HomeMy WebLinkAbout100 AMP Meter Change kie Field Inspection Notice
Town of Montville
Building Department
August 11, 2017
2016 Ct Building Code
Address: 185 Gay Hill Road
Job Description: 100 Amp Meter Change
Permit Number(s) E2017-0186 Permit Date: August 1,2017
Not Approved Ap.royal
INSPECTION Date: Deficiencies Special Date
Conditions
Ground rods •
8/11/17 DJ
Meter box 8/11/17 DJ
Final inspection and
certificate of approval • 8/11/17 DJ
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
ELECTRICAL PERMIT
Permit Number: E2017-0186 Date: 03-Aug-17 Map/Lot: 023/021-000 Owner ID: 2345000
Project Location: 185 GAY HILL ROAD Unit:
Job Description: 100 Amp Meter Change
Owner Nam Uncas Hill Property LLC Tenant Name N/A
Careof: Xian Dole
62 Justice Drive
Amherst MA 01002- Telephone: (917)930-3288
Applicant Name D.B. Lunt LLC Telephone: (860)213-6441
DBA: Lic/Reg Type El
Lic/Reg N 193866
475 Pond Road Exp Date: 30-Sep-17
Franklin CT 06254-
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: 2016 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
Electrical Value: $850.00 Electrical Fee: $30.00 Construction Type IRC
Total Value: $850.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.22
Total Fee Paid: $30.22
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 frami ❑ Electrical Service CRS No: n
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑d - ' ate of App al
O
■ Ce • . - ccupancy
Building Official's Approval: � -..wi _ _
Town of Montville
Building Department
1111 310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: f-, D1-7- atg(O
Type of Work Ogcupancy Type Permit Type
El New Construction Single Family ❑ Building
ICAddition 0 Two-Family ❑ Plumbing
Alteration 0 Townhouse UMechanical
0 Accessory Structure Electrical CRS#:
Property Address: /V--; &a y h i d t r d•
(Number) (Street) (Unit)
Job Description: /OO Am p Mvie,.' G 4ah\,-e'
Owner: Marla , Giaw
Address: 10 3 goe,ky Hill Rd
City: /IG.cL ley / State: M A Zip Code: bNCI3 S Telephone(43/7 )_,_30___ 3 2.-?g
Applicant: 0= B. 1._t.n-1- L-L c.
DBA:
Address: c 7 JJOh 'J / /`
City: /Far-G/4/m State: Cr Zip Code: (367 91 Telephone(gid )213 -L/
Contractors - Complete` the Following:
License Type: £ 7 License No.:o/%3 f?"‘‘b'/
� Expiration Date: ,/-?U//7
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
vpe it for such work as described above.
By checking this box, I will follow the requirements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code,
instead of the electrical requirements in chapters 34 through 43 of the Residential Code. /
Owner/Agent Signature: ".....--
G Date: 0/L//
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: c 1��
Electrical Fee: 30.CSD
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee: . a
Total Fee: Wac?
Revised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 02-Aua-17 ReceiptNo: 12520
Received From: D B I unt
Job Address: 185 Gay Hill Rd
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: 10.00 State Cash: $0.00
Bldg Check: 130.27 State Check: X0.77
Bldg Credit: 10.00 State Credit: 10.00
Fire Cash: I0.00
Fire Check: 10.00
Fire Credit: $0.00 Construction Value: $850.00
Demolition Value: V $0.00
CheckNo: 7537 /
Received By: Vernon D Vesey II /L -e' _-f"--,---4-7r
Court
ITEM QTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
Basement,Finished SF $ 41.96 $ - $ -
Interior Renovations SF $ 36.09 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom EA $ - $ -
Half-Bathroom EA $ - $
GARAGE
Detached SF $ 71.53 $ - $ -
MECHANICAL
Warm-Air n Y/N $ -
Hot Water n Y/N $ -
Electric n Y/N $ -
Air Conditioning n Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Subpanel EA $ 699.00 $ -
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 $ 44.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ - $ -
lnground Pool EA $ 31,550.00 $ - $ -
Above Ground Round EA $ 6,299.46 $ - $ -
Above Ground Oval EA $ 7,019.75 $ - $ -
Pool Heater EA $ 8,984.25 $ - $ -
Inflatable Type Pool EA $ 1,200.00 $ - $ -
SHEDS
w/o electrical SF $ 25.55 $ -
w/electrical SF $ 26.85 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.50 $ -
Roofing,Strip&reroof SF $ 4.50 $ -
Roof Sheathing SF $ 1.51 $ -
Siding SF $ 6.75 $ -
Windows EA $ 550.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS $ 850.00
Solar Install n
TOTALS $ - $ - $ - $ 850.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ -
Plumbing y $ - $
Mechanical y $ - $ -
Electrical y $ 850.00 $ 30.00
Plan Review Fee y $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.22
TOTALS $ 850.00 $ 30.22
Figures are based on the 2006 RS Means Residential Cost Data
08/02/2017 WED i:.: il FAX 860 996 1499
Chelsea Insurance 0001/001
DATC(MMIDDl )
Ac R D CERTIFICATE OF LIABILITY INSURANCE YYYYe,2�2o17
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must bo endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(S)-
PRODUCER NAM6AE CrSteve Dumont . _..-.
