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Home My WebLink AboutChimney Liner - Boiler 2008 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: M2008-0124 Date: 13-Aug-08 Map/Lot: 096/024-000 Owner ID: 5318000 Project Location: 99 PARK AVENUE EXTENSION Unit: Job Description: Install New Stainless Steel Chimney Liner For Boiler Owner Name: William Dersham Tenant Name: N/A Careof: 99 Park Ave Ext Uncasville CT 06382- Telephone: Contractor Name: Self Telephone: (860)234-0654 DBA: Armstrong Chimney Services LLC. Lic/Reg Type: HIC P.O.Box 828 Lic/Reg No: 508367 Baltic Ct 06330 Exp Date: 30-Nov-08 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: $2,200.00 Mechanical Fee: $24.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $2,200.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.40 Total Fee Paid: $24.40 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 INSPECTION REQUIRED UPON COMPLETION ❑' Insulation ❑ Certificate of Appal ' ❑ Ce.:• iccupancy Building Official's Approval: t� Town of Montville SuWlns!Deaartment 310 Norwich-New London Tpke. Tel.860-848-3030,Ext 382 Uncasville,CT 06382 Fax.860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: I11>oo5-- 0l7 Y Type of Work Occupancy Type Permit Type ❑New Construction [3ingle Family ❑Building ❑Addition 0 Two-Family ❑plumbing 13/Alteration 0 Townhouse [ Mechanical nq 0r"Accessory Structure 0 Electrical CRS#: Job Address: ' 1 a i v'e- i` Cit] i4 S v_LLL e (Number) (Street) (Unit) Job Description: i T L ec t) p . /o 2 Owner: (tiJ T t ! Zy-1 t t 5i714-ROTYI t!/e ieSj'1A-Ch Address: �r`4'12 K Ave E(7-- / City: Address:. 14,5 VL(6 State: C.._'"7 Zip Code: 0(0,34 a. Telephone: geciO VS-57 Contractor: DBA: V.JM�5l(O�I� CtstIMAIE'Y t LCf 2J Address: 1). O• X � City: _ TIC-- State: Cr Zip Code: C1.0330 Telephone:w9.4"Q(g L4 License Type: 14 L License No.:.�' ,3l,o Expiration Date: I hereby certify that the proposed work MI 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. 51 By checking this box,I will •..•..ihe_requkements of the 2005 NEC as the alternative compliance per section E33012.1 of the Residential Code, instead of the el=-, .- _•uirements in ..tens 42 of the Residential Code. Owner/Agent Signature: - Date: F/3/08- Construction /3/Uc-Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: '1 Plumbing Fee: Mechanical Value: ccc)OD. Mechanical Fee: p� ?v G) Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: .'Ya Total Fee: AV, Yc) an►3.L zoos Town of Montville Building Department File Receipt Date: 13-Aug-08 Receipt No: 3744 Received From: Armsrrong Chimney Services LLC Job Address: 99 Park Ave. Ext. & 50 Woodland Dr. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $48.78 Check: $0.78 Check No: 1788 Short/Over: $0.00 Construction Value: $4,300.00 Demolition -ue: - $0.00 Received By Vernon D Vesey II �.�� - ��u- Jitfroroti4ore, \\) �,. Chimney Services LLC P.O. Box 828 Baltic, CT 06330 - (860) 887-8981 * (860) 440-3317 * (860) 822-1400 I^ Fax (860) 822-1403 * Don's Cell (860) 234-0654 a Don's CSIA Certification# 6303 #1, CT CT Lic # 508367 -- —�' Date: /0 0 To Whom it may concern, //// Kathleen Fratus has my permission to sign for, and obtain permits using my license number, for job (s)to be completed for the following customer, as per the signed proposal. Name: i✓ `{ .54ce2Ult / „ Address: 99P4/0K 4/e. (/ne1i-sit-cue Cr- 06 3E7-, Zou, Donald R. A ong ta--g10 STATE OF CONNECTICUT DEPARTMENT OF CO CS 'WR PROTECTION HOME IMPROVEMENT CONTRACTOR DONALD ARMSTRONG PO BOX 217 TAFTVILLE,CT 06380-0217 LIC.i REG NO. s11MSTTR4RPSO'131 EXPIRES .05083: 12/0 2007 11/30/2008 SIGN-: CiXd:IV � J4n4tetAVrif Chimney Services LLC P.O.Box 828 Baltic,CT 06330 . (860) 887-8981 * (860)440-3317 * (860) 822-1400 Fax (860) 822-1403 * Don's Cell (860) 234-0654 = Proposal Don's CSIA Certification# 6303 - CT Lic # 508367 (860) 848-4851 h 6/30/2008 William or Sharon Dersham Job Site: Same 99 Park Ave Ext Uncasville, CT 06382 Labor and material as needed to install a stainless steel liner into an existing chimney. Accessories in- clude a tee for boiler/furnace connection as needed, along with a top plate, storm collar and stainless steel cap, all required for a UL Listed installation. The boiler/furnace connection to the liner, is to be completed and/or verified by your heating company. Priced as follows: All materials needed to install new liner and connect boiler/furnace as required Also includes wrapping the liner with insulation as required for the new boiler — Labor to install new liner and accessories required Grand Total 2,285.00 Additional Options: Not included in Proposal total at bottom! - Circle item (s) chosen, and include 50% deposit. Sales tax included as applicable. 1. Remove cracked flues and install a stainless steel liner for the fireplace flue $ 2,850.00 2. Coat smoke chamber and open areas using SmokTite & CT2000 as needed $ 785.00 Note: We are pleased to thank. and honor our Military & Senior Citizen (60-i-) Customers with a 5% discount! 