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Home My WebLink AboutPlumbing - Move heating pipes TOWN OF MONNILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Owner ID: 508000 Permit Number: P2009-0065 Date: 29-Ju1-09 Map/Lot: 106/050-000 Unit: Project Location: 31 CEDAR LANE Job Description: Move Heating Pipes Tenant Name: N/A Owner Name: Hui Guang Xu Careof: 31 Cedar Lane CT 06382- Telephone: Uncasville Telephone: Contractor Name: Home Owner DBA: Lic/Reg Type: LicJReg No: 0 Exp Date: Permit Fees Construction Information Consrr~~rt~nn Value $0.00 Building Fee: $0.00 Use Group: IRC Building Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building C e Plumbing Value: 0.00 $0.00 Construction Type: IRC Mechanical Value: $0.00 Mechanical Fee: tElectrical Vatue: $0.00 Electrical Fee: t0.00 Penalty Fee: $0.00 Permit Code: R5 Total Value: C of O Fee: $0.00 Comments: Plan Review Fee: $0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 It sh II be h owners re sonsibili schedul the foll win ins ecti ns minimum of 2 business a s in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL ELECTRICAL PERMIT INSPECTIONS W R Plumbing and leak test ❑ Footing - Prior to pouring concrete ❑ R Electrical ❑ Dedc Piers ❑ Elec Trench - with conduit installed ❑ Backfill - Footing drains and waterproofing ❑ Pool Bonding ❑ Concrete Slab - Prior to pouring concrete ~R.S No: ~ ❑ Electrical Service ❑ Anchor Bolts - with sill plate and prior to floor framing ❑ R HVAC ❑ Framing ❑ Gas Piping and leak test ❑ Masonry Fireplace Throat or Chimney Thimble INSPECTION REOUIRED UPON COMPLETION ❑ Fireblocking Draftstopping Certificate of Approval ❑ Insulation ❑ Certificate of Occupancy ~ • ' Buildin Official's A roval: lle .~o~ o£D ° ~ ent F~c. 860-848-723 guildin ~W LondonTPkQ• ~ 310 No~~-Pl CT 06382 Uncaswlle, Pe~qt No : -cel. 86~-848-3030, ~3s2 QLICATION FORM 4TIAL pE~l~ AP ~~5~~~ Pe--~ T e o~~u anc T p su~w#ng T e~ WorK S'm91e Famt1Y $ P1umbin9 0 N~ Cfl~°n ❑ Two-Family ❑ Mecha~a~ ❑ Electr (UnR) ~ Addition Townh ~ S~~ure ~ ~'°n C] A`~ `II Gr (Street) ~ prapertlt p►ddress: (Number) t ` e l lob flel~PC'on: c Oyvner. 'Z Tetephone Address: r Zj p Cflde: Q--~ citY- S#ate: V An n(1~\Y i CI~ - APPlican#: DBA: Address: State: Zip Code: Telephone CiEy: Corrtractors - ComQie#e the Following: License No.: Expiration Date: License Type: I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State Of COnneCtlCUt 81id th8 of Montvifle and fisiber attest Mat the amoosed worlc 1s auffi°rized bv the owner fi fee and lhat ! am aulhorized to maKe aOMcaRlon nermJt for stich work as descr/bed above. 17 8y checldM this box, l wiN foAov+r the requiremerkts of the 2005 WEC as the altenative compfiance per sedion E3301 _2.1 of the Residetftial instead of the eleetrical requirements in chapters 33 through 42 of the Residential Code. owner 1Agern signature: Da#e: 07 ~ 2R ~ 0 9 Construction Value Pernnit Fees BuDding Vafue: Suild9ng Fee: Plumbing Value: Plumbing Fee: Mechanical Vafue: Mechanicai Fee: Electrical Value: Electrical Fee: Tata1 Yalue: Penalty Pee: C of O Fee: Piao Review Fee: State Ed Fee: Tatal Fee: RPdWd.tffp" 23, zoor State of Connecticut Workers' Compensation Commission DIRECTIONS for FILING FORMS 7A, 7B and 7C 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 woricers' 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 orYier to obtain the building permit, a FORM L should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who w(ill 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 file a F R 7 with the building official- OR he will sign a swom notarized affidavit on EQRM 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 g xcluded himWi h the building coverage using the appropriate WCC form (see NOTE beiow) must file the FORM 7C_ 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 68-1 for employees who are Members of a Partnership Town of Montvilla Buiidina DeRartment 310 Norv+rich-New London Tpke. Fax. 860-848-7231 Uncasville, CT 06382 Tet. 860-848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL 711111. ed approvals. No permit wifl be issued u~il aIl the required signatures are obtained. nsib(e fot obtaining ali of the requir ppplicant is respo 3I ~ , e~ o z Property Address 100V2 t-'aLLa3~-jf>) Job De cription _ Re usned as indreated betow - R uired for all ermits At least one re ufred for al! ermif.s ❑ permit issuance Approval Required pePar{ment A roval o cu~. ' ~ ~ ~~C ~ ~ . ~ , Tax Co1leCtor Signature/ date - Comments: - planning 84 Zoning Signaturel date Commerits: ~ Signature/ da Fire Marshal te Comments: AC ~ Department Signature! date Re u ired tor ornnerttgs with sentic svstems- Not re uired 4or Plumbin Electrical Mechanical Roofi 5idin Windows 8 oors Comments: WPCA, Administrative S gnatur date Reauired for nranerties on sewer Comments: ~ WPCA, OpetatlOllS Signature/ date When Reguired bv WPCA Comments: ~ Department of Pubiic Works g9gnature! date R uired when ro"ect inciudes drivewa work or cerfain draina e re ufrements Comments: State Dept of Transportation u• r . Structures over 100 000 s. R. o wifh more than DD rtdn s ces - Officiaf co ot STC L;e ~ui~ date ~ton re ►re - cGS t d-3? 1 5 gn Building DeRartment Review Gomplete Signaturel date