PRONE (860)886-1400 rFAR (860)80c-lags
Chelsea Insurance Agency LLC 1A14,19s.Entt_.__ - I
EMAIL Steve@aheleeaineurance,com
124 bloat Town Streit ADDRP$$t
IN 6URER(S)AFFORDING COVERAGE •
.. NAIC 8
Norwidh CT 06360 __— INSURERA:Main_Street America Aeeu_rance 29939
- 6333
INSURED INBURERn:Peerless Ind.mnity Ina Co._ .. -. .1.333__..
D.13. Lunt LLC INSURER C:Old.Doaninion Znsuranoe Co_ 40231
475 POND RD INSURER DI ... -
INSURER E ._ . --- . ... .. .
_NORTH SRANKLIN CT 06254-1104 MIRER': - -
COVERAGES CERTIFICATE NUMI3ER:CL1742507171 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
PR CONDITION
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THIS
CERT FICATENOTMAY�BESNQ ISSUEID OR MAY PERTAIN, THEANY REQUIREMENT, T INERM SURANCEAFFORDEOCONTRACT
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POLIICIES HEREIN S SUBJECT TO ALL THEI TERMS, .
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR' IADDL SUER I POLICY EFF POLICY EXP LIMITS
LTR 'TYPE OP INSURANCE INee vND I POLICY NUMBER .IMMIDDJYYYYI IMMIODIYYIY1,_
XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE d 2,000,000
"-.._ DAMAGE TO RENTED 500 000
A I CLAIMS•MADE j�OCCUR I PRt M18kS(lcflocvurnncs) 5
I�T33708 7/1/2017 7/1/201& MED EXP(Any ons porno) $ 10,000
_.._ _. ..... ..__ .-_. .. .
PERBONAL8,ADV INJURY i 2,000,000
GENERAL AGGREGATE b 4,000,000
OE 'L AGGREGATE LIMIT APPLIES PER'
PRO- PRODUCTS•COMP/QP AGG 4,000,000
OTHER:
X ! ICY', JECT I LOC DATAC $ 25,000
OTHER: I COME3;ID BINDLE UMI9 i 1,000,000
AUTOMOBILE LIABILITY (Ea.Q4944 1;)
BODILY INJURY(Psr per.D,) $
B _ ANY AUTO —'
AL
AUTOOVVNS EO X AUTOBULED 'm6892796 7/1/2017 7/1/2018 BODILY INJURY(Perecclden0 $
__ PERTY DAMAGE $
X HIRED AUTOS AUTOS AD (Psrecaidenl)
I BACEE $ 2,000
UMBRELLA LIAB ! OCCUR EACH OCCURRENCE _._.. . $
--
EXCESS LIAB '. CLAIMS-MADEAGGREGATE $ -
a
DED 1 RETENTION d _ TH-
WORKERS COMPENSATION R 67ATUTE ER
YIN
AND EMPLOYERS'LIABILITY E.L,EACH ACCIDENT 6 100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE i N
OFFICERIMEMBER EXCLUDED? f_...I IA
C (Mandatory In NH) WCT137011 7/1/2017 7/1/2018 E.L DISEASE-EA EMPLOYEE $ 100,0E:10
if yea,deacrlbe under E.L.DISEASE•POLICY LIMIT I 500,000
DRSCRIPTION OF OPERATIONS below
I '
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sonaduls,may he attached If more space le required)
Evidence of Ineuranoe for Osrtifioatta Holder
CERTIFICATE HOLDER CANCELLATION
(860)848-7231
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of Montville THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Christine ( GFSico/CF.M ��`��"K� �, ��e"
@ 1988-2014 ACORD CORPORATION. All rIghtA reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
INS02b(201401) '
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
/c 3 Coy i-l/ �.
Pro erty Address
/100 ii.,i) /V e f9- a)61 n q-ems
Job Description J
Required Department Permit Issuance Approval
Approval
• Tax Collector &41..-t-a�/r0I �1,�11 7
Signature/date
Comments:
® Fire Marshal ek/7
Signature/date
Comments:
❑ Planning & Zoning
Required for all permits except Signature/date
Plumbing, Electrical,Mechanical,Roofing,Siding.Windows&Doors
❑ Health Department
Required for properties with private septic or well Signature/date
Comments:
• WPCA, Administrative CAC-0-1Per Olay a $1-7/i7 (441;--)
Required for properties on sewer Signature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments: -
❑ Montville Police Department
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ Copy of State Dept. of Transportation Certificate
Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per
CGS 14-311
Signature/date
Building Department Final Inspection
Revised March 23,2015