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Home My WebLink AboutHot and Cold Water Line Replacements 2012 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: P2012-0095 Date: 02-Oct-12 Map/Lot: 111/010-000 Owner ID: 5732000 Project Location: 200 PRUETT PLACE Unit: Job Description: Replace Domestic Hot&Cold Water Lines Owner Nam Michael&Aimee Page Tenant Name N/A Careof: 200 Pruett Place Oakdale CT 06370- Telephone: (860)772-2779 Contractor Nam Roto Rooter Telephone: (203)395-3139 DBA: Lic/Reg Type P1 Lic/Reg No 277688 255 Stagg Street Exp Date: 31-Oct-12 Strafford CT 06615- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $3,000.00 Plumbing Fee: $36.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 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 Comment Plan Review Fe $0.00 State Ed Fee: $0.78 Total Fee Paid: $36.78 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 II 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 framin ❑ 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 ' erti i-•te of Approval 0Y,-rtificate of Occupancy Building Official's Approval: • A 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.: (310C)0-30`l5 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: 02C p flrL1 /qt.. (Number) nn (Street) (Unit) Job Description: Ae�AIa,L e-- eo �S r-,""c 4-c o% Owner: /7t I c /a e Address: // 2c ) /3" , 7 / 1 f� - ,r� n City d K s '( /- State: Cl Zip Code:e 63 7 Telephone(d�O ) /701 -02� i < Applicant: ,eo DBk Address:,3 "�f S �S -1 City V 7 LX tir1-dL State: — Zip Code:loci 'l f Telephone(ad3 )7LG Ja 13 9 Contractors - Complete the Following: License Type: ,r =- License NolOrt w17e xpiration Date:f/// iL 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 2005 NEC as the alternative 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: /t9///4;t9 9 1/ � Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: 3. 00 D. 0 0 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: Revised August 23,2007 State of Connecticut• ) Workers' Compensation Commission 7A , r." 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 Name of Applicant for Building Permit Property located at in the City/Town of 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 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 IDA(FEIN) 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. ', l Property Address t � / `�.c r? i --r0.r— L ( �5 Job Description Required Department Permit Issuance Approval Approval ,( Tax Collector `Co - / �^�-- /0/ / / a-- Signature/date Comments: Planning &Zoning i� l Air/— Signature/date Comments: '�7 Fire Marshal /, �I% C \\ 1Z �`^ 1 � / Signature/date Comments: `1 ` ,�, 1 �. ❑ Health Departmen Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signa e/d 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 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 Review Complete Signature/date Revised May 23,2011 Town of Montville Building Department File Receipt Date: 01-Oct-12 ReceiptNo: 7806 Received From: Roto Rooter Job Address: 200 Pruett Place Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $36.78 State Check: $0.78 Bldg Credit: $0.00 State Credit: $0.00 $0.00 Fire Cash: Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $3,000.00 Demolition Value: $0.00 CheckNo: 21471 Received By: Carmen Kneeland ,. _ / A. Address: 200 Pruett Place 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/tflreplace 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 1. 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 $ - re' Oil Tank,275 Gallon EA Oil Tank,550 Gallon $ EA $ f; MISCELLANEOUS CALCULATIONS $ 3,000.00 TOTALS $ - $ 3,000.00 $ - $ _ �s PERMIT FEE CALCULATIONS ii Construction Value Fee Building $ - $ Plumbing t. Y $ 3,000.00 $ 36.00 Mechanical Y $ - $ Electrical y $ $ Working before Permit Issuance n $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.78 TOTALS $ 3,000.00 $ 36.78 Figures are based on the 2006 RS Means Residential Cost Data STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPIN4 II s N 1 tACI'OR SGO iii ICO 11 S.Ot ': MARLB( OIJGY c i 'O6 7-1431 LIC./REG NQ : ECTIVER, ._. EXPIRES 'LM.0277688 P1 ttutIVOi t«+Ej'�'10/31/2012 `PAANsr SIGNED O... Licensed Contractor/Agent Authorization Form Connecticut General Statutes Sec 2-338b. Building permits applications. Who may sign? Any Licensed contractor, as defined in section 20-330,who seeks to obtain a permit from a building official, may sign the permit application personally,or such licensed contractor may delegate the signing of the building permit application to an employee, subcontractor or other agent if the agents submits to the building official a dated letter on the licensed contractor's letterhead,signed by licensed contractor,stating that the bearer of the letter is authorized to sign the copy or a facsimile,but shall be an original letter bearing the original signature of the licensed contractor. The letter shall also include: (1) the name of the municipality where the work is to performed (2) the job name or description of the job (3) the starting date of the job (4) the name of the licensed contractor(5) the name of the licensed contractor's agent; and (6) the license number of All contractors who shall be involved in the work. Roto-Rooter Services Company 576 Christian Lane Berlin, CT 06037 (860) 356-2545 Date: .10//1/4-.1 I,Scott Coutant authorize: „I-J/4-K_ £ i o Pabri (agent) To sign the building permit application as my agent to perform work at: Address: .0200 PPEA- ,Z, Job name or description: pr hro, L 4 o1_1 s Starting Date: 7/44//,.1 License type and number P-1 0277688 Agent signature: x_72' Licensed Contractor Signature: