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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: M2005-0216 Date: 04-Jan-06 Map/Lot: 035/006-000 Owner ID: 60000
Project Location: 16 ALLISON'S WAY Unit:
lob Description: Heating for new SFR
Owner Name: Wayne K & Joann C Records Tenant Name: N/A
Careof:
490 Kitemaug Road
Uncasville CT 06382- Telephone:
Contractor Name: David Arnott Telephone: (860)889-7254
DBA: Amott Plumbing & Heating Lic/Reg Type: S3
Lic/Reg No: 395633
161 Old New London Rd. Exp Date: 31-Aug-06
Salem Ct 06420-
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
w/2004 Amendment
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee: $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
❑ Backfili - 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 d❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
ca o ccupancy
Building Official's 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: P2005-0116 Date: 04-Jan-06 Map/Lot: 035/006-000 Owner ID: 60000
Project Location: 16 ALLISON'S WAY Unit:
Job Description: Plumbing for new SFR
Owner Name: Wayne K & Joann C Records Tenant Name: N/A
Careof:
490 l(itemaug Road
Uncasville CT 06382- Telephone:
Contractor Name: David Arnott Telephone: (860)889-7254
DBA: Arnott Plumbing& Heating Lic/Reg Type: P1
Lic/Reg No: 282628
161 Old New London Rd. Exp Date: 31-Oct-06
Salem Ct 06420-
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
w/2004 Amendment
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee: $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 ❑d 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 Drafstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
Ce if e of Occupancy
Building Official's Approval:
Town of Montville
Building Dgpartment
310 Norwich-Now London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.:~d~3 5 -tl~
T e of Work Occupancy Type Permit Type
New Construction Ingle Family ❑ Building
Addition L_! m -Family Plumbing
❑ Alteration ❑ Townhouse Mechanical
[I Accessory Structure 9,Electrical CRS#:
Job Address: d~ s r (unit)
(Number). (Street)
Job Description:
Owner:
Address:
City: State: Zip Code:
Telephone:
Contractor , I""1 i voo
Address:
City. ~K4~~ State: ! Zip Code:
Telephone: License Typel I License No.:,9~ %Y Expiration Date: / .
it T1
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 the Residential Code.
Owner /Agent Signature Date:
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: 7 Plumbing Fee:
Mechanical Value:. ~Q Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of C Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
ftvised.• Decem6er 31, 2005
Rea' mtial Permit Requirements Chec "st
This list is to be used as a guide only and is not all-inclusive', additional information may be required for your particular
project. Two complete sets of construction documents required.
Provided Not Item
Applicable Not
Supporting Documentation Provided Applicable Item
Completed, signed and dated Building Permit. Building SectionA Details
Application Floor-to-floor hei hts
Completed worker's compensation affidavit for Material type, size, andspacing
property owners or sole proprietors or copy of Stair details (rise, run, treads, nosing, width,
workers com ensation insurance headroom
Co of Contractor Registration or license Handrail details
Construction permit sign-off sheet signed by all Guardrail details
departments Roof ventilation
Documentation showing compliance with the Framing Plans
Energy Conservation Code
www.ener codes. ov or Chapter 11 Design loads - for floors, ceilings, roofs
Street address of project on all drawings and Bearin partitions identified on the plan
documents, Direction of framing
Spans, beam
Wind Limitations Criteria Woodspecies and grade
Documentation showing compliance with the Framed openings
requirements for construction in 110 mph wind Wall framing size andspacing identified
zone Sheathing a and thickness
Design publication identified; WFCM-2001, Window and door header sizes
chapter 2; WFCM-2001, chapter 3; SSTD 10-99; --Decking material, size, spacing
ASCE 7-02, AISI, COFS/PM Engineering data for engineered lumber (LVL's
and I-joists
Site Plan Framing plan for engineered lumber
Property lines Engineering data for steel beams, signed and
Distance from ro ertto structure sealed b a CT re istered design professional
Structure dimensions Engineering data for trusses, signed and sealed
trvewa b a CT registered. Professional Engineer
S
Dri
Topography (existing and proposed) Note: Unusual structural conditions may require
that additional en ineerin back u be submitted
Footing drain inverts, outlet and separation
Proposed utilities Chimneys & Fireplaces
Wetlands and flood zone limits and elevation Clearances to combustible materials
Septic sstem shown and located on the plan Manufactures data for metal flues
Well and piping shown and located on the plan " Exterior fresh air source for fireplaces
Foundation Information Flue sizes
Assumed soil bearing pressure Manufacturers data and installation instructions
Dimensions for metal fireplaces
Wall thickness Electrical Information
Footin sizes Panel locations with main size'
Frost protection n Meter socket location
Foundation anchor type, size, locations GFCI outlet locations
Window and door sizes and locations Smoke detector locations
Hatchways Lights and switches
Columns Mechanical Information
Drainage details D er vent
Waterproof d
etails details Bathroom exhaust ventilation (natural or
ing
Crawls ace ventilation size and location mechanical t e and size
Crawls ace access size and location Hood exhaust
Concrete stren the Type of heat oil, electric, as
Floor Pian Information Heating, ventilation, and air conditioning plant
location
DimMla Oil tank size, location, and pip i
Glazlocations Combs tank location, size, and piping
Gara in rotection Combustion air re uirements
tiara ration Manu facturers data fore ui ment
KitchHeat loss, Heat ain calculations
Bathroom layouts, tub sizes in Plumbing Information
gallons, space
clearances Building
location if on municipal sewer
cation
Indicate use of all rooms Sewer location
Stair location Domestic water location
Attic access location and size Water heater size, type, and location
Square footage for each habitable level of the Manufacturers data for whirlpools, comer tubs, &
structure larger tubs
Required light and ventilation for each habitable
room
Elevations
Type of siding
Roofin
Other finishes
Finish grades
...Building heights
Height of chimney above roof
Roof itch
r
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Fxt 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
Property Address
J escription
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 lgll-"-- 11,3
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/ elate
Comments:
❑ State Dept. of Transportation
Signature/ date
Comments:
❑ Fire Marshal
Signature/ date
Comments:
~Ri edqugwt5,, 2005
I I ,
HEATING, PIPING & COOLING LIMITED CONTRACTOR
S3
DAVID E AftNIOTT
161 OLD NEW ONDON RD
SALEM, CT: 06420
LIC. /REG NO EFFECTIVE EXPIRES }
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