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Water Heater 2009 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: P2009-0087 Date: 15-Sep-09 Map/Lot: 016/029-171 Owner ID: 5776000 Project Location: 71 RAINBOW DRIVE Unit: Job Description: Replace hot water heater Owner Name: Vernon D and Rlomenia Vesey Tenant Name: N/A Careof: 71 Rainbow Drive Uncasville CT 06382- Telephone: Contractor Name: Owner Telephone: (860)848-0347 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value _ Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $200.00 Plumbing Fee: $8.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $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 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.04 Total Fee Paid: $8.04 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing [] R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ul Gas Piping and leak test ❑ Rreblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certificate of Approval ❑ Certificate of Occupancy l/ �I Building Official's Approval: if . Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:40969 - 0087 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family iling ❑Addition ❑Two-FamilyPlumbin Plumbing ❑Alteration ❑Townhouse Mechanical 0 vA�ccessory St cture 0 Electrical'ICRS#: / P Pro erty Address: /%l6Ow �1J/t (Number) - /(1(Street) // (Unit) Job Description: pZT)(ie / 1477cX' /7 TZ/ Owner: gltld ( ) 1/-_sLy Address: 7/ A7/41+J OC---) OA/ City: HA/l7/'5 `//GL State: (I% Zip Code: L/G jP✓.)- Telephone( OLO) Pa_ 059 2 Applicant: /Z/C/UO/0 K DBA: j�,, Address: '/7 5t / /A'' D' d�is c;ty. �-55/4-01,,-7 State: / Zip Code: U Telephone( & ) �n - i-2 Contractors-Complete the Following: License Type: License No.: Expiration Date: 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. 0 By checking this box,I will follow the requirements of th`,.i►- , -s the a ative lance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapte '3 • • gh 42 of thel2=-'denti Co . Owner/Agent Signature: � < �llate: 9 7 Construction Value Permit Fees Building Value: �v���r��3Building Fee: ,-f Plumbing Value: C r U C) Plumbing Fee: P: 00 Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: ()O 0 . cJ U Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: �). Total Fee: C7 • 0 9TIviserf)lugust 23,2007 I Town of Montville Building Department File Receipt Date: 15-Sep-09 Receipt No: 4884 Received From: Vernnon Vesey Job Address: 71 Rainbow Dr. Fees Collected State Educational Training Fee Cash: $8.04 Cash: $0.04 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $200.00 Demolition Value: $0.00 Received By David Jensen a7leekrxify".— Town of Montville Building Department • 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 2/ /6//1/ aC.�J / Property Address 4"0e 190 e" h/177eic- /gf/r/2 Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval ® Tax Collector v � Signature/datd ® Planning & Zoning � /li • 9 / Ili (1-.)� Signature/date Comments: ,(1)// / • / ® Fire Marshal Signature/date Comments: 7i,A f7/ Health Department Required for properties with septic systems-Not required for Plumbing, Electrical, Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative / c� 9 I I `f1° i Required for properties on sewer S ature/date Comments: WPCA, Operations When Required by WPCA Signature!date Comments: Fl Department of Public Works Required when project includes driveway work or certain drainage requirements Signature!date Comments: ❑ State Dept. of Transportation 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 Review Complete Signature/date Ztvisedgv"ovemI,cr 5,2008