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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: E2007-0117 Date: 18-May-07 Map/Lot: 035/009-024 Owner ID: 58000
Project Location: 12 ALLISON'S WAY Unit:
Sob Description: wiring for pool
Owner Name: David Carlson & Heidi Buchholtz Tenant Name: N/A
Careof:
15 Forsyth Road
Oakdale CT 06370- Telephone:
Contractor Name: Telephone: 860)235-9960
DBA: Lic/Reg Type:
Lic/Reg No:
Exp Date':; F f
Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: . .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: RS
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fee Paid: $0.00
It shall be the owners repsonsibility to schedule the followina inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL ELECTRICAL PERMIT INSPECTIONS
Footing - Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑d R Electrical
❑ Backfill - Footing drains and waterproofing ❑ Elec Trench - with conduit installed
❑ Concrete Slab - Prior to pouring concrete Pool Bonding
❑ Anchor Bolts - with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation to d Ap ov
❑ Ce' to o upancy
Building Official's Approval:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231.
.Tr .n n r9
RESIDENTIAL PERMIT APPLICATION FORM Permit No.:
Type of Work Occupancy Tvpe Permit Type
❑ New Construction &Single Family ❑ Building
❑ Addition ❑ Two-Family ❑ Plumbing
[Alteration ❑ Townhouse ❑ Mechanical
❑ Accessory Structure .®-Electrical CRS#:
Job Address: L(- ISd,.J r S " 11-1.4 (Number) ('street) (Unit)
Job Description: &j I (I C ~Cx)
Owner: ~~t3✓1 ~Sv~
Address:
V
City: q G► State: Zip Code:
Telephone: 2 S ^ ! { 6 V
Contractor:
DBA:
Address:
City: State: Zip Code:
Telephone: License Type: License No.: Expiration Date:
I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town
of Montville and$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 E3301.2.1 of the Residential Code,
~nstead of the electrical requirements in cha ters 3 through 42 of the Residential Code.
Owner /Agent Signature: Date:
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 O Fee:
Plan Review Fee.
State Ed Fee:
Total Fee:
&vised- December 31, 2005
Res' -,ntiai Permit Requirements Chec&' I
This list is to be used as a guide only and is not all-inclusive, additional information may be required for your particular
project. Two complete sets of construction documents required.
Provided Not Item
A hcabie Provided Not
Su orting Documentation Applicable Item
Completed, signed and dated Building Permit Building Section & Details
Application Floor-to-floor heights
Completed worker's compensation affidavit for Material type, size, ands acin
property owners or sole proprietors or copy of Stair details (rise, run, treads, nosing, width,
workers compensation insurance headroom
Co of Contractor Registration or license Handrail details
Construction permit sign-off sheet signed by all Guardrail details
departments Roof ventilation
Documentation showing compliance with the
Energy Conservation Code Framing Plans
www.ener codes. ov or Chapter 11 Design loads -for floors, ceilings, roofs
Street address of project on all drawings and Bearing partitions identified on the plan
documents Direction of framing
S ans, beam
Wind tations Criteria Wood species and grade
Documentation showing compliance with the Framed openings
requirements for construction in 110 mph wind Wall framing size andspacing identified
zone Sheathing type and thickness
Design publication identified; WFCM-2001, Window and door header sizes
chapter 2; WFCM-2001, chapter 3; SSTD 10-99; Deckin material, size, spacing
ASCE 7-02, AISI, COFS/PM Engineering data for engineered lumber (LVL's
and 1-joists
Site Plan Framing plan for engineered lumber
Property lines Engineering data for steel beams, signed and
Distance from property to structure sealed b a CT registered design professional
Structure dimensions Engineering data for trusses, signed and sealed
Driveway b a CT registered Professional Engineer
Topography (existing and propose d Note: Unusual structural conditions may require
Footin drain inverts, outlet and separation that additional engine I erinback u be submitted
Pro osed utilities Chimneys & Fireplaces
Wetlands and flood zone limits and elevation Clearances to combustible materials
Septic sstem shown and located on the plan Manufactures data for metal flues 1 1- Well and piping shown and located on the plan Flue sizes fresh air source for fireplaces
Foundation Information Flue sizes
Assumed soil beadn pressure Manufacturers data and installation instructions
for metal fireplaces
Dimensions Electrical Information
Wall thickness
Footin sizes Panel locations with main size
Frost protection Meter socket location
Foundation anchor type, size, locations GFCI outlet locations
Window and door sizes and. locations Smoke detector locations
Li hts and switches
Hatchways
Columns Mechanical Information
Draina a details D er vent
Water a details
details Bathroom exhaust ventilation (natural or
Crawls ace ventilation size and location mechanical t e and size
Crawls ace access size and location Hood exhaust
Concrete stren the T e of heat oil, electric, as
Floor Plan Information Heating, ventilation, and air conditioning plant
Dimensions location
Door and window sizes, egress window Oil tank size,, location, and piping
Glazin in hazardous locations CP-Gas tank location, size and piping
Gara e/dwellin opening protection Combustion air requirements
Gara e/dwellin separation Manufacturers data fore ui ment
Kitchen layout beat loss,. Heat gain calculations
Bathroom layouts, tub sizes in gallons, space Plumbing Information
clearances Buildin tra location if on municipal sewer
Indicate use of all rooms Sewer location
Stair location Domestic water location
Attic access location and size Water heater size, type, and location
Square footage for each habitable level of the Manufacturers data for whirlpools, comer tubs, &
structure larger tubs
Required light and ventilation for each habitable
room
Elevations
Type of siding,
Roofing
Other finishes.
Finish grades
Building, heights..
Height of chimney above roof
Roof itch