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Home My WebLink About2007 - 275 Gal. Tank 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: M2007-0088 Date: 29-Jun-07 Map/Lot: 111/019-000 Owner ID: 5727000 Project Location: 175 PRUETT PLACE Unit: Job Description: Install 275 Gal.Oil Tank Owner Name: John J and Judy L Knowles Tenant Name: N/A Careof: 175 Pruett PI Oakdale CT 06370- Telephone: (860)625-8773 Contractor Name: Property Owner Telephone: DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $600.00 Building Fee: $8.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $600.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.10 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 framing ❑ 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 2 Certific.te of Ap. . a Certificate Occup. 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.:• _ Q See Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse y'Iavlechanical 0 Accessory Structure / Electrical CRS#: Job Address: J ) S �(/�`' P7 (Number) / (Street) (Unit) ,C Job Description: AS ci 7/ (2 7S [2ei/ /l izgei Owner: -S-G) � fi� rodyif / 'tc1L7S Address: c ,� �� % City: % � State: C Zip Code: 0,6_7�� Telephone: Q 6 ?S �/ >> -3 Contractor: se 14 DBA: Address: City: State: Zip Code: Telephone: License Type: 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 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. I/1 By checking this box, I will follow the requirements of the 2005 NEC as the altemative 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: C Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: 3c2 d Mechanical Fee: Electrical Value: Electrical Fee: Total Value: 5 Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Rivired Decem6er31,2005 Town of Montville Building Department File Receipt Date: 29-Jun-07 Receipt No: 2492 Received From: John Knowles Job Address: 175 Pruett Place Fees Collected State Educational Training Fee Cash: $16.26 Cash: $0.26 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $1,600.00 Demolition Value: $0.00 Received By Carmen Roberts 061 UL,,R/l m akialvt-2, ,0, • Workers' Compensation Commission ' � DIRECTIONS Or:�% n+4� DIRECTIONS for FILING FORMS 7A, 7B and 7C Ix yJ5 Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project.This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers'compensation insurance for all of the employees on their project and must flea FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. —4 The General Contractor or Principal Employer who has properly excluded himself rom coverage using the appropriate WCC form(see NOTE below)must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves, and attests that they will require proof of workers' compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers'Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC Form 6B-1 for employees who are Members of a Partnership • �,i"u . ,c, / State of Connecticut 7A '' „•..' = Workers' Compensation Commission Please TYPE or PRINT IN INK rr Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property n who WILL NOT act as General Contractor or Principal Employer p Applicant for Building Permit . Name of Applicant for Building Permit o) /�`1 ki-le-f/lS' Property located at ( 5 !'f U� / �7. in the City/Town of D/9-��7::.e_ T 7 V 14. 3)6. . 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: am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. • Signature of OWNER Applicant �-- ❑ 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. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Address: ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement,Finished SF $ 20.87 $ - $ - Basement.Unfinished SF $ 11.28 $ • $ - Crawl Sapce SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ - Basement SF $ 11.28 $ - $ - $ - Crawl Space SF $ 8.46 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - - Half-Bathroom EA $ - $ - GARAGE Attached SF $ 49.41 $ - $ - Detached SF $ 63.21 $ - $ - Under SF $ 9.12 $ - $ - Carport SF $ 18.08 $ - MECHANICAL Warm-Air Y Y/N $ - Hal Water N Y/N $ - Electric N Y/N $ - Air Conditioning N Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ - Underground,new Amps $ - Subpanel EA $ 545.00 $ - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/lfireplace EA $ 6,451.50 $ - Masonry w/2 fireplaces EA $ 10 087.00 $ - Wood Stove,free standing EA $ 2447.50 $ - Wood stove insert EA $ 1690.70 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ - Sunroom SF $ 160.82 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 7,287.50 $ - $ - IngroundPool - - EA $ 19430.40 $ - $ - Above Ground Round - EA $ 4,635.88 $ - $ - Above Ground Oval EA $ 5,472.50 $ - $ - Pool Heater EA $ 8,167.50 $ - - Inflatable Type Pool EA $ 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - wrelectrical SF $ 18.50 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing,Strip&reroof SF $ 3.76 $ - Roof Sheathing SF $ 1.19 $ - Siding - SF $ 2.30 $ - Windows - EA $ 423.50 $ - Skylights EA $ 955.54 $ - Doors,Exterior -- EA $ 401.50 $ - Oil Tank,275 Galton EA $ - Oil Tank,550 Gallon ....- EA 8 - MISCELLANEOUS CALCULATIONS $ :;i §13U:61 ::i TOTALS $ - $ - $ 600.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing Y $ - $ - Mechanical Y $ 600.00 $ 8.00 ElectricalY $ - $ - ................. Working before Permit Issuancei.:il ; $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.10 TOTALS $ 600.00 $ 8.10 Figures are based on the 2006 RS Means Residential Cost Data 4.44 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 e„ // „a7 / Property Address 7L_ns-/i.vi D/l ' - pt /c /1, , g' Pi,I 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 Permit Issuance Approval Approval Tax Collector ( 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 coo of STC Certificate of Operation required—per CGS 14-311) Signature/dal,. Comments: kb_q Li Fire Marsh slynatt Ire/ ,} /'�' � ate Comments: � � ��..]] *wed-August 5,2005