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Chimney Liner - Fireplace 2008
Field Inspection Notice Town of Montville Building Department February 10, 2009 Address: 99 Park Avenue Ext. Job Description: Install Stainless Steel Chimney Liner Permit Number(s) M2008-0257 Permit Date: December 8,2008 Not Approved Approval INSPECTION Date Deficiencies Special Date Conditions Fireplace liner • Roof top 2/10/09 DJ • termination only • • Roof top and Boiler flue liner basement 2/10/09 DJ terminations only Final inspection for • • certificate of approval 2/10/09 DJ Rev. Date: I/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: M2008-0257 Date: 08-Dec-08 Map/Lot: 096/024-000 Owner ID: 5318000 Project Location: 99 PARK AVENUE EXTENSION Unit: Job Description: Install Stainless Steel Liner for the Fireplace Flue Owner Name: William Dersham Tenant Name: N/A Careof: 99 Park Ave Ext Uncasville CT 06382- Telephone: (860)848-4851 Contractor Name: Armstrong Chimney Services LLC Telephone: (860)234-0654 DBA: Lic/Reg Type: HIC Lic/Reg No: 508367 P.O. Box 828 Exp Date: 30-Nov-09 Baltic CT 06330- Construction Value Permit Fees Construction Information Building Value: $2,850.00 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: $24.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $2,850.00 Penalty Fee: $0.00 Permit Code: R5 _ C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.51 Total Fee Paid: $24.51 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 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certificate of Approval Ce a of sccupancy Building Official's Approval: Town of Montville Building Department File Receipt Date: 05-Dec-08 Receipt No: 4130 Received From: Armstrong Chimney Job Address: 99 Park Ave Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $24.51 Check: $0.51 Check No: 1886 Short/Over: $0.00 Construction Value: $2,850.00 Demolition Value: $0.00 Received By Carmen Roberts af1t1'lk Vl ()I 1 , odaucpc) Address: 99 Park Ave Ext. ITEM QTY 5/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ - Basement,Finished SF $ 22.96 $ - $ - Basement,Unfinished SF $ 12.40 $ - $ - Crawl Sapce SF $ 9.30 $ - Interior Renovations - SF $ 35.09 $ - S - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - S - $ - Basement - SF $ 12.41 $ - S - $ - Crawl Space SF $ 9.31 $ - S - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom - EA $ - $ - GARAGE Attached SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n YIN $ - Hot Water n Y/N $ - Electric n- Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ - Underground,new Amps $ - Subpanel EA $ 599.50 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7.096.65 $ - Masonry w/2 fireplaces - EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43 07 $ - Porch - SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 21,373.44 $ - $ - Above Ground Round - EA $ 5,099.46 $ - $ - Above Ground Oval EA $ 6,019.75 $ - $ - Pool Heater EA $ 8.984.25 $ - InfatableTypePool - EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Strip&reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding SF $ 3.50 $ - Windows - EA $ 500.00 $ - Skylights - EA $ 1,051.10 $ - Doors.Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 2,850.00 TOTALS 5 - 5 - $ 2,850.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ _ Mechanical y $ 2,850.00 $ 24.00 Electrical y $ - $ _ Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.51 TOTALS $ 2,850.00 $ 24.51 Figures are based on the 2006 RS Means Residential Cost Data 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.: rnatx,�0a5r Type of Work Oc upancv Type Permit Type ❑New Construction q'Singie Family 0 Building ❑Addition 0 Two-Family 0 Plumbing Alteration 0 Townhouse 0 Mechanical aA0 AccessoryryStructure 0 Electrical Job Address: - 1 1 is Yc • �-�"' (Number) (Street) Sr(ëL. / (Unit) t�t� 5imALEssJob Description: �N6 - Aisue.. '� E 12CPIA 1"1-06 Owner: -)AilLi 'AM SAt_ R..3tiAdV1_ Addres : 9 9 P ✓ SLS . City: /m otsvi Ltk State: Or• Zip Code: O Telephone: `? r l 5 . Contractor: / DBA: 12.14 l I�SJt4 t /\I�y L IC LCf S .0 _L Address: 1:7. 