HomeMy WebLinkAboutAddition - Plumbing
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: P2008-0001 Date: 06-Jan-09 Map/Lot: 030/049-000 Owner ID: 106000
Project Location: 8 AZALEA LANE Unit:
Job Description: Plumbing for Bathroom Addition
Owner Name: Charles L Jr And Diane L Rogoff Tenant Name: N/A
Careof:
8 Azalea La
Uncasville CT 06382- Telephone: _ (860)848-4674
Contractor Name: Home Owner Telephone:
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: R5
C of O Fee: $0.00 Comments:
Plan Review Fee: $0.00 Fee Included with Bukiding 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 ❑d 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 ❑ Gas Piping and leak test
❑ Fireblocking -Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation Certificate of Ap val
Z11 sate cupancy
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Buildin 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
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: I~atX~' 0001
Tripe of Work Occupancy Type Permit Type
Q New Construction Single Family in
Additipp Two-Family Plumbin
JkAlterg on 0 Townhouse Mechanical
❑ Accessory Structure ❑ Electrical CRs#:
Property Address: 2) -L A\ C A Leo t=
(Number) (Street) (Uinit)
Job Description: 4- - ~ ~ ~ 1 USA'
Owner. C~ ~ (2-1 c-, ~i D l A-&) e' Ro C
Address: &00) f 0
City: 0IJ C P'5 0t ~ l qG State: Cr Tap Code: S7- Telephone { 9 t, L R `l- 6 -
Applicant: Or,O
DBA:
Address:
City: State: Zip Code: Telephone
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 f wdmw attest that the W oaosed work is auforized by the owner in the and that 1 am authorized to make avntfcadlon for a
owmft for such work as described above.
0 By checldng this box,1 will follow the requirements of the 21)05 NEC as the alternative compliance per section E33012.1 of the Residential Code,
instead of the electrical requirements in 7pte ugh 42 of th Residential Code.
Date: f a
Owner /Agent Signature:
Construction Value Penr►it Fees
Building Vat r on Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: _ Electrical Fee:
Total Value: c-ao r~ CIO Penalty Fee:
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
A~ as. Zaor
State of Connecticut
Workers' Compensation Commission -
Please TYPE or PRINT IN INK
r
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 . Building
Permit
Name of Applicant for Building Permit \ tTUt L~-
Property located at 7 r41 L~f~~E
In the City / Town of
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 notrequired to have workers' compensation insurance coverage.
CHECK ONE (1) BOX ONLY and complete the following:
yt41 I am the OWNER of the above-named property. I WILL NOT ad as the general contractor or principal employer.
Signature of OWNER Applicant
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
❑ I am the SOLE PROPRIETOR ore business doing work at the above-named property. I WILL NOT ad as the general contractor or principal employer.
Name of Business
Federal Employer ID# (FEIN)
Signature of SOLE PROPRIETOR Applicant
Town of Montville
BuildiMa Department
y 310 Norwich-New London Tpke. Fax 860-848-7231
Uncasvilie, CT 06382
Tel. 860-848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
Ovals. No pem►it will be issued until all the required signatures are obtained.
Applicant is responsible for Obtaining all of the required appr
~Z~1c
L Property Address ,
~ C-I0
Job Description
Re uired as indicated below
_ R aired for aft ermits At least one re uire d for all ermits ❑ -
Permit issuance Approval
Required Department
Approval f ,3a,9
® Tax Collector Signature/ date
Comments:
® planning & Zoning Signature/ date
Ls~
Comments:
Fire Marshal signature/ date
comments:
ies with se ticsystems Not re aired for Plumbin Electrical Mechanical Roorn Sidin Windows & Doors
® Health Department Signature/ date
Re aired for praRert
Comments:
WPCA, Administrative Signature/ date
Required for ro ernes on sewer
comments:
WPCA, Operations Signature/ date
When Required by WPCA
Comments.
Department of Public Works signature/ date
Required when ro'ect includes drivewa work or certain draina a re irements
Comments:
State Dept of Transportation
Structures over 100 000 s . ft. or with more than 200 Orlin s aces - Offrciai co of STC Gerfificate of Oe ration re fired - er
Re uired for Signature/ dal
CGSCGs 14-311
Building Department Review Complete Signature/ date
,,;sdXvvcm6er5, 2008