Building Department
File Receipt
Date: 08-Feb-07 Receipt No: 2051
Received From: Shannon McNair
Job Address: 35 Pruett Place
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $24.48 Check: $0.48
Check No: 3789
Short/Over: $0.00
Construction Value: $3,000.00
Demolition Value: $0.00
Received By David M Jensen ? i�—
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
:55 Prvt-1-1 () I
Property Address
(Lepoc-e.
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
Approval Permit Issuance Approval
Tax Collector BJP/0 7
Signature/date
Comments:
❑ WPCA, Administrative
Signature/ date
Comments:
❑ WPCA, Operations
Signature/date -
Comments:
❑ Planning &Zoning
Signature/date
Comments:
❑ Health Department
Signature/
date
Comments:
❑ Department of Public Works
Signature/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/date
_. . — Comments:.
> Fire Marshal 2_
n
Signature/re'date
A
Comments: - (/
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govisedflugust 5,2005