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HomeMy WebLinkAboutTie In to Existing Drain - Washing Machine, Kitchen Sink, and Dishwasher 2017 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: P2017-0087 Date: 16-Aug-17 Map/Lot: 029/068-000 Owner ID: 4830000 Project Location: 836 OLD COLCHESTER ROAD Unit: Job Description: tie Into Existing Drains&Water Lines for Washine Machine, Kitchen Sink&Dishwasher Owner Nam Town Of Montville Tenant Name Fair Oaks School Careof: 836 Old Colchester Road 310 Norwich-New London Tpke. Uncasville CT 06382- Uncasville CT 06382- Telephone: Applicant Name James Missios Telephone: (860)625-7628 DBA: Lic/Reg Type P1 Lic/Reg N 273636 176 Moxley Road Exp Date: 31-Oct-17 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: E Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fees Included with Building Permit State Ed Fee: $0.00 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 E1 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 frami ❑ 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 Certificate of Approval ❑ Certificate of Occupancy G -7 Building Official's Approval: ,,,W.,/ /' Town of Montville Building Department T 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: 194D)7 -a}s'7 Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 0 B ❑H-1 0 I-1 0 R-1 ❑S-1 0 Type IA ❑Type 1118 0 Building ❑Addition 0 A-2 0 B, Medical 0 H-2 0 1-2 0 R-2 0 S-2 0 Type IB ❑Type IV Plumbing ❑Alteration 0 A-3 0 E 0 H-3 ❑ 1-3 0 R-3 ❑ U ❑Type IIA 0 Type VA Mechanical ['Change of Use 0 A-4 0 F-1 0 H-4 0 1-4 0 A-5 ❑F-2 0 19-4 0 Mixed ❑Type IIB 0 Type VB El Electrical 0 M 0 Type IIIA CRS#: Property Address: 0 J(s 0/C1 C p/fit.-,o (Number) (Street) (Unit) Job Description: 7. i r! -/5 eA cs rli-,jyy D r Aire c —/- �G,kel,ii wa.rA (4a.�crsu... I<f Srr L, 0✓'six 64-00 &ti- Owner: /prci �/ (' �, ry ��v�,7� � /{ Tenant: �"� ' 2a a�SAddress: Address: City/State/Zip: City/State/Zip: Telephone( ) - Telephone( ) _ Applicant: t,. )14,i SS i - DBA: kat_Q Address: 1 7 b x I i— ` at City: 6A-P) Cosi i J State: G t- ZipCod ��(( ? 1 �J� J � Telephone(O b�iJv )6.0.1 _ ?(.1..6P Contractors - Complete the Following:/ License/Registration Type: ( I License/Registration No.02.7.51.31 Expiration Date: 10/31/2-0/2 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. f 1 4t.i.," t Owner/Agent Signature: •.111.1 , II .01-eDate: �+, ` 1$� d / �J I t Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: 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: ) Reviser:August 23,2007 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Property Address dr cpr - •: t Pito ± La..5 <,ydf I Job Desription �{ M -Di Required Approval Department Permit Issuance Approval Tax Collector Comments: Signature/date V Fire Marshal ` _ Comments: Signature/date ❑ Planning & Zoning Required for all permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date ❑ Health Department Required for properties with private septic or well Signature/date Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: Signature/date ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection `2 evisedMarch 23,2015