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Home My WebLink AboutHot Water Booster Replacement 2017 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2017-0209 Date: 28-Aug-17 Map/Lot: 030/002-001 Owner ID: 673000 Project Location: 166 CHESTERFIELD ROAD Unit: Job Description: Replace Hot Water Booster Owner Nam Town Of Montville Tenant Name N/A Careof: Leanord J Tyl Middle School 800 Old Colchester Road Oakdale SL 06370- Telephone: Applicant Name High Tech Electric LLC Telephone: (860)268-1970 DBA: Lic/Reg Type El Lic/Reg N 185585 18 Sandy Beach Road Exp Date: 30-Sep-17 Ellington CT 06029- 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: $5,000.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $5,000.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.30 Total Fee Paid: $1.30 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 ❑d 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 ❑d Certificate of Approval Ce '' of= of e cupancy 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 PERMIT APPLICATION FORM Permit No.: g cx)1-7 Type of Work Occupancy Classification Construction Type Permit Type El New Construction 0 A-1 0 B ❑ H-1 ❑ I-1 El R-1 El S-1 El Type IA ❑Type IIIB El Building ❑Addition ElA-2 El B,Medical 0 H-2 ❑ 1-2 El R-2 El S-2 ElType IB ElType IV ❑ Plumbin ElAlteration 0 A-3 ❑E ElH-3 0 1-3 ❑ R-3 ❑ U g ❑Change of Use ❑A-4 0 F-1 ❑Type IIA ❑Type VA ❑ Mechanical El H-4 ❑ 1-4 0 R-4 El Mixed El Type IIB El Type VB a Electrical ❑A-5 El F-2 ❑Mpp ❑Type IIIA CRS#: Property Address: b�o C (f&j�-i�` f 61-/0 1Zp A-tic fd rt-t_' 6-c-C- (Number) (Street) .&-112--4(alit) Job Description: 'i p I wrCL= l v►'CJb-02_ (30(X. Owner: 1;tt/r✓ t9 F IIMpuv i l( Tenant: Address: 31 0 cat - Address: City/State/Zip: QW)'2 City/State/Zip: Telephone( ) - Telephone( ) - Applicant: It 1 6 tf i'L ('f . DBA: nn Address: //2— .544-A9t-t I`jC)fl' +t 1",�,, � City: C tt (.V �0& State: C( Zip Code: iJ Co Oa-7 Telephone T4c) )e)t Z- /912 Contractors - Complete the Following: �( .� License/Registration Type: License/Registration No.: / U S S IS Expiration Date: O//3 /7 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. Owner/Agent Signature:`� W, Date: Construction Value Permit Fees Building Value: 5 D D D 45T) Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Q f- Jly Electrical Fee: Total Value: !�s b Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: /,3 0 /2,�,(/ Total Fee: J Reviser!August 23,2007 Town of Montville Building Department File Receipt Date: 23-Aua-17 ReceiptNo: 12589 Received From: Hiah Tec Electric Job Address: 166 Chesterfield Rd. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: SI 30 State Cash: $L3Q Bldg Check: SO.OQ State Check: Bldg Credit: $0,00 X0.00 State Credit: Fire Cash: $0.00 SQ.QQ Fire Check: MOO Fire Credit: $0.00 Construction Value: t5 000.00 Demolition Value: M00 CheckNo: 0 Received By: David Jensen h'/1 M 0 0 o LO 0 Lo i I 0• a I • M N I I I I i I I I i I . N O 10 N • OO N O i- 44 iN i9 in. in iR ilk iR iR 4* d! Y! 40 W in in W H 4* 49 iR z O 0 0 a) a)t0 to c Li Q !0 O (0 3 CrL ' 5cn' co 0 > T — m' 2 J = Q o U fi - 3 m r L ` C C 0 m ! Y Y fID CY U lL �+ V C Co _ 'C C, 'd V ; Yp C - O ~ ~ m 73cii 0 CL fa > e w d 4► V J E m w ui ti c Q. , gocv, � — g — oN,= o U 2 a � o W a _I, VLL Ce as re C W m m 4:14.. ' d _ " a 810 2 °' =• O m 33 To a) u_ = a) co._ > c z3 1._ LL cyRI ww o o = m — :aa_ _ +. i CIS m' o a 2 w a m I,- 0 m 67F— C >, >1 CCC = C C C C id C a) .= a) 0 I > N E IX aH = iia i STATE $ ONNECTICUT .'° EPARTMENT OF CONSUMER PROTECTION `• LEC'TRICAI:UNLIMITED CONTRACTOR. t .} BRIAN MILLANE k . r J . 18 SANDY BEACH RD • #" ELLINGTON,CT 06029-3108 --_-:..1 LIC./REG NO. EFFECTIVE EXPIR $ "' ELC 0155585-E1 4.0/04/2016 09/30/ SIGNE _� ‘"P / ��.v State of Connecticut N 4 IC Workers' Compensation Commission ,:)._. 7A :• _�00 � Please TYPE or PRINT IN INK cc 1W 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 ' l:. Name of Applicant for Building Permit fT- I b ti- �/- e L- Gre-iz Property located at /fP G C ( ---s 7-L---g_T/ ez..i9 in the City/Town of V I\ K r0 41..... -- ATTEST 1 ..- --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 (f 1 Fig f t ?u1 --1.- ...,-(-4_, Federal Employer ID#(FEIN) / / 0 c I(& ri Signature of SOLE PROPRIETOR Appfrcant -- � Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Property Address Job Description Required Department Approval Permit Issuance Approval Tax Collector Signature/date Comments: Fire Marshal Signature/date Comments: ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ 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 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: ❑ 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 Revised Marrlc23,2015