The URL can be used to link to this page

Home My WebLink AboutMFH 2012 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: E2012-0280Date: 27-Nov-12 Map/Lot: 087/002-T06 Owner ID: 581475_0 Project Location: 260 RAYMOND HILL ROAD Unit: 6 Job Description: Install 100 AmpService to Mobile Home Owner Nam Eldridge Luther Tenant Name N/A Careof: 26 Marquardt Lane Groton CT06340- Telephone: (860445-7240._ _-_. _____._._._ Contractor Nam John HespelerTelephone: (860)4648489 DBA: Hespeler Electric ContractingLic/Reg Type El Lic/Reg No 186863 6 Wolf Ridge Gap Exp Date: 30 Sep_13 Ledtard CT 06334- Construction,Value_, . _, Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0x00 Code: 2005 State Building Code Mechanical Valu _$0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $000 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fa it 01,et 3. _ Town of Montville Building Department /(�/'/ `" Field Inspection Notice Permit#: • Date: / Address: y ;,f �' Not Comments/Corrections Required—re-inspection required: Inspection -'Approved, 'ppproved ❑ Footing 0 0 , ❑ Backfill 0 0 r? f_ ,t O Concrete Slab 0 ❑ i r ' ' r` o Framing 0 0 ❑ Rough Elec ❑ Elec Service 0 0 ❑ Rough HVAC 0 0 ❑ Rough Plumbing 0 0 ❑ Gas Line 0 0 ❑ Fireplace Throat 0 0 1 ❑ Chimney 0 0 • ❑ Fire/Draftstopping 0 0 ❑ Insulation 0 0 0 Final Inspection 0 0 - 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.: E POlo[—ODgp Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing 0 Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure Q.Electrical CRS#: Property Address: 2 0 R a. Mon l /4, I R f - 6 (Number) l (Street) ( ' I(Uniit) Job Description: is 4 / / e✓ - A v w d rt r' a rh p SE i-v' cc 7� M.) h-/r e Owner: Al Z-0-g_ Address: f` 6 A 6.7 U it,-J D)L,/1� 2-_/1., 1, City: U_ r )i State: C. Zip Code: ()C.3'9() Telephone(a U ) +l.:72-1-v Applicant: J d h t\ /445,-1-6-- n DBA: /41/95 (7t 10 v 1 l r-[/J y r (,.w I t /1 l'�C�I Address: G vi1:LT R, U'v-n City LZ ‘tya r kState: Cif— ✓ ' Zip Code: 06 33 I Telephone(gbi) ) it 6 4-- S I e, 1 Contractors- :Com tete the Following: 9 License Type: c! __. License No.: )<S6<443 Expiration Date: 9/3 U 1/3 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 of the Residential Code. /2t //Owner/Agent Signature: Date: // Co struction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: <6-00 00 Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: $wird august 23,2007 , . • . 4i . . STATE OF CONNECTICUT . t DEPARTMENT OF C'0\St MER PROTE( 110.‘ ' ELECTRICAL UNLIMITED,CONTRACTOR ., , jottri s 14ESPELtR -, 6 WOLFIUDQE PAP LEriYA2p,,ct,Q6-349 ,,. LIC./REG NO. •-.EFFE TIVE/,•-", ,,, , EXPIRES ..ELC.0186863=,E11001/2012 -.,0 /39/2013 SIGNED ._ _ _ _ _ _ _ _ _.:_ _-•_: •_",_ _ . , .. . . . . . • . . . . .1' . •. • , 0 • t ' • • 1 ; �,,�- State of Connecticut N 7A ,`•, .. Workers' Compensation Commission .1.p.rif ��A Please TYPE or PRINT IN INK o 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 Property located at in the City/Town of 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-. ..