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Home My WebLink AboutFurnace Replacement 2014 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 24 Pennsylvania Avenue Job Description: Replace Gas Furnace Permit Number(s) M2014-0164 Permit Date: October 20,2014 Not Approved jrova' INSPECTION Date: Comments Snocial Dat( Final inspection and (2/01/14 VV certificate of approval After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- S25.00 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: M2014=0164_ _ _ Date: 20 Qctd_4._Map/Lot:_0.93/009_000 __ Owner ID: 5397000 Project Location: 24 PENNSYLVANIA AVENUE Unit: Job Description: Replace Gas Furnace `- Owner Nam ,ieffre_v l_ancL8nita_MLD_uQan Tenant Name_N/A Careof: 24 Penn Ave — -- Osxkkddo_le _CT _063.71 Telephone: C860)608,389:I Applicant Name Properfv_Owner Telephone: DBA: — Lic/Reg Type Lic/Reg N Exp Date: Cnostnuctio2Ynl_to —e- PArmit Faac — Constr motion Infor n_ finn Building Value: S0,00 Building Fee: SOLO__ Use Group: IRC Plumbing Value: S0,00__ Plumbing Fee: so oc Code: 2005 State Building Code Mechanical Valu S5.200,00 Mechanical Fe Electrical Value: S0,00 Electrical Fee: S0,00_ Construction Type IRC Total Value: 55.200.00 Penalty Fee: SD_00_ Permit Code: R5 C of 0 Fee: SOM_ Comment Plan Review Fe mon State Ed Fee: S1.35 Total Fee Paid: 573.35 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 O Concrete Slab-Prior to pouring concrete ❑ Pool Bonding O Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: ❑ Framing 0 R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble �/❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation n Certificate o Approval Cel ate of Occupancy • 13uktina_OfficiaBiSoorov_al; — --- — -- ----- 10WU Ul Iv1UJ1LV MU--- - - - Buildinq 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.:(Ylrt.) I+-0144 Type of Work Occupancy Type Permit Type El New Construction ❑Single Family 0 Building 0 Addition ❑Two-Family al Plumbing 0 Alteration 0 Townhousetri Mechanical 0 Accessory Structure ❑Electrical CRS#: Property Address: 4--1 "MO ►JS kVic1� ��1 oa :�P�e Ck 0(01370 1Fs''.� =i (Number) (Street) ( nit) •7s. Job Description: t---Q-OkL_V G I's 5 \—t-; A N Owner: e_S-4 Address: l Ly 7Q't.iNS y\d 40..)\ 1\V City: ��a�(,�Aft' State: C c Zip Code: 0(03 7 v Telephone( (uD ) ( 0F=- 5 9 Applicant: DBA: Address: City: State: Zip Code: Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration Date: 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 E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature- Date: to/tT(2°11 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: - Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Vvised fiugtut 23,2007 Town of Montville Building Department Bank Card File Receipt Date: 17-Oct-14 Receipt No: 5414 Received From: Jeffrey J. Dugan Job Address: 24 Pennsylvania Ave Fees Collected State Educational Training Fee Bank Card $73.35 Bank Card $1.35 Short/Over: $0.00 Construction Value: $5,200.00 Demolition Value: $0.00 Received By Carmen Kneeland Address: 24 Pennsylvania Avenue 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 $ - Masonryw/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 $ - $ Inground 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 $ 5,200.00 TOTALS $ - $ - $ 5,200.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ - Mechanical y $ 5,200.00 $ 72.00 Electrical y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ Plan Review Fee $ - State Education Fee $ 1.35 TOTALS $ 5,200.00 $ 73.35 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut CSk Workers' Compensation Commission } ix ZI/I•1.27_" j Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT cc Name of Applicant for Building Permit J Q-c-C+C C. 1 � Property located at 2 ` N5y L t i r A 'Lie in the City/Town of VQ�cC1/21AX e `T O i37c ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: 4 Qi I am the OWNER of the above-named property.I WILL NOT act as the general cot itractor or principal employer. Signature of OWNER Applicant- • U I am the SOLE PROPRIE_I OR of a business doing work at the above-named property.I WILL NOT act as the general co.lb actor or principal employer. Name of Business Federal Employer ID€(FEIN) Signature of SOLE PROPRIE I OR Applicant 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. )L) Pe 1p- - olc-._ A► t Property Addiess Job Description Required Department Approval Permit Issuance Approval 1 Tax Collector / o , 7// Signature/date Comments: ' Planning & Zoning /cJ/jY /y Signature/date Comments: Fire Marshal lU/ /y Signature/da t� Comments: ❑ Health Department Required for properties with private septic or well Comments: /� ® Z,\ WPCA, Administrative Required for properties on sewer c Signatu /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 7teuised May 23,2011