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Home My WebLink AboutBoiler 2005 Field Inspection Notice Town of Montville Building Department November 22, 2005 Address: 173 Park Ave. Ext. Job Description: Replacement Boiler Permit Number(s): M20050182 Permit Date: 11/10/05 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date BOILER 11/22/05 DJ CERTIFCATE OF 11/22/05 DJ COMPLETION Rev.Date: 10/18/05 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: M2005-0182 Date: 14-Nov-05 Map/Lot: 096/008-000 Owner ID: 5345000 Project Location: 173 PARK AVENUE EXTENSION Unit: Job Description: Replacement Boiler Owner Name: Bernard H and Elizabeth G Martell Tenant Name: N/A Careof: 173 Park Ave Ext Uncasville CT 06382- Telephone: Contractor Name: James Hickey Telephone: (860)271-2020 DBA: Lic/Reg Type: S1 Lic/Reg No: 303545 68 Melody Lane Exp Date: 31-Aug-06 Meriden Ct 06450- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $40.00 w/2004 Amendment $5,000.00 Mechanical Fee: Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $5,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.80 Total Fee: $40.80 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 0 Certificat: .f Approval Cate of Occupancy Building Official's Approval: 4. Town of Montville f Building Department Permit#47GD, - dteR 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville,CT 06382 Fax. 848-7231 One &Two Family Trades Permit Application Form OPlumding ['Electrical' Rrafecitanical -X-5leating Air Conditioning Gas Piping DOther Job Location 1 7 3 PPR k ,4 U C EX 7' Job Description/Materials a614, e 2 Rep L n c E' E A-JT Owner 0 A 2 r'g L (.. Mailing Address 17 ? ?A 2 e /9U E l_)(-7--- City (rCity U ti C ac ,f o f L L State C T Zip 0 CJc2 Tel C-66 / Ff`t E/ 17 Contractor T/ ES' kit C J Mailing Address 6'C--- 1-1."-e..6 b 4' C iu City /1E2 i /3 r / State C r Zip 664/S-0 Tel S6O /a 7r / 2Q ,20 Contractor's License/Registration Type&Numbers 13 C)3 S Y C. Exp.Date g /3/ / O,6 I hereby certify that the proposed work will conform to the Basic 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. Owner/Agent Signature Date AI' / /O S-. Or Construction Value Fee Building $ - $ Plumbing $ ..5-0 O O O> $ 4-/6, o U Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ +ro Total $ S-O 0 0 °% $ YO, c,0 4 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 1 7 3 PA)k ,gu i E)eT Property Address R-e pe, G i ve 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 -/ �� tic.,,g__ ii) q/o./ Signature!date ❑ WP CA Signature/date O Planning&Zoning Signature/date ❑ Health Department Signature!date ❑ Department of Public Works Signature,/date ❑ State Dept. of Transportation Signature/date ❑ Fire Marshal Signature/date Comments/Conditions: RvisedSeptember 9,2004 Town..of Montville Building Department File Receipt Date: 09-Nov-05 Receipt No: 831 Received From: James Hickey Job Address: 173 Park Ave. Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $40.80 Check: $0.80 Check No: 3112 Construction Value: $5,000.00 Demolition Value: $0.00 Received By Sandra Pandora % . . la * DDLC *PP. * ENERGY Your 4-Season Comfort Company Ektaig.,,,-'iltlagf i 1 I q i° (S--- .. 1 I,JAMES T.HICKEY GIVE MY REPRESENTATIVE KEVIN CAREY PERMISSION ON THIS DAY OF l / /g/ a 5-- TO SIGN AND.RECIEVE THE MECHANIC - - - - I PERMIT FOR THE JOB LISTED:BELOW. . FOR JOBS IN THE NAME OF DALH; DANIELSON,LEHIGH Cfl Y COAL,�C. ; =- 3iQf35--8 �.• . • i 7 ? ' ' /9 v E y r-- - . I • STATE. OF::CONNECTICUT .I • DEPARTMENT OF CONSUMER PROTECTION . 1 1 HEATING,PIPING&C QLiF;r CONTRACTOR ` °m�� ? of aY i J ~ I64E ,4Z . . . /- • 1 M DET, f O 451 i �. ; ii,„. �� LIC./REG NOS_„`vt ECTIV ,,,, EXPIRES 303545 oui a a� a :%60: ‘1� X88/31/2006 GENERAL MANA&ER ; -s I {SIGNED ,�2_�- Vis' ..,) i • jt ' •.��rf.,,,,P! 4., 9_,-- 1 .sir+ • -"sem • , °IJRtVEREtNSE: �:�r 242 }1500 .-/' a :