--- - --._____ . tla 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 Af�� /L+ L /'I Cay / a Vl. 'r"`.--C,7/ > L L.- Federal Employer ID*(FEIN) Signature of SOLE PROPRIETOR Apphcarrt Town of Montville Building Department 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. 70 RDuctx 3 a NIAID L[ C_} '1 Property Address r\, CD 7 S 6=.1 , 1�� ❑ Building Code Violation Job De ription Required Department Approval Permit Issuance Approval Tax Collector z<A .4 Signature/date Comments: ✓I Planning &Zoning , C.n4Q� _ I t I a u I ► z_ Signature/date Comments: ❑ Fire Code Violation Penalty Fee-$ imm Fire Marshal Signature/date 1 D2 1� )'C1 Comments: l/ ❑ Health Department Required for properties with private septic or well Comments: ® WPCA, Administrative Required for properties on sewer Signat re/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: ❑ 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 QjevisedMay 23,2011 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2012-0457 Date: 06-Nov-12 Map/Lot: 087/002-T06 Owner ID: 5814750 Project Location: 260 RAYMOND HILL ROAD Unit: 6 Job Description: Install New 14x70 Two Bedroom Mobile Home Owner Nam Eldridge Luther Tenant Name N/A Careof: 26 Marquardt Lane Groton CT 06340- Telephone: (860)445-7240 Contractor Nam Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $26,087.00 Building Fee: $270.00 Use Group: IRC Plumbing Value: $230.00 Plumbing Fee: $10.00 Code: 2005 State Building Code Mechanical Valu $495.00 Mechanical Fee $10.00 Electrical Value: $240.00 Electrical Fee: $10.00 Construction Type IRC Total Value: $27,052.00 Penalty Fee: $0.00 Permit Code: R2 C of 0 Fee: $0.00 Comment Plan Review Fe $30.00 State Ed Fee: $7.03 Total Fee Paid: $337.03 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 El Footing-Prior to pouring concrete R Plumbing and leak test O Deck Piers R Electrical • Backfill-Footing drains and waterproofing Elec Trench-with conduit installed 0 Concrete Slab-Prior to pouring concrete ED Pool Bonding 0 Anchor Bolts-with sill plate and prior to floor framin 0 Electrical Service CRS No: 0 Li Framing R HVAC O Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test LII Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION Insulation _-•'fi • - of • •royal - • Occupanc Building Official's iN6proval: ‘2.•/ e , 10WD oI 1V1unt.vil 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.: a.o —O '7 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family 0 Plumbing ❑Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: Z( 0 -6"1 ip i c21t1d trill Roe LOr cp.(Numberr)- �n I (Street) (Unit) Job Description: .��vNci"�C� /Inept,- 14471.4 iljprfre., t Q Gyp '3 15-1(.0 N, . L . r _ :z • r• . 2 :pari Owner: C LioR��c � � `C L€J Address: 2,C nil Mt iQci) U !4 (zcC r L 01-10,c- City: , ,c-City G Ro TbState: C T Zip Code: 06 3 40 Telephone(120 ) 445- 72.40 Applicant: LLite., L or.kest DBA: 1 Address: 2.6 JY11rfQdi)t!R r L rf4'r` City. OT N State:G4 Zip Code: i /. e ep one - Contractors-Complete the Following: C196044 S' Z O 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. By checking this box I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301. .1 of the Residential Code instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: 11 , , / t Date: I . 