HomeMy WebLinkAboutAddition - Heating/AC
s -
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: M2006-0111 Date: 08-Aug-06 Map/Lot: 131/042-000 Owner ID: 80000
Project Location: 20 ANDERSEN LANE Unit:
Job Description: Heating & Cooling for sunroom
Owner Name: Jill R Hamel and John David Wile Tenant Name: N/A
Careof:
20 Andersen Lane
Oakdale CT 06370- Telephone:
Contractor Name: Stephen Whitehead Telephone: (860)848-4747
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: $0.00 Plumbing Fee: $0.00 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: RS
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee Paid: $0.00
It shall be the owners repsonsibilitV 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 FVI R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking -Draftstopping INSPECTION REOUIRED UPON COMPLETION
❑ Insulation rca of A oval
❑ is Occupancy
9
Building Official's Aprovai~
Town,of Mo;gMlle
Buildin4i 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.:
,fit
Type of Work Occupancy Type Permit Type
❑ New Construction ❑ Single Family ❑ Building
❑ Addition ❑ Two-Family ❑ Plumbing
❑ Alteration ❑ Townhouse ❑ Mechanical
❑ Accessory Structure ❑ Electrical CRS#:
Job Address: ~ o A n e .--,rem LA,
(Number) (Street) (Unit)
4 q f ~
Job Description: v r+ c c `°u ff
Owner:
Address: e~® A 4e--re ti ""C'
City: Q,_ K4 4- State: % Zip Code: 66,52()
Telephone: 0 ! T /
Contractor: ~e~ he ~.e a ~Y
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,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner /Agent Signature: Date:
Construction Value Permit Fees
Building Value* Building Fee:
i' i lralue: --Y q00 • Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
&vised- Oecem6er31, 2off
State of Connecticut
Workers' Compensation Commission -
Please TYPE or PRINT IN INK
Proof of Workers' Compensation Cover-age when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
Applicant . Building
Permit
Name of Applicant for Building Permit t 4e--
Property located at 62-~ fie, We e3_e
In the City I Town of
t~~ ! e1
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:
a tam 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
Federal Employer ID# (FEIN)
Signature of SOLE PROPRIETOR Applicant