0. X2� City: 1 lr- State: O'(- Zip Code: C),„033:111) Telephone: -O " -1- License Type: 14 r License No.:503 3147Expiration 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 E33012.1 of the Residential Code, Instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: 41111k1. Date: la ` ss r Construction �Value Permit Fees Building Value: 2 ` ) " • Building Fee: Plumbing Value: 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: Rovisa mw I.r31,2025 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Property Address _ 1 rJSTt. ►\jr t tog. -I-1 r2£fL 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 s S o Required for all permits Comments: ® WPCA, Administrative , I - ` ' ,©g Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: Planning &Zoning i 7/1/C, Required for all permits ] _ ( ! f .� ® Health Department Required for properties with septic systems–Not required for Plumbing,Electrical.Mechanical.Roofing.Siding.Windows&Doors Comments: ❑ 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 •ices-Official copY of STC Certificate of Operation required–per CGS 14-311 Comments: I n • Fire Marsha tm 11 �' 111 (ea Required for all permits � Comments: warkitl Afvuediclugust 5,2005 ...t, , . a Chimney Services LLC ' P.O. Box 828 Baltic,CT 06330 it (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 i.aoot and Illatciiai as riecdea to in.tail a SI AiiiieSS stea..i liner into an .N.isting chimney. ACCeSSclrieS In- i 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 ti �,. Labor to install new liner and accessories required P , l ; %/O$ 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 \-lilitary & Senior Citi/en i60-) Customers ‘‘ith a 5%discount' ID inlorniation must he included at time of acceptance for the discount to he applied to your final invoice! Note: Building Permit fee of 565.00, if one is required, will be added to final invoice! Note: ff'e accept Visa, _MasterCard, Discover, & American Express for}'our convenience! All old and excess material to be removed. with complete work area left in original,neat condition. I i 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 Orly Starting date: Starting date necaot�a�rktsr related. Al material to be as speG�ted All wore to,be completed.r a workmaniine warner acecrmg to AUthoft �` Standard practices. Any alteration from above specifications involving extra costs win be executed Signature G-'L 4'u_. O.ly ubon wntten orders and w:li become an extra Charge over and above.he propose, All Agreements contingent upon stnkes accidents or delays beyond out control Note:This proposal may be withdrawn by us if not accepted . 1 ays. 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 mad*as outlined above. I understand it the balance is not paid on completion as specified above,Armstrong Chirmey Services LLC reserves the option to charge a penalty of 10%on the balance due. Merest will begin to accrue at the rate of 18%annually from the day of completion. In the event of default by Buyer,the Buyer egress to pay alt coats of collec- tion,inducting reasonable attorneys fees in addition to other damages incurred by Scaler Date of acceptance 871/1 U P, Signature(s ' %;/�..t A-_____,_ r_J..-_,L.4„,„.„,/4.