2 0 / / Construction Vague Permit Fees Building Value: -4'S5 O O 0 Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: 4 S DC'D Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: gpvirrd August 23,2W7 Town of Montville Building Department File Receipt Date: 02-Nov-12 ReceiptNo: 7891 Received From: Luther Family Partnership Job Address: 260 Raymond Hill Road, Unit 6 Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $337.03 State Check: $7.03 Bldg Credit: $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $27,052.00 Demolition Value: $0.00 CheckNo: 775 Received By: Carmen Kneeland et, lex ry . „,„ nre �� Address: 260 Raymond Hill Road, Unit 6 ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical Site New Construction SF $ 118.03 $ _ $ Slab on Grade SF $ 5.97 $ 4'Foundation SF $ 6.97 $ Full Foundation SF $ 9.95 $ - Anchors 24 SF $ 2.29 $ 54.96 Mobile Home 840 SF $ 30.99 $ 26,031.60 GARAGE Attached SF $ 54.35 $ - $ Detached SF $ 69.53 $ - $ Carport SF $ 19.89 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Porch SF $ 149.38 $ _ Sunroom SF $ 176.90 $ _ $ ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ Underground,new Amps $ Tie In 1 EA $ 240.00 $ 240.00 Misc Electrical SF $ 1.35 $ Plumbing New Sewer EA $ 1,375.00 $ _ Sewer Tie In EA $ 230.00 $ - New Domestic EA $ 1,320.00 $ - Domestic Tie In 1 EA $ 230.00 $ 230.00 Mechanical Oil Heat EA $ 640.00 $ LP Gas 1 EA $ 495.00 $ 495.00 n Is air conditioning included (Y/N)? $ - Builidng Plumbing Mechanical Electrical MISCELLANEOUS CALCULATIONS TOTALS $ 26,086.56 $ 230.00 $ 495.00 $ 240.00 Construction Value Fee Building $ 26,087.00 Plumbing $ 270.00 Y $ 230.00 $ 10.00 Mechanical y $ 495.00 $ 10.00 Electrical y $ 240.00 $ 10.00 Working before Permit Issuance n $ - Certificate of Occupancy Fee $ Plan Review Fee $ 30.00 State Education Fee $ 7.03 TOTALS $ 27,052.00 $ 337.03 State of Connecticut N 7A L : •,.',+ Workers' Compensation Commission -Veit- . X=z Please TYPE or PRINT IN INK °C 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 BuHdrng Permit V ( �, Lax-1 Le,_ ay l Property located at Z 10 o I1 1t 41 Mg/ l.//l Rake ter 6. . in the City/Town of ity►,e 1 V i L1�'t... 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: r 4 43 I am the OWNER of the above-named property.I WILL NOT act as the general contactor or principal employer. 410P /norins Signature of OWNt3tAppirarrt-- _ . .:d..,.,. ❑ I am the SOLE PROPRIETOR of a business doing work at the above-Tamed property.I WILL NOT act es the general contactor or principal employer. Name of Business Federal Employer IDt(FEIN) Signature of SOLE PROPRIETOR p ppiracrt . . - : : 1 1 1s-er 111 I 0 I 11113.h. I j-g I _ a iii !....., I 4 -46 1 Ca 72 • 03 6-3 il 0 A 4 - 0 0 x ....__ P I1-93l4 5:2 !LI i . ni XP . 2 0 n \ 1 _ z I 1 . . 13 P C' if N-3 nr I . . V 02 § . . 1 5 I 2 0 • 73- 0 I 0 I g 1 • 7 1 I ri 0 • '-j lvi „. 