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HomeMy WebLinkAboutFurnace 2016 Field Inspection Notice Town of Montville Building Department 860-848-6782,Ext.782 Address: 42 Pennsylvania Avenue Job Description: Replace Furnace Permit Number(s) M2016-0019 Permit Date: February 16,2016 Not Approved Ap•royal INSPECTION Date: Comments Special Date Conditions • Final inspection for • • 02/16/16 VV certificate of approval **VOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR CIO&SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Rev.Date: 1/18/06 Pepe 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: M2016-0019 Date: 23-Feb-16 Map/Lot: 092/164-000 Owner ID: 5405000 Project Location: 42 PENNSYLVANIA AVENUE Unit: Job Description: Install Replacement Furnace Owner Nam John G and Elizabeth W Hayden Tenant Name N/A Careof: 42 Penn Ave Oakdale CT 06370- Telephone: Applicant Name Curries Plumbing,Heating&Cooling Telephone: (860)859-3533 DBA: Lic/Reg Type Sl Lic/Reg N 303434 P.O.Box 63 Exp Date: 31-Aug-16 Oakdale CT 06370- 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 $4,995.00 Mechanical Fe $60.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $4,995.00 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: $61.30 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: o ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of_,.proval i-Ce 'fi/. - of Occupancy Building Official's Approval: ' s_ 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.: (YV- Ol -Oris Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family 0 Building El Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: ' P►J nSk.. I f C1 ►'11 c 1,41 (Number) Street) (Unit) Job Description: 1-n 31--C U I p)CI Cr 11"-e 11 i Ur�C1 C� Owner: �� 1'1 N 0 y �r�,/�! Address: � pe City: CA K da State:0_t Zip Code:O )0 Telephone(11673 ) Applicant: C >r v f S I) j C DBA: Address: pc) ff City: 3 U kdCi L State: C I Zip Code: J L .") 3 Telephone(C-(41:0 )c(S(- S 3 3 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. 611% Oel , � ��� Owner/Agent Signature: Date: , Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: -)9qs. -3" Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: 4Zyvised August 23,2007 Town of Montville Building Department File Receipt Date: ReceiptNo: 11107 Received From: • Job Address: 42 Pennsulvania Ave State of onn cri F oll ctei Bldg Cash: 0 00 State Cash: $0.00 Bldg Check: X67 0 State Check: $1 0 Bldg Credit: 00 State Credit: 00 Fire Cash: _it0 00 Fire Check: 00 Fire Credit: 0 00 Construction Value: 4g 00 CheckNo: Demolition Value: 11117 Received By: Vernon D Vesey II �/ _ _ Address: 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 $ 4,995.00 TOTALS $ - $ - $ 4,995.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 4,995.00 $ 60.00 Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.30 TOTALS $ 4,995.00 $ 61.30 Figures are based on the 2006 RS Means Residential Cost Data Currie's Plumbing, Heating, & Cooling,g, Inc. To Whom It May Concern, Crystol Hanson will be my agent to pull a permit for the following: Name: h lia Address: L]), Pc n ociy tvcm � Job: -Ln 1 a-{,10119 CRINint co( My licenses are Si 0303434 and P1 0204570. You can reach me at (860) 859-3533 if you have any questions. Sincerely, illeMOMPIP Paul R. Currie 627 Route 82 #9 P.O. Box 63 Oakdale CT. 06370 , . Be it known that i 4. _...,., 01,, :. 116 OXOBOXO CROSS RD 1.4.:',:- 4: has been certineu by the Department of Consumer Protection as a licen,--,ed 1.k4-1 HEATING, PIPING & COOLING UNLIMITED CONTRACTOR '-- '14i ! Expiration: 08/31/2016 0.\11---- It.,:x!-,1,e.:1;.:'-i;;1!:. ' .-----""411 CURRPH&-01 LMILLER .4coRr,- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) /ileame.''--- 7/6/2015 • 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 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). T•RODUCER CONTACT NAME: Beitey Agencies,Inc. PHONE FAX .5 Thames Street,Suite 100 (A/c,No,Eat):(860)446-8255 (A/C,No): (860)448-1608 Groton,CT 06340 A ADDDRDR ESS: INSURER(S)AFFORDING COVERAGE NAIC E INSURER A:Hartford Casualty Ins. Co. 29424 -.SURED - INSURER B: Currie's Plumbing Heating&Cooling, Inc. INSURER C: P.0. Box 63 627 RT.82 INSURER D: Oakdale. CT 06370 INSURER E: __ _ ____ INSURER F: COVERAGES 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 .NDiCATED. 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. :NSR ADDL.SUBR POLICY EFF POLICY EXP QTR- —. —,TYPE OF INSURANCE -- ---INSD_WVD __ POLICY_NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY — EACH OCCURRENCE $ 1,000,000i CLAIMS-MADE X OCCUR 02SBATU5118 07/01/2015 07/01/2016 DAMAGE7ORENTED PREMISES(Ea occurrence) 5 1,006,0001 MED EXP(Any one person) $ 10,006, PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT.APPLIES PER: GENERAL AGGREGATE $ 2,000,006 POLICY PECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OOTHER: $ ..AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000' A X ANYAUTO 02UECAX8656 07/01/2015 07/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE. S DED RETENTION$ S WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY Y 1 N X STATUTE ER A -.\Y PROPRIETOR/PARTNER/EXECUTIVE - 02WECCT5872 07/01/2015 07/01/2016 El.EACH ACCIDENT s 500.000 OFFICER/MEMBER EXCLUDED? N.A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 500.000 !?yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00C A Business Owners Poli 02SBATU5118 07/01/2015 07/01/2016 Umbrella 1,000,00C DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance for Currie's Plumbing Heating&Cooling,Inc. GERT(FICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Currie's Plumbing Heating&Cooling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box E'. ACCORDANCE WITH THE POLICY PROVISIONS. 627 Route 82 __ Oakdale,CT 06370 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 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. Ln n3 Property Address Y� S-611) ) 4çi c,t' mold Job Description Required Approval Department Permit Issuance Approval Tax Collector � �F>/Z rz < Comments: /� Signatur,;;771Z/4)to Planning & Zoning Gs 4_ c I 1 Z I l a Signature/date Comments: 1111 Fire Marshal Comments: / ,� j j !�� Signature/date Lc-k4/ 1 ���ttt l I ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative , _ ST uired for properties on sewer eqSignature/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