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Home My WebLink AboutHVAC 2016 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: M2016-0223 Date: 28-Dec-16 Map/Lot: 016/029-T16 Owner ID: 5752000 Project Location: 16 RAINBOW DRIVE Unit: Job Description: HVAC for New Manufactured Home Owner Nam Jensen's Inc. Tenant Name N/A Careof: 3 Hillcrest Drive Uncasville CT 06382- Telephone: Applicant Name William Guile Telephone: (860)213-1535 DBA: AC&H Services Lic/Reg Type D1 Lic/Reg N 390338 4 County Fair Road Exp Date: 31-Aug-17 Norwich CT 06360- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: S0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 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 ❑ 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 EI R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Appre al ❑j' • - o occupancy Building Official's Approval: _ ` Town of Montville • Building Department 310 Norwich-New London Tpke. Fax. 860-848-7231 - TeL 860-848-3030, Ext 382 Uncasville, CT 06382 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 1,rt.W.Ac - 0-c:)-D3 Type of Work Occupancy Type Permit Type Single Family 111 New Construction 0 g ❑Building ❑Addition ❑Two-Family 0 Plumbimbinngal ❑Alteration ❑Townhouse 0 Mechanical 0 Accessory Structure ❑Electrical CRS#: WOfir/V1,12A.,)2—) P1I (Unit) Property Address: (Street) (Number) Job Description: 'ige_.- Owner: ------ —..r6, ----,---7 Address: City: State: Zip Code: Telephone( ) /� Applicant: /`�r '1; v� /+' U'J r DBA: k,--g 'rL1 l �-- Address: / — - / • 1 r "vel Ci Iii.' �� State:_ i__,_ __ Zip Code: ---)b5-U..)---)b5-U..) V -! Telephone( ) 1--1F— tY -' Contractors - Complete the Following: j License Type: I>i' License No.:U3".i Expiration Date: /- 7 and all r s as adopted by he State of icut and the Town I herebyMont Icertify that the le and furtherrattestdwork that thell conform to the proposed work iste Building a authorized by the owner in feeeand that I am atuthorized to maketapplication for a of Montville permit for such work as described above. 0 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 requirem-• in chapters 33 throug• 4- of the Resident Code. - ,` 110Date: /� r/[� Owner/Agent Signature. . �-.. - Construction Value Permit Fees Building Fee: Building Value: Plumbing Fee: Plumbing Value: Mechanical Fee: Mechanical Value: Electrical Fee: Electrical Value: Penalty Fee: Total Value: C of 0 Fee: Plan Review F--: State Es ee: Total Fee: Reviser&August Z3,2007 v+v State of Connecticut F Workers' Compensation Commission cu �%:it�• Please TYPE or PRINT IN INK 7A 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 /- � ) / /'�f�� Z.,it Property located at / kJ) Y��v LAD Dv- in the City/Town of l7/ 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— — --- c',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 /1/1- Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant -—mad._ — Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL DJ— Property Address Job Description Required Department Permit Issuance Approval Approval Tax Collector �c,c��/, �� /423/14, Signature/date Comments: I Fire Marshal L-2 22J Lb Signature/date a4,91f2s 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: �mK-� la WPCA, Administrative OK� 'PC,r b ( c,n �, j a7 (lp 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 RevisedS'tarc.h23,2015