--....., You the buyermay cancel this transaction at any time o^Cr to midnight of the intra business day after toe date cU this t'ansacror See the attached notice of cancellffipn on the reverse side for an explanation of fila right Saturday is a legal business Day in Connecticut, This Nlstrumert rs Cased upon a Hone Sc:icitation Sae wnio-sale is subieCt to the provisions of the Home Solicitation Sales Act This instrument is not negotiable \ Cs CC Q4A C4'CSL.. /e .Z 7 ( S \Snc,AV f'--- 6) .. . 4atlit.1'.otr..` wcKIC, 4.%fCAA—&. 0.4.a044..... , DATE ACORD CERTIFICATE OF LIABILITY INSURANCE9/26MIDD/08 9/26/2008 PRODUCER (860)437-7282 FAX: (860)447-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sava Insurance Group 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 INSURERA PEERLESS INSURANCE 24198 ARMSTRONG CHIMNEY SERVICES, LLC INSURER B NETHERLANDS INSURANCE 24171 P.O. Box 828 INSURER C: 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. AGGREGATE LIMITS SHQVVN MAY HAVE BEE BY PAID CIAIMS, INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR_IN RQ., TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYl DATE(MMIODIYY] LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREDdI SGE (aEoccurrence) $ 200,000 A CLAIMS MADE X OCCUR CBP9860045 6/24/2008 6/24/2009 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GGE�N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X(POUCY JJECOT F1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X I ANY AUTO (Ea accident) $ 1,000,000 B ALL OWNED AUTOS BA8443480 6/24/2008 6/24/2009 BODILY INJURY SCHEDULED AUTOS (Par person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE 8 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ 7 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 X I OCCUR I I CLAIMS MADE AGGREGATE $ 2,000,000 6 _ A DEDUCTIBLE CU9860645 6/24/2008 6/24/2009 $ X RETENTION $1o,000 _ �7 $ A WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? bo02081974 10/1/2008 10/1/2009 500 000 E.L.DISEASE-EA EMPLOYEE$ r If yes,describe under SPECIAL PROVISIONS bebw _ E.L.DISEASE-POUCY LIMIT $ 500,000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Chimney cleaning/service CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE For Insurance Purposes 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 OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. DiREPRESENTATIVE Diana Buscetto/DLB ,W -. X. ACORD 25(2001/08) ®ACORD CORPORATION 1988 INS026(0108).08a Pagel of 2 • Efiti . ' • . 7ffico MDII �. ` ys I1I ?C - ~y F f<0 . o P T 5 g • 6 .1. m C O ° cr r` •* `` 8 = = fi: - a m `,- ¢' .. ET't+ r-o x Soc, - _ _ n cm 7 1 H' G tp ?, '' r v —1 1 :-'C7 `3 J C y+ ' S V A • rD �' rC� C , 3 .. y z 7 `� ^' .� 7 ... L Oa r di: fS r Tt C 7-T3 9- y s. c CA., cr la L________._._j ..=, te (7- CS ga. Q;• R S 0 3 3 . or c i 2-s .2. al tr: !IP -\\.,,ilir ._ ....1 1 azu, 0 CD ' 41 / a _or. — ---.. ....— * ,..........._7„,„ ; • 1- 5JU/ 4.#44f w\ ; s o 77 „ O 0C TT 030 �T C) N S d j• 0•T Q m. - N O OD -. p,ro Ocp A, \ • 4 if't.il'• ,5 *et, 0 • .)$.7 , ..1 f •t-K� rf jr_Ala/4":01-9#77.7W:10 i�. i il't 9 •. . ' tv 23 0) �� ����S1 .gt El /' Ci)...4 am f I'//� - j 3 w�� 3TC E.,- II1I Cyo o � _ x r n .1.1; to y I d'Onaten, '*-- .. Chimney e Services LLC - Box 828 Baltic,CT 06330it 1400 P.O. 440.3311 * (860)822- (860}887-8981 * (860) 234-0654 * Don's Cell(860) Fax(860)8224403Don's CS 6303 CSIA Certification# CT Lic# 508367 Date: o : To Whom it may concern, license number, permits using m}ed permission to sign for, and obtain pe r the sign proposal. Dionne Sergi)has e c pe customeL,as for jobs}to be completed for the foilowmg Name: ; L)1•3 • i_ Cr— I Address: Ix 1 1 r.. I You,Donald R. Arm '. •ng i 11 ' I'A 1F OF CONNECTICUT NI,k/UILI AI UI (.0\\I Uri? PRO!!( 1U)\ HOME IMPROVEMENT CONTRACTOR DONALD R ARMSTRONG PO BOX 828 f BALTIC,CT 06330-0828 -Y 'is'' v - .": LIC./ = •. N ' XPI- HI ; .1:s•,7 12 in , 1 • ...k: ���� SIGN ► e,A-(4.;4141,r i I