1•. ir . , .. - . . . - . . . . . E _ . •, —*•- •.--_d. RECEIVED 1 • . - • 0 . 0 - " • NOV 01 201? • es< 0 0 BUILL)2,c,' c ___,....___......... ,,.... atje: 0 , x ic g nynn114an . •1 3- 2 i 92 V 1 C 0 = m 4 g z Z • . • . • • 0 r-10114" r-11'1/1" 2.-1011c cd - ha111 S m i . U U 10-0" va II m . 1B-0' 1 1 1 1,7 1 It 2tr-cr d `f It ■ 34..E • ■ 4x.cr 4y Y 49 ■ 5Q-0` 2,5?- at4 U ■ re al . U I -47 RECEIVED 45 1 I . a NOV O 1 2012 o a U S , 4�-0 nrr BUILDING DEPT m z HITCH END fi z 23 74 I J P1-'A OS5 . ZiriC 1ibM op uASP.1r � v'' 1i42 . (: pn'H1JE KJ T I ; •,/ ` O QIIcICAlis 3il :: 1I1i p l .- .N 10 1111111111141.411111111111411411141111111141111111111141111* - I� y �' S • / I , - ~� , ' I` �oJr b-"'-'"-..-,..j t�' p , \D(YuE -'I a ( ac , . �� f,),c _ qCu/ Q u�� HUTc _2ua MAT ( -lb P P�� aCNS�DF S ` S-(2Uo)s 311 ,. E;i t LI- LJei d -i '' g4 3 "..P".5 ,18).,-__,12 � r C0000e M 9 4 ,, X3p''A. 5/k(� 9GA ki(1 I • MATERIAL SPECIFICATIONS Z zP ,,1 ilia �r-Ix l,lPi D� N Ze HEAO-AISI-CIOOBSga. M O I I 1'�I-r� ROD-ASTM A-36 M00 (mu �7 87 W WELDING ELECTRODES-LINCOLN '/^1 II t INNERSHIELD NR-311,or EOUIV IN QIA' !�- I�, BOLTS-ASTMA-307 1 I�;.I ALTERNATE ANCHOR ROD•3'." �Y�� D N DIAMETER(IF EQUIRED) ANCHOR FINISH-R ENAMEL DIP or GALVANIZED(IF REQUIRED) BOLT FINISH-ZINC PLATED . 11 NOTE --- -TENSION tOL-TS (MODti=L. bISb)ASE ��I-11X2i'' utX 1-1E-AD ''J/SQUAD,. oI NECI‘-,(ZINC PLATED)`i-�/N1QT5. /'2 /jI - TCN510t'I ELT LABELED `a' FON r_ PRAMS' ATTACN/4�ENT ONLY. T iU�� ( -TENSION EOLT LAEELED 'd FC i��/ L VENTICAL_ SIGN. 6y i-r' ' �Sharpmueci DESCRIPTION I ( Edce.c ITR. DATE .1.-tx REVISIONS .Sn^r� 'T • C_ tie down engineering, inc. CuL .30° Aro/Na C..vc Y_1).. 59,,wneo�on Dr. 41II TITLE A10D�L MI22��'a),MID"' 1/q) 1 DoUbL H LIX EARTH ANCHQ°\ RECEIVED-� Dl. B 1 CK. ST. Yl,NGaACH C. AA3ch4P1VIC -1 • NOV O 1 2012 SCALE I DR NO Muc- 101_ NONt. I BUILDING DEPT • Nibs OSP �tit: oO klb 42 2 , • 6,1 � t r 1 co gm v., ill C:)__:_ T� -1i F izox- <"',u RECEIVED I Novo 1 2012 --<J'�o r-'<1)J„ BUILDING DEPT. NOTE- �/3-J,N J — OALVANIZEDSTP,AFFII4 CEP,TIFIEDTDNriSIAQQ5.1 ITIS. DATE DESCRIPTION 035"MIN,x 14'1xCoFT. - S111,443?MART-ED tve?,Y 12''AS PEN FOLLO4JINS. 8-L-52 EEVISIONS TIt:pcAUN ENGINEENIN6 CetcrIFIED TO ANSI a45.I tie down engineering, inc. FED. SPEC.QC?-5781-8 5901 WhoolOn Onv. A.pYG W GV.30339- MODEL UT6 ,{-106e-1 AND MODEL-< 'U7 bk XJ`iL.l` C E ARE ZINCDATD Fo('1 CQ PLOSION Ptt.S 157ANC E�• T I T h AYOML in 1(aM E5U 7 F-AME -TI ESJ DR. BY CK. IT. Y-1.NOACrm C.Mac NA NVO-I SCALE DR. NO AAP-505 NONE 14 Prepared by P. O'Toole for: . . Pine Grove Homes June 5, 1997 (Rev. Mar.8, 1999) • ZONE 1 -TIE DOWN REQUIREMENTS FOR MANUFACTURED HOMES —" Typical Each Side for Double Wides .. `````VN%%%%%nriii,i4- , skt; 1:1 A.-**, STERtoOQ • Q- • Tie Down Straps - 4�' No. 20897 --O• STATE Of t. Max. I' • '`' Tie Down Angle.) - �'`.....oi... Mating Wall Tie Down %''i s/U i'�.