HomeMy WebLinkAboutBoiler 2017 4
Field Inspection Notice
Town of Montville
Building Department
September 6, 2017
2016 Ct Building Code
Address: 80 Lake Drive
Job Description: Install Boiler
Permit Number(s) M2017-0145 Permit Date: August 17,2017
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
• The former wood stove connection must be •
Chimney service 8/18/17 DJ permanently removed from the chimney.The thimble
must be removed and the hole filled with masonry. 9/1/17 DJ
•
Plumbing •
8/18/17 DJ
Electric • 8/18/17 DJ
Final inspection and •
certificate of approval 9/1/17 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
MECHANICAL PERMIT
Permit Number: M2017-0145 Date: 17-Aug-17 Map/Lot: 108/196-000 Owner ID: 3317000
Project Location: 80 LAKE DRIVE Unit:
Job Description: Install Used Boiler
Owner Nam Peter J and Patricia S Wagner Tenant Name N/A
Careof:
80 Lake Drive
Oakdale ,CT 06370- Telephone: (860)859-2236
Applicant Name Property Owner Telephone:
DBA: Lic/Reg Type
Lic/Reg N 0
Exp Date:
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 $1,400.00 Mechanical Fe $30.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC
Total Value: $1,400.00 Penalty Fee:
$0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.36
Total Fee Paid: $30.36
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: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation 0 Certificate of Approval
❑ Certificate of Occupancy
Building Official's Approval: `"4 /.1 /4
t ,—
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.: Pit au _p145
Type of Work O cupancy Type Permit Type
❑New Construction Single Family ❑ Building
❑Addition ❑Two-Family QI Plumbing
1PAlteration 0 Townhouse Mechanical
❑Accessory Structure 0 Electrical CRS#:
Property Address: '& L-Ct C IC.
(Number) (Street) (Unit)
Job Description: b 1 I r e j-
Owner: ' •
Address: ' oct
City: ()VIP Q S o t lie State: j) Zip Code: 3 p,. Telephone 9f,C0 g- ! - 72 3
Applicant: --A(j)i
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 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code,
instead of the electrical requirements in chapt through 43 of the Residential Code.
Owner/Agent Signature: Date:
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: PCO Mechanical Fee: 3D.06
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee: 3(p
Total Fee: 36.3(c
Revise{August 23,2007
Town of Montville
Building Department
File Receipt
Date: 16 Aua 17 ReceiptNo: 12565
Received From: Pat Waaner
Job Address: 80 Lake Drive
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: 130.36 State Cash:
$0.36
Bldg Check: 10.00 State Check:
X0.00
Bldg Credit: 10.00 State Credit:
$0.00
Fire Cash: 10.00
Fire Check: $0.00
Fire Credit: g0 00 Construction Value: t1 400.00
Demolition Value: 10.00
CheckNo: 0
Received By: Carmen Kneeland P(^k./1 t y kp\ A(1 1.4(-4
Court 80 Lake Road
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 $ - $ _
ngraund 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 $ 1,400.00
Solar Install n
TOTALS $ - $ - $ 1,400.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ _
Plumbing y $ - $
Mechanical y $ 1,400.00 $ 30.00
Electrical y $ - $
Plan Review Fee y $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.36
TOTALS $ 1,400.00 $ 30.36
Figures are based on the 2006 RS Means Residential Cost Data
� 7A
��•vr
State of Connecticut N
..,.. ,:„.
L. ... _) Workers' Compensation Commission
���%�. Please TYPE or PRINT IN INK cc
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
r.
Name of Applicant for Building Permit :----e64--e.<-
�/4VFc (..i }Y
Property located at 'Fr) ► itr2 ir,)-_
in the City/Town of -0- ( ,37D
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:
I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
tyr... 11 :k.?-9
Signature of OWNER Applica - _.___.. Op-Q.7.--
❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant
•
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Ori /e -
Property Address
Job Description
Required
Department
Approval ' Permit Issuance Approval
V Tax Collector
Signature/date
Comments:
® ✓ Fire Marshal (f%)( t�
I f '`l' Signat - date
Comments: L__6
411
❑ 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 Nt/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:
❑ 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