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HomeMy WebLinkAboutA/C in Existing Equipment 2012 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: M2012-0029 Date: 01-Mar-12 Map/Lot: 097/037-000 Owner ID: 5355000 Project Location: 11 PARK ROAD Unit: Job Description: Install Air Conditioning-"A"Coil in Existing Furnace Owner Nam Edgar Jr and Donna Prince Tenant Name N/A Careof: 11 Park Rd Oakdale CT 06370- Telephone: (860)848-7944 Contractor Nam Gutkowski Inc. Telephone: (860)229-8529- _ DBA: Lic/Reg Type S1,-_.._,_ Lic/Reg No 303207 620 East Main Street Exp Date: 31-Oct-12 New Britain CT 06051- 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 Valu $5,000.00 Mechanical Fee $50.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $5,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.30 Total Fee Paid: $51.30 It shall be the owners repsonsibility to schedule the followina 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 framin ❑ 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 .err ' ate of Occupancy _Buildin�Official's ApprovaL__� �� 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.: 1,1_ 'I -- 61D9 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family ❑Building ❑Odition ❑Two-Family 0 PiugibiRgi ❑Alteration ❑Townhousechanical ❑Accessory Structure 9 Electrical CRS#: Property Address: it Pc-4 r K Rai (Number) (Street) (Unit) t<r7 rr < -, - Job Description: - • .�. sme - F�..".4 Owner: E4�r Pr; I r� Address: 1 ( 'PQ' r I' 1-e City- 1 7 2 )4i-i. (f' State:e'.� Zip Code:n h J 7)5 Telephone - 7 " ki Applicant: , t3r., ) k-".c LT � 1.-,.2r DBA: 6-t�4Z Lc—k.f k: (... -;�,t42 1 1113_ [41'45' Address: 60.Z.) F-----42._-_,-- 4 I- l 2, .( ___:757 — City 4)- ) L3 c_-- m State: c-q- Zip Coder 5( Telephone( -8-502, Contractors - Complete the Following: License Type: _) - I License No.:3T'2,7=7? Expiration Date: l 2--< 3 r l Qc / !'; 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 N..0 as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in cha. -. 33 through 42 o"' e Residential Code. "Vr / _ Owner/Agent Signature: ` , ., Date: ollij 3 C) / a Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: 5 r. (---- F). Y_- C ' Mechanical Fee: J a •6 0 Electrical Value: Electrical Fee: Total Value: .S L != '' - c--:c.7-- Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: ) - 3 0 Total Fee: S Ia , 3C) Revised-August 23,2007 Town of Montville Building Department File Receipt Date: 29-Feb-12 Receipt No: 7189 Received From: Gutowski Inc. lob Address: 11 Park Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $51.30 Check/Card $1.30 Check No: 0 Short/Over: $0.00 Construction Value: $5,000.00 Demolition Value: $0.00 Received By Carmen Kneeland Cance M ��� " Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. n Property Address ( -IC . "A' Co E)<cS-4n r r1\G C� Job Description Required Department Permit Issuance Approval Approval • Tax Collector ©o, alaq v Signature/date Comments: Planning & Zoning a �� I2 Signature/date Comments: 1 • Fire Mars I 2i� _ Comments:� ( 7 _ C fly iqn e/dtite n Health Department Required for properties with private septic or well Comments: ---- (\(\--- ;'15C1A-1-----c-‘-( WPCA, Administrative a� a 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: ❑ State Dept. of Transportation 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 Review Complete Signature/date Revised May 23,2011 Pe rm ct- i nbo. g (Lr { STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING,&COOLING UNI.IMI FED CONTRACT BOGDAN,GUTOWSxi 