1D information must be included at time ()I'acceptance for the discount to be applied to your final invoice! Note: Building Permit fee of$65.00, if one is required, will be added to final ii:voice! Note: 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: Two Thousand Two Hundred Eighty Five & 00/100 dollars $ 2,285.00 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 Startingk date: Starting date negoti erk is we r related. Ail material to be as spectfied. All work to be completed in a workmanlike manner according to Authori d 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 AU Agreements contingent upon strikes.accidents or delays beyond our control Note:This proposal may be withdrawn by us if not accepted wi ' 1 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 begin 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 ail costs of collec- tion,Including reasonable attorneys fess in addition to other damages Incurred by Seller Date of acceptance 8/1/ Signatures Youthe buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation on the reverse side for an explanation of this ngfit. (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. 6/24/2008 9:42 AH FROM: SAVA Insurance Group SAVA Insurance Group TO: 822-1403 PAGE: 002 OF 002 ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE )i24io PRODUCER (860)437-7282 FAX: (860)447-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sava Insurance Group Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 24198 ARMSTRONG CHIMNEY SERVICES, LLC INSURER 8:EXCELSIOR INSURANCE 11045 P.O. Box 828 INSURER C.HARTFORD INSURANCE CO. INSURER D. BALTIC CT 06330 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.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. AGGREGhTE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS, INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR iNSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE(MM,ODIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCWL GENERAL LIABILITY DAMAGE TO RENTED 200 000 PREMISES(Ee occurrence) $ , A CLAIMS MADE X OCCUR CBp9860045 6/24/2008 6/24/2009 MED EXP(Any or*sewn) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE _S 2,000,000 GENII AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 EE POLICY n sPL7 n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Es accident) 1,000,000 B _ ALL ONMEDAUTOS BA9869241 6/24/2008 6/24/2009 BODILY INJJRY SCHEDULED AUTOS (Per person) $ HIRED AUTOS —� BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO OTHER THAN EA ACC,S AUTO ONLY: AUG $ EXCESSAlA6RELLA LIABILITY EACH OCCURRENCE $ 2,000,000 I OCCUR I I CLAIMS MADE AGGREGATE $ 2,000,000 A DEDUCTIBLE C09860645 6/24/2008 6/24/2009 X RETENTION E 10,000 C WORKERS COMPENSATION AND WC STATU- OTH- 9IPLOYERS'LIABILITY X TORY LIMITS FR ANY PROPRETOR/PARTNER/E.XECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 5717C465 10/1/2007 10/1/2008 E.L.DISEASE-EA EMPLOYEE 9 500,000 If yes,descrte under SPECIAL PROVISIONS below E DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEIICLESrEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Chimney cleaning/masonry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Updated Insurance Cert EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Baltic, 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. 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A R. x y s. `< 7 r O n �• o aC 97 8 . w F 4 t - 2) = 7 B 01 5 0 ai a U Otu nn O i ; u H A. W. < n Da ii 7 y r4 0 g G n' `< Q' S O 5' • 0 ^C- n 70- m T y rt et :5 r `d I* C "" U O ro 00 G _ Cr rb S rtot C A y `< Q rt N _ CQ. - 9 c ! , !r;4 2 % Er flp 'FIAT' F rp O a'r a- = A IIr try ¢ ? 'O v� S C p rrpjE a. N H 5 0 R O m S, $c9' z *y a O 2 Q. Q 1 O m c `� y eeo O C , . r7 `< A O gS 71 g b ft Q, C '+ O x 1 5" g O 'a < •p �, 1I1 < 1 ° c o y a. C cr ft m e G O O co ro' 0qo G. -44 g 7 1 tD fD Town of Montville Buildina Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL C,q (V, AV IL, 6)0- 0 n(C-5\J l_SI-.. Property Address s \.l c\ILV\ nex c.. ` ulcQ_D (\ �0.1.,2A Job DescnptioP 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 e--�--r•R— 8yi./0 2 Required for all permits / Comments: WPCA, Administratives J 3/3/C - R e uired for properties on sewer Comments: El WPCA, Operations When Required by WPCA Comments: 4 Planning &Zoning L€ t lk,,,,_, /(11 Required for all permits ® Health Department Required for properties with septic systems-Not required for Plumbing.Electrical,Mechanical.Roofing.Siding.Windows&Doors Comments: El Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: ❑ State Dept. of Transportation Required for Structures over 100.000 sq.ft.or with more than 200 parking •,•-s Oficial COIN of STC Certificate of Operation required-per CGS 14-311 Comments: Fire Marsha 3 4 �� ' Required for all permits ) ` Comments: Nii ,c .- !�1U��L ( `y1 Y`) Itevisedfluiput s,2005