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2011 - Furnace Replacement
Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 15 Park Road Job Description: Replace Gas Furnace Permit Number(s) M2011-0166 Permit Date: November 1,2011 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Pressure test 11115/11 DJ • Final inspection and • • 11/15/11 DJ certificate of approval - **.\0 TE** After one re-inspection additional inspection fees payable prior to re-inspection.are as follows: Residential inspections(except SFR C/O& SFR Additions CIO)-510.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- 525.00 Commercial Certificate of Occupancy- $50.00 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 MECHANICAL PERMIT Permit Number: M2011-0166 Date: 01-Nov-11 Map/Lot: 097/036-000 __Owner ID: _______ 5357000 Project Location: 15 PARK ROAD Unit: Job Description: Replace Gas Furnace _ ____._______ ____.._..._ ---__-- — ----_— Owner Nam Warren F and Margaret A Bayreuther Tenant Name N/A _,_ . Careof: _._. _ _ 15 Park Road Oakdale__ ____..__ CT 06370- Telephone: (860)908-2467 _ _ Contractor Nam Rick Hatch Telephone: (860)848-9993 DBA: R.W.Heating LLC Lic/Reg Type Sl Lic/Reg No 303639 P.O.Box 97 Exp Date: 31-Aug-12 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC <.: Plumbing Value: S0.00 Plumbing Fee: S0.00 Code: 2005 State Building Code Mechanical Valu $4,000.00 Mechanical Fee $40.00 .... Electrical Value: S0.00 Electrical Fee: S0.00 Construction Type_IRCJ____ _ Total Value: $4,000.00 Penalty Fee: S0.00 Permit Code: R5 C of 0 Fee: $0,00 Comment Plan Review Fe $0.00 State Ed Fee: $1.04 Total Fee Paid: $41.04 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 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 n Certificate • ' •proval 011 I e fi = e of Occupancy Aorillr Building Official's Approval: ,, -- Town of Montville Building Department 310 Norwich-New London Tpke. Fax. 860-848-7231 Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 'Mc7�o/I—DILola Type of Work Occupancy Type Permit Type ❑ New ConstructionIngle Family 0 Building ❑Additi 0 Two-Family 0 Plumbin P-Aleration ❑Townhousec anical LI Accessory Structure 0 Electrical CRS#: Property Address: (N be? -%('K (Street) - (Unit) .` Job Description: ccO•c 'e �`Sk" 'r`' <<. S " 7vr CE gN0'`+.q F�P4.) '-.. 'v' G,-S -rvr,../Q C E Owner: -22:). \4-. 1 a yr e c114•42.r Address: S -t--c- C C6170 Tele hone(ebb )70P - -2.- 11 2 City: CS'�K,""%-k—z State: Zip Code: p 1 Applicant: <<_Kk- DBA: ' -(.t / , L ` 44,----,„.4 r C c`-'� �Address: 'F• C , )c ct 7 �r !� p/+�� City: �VC,, State: Ch Zip Coder 6 3 t&2 Telephone( lit 143/t_ 7 7 Contractors - Complete the Following: ?E)Y CExpiration Date: OP-- aC(Z License Type:S( License No.: 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 E3301.21 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: ile Date: (0 -3(' (/ Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: 400D5 5/p�0 0 Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: • Plan Review Fee: State Ed Fee: /-U Total Fee: Revised August 23,2007 lalitiCet 5 G1'114 n Ol'i /Cc-47 4 Town of Montville Building Department File Receipt Date: 31-Oct-11 Receipt No: 6924 Received From: R&W Heating Job Address: 15 Park Rd Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $41.04 Check/Card $1.04 Check No: 5083 Short/Over: $0.00 Constructio alue: -.4,000.00 i-moon Value: s•00 Received By Vernon D Vesey II cyeerielc Address: ITEM OTY 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 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ Basement - SF $ 12.41 $ - $ - $ - Crawl Space - SF 5 9.31 $ - $ - $ - 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 Y/N $ - Hot Water - 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 wdtfireplace EA $ 7,096.65 $ - Masonry w'2 fireplaces - EA $ 11,095.70 $ - - Wood Stove,free standing EA $ 2,692.25 $ - Woodstoveinsert - 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 $ - Inflatable Type Pool - EA $ 1,550.00 $ - SHEDS edo 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 $ 5.50 $ - - 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 S 4,000.00 TOTALS $ - $ - $ 4,000.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ - Mechanical y $ 4,000.00 $ 40.00 Electrical y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 1.04 TOTALS $ 4,000.00 $ 41.04 Figures are based on the 2006 RS Means Residential Cost Data 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. (C-- -?*11r ' 2- kr---•- Property Address CC....----Fe C..4 CSC) ✓N4 Job Description Required Department Permit Issuance Approval Approval II Tax Collector / ",(/ 0-c-y� / 0/3, / I 1 0 Signature/date Comments: t; • Planning &Zoning i 43 ill/ Signature/date Comments: /v ,--C ,A - ii Fire Marsh / ( � i� 1 Comments: N�L_ .wyu Li_ ,( Signature/date ❑ Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when proiect 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 parkin spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revise/May 23,2011