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HomeMy WebLinkAboutFurnace Replacement 2004 i Town of Montville Building Department Field Inspection Notice i Address: 7 Park Road Job Description: Furnace Permit Numbers:M2004-0216 ,::,i, Boiler Not Approved: 10/28/04 Approved: 10/29/04 replacement Comments: 1. Seal chimney connection Not Approved: Approved: Comments: 1. Certificate of Not Approved: Approved: 10/29/04 Completion Comments: 1. t Comments: t 1 2: C' i i 5 9 9 f F 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: B2004-0216 Date: 18-Oct-04 Map/Lot: 097/038-000 Owner ID: 5353000 Project Location: 7 PARK ROAD Unit: Job Description: Replacement Furnace Owner Name: Alfred D and Jeanette R Nixie Tenant Name: N/A Careof: 7 Park Rd Oakdale CT 06370- Telephone: Contractor Name: Curries Plumbing,Heating&Cooling Telephone: (860)859-3533 DBA: Lic/Reg Type: S1 Lic/Reg No: 303434 P.0. Box 63 Exp Date: 31-Aug-05 Oakdale Ct 06370- 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: $3,495.00 Mechanical Fee: $32.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $3,495.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.56 Total Fee: $32.56 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. ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill-Footing drains and waterproofing ❑ R Electrical ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench-with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping ❑d Final Inspection ❑ Insulation ❑ Certificate of Occupancy Building Official's Approval: / Town of Montville rr Building Department 1164114filviliie 310 Norwich-New London Tpke. ' Tel. 848-3030,Ext 382 Uncasville,CT 06382 hwurLoPre Residential Trades Permit Applicatioi Permit# ,/�f,,,0 -0 CC ...,, ❑AimBing ❑Electrical ❑Itechanica CRS # L/,-Ceatini Mk" Air Cori Gas 1P ,p7�,/ v� trtgle Family ❑ Two-Family ❑ Townhouse Job Address ler) 2)'Z_A� � ��'( treet) (Unit) Job Description ' ' 'l ' v - _ imp, 4–... Owner 71-7/�'►,QC/ /th X J -12- Mailing Address j- .04.-2-'---(;2.— City State Zip Tel / / Contractor &,-v t c5 9 i-4c YC'_ Mailing Address 10 /3d)C 6 3 City )/$1g,, 14? d_r— State Czip 06 3 7d Tel 'J 1/ 3-'313 Contractor's License Type&Number zf a-2OV4 1 /30Y3Y Exp. Date D 1 ?// 9 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. /TD AIN! Owner/Agent Signature 1/4.....„. Date / / C, Construction Value Fee Plumbin: $ 3 Y9b $ a- ' $ $ lectrical $ $ Plan Review Fee $ State Education $ 0. 51 Total $ s, )1 95-- $ 3 2 C (Complete reverse side) Revised' 9,2004 Town of Montville CONSTRUCTION PERMIT APPROVAL 7 i?9, © '/g-E 5)- (7) 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 A royal Department Permit Issuance Approval PP Tax Collector 314- A(0 .,.Q_ c//do I o Suznatur'/ date x/41/ WPCA • P Signature'date ❑ Planning& Zoning Signature/date ❑ Health Department Sii*nnture/date ❑ Fire Marshal Signature/date Comments/Conditions: WevnseISeptemfer9,2004 • STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING UN1JMITED CONTRACTOR S1 . PAUL R CURB SR 116 OXOBOXO CROSSM.D 1 OAKDALE,CT 06370 Liidi RICtt. U34�4C cf; qtN SIGNED -- f) • • FROM : PHONE NO. : OCT. 12 2004 01:46PM P1 • CURRIES'PLUM 1NGATft &COOLING, NC: PM.BOX 63 OAKDAJ:E, CI' 06370 F -25.353B FAX#1160-85S22,402, Pr-3o 4,34,sr-2o4570 DAA: i . CON 'ANY: l ��a, 7 vn cf el712?a.fl p FAN:#: -7,Q • SSIXEC : 71. '1)7.4 ir.3[-t it (R- /1- G o. - 7tdC'C' et-A-4,4? —_77/1 C TOTAL PACS S *WCLUDINGcovE .PAM 7-1.4--)C) w , a&e co e RCERTIFICATE OF LIABILITY INSURANCE DLL DaTi f°""r4` uOBB 09-3 -2004 >;�.C M n A mro,-• - j TI!I$i:�t TfFI ATE =cj �{��cG, `` Ass pp f TGT �i'x