620 E MAIN 5T NEW BRITAIN,CT 06051-2044 ,IRE No, .r" Iv EXPIRE HTG.0303207-51 09/01/2011 ` 08/31/2012 SIGNED Client#:24442 GUTOWINC ACORD,., CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG HOLDER. THISS 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be 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 CONTACT Gowrie Group NAME: PHONE 70 Essex Road (A/C, E-MAILo,E,q_860 399-5945 I tat,No): 860 399-3615 Westbrook, CT 06498 ADDRESS: 860 399-5945 INSURER(S)AFFORDING COVERAGE NAIC# INSURED - — -- INSURER A:Travelers Property& Casualty Gutowski Inc. INSURER a:Hartford Accident& Indemnity 620 East Main Street INSURER C: New Britain, CT 06051 INSURER 0: ;INSURER E: --�_-- --_- COVERAGES INSURER F: CERTIFICATE NUMBER: 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDLSUBRI POLICY EFF POLICY EXP----_ .-_------- - A --- LTR TYPE OF INSURANCE ----� INSR WVD POLICY NUMBER ,MWDD/YYYY) (MWDD/YYYY) LIMITS A GENERAL LIABILITY ----- I16809138M546TIL12 01/22/2012 01/22/2013 EACH OCCURRENCE - 51000,000 X COMMERCIAL GENERAL LIABILITY -- - Tp CLAIMS-MADE I X OCCUR I PREMISES(EaExcur encs) 5300,000 j MED EXP(Any one person)_ 55,000 i PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGG 52,000,000 POLICY —jECT LOC I A AUTOMOBILE LIABILITY S BA9139M75212SEL 01/22/2012 01/22/2013/E°ae�ItleOISINGLE LIMIT 31,000,000 X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) S __ AUTOS AUTOS 'BODILY INJURY Per accident S X HIRED AUTOS © NON-OWNED I— ( ) AUTOS PROPERTY DAMAGE S (Peraccident) A X UMBRELLA LIAB — — X occuR 1 CUP2331T5281242 — -- EXCESS LIAB 01/22/2012 01/22/2013 EACH OCCURRENCE _ x1,000,000 CLAIMS-MADE �`"'- AGGREGATE 51 000 DED XI RETENTIONS10000 i"— -- --- r yOOO B WORKERS COMPENSATION --_"—------ - -- ' AND EMPLOYERS'LIABILITY 02WECIU9940 01/22/2012 01/22/2013 WOAY i AiTMjTS X Tir- 5 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED', y N/q E.L.EACH ACCIDENT S500,000 (Mandatory in NH) If yes,deScrn under 'E.L.DISEASE-EA EMPLOYEE 5 _i DESCRIPTION OF OPERATIONS below - -- -- - ----.-.- E.L.DISEASE-POLICY OMIT s500,000500,000 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION EVIDENCE OF COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVEJTI 4 - C .a, /54,,.._41, ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S51579/M50114 SBD Short Form �� _ Entire House ei L- , Project Information For: j 1 F LrK Ca OaKda Design Information . Htg Cig Infiltration Outside db(°F) 0 90 Method Simplified Inside db(°F) 70 75 Construction quality • Average Design TD (°F) 70 15 Fireplaces 0 Daily range M Inside humidity(%) - 50 Moisture difference(gr/lb) - 23 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond Coil Efficiency 80 AFUE Efficiency 0 EER Heating input 0 Btuh Sensible cooling 0 Stun Heating output 0 Btuh Latent cooling 0 Stun Temperature rise 0 °F Total cooling ,... 0 Stun Actual air flow 1116 cfm Actual air flow 1116 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0.00 in H2O Static pressure I 0.00 in H2O Space thermostat Load sensible heat ratio ` 0.91 ROOM NAME Area Htg load Cig load Htg AVF Clg AVE (ft') (Btuh) (Stub) (cfm) (cfm) ranch 1152 47234 20865 1116 1116 side 0 0 0 0 0 Entire House d 1152 4.7234 20865 1116 1116 Other equip loads - 0 0 Equip @ 0.95 RSM 19822 Latent cooling 2106 TOTALS 1152 47234 21925 j 1116 1116 Bold italic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. ,y^ wr-tghtsc ft Ri¢hi.SuiteReaAen5ai5.9.52RSR32147 2009-A2.-.c73 ACC °:.\My OocumentstWtiphttott HVACtRanch.np Caic v MJ7 Onentattoa E N as c