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Home My WebLink AboutChimney Liner 2007 Field Inspection Notice Town of Montville Building Department October 12, 2007 Address: 72 Park Avenue Ext. Job Description: Chimney Liner Permit Number(s): M2007-0152 Permit Date: October 9,2007 INSPECTION Not Approved Approval Date: Deficiencies Special Date Conditions • Clearance to combustibles Chimney Liner on elbow is only 10/12/07 CC 10 inches and I informed homeowner • • Final inspection for • • 10/12/07 CC certificate of approval Notice: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and returned to the Building Department. Signoff sheet are available in the Building Department. Rev.Date: 1/18/06 Page 1 of 1 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: M2007-0152 Date: 09-Oct-07 Map/Lot: 096/057-000 Owner ID: 5313000 Project Location: 72 PARK AVENUE EXTENSION Unit: Job Description: Install Stainless Steel Chimney Liner Owner Name: Francis C and Irene N Hutchinson Tenant Name: N/A Careof: 72 Park Ave Ext Uncasville CT 06382- Telephone: (860)848-3119 Contractor Name: Armstrong Chimney Services LLC Telephone: (860)234-0654 DBA: Lic/Reg Type: HIC Lic/Reg No: 508367 P.O. Box 217 Exp Date: 30-Nov-07 Taftville CT 06380- 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: $1,650.00 Mechanical Fee: $16.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $1,650.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.26 Total Fee Paid: $16.26 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 ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping INSSPECTION REQUIRED UPON COMPLETION ❑ Insulation l _171 ertif-dte of Approval / ertificate of Occupancy /4/ -/ Building Official's Approval: Town of Moni rille Budding Department 310 Norwich-New London Tpke. TeL 860-848-3030, Ext 382 Uncasvilie, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:(fl 7-6IS3, Type of Work O cupancy Type Permit Type O New Construction ite Single Family 0 Building ❑Addition ❑Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: 72- 17 _. (Number) (Street) . (Unit) Job Description: JNj,5;,` ICUs 1'4)-11 n5 C-xivlAfju' Owner: � R,-NE Address: -72. MO* _. 1 T City: L)1�I(j6'(`J0- State: Zip Code: _'_`_]_11-- Telephone: 6y � Contractor: �? c DBA: .AQM 5 l 123L Ct-L \may aekil Address: p. o X 2 Ji City: �Q. 1--ki (L_.► 14 State: �� Zip Code: t1,33U Telephone: J -0{.93(--/-' License Type: . License No.:503,B1.01- 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: 1)Y1 DVLA 1)2A_ Date: {c 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: Wrised‘Decon6er31,2009 Town of Montville Building Department File Receipt Date: 05-Oct-07 Receipt No: 2859 Received From: Armstrong Chimney Services Job Address: 72 Park Avenue Extention Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $16.26 Check: $0.26 Check No: 1094 Short/Over: $0.00 Construction Value: $1,650.00 Demolition Value: $0.00 Received By Carmen Roberts Address: 72 Park Avenue Ext. ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement,Finished SF $ 20.87 $ - $ - - Basement,Unfinished SF $ 11.28 $ - S - Crawl Sapce SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ - Basement SF $ 11.28 $ - $ - $ - Crawl Space SF $ 8.46 $ - $ - $ - AMENITIES Kitchen EA S - $ - $ - Full Bathroom - EA S - $ - - Half-Bathroom EA $ - $ - GARAGE Attached SF $ 49.41 S - $ - - Detached SF $ 63.21 $ - S - Under SF 5 9.12 5 - S - Carport SF $ 18.08 $ - MECHANICAL Warm-Ar Y Y/N $ - Hot Water N <3. Y/N $ - Electric N raa Y/N $ - Air Conditioning N YIN $ - ELECTRICAL SERVICE Upgrade '.,<. Amps S - Overhead,new Amps $ - Underground,new Amps $ - Subpanel EA $ 545.00 $ - Gen Set EA $ 3,500 00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA 5 5,907.00 $ - Masonry w/lfireplace EA $ 6,451.50 $ - - Masonry w2 fireplaces EA $ 10,087.00 $ - Wood Stove,free standing EA $ 2,447.50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 39.16 5 - Porch SF $ 135.80 $ - Sunroom SF 5 160.82 $ - $ - - POOLS&HOT TUBS Hot Tub EA $ 7,287.50 $ - $ - Inground Pool - EA $ 19,430.40 $ - $ - - Above Ground Round EA $ 4,635.88 $ - $ - Above Ground Oval EA $ 5,472.50 $ - $ - - Pool Heater - EA 5 8,167.50 $ - - Infatable Type Pool EA $ 1,542.42 $ - - SHEDS w/o electrical SF $ 18.50 5 - w/electrical SF S 18.50 $ - $ - RENOVATIONS Roofing,Overlay - SF $ 3.38 5 - - Roofing,Strip&reroof SF $ 3.76 $ - Roof Sheathing S SF 5 1.19 $ - Siding SF $ 2.30 $ - Windows EA $ 423.50 5 - Skyfghts EA $ 955.54 $ - - Doors,Exterior S EA $ 401.50 $ - Oil Tank,275 Gallon S EA S - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 1,65000 TOTALS $ - S - 8 1,650.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing Y $ - $ - Mechanical Y $ 1,650.00 $ 16.00 Electrical Y $ - $ - Working before Permit Issuance . $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.26 TOTALS $ 1,650.00 $ 16.26 Figures are based on the 2006 RS Means Residential Cost Data jaimemeioar ' Chimney Services LLC P.O. Box 217 Taftville, CT 06380-021 7 (860) 887-8981 * (860) 440-3317 * Fax (860) 859-3212 CT Lie # 508367 Date: _ _ 6- To Whom it mal concern. Dionne Sergihas m permission to sign for. and obtain permits. using mlicense number. for iohts►to be completed for the folloNNing Customer. as per the signed proposal. Name: _ C_ __ i TC k JNJ T_____ft.x., OASCPISN6utz_i_G address: —7IZ _...ar 0You, a Ar. strong 4 ` 'I- \ VI' ( a ( 'ONNECTICUT �' 4.- tlla'IRLin,.\i u1 (ONSUMU? PROTECTION HOME IMPROVEMENT CONTRACTOR DONALD R ARMSTRONG PO BOX 217 TAFTVILLE,CT 06380-0217 ARMSTRONG MASONRY L C REG NO EFFECTIVE EXPIRES 508 1 . 12/01/ I I .... 11/30/2007 SIGNED _ !Ler/1443 •V/4,LVV1 Lei, t1'1 l'1W11• JAI^ 111JVL011VC VLVVp LV. rnu.; (JUL. VC 'JUL. ACORD, CERTIFICATE OF LIABILITY INSURANCE poi iIMY) PRODUCER (860)437-7282 FAX: (860)447-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sava Insurance GroupNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc.. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 750 Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterford CT 06385 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A PEERLESS INSURANCE ARMSTRONG CHIMNEY SERVICES, LLC INSURER BEXCELSIOR INSURANCE 11045 P.O. Box 217 INSURERC PEERLESS INSURANCE 24198 INSURER D HARTFORD INSURANCE CO. TAFTVILLE CT 06380 INSURERE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEE l REDUCED BY PAID CLAIMS. INSR ADM. POLICY EFFECTIVE INSRD M/ POLICY TYPE OF INSURANCE POLICY NUMBER DATE(MDD/YY) DAEXPIRATION TE(MM 0/YY) INLIMITS LTR GENERAL LIABILITY EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABLITY DAMAGE TO RENTED 200,000 PREMISES(Ea occurrence) $ A CLAIMS MADE nOCCUR CBP9860045 6/24/2007 6/24/2008 MED EXP(Arn0nepe/son) s 10,000 PERSONA,8,ADV INJURY 5 1,000,000 GENERAL AGGREGATE 2,000,000 c-EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/CP AGG 5 2,000,000 EC POLY P.EC l I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) 1,000,000 B ALL OWNED AUTOS BA9869241 6/24/2007 6/24/2008 BODILY INJJRY SCHEDULED AUTOS (Per person) 5 HIRED AUTOS BODILY INJURY NON-0'VINED AUTOS (Per acadent) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ OTHER THAN EA ACC S AUTO ONLY AGO S EXCESS/UMBRELLA LIABILITY EACH OCCIJRRFNC E 5 2,000,000 n occuP CLAIMS MADE AGGREGATE a 2,000,000 _ 5 C _ DEDUCTIBLE C09860645 6/24/2007 6/24/2008 X RETENTION $10,000 I S D WORKERS COMPENSATION AND x TOR ST ItI I((TS OFR EMPLOYERS'LIABILITY ANY PR OPR FETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT ,s 500,000 OFFICER/MEMBER EXCLUDED/ 5717C465 10/1/2007 10/1/2008 E L DISEASE-EA EMPLOYEES 500,000 If yes.descrbe under SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT S 500,000 OTHER l _ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Chimney cleaning/repair CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Updated proof of Insurance EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL CT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE L) Diana Buscetto/DLB T Town of Montville Buildina Deaartment 310 Norwich-New London Tpke. Tel.860-848-3030, Ext 382 Uncasville,CT 06382 Fax.860-848-7231 CONSTRUCTION PERMIT APPROVAL 7L Fp(r -r. UNc 1(LL ( e- C,cc)3, Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector �-�-tee_ i o S j o 7 Signature/(ate Comments: ❑ WPCA, Administrative ~' 10\ S '6-1 Comments: ❑ WPCA, Operations Signature,' date Comments: ❑ Planning &Zoning Signature!date Comments: ❑ Health Department 'Signature! Comments: 0 Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation (Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14311) Signature,' date Comments: Fire Marshal ,/ j(1 ' a Sidnature`nate Comments: It7i ffir ) fri,j0/�Z itmiseditugust 5,2005 eililosoeion, Chimney Services LLC P.O. Box 217 Taftville, CT 06380-0217 (860) 887-8981 * (860) 440-3317 * Fax (860) 859-3212 Proposal CT Lic # 508367 * Don's Cell (860) 234-0654 (860) 848-3119 9/28/2007 Irene Hutchinson 72 Park Ave Ext. Uncasville, CT 06382 Labor and material as needed to install a stainless steel liner into an existing chimney. Accessories include a tee for furnace connection as needed, along with a top plate, storm collar and stainless steel cap, all required for a UL Listed installation. The furnace will be connected to the liner upon completion, using new pipes as needed. Priced as follows: All materials needed to install new liner and connect furnace as required Labor to install new liner and accessories required Grand Total $ 1,650.00 • Note:Building Permit fee, if one is required, will be added to final invoice! We accept Visa,Mastercard,Discover, &American Express for your convenience! All old and excess material to be removed, with complete work area left in original, neat condition. We propose to hereby furnish labor, equipment& materials, as specified above for the sum of: One Thousand Six Hundred Fifty& 00/100 dollars $ 1,650.00 Payment to be made as follows: 50% Deposit to order material Balance due in full the day of completion Ct Registration#508367 Home Improvement Contractor Insurance Agency: SAVA Insurance Group LTD, 750 Broad St, Waterford, CT 06385 Tentative starting date: . Starting date negotiable as our work is weather related. All material to be as specified. All work to be completed in a workmanlike manner according to Authorized Standard practices. Any alteration from above specifications involving extra costs will be executed Signature Only upon written orders,and will become an extra charge over and above the proposal. All Agreements contingent upon strikes,accidents or delays beyond our control. Note:This proposal may be withdrawn by us if not accepted within 15 days. Acceptance of Proposal—The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. I understand if the balance is not paid on completion as specified above,Armstrong Chimney Services LLC reserves the option to charge a penalty of 10%on the balance due. Interest will• .•'r to accrue at the rate of 18%annually from the day of completion. In the event of default by Buyer,the Buyer agrees to pay all costs of collection,including reasonable Aro in addition to d incurred by Seller Date of acceptance/di// D 9 Signature) Ce- _i�,° ax) You,the buyer,may cancel this transaction at any time prior to midnight of the third business day er the date of this transaction. See the attached notice of cancellation on the reverse side for an explanation of this right. (Saturday is a legal business day in Connecticut) This instrument is based upon a Home Solicitation Sale,which sale is subject to the provisions of the Home Solicitation Sales Act This instrument is not negotiable. d `N O i 0 co , E'...S0---1..,z.-1-7;:.,,* 111110\41/4„, .0 Vo � i ° ; ` Q� � Y o LEUi ♦ mtib H o ' o � a CI.g-c (U-E-,,, 8-V. a 0 1— }—'Ai'', i u.. u.. ‹Av tIKIEWW, E o 1"--2 i li t ''›' % t'' A T\Z54 rAVA 1 co co >u- ` Qf--000 1-I- ),,,,,„,,r, r ,,;. 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