�` where r t i., ita�� ee applicable lic ab E TRA .DES GNI REV EW • °'°'' Review or hems ns'd��s .,t ofl ize Ground.Anc• ^^ "• hOr. »�irOtJ�ld or rove a ior ;,: pp any omission Hodeviation nstrfrom :y: _ the Federal Manufactured Home.Construction :•,• &Safety Standards . MINIMUM ON CENTER TIE DO1NN REQUIREMENTS JUN 1 0 200 Floor - Width DO NOT COPY &Side Wall I>Beam I-Beam Max. Resultant This pa9QQ -}(�,,gg��clusi pron; °F T- R. Afrlgituiftaanciates, inc. mf er Height Spacing . Height Spacing'- • Load protected b'plgf eral Unpublished bsg' (Feet) (Inches) •' .(Inches) (Feet) (Lbs) right (Degrees)E ) Straps 14ft. w/ 7'-6' 89.5 .95.5 18to30 - 10'-0" N.A. N.A. 2 16ft.w/7'•6' 89.5. 95:5 18to30 10'-0" - N.A. 4-- N.A. 2 24 ft.w/ 7'• 6' 75.5.95.5 18 to 30 - 9'-0" N.A. N.A. 2 TRA DESIGN REVIEW 28 ft.w/7'•6' 75.5 95.5 18 to 30 10'-0" Review of these plans does not authorize N.A. orNpAziove any omission or deviatioa From the Federal Manufactured Home Construction Double Willes with 5/12 Roof Pitches: &Barely Standards. 24 ft.w/7'•6' 75.5 : • 18'to.30_ - 7•-.0" ." .. ...NA . . N.A: ANR C 1 19 9 • 28 ft.• wI 7'•61 • 95-.5 - 18 to 30. -•• •. 8'-0"•. NA;: : a �o= ccPY ..'.. Thhl.�age'.is Iht eack Rrose y•aF _-:.:' '•-: _ ...T. R. Arnold & Asso;:at�s frc. L ii 32 ft.w/ 7'.•.6- 95:5 8 to.30...... -. _: 8,.f 0" prorttad by a t elle aI ;. IV• ED N.14: f:A. • 2 e t).Straps-are required.along each outside-I Beam of t e home, arid if specified, at each-end. - . NOV 0 1 2012 -The end wall straps should be-fastened to the I•d#' is in an.approved manner at between 20. • `50`degrees.irom horizontal" - y 4 • 2)Minimum straps.to be.035 x-1.1/4"Type 1, Finish B Steel Strap Conforming to ASTM D3953-91. BUILDING DEPT Must be able-to resist a working load of 3150.Lbs:(4725 Lbs. Ultimate): 3)Sc.Maitia4-fot`-p6 40CC3fiCcItitAlb, apactnes, and Tooting sizes. . 4)Max.,box widths: 14 • 164 inches w/3 inch eaves; 16 ft 184 inches 3 inch eaves; 24 ft. - 144 inches w/ 6 inch eaves (12'w/5/12 roof); 28 ft. wides: 164inches w/12 inch eaves, 32 ft.wides: 184 inches WI'6" eaves. - - _ 5)Units with 5/12 Roof Slopes: - a)Fasten together with 30 ga. galvanized-straps with.7 - :16-ga:x 1'staples each end. Fasten - 8 ft:on center along floors'(joist to joist)-and roofs(truss to truss).': - b)Fasten'halves together with-#10 x 4'screws 12 inches on centef along-the peals.Fasten through-2'by rail= - - along fhe top:of the-rail at an angle of:30-degrees"with-liorizbntal:Alternate sides_-7—14 e a I 61 `7` • Town of Montville • Building Department 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 0 R moNl l/,�GL 1vn1 Lor (o Property Address 1"'.� 1 //,mc. 14 x 10 2. Rai e1,-rI ❑ Building Code Violation Job Description Required Department Approval Permit Issuance Approval ""1111 Tax Collector t-L/ l l't I LZ-, Signature/date Comments: N t W Y10 � —S Planning & Hing ()�. A " ////l/ol- 0k .-0/11�n I�t Signature!date 1 m Coments: /� (`/ ❑ Fire Code Violation Penalty Fee-$ 'c Fire Marshal C. 1 l//12/ Signature/date Comments: -- ., Health DepartmentlIALL 1. , 1 Required for properties with private septic or well 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: ❑ 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 r1aray 23,2011