Cl".'''' BPS t .4-TIES INS GROUT, T T f P.U.S UNLY RNLI l Nhtli, IVLT (U�15 UI S tot L1 1«jLA� I HOLDER. THIS CERTIFfCATEDOES NOT AMEND,. EXTEND DR NEWHARTFORDMIDDIIENZ30 SETTLEMENT 308-5459 l ALTERTf-1ECOVERAGEAFFORDEDBYTHEI?OLtCIESBELUbV: " • ( ) { 4401 M'r D�7LE ROAD T 3 tiktSLJR'_rR'S AFrv?sl?fNt'a CCltr'><RAGE hsurcv yy wsURCR A:g14:'tiOrd PAA11,41.t,'y' Tris Co PAUL CCTRRIS' DBA L''URRtES PL'ilfiBrNG I 11429R e: Frartfard Underwriters Ens Co iiEATILIG 6 COO 4INilmert9:T_ win Cit,. Fire Ins CO -- -- PO BOX b3 iI witSt.RL7r 1' 41�3CDALE CT_06370 liJJ tNvTew.: _. . , COVFRAGFS -- ; 'IIli' POLICIE4 U}- INSUHANC:E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITI ISTANOINC At'N 4L(QSyMIN eAJT.1;c2AM OH CiiASi.)11 IOtS OF ANY 7At4TR.A%7 OR OTIJet,'A OOCO1VttNI Ltili'1'r4 RESPECS TO L,..WiIt- THIS VERT IFICA i E 141A1f SE ISSUED OR MAY PERI AfN. I HE INSURANCE AFFORDED (3Y T>;E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH PL7•S:IL'1ES.AGISR'{EGATt L11VISrS 5HC3v4iN 6A-Ay HAW BEM REDUCED BY PAID CLAIMS. ersitr- - _ g"1-1,t __-._.__ -_ ... . ......._.. . ....__.. { 7'A TYPE JF1NSUkik74C;F PU2IGY NUMBER j 4,4'rrtE rfifk Y.{ Y EXP/NAT4Ge , • tiaJssr•e.JrsarG:rr t EACH CSCCLeRt7VCE �s i, 0v , 4?OQ A y is I ICOMNIERCIAIGEN@RAI.UABIUTY 02 SBA TF2658 ': 07/05/04107/05/05I1=IaEoAMAt3EtAatya,e,,tai 4x300, 000 E. J i 11 CL41MS MAOF OCCUR I MELT EX JAtiv AR0 yCJ80tii ;10,. 000til LA j Busin .4 ess_ .a•b PVISONALaAEA/INJURY I s1, 000, 000 € --! ---- !GENERALEAGcuEo.nTE.� 0 s 0 0 0 0 0 I vFN't.AGGRGATE LIMIT APP tS PER; ' I_P_RODUCTS-COMP/OP AGC ;s 2 O 0 O pop. put ti:v X PftU- I .._._ ---._.L.._.___J._ ..., . ' JRI:T _Lot,: mats,e4,'Jtdlorr .Airsaai-.AU'E U -.^ Q—.�..^,..••••M.,y•'•••'• 1 {CM/MINED SINGLE UMIT ;�1, 0 O Q 000 �.. 2. UEC UF1454 47/05/04 .07/05/05 ,4E4n"a4 ' _, ' i ALL OWNED AUTOS ~ I SCHEC'xJLEO AUI'GS i f I IpmspecAar� •I s X:HIRED AUTOS i i•_-+ I ,amiLY INJURY X;NON OWNED AUTOS i !Rpm aons6esa1 6 .. I i PROPERTY DAMAGE4 S i---,AGEc7hSJUTY I r Auto ONLY•EA ACCIDENT $OA I ()THENTHAN - ;. I AUTOONLY: ACiT ti !E�}TcrssL/A t1YY l EACH OCCURRENCE .141, 000, 000 A ! X occuH u cLAIVINMOCe. 02 SBA TF2658 i 07/05/04 07/05/051 l AGors,:csATE .1 , 000, 000 , Uwuc i tf#R E - s ._.. —- ... X rtrtrturI-$4 x10,000 — _ f I r ii � s 6alaaurtr".xw•uwc�.sta.•.rroi' 1 , §T`wi"v"•"�' flTH-? I C (MQMIDYFRA'/,M9AlTY �-1 L9ltY ATI I X..I.FR..;-- -. cc - I 02 WEC PD351.5 107/05/04107/05/051sL,. .cHAerJ LAY ,:500,000 t Ce..LraLleo_r-.EA ALOxtrI $50_000 , i GINEN _ iEl. DISEASE•POLICY UMIT '18500, 000 k... I: t I It p .t}.r.F...RN.IIQL: aYtif:r.ti'[as!bY.'.Y;:�-C.1s:8•sL4' d�Dt5•t4:1L:CC271 '.E01r,L'S`JV'f, tkL,tlTiiL',:Eri.'fltl9bf"-O{Rf!c 1. Those usual to the Insured ' s Operations, I LEI I IIICAI E HOLDER X i AcorTlONAL lAG4uRGa:JrJ.surturL[TT1GR.• _a_ CANCELLATION 'SHOULD ANY OF I HE ABOVE UECHIB.EO POLICIES BECANCEI.LED RFFORF THE .Y.PinATvairt DATE.741,EREOF,THE ISSli4NG INSUP R WILL ENDEAVOR TO MAS. TOWN OF MONTVILLE 30 DAYS WRITTEN NOTICE On DAYS FOR NON-PAYMENTI TO THE GER rIFIGAIE q` ATTN: BUILDING DEPT -IULUER-NAM&() CO IRKE ctr i', aur-,tILufE DY IYtl SO stI1I L 1M1 Ose NO OBLAJATION OR LIABILITY 01 ANY KIND UPON TI•tF INSURER, 1T.S AGENTS UR Sr 310 NORWICH-NEW LONDON RD IREPRESENTATIVES 0W ASV1:r,LE, C'T 06 382 ..... Aram:Awn Rft7kSENr,. . SL , o • a ri r,nr\ r.nsysns.1 riTsr'iht 101-Jr, Zd 14:14.17:TO 1,00Z ZT '.LD0 : 'ON BNOHd : WOE Town of Montville Building Department Receipt Date ///er/fit / No. 04371 From: ✓ i.lam - . Ar �• r Job Address: Amount $ �� . Cash .irc _ Check # // / Received b ' /ice :i lr//_'��,,►j� Permit # �'1' V-00.216