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Home My WebLink AboutChimney 2006 Town of Montville Building Department Field Inspection Notice April 25, 2006 Address: 11 Pheasant Run Job Description: Install Insulated Chimney Permit Number(s): B2005-0404 Permit Date: Stainless Not Approved Approval Date: Deficiencies Special Conditions Date steel zero • clearance • 4/25/06 DJ CertificateNot Approved Approval Date: Deficiencies Special Conditions Date of • 4/25/06 DJ completion Rev.Date:814'05 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 BUILDING PERMIT Permit Number: 62005-0404 Date: 28-Ju115 Map/Lot: 028/005-020 Project Location: 11 Owner ID: 5459000 PHEASANT RUN Job Description: Install insulated chimney Unit: Owner Name: Bruce M Bechle Careof: Tenant Name: N/A 11 Pheasant Run Oakdale CT 06370- Telephone: --"-- Contractor Name: Armstrong Chimney Inc. Telephone: (860)234 0654 DBA: Lic/Reg Type: HIC Lic/Reg No: 508367 P.0. Box 217 Taftville a06380- _e Exp Date: 30-Nov-05 Construction Value Permit Fees Construction Information Building Value: $2,941.00 Building Fee: $24.00 Plumbing Value: Use Group: R 4 $0.00 Plumbing Fee: Mechanical Value: $0.00 Code: 1999 State Building Code $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Total Value: Construction Type: 5B $2,941.00_ Penalty Fee: $0.00_ $0.00 Permit Code: R4 C of 0 Fee: Comments: — Plan Review Fee: _ $0.00 State Ed Fee: $0.47 Total Fee: $24.47 I shall b• t • •wn•rs re.sonsibilit t• hedule the followin• i s.e ions a minimu of 2 business da sin .dvance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL_ ELECTRICAL PERMIT INSPE TIONS ❑ Footing-Prior to pouring concrete [1] Deck Piers ❑ R Plumbing and leak test ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench with conduit installed ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC _____ _____ ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping ❑ Insulation INSPECTION RE.UIRED PON C•MPLETION Certificate of Approval /y Alliell ❑ Certificate of Occupancy Building Official's Approval: Town of Montville Building Department File Receipt Date: 26-Jul-05 Receipt No: 448 Received From: Armstrong Chimney Services Job Address: 11 Pheasant Run & 106 Massachusetts Rd. Fees Collected State Educational Training Fee Cash: $0.00 Check: $65.24 Check: $1.24 Check No: 8638 Construction Value: $7,741.00 Demolition Value: $0.00 Received By Sandra Pandora _4,1,, ' Permit Fee Calculation Spreadsheet MISCELLANEOUS PE %57 Address: RMIT CALCULATION Pools& Spas Above Ground Round EA Above Ground Oval $ 3,200.00 $ Inflatable Pools EA $ 6,000.00 $ In Ground EA $ 1,000.00 $ Heater EA $ 20,700.00 $ Hot Tub EA $ 3,465.00 $ Roofing EA $ 5,250.00 $ Strip & Reroof SQ $ 350.00 Overlay -- SQ $ 250.00 $ $ Plywood Plumbing SQ $ 125.00 $ Full Bath EA $ 5,000.00 $ Half Bath EA $ 3,500.00 $ Garages Attached, 1 car EA $ 10,775.00 $ Attached, 2 car EA $ 18,600.00 $ Attached, 3 car EA $ 25,810.00 $ Detached, 1 car EA $ 13,850.00 $ Detached, 2 car EA $ 21,100.00 $ Detached, 3 car EA $ 28,350.00 $ Sheds SF $ 26.25 Sheds with Electrical $ SF $ 26.25 $ Electrical Service 100 Amp EA 5 825.00 $ 200 Amp EA $ 1,500.00 $ Siding SQ $ 600.00 Windows $ EA $ 445.00 $ Doors EA $ 625.00 Decks/Porches/Sunrooms $ Open SF $ 22.31 $ Covered SF $ 62.69 $ Enclosed SF $ 123.90 $ TOTAL BUILDING CONSTRUCTION COST $ PERMIT FEE CALCULATIONS Building $ Fee 2.941 $ 24.00 Plumbing $ $ Mechanical $ - $ Electrical $ - $ Work Commenced before permit issuance $ CO Fee $ Plan Review State Ed Fee $ 2,941 $ 0.47 Total Fees $ 24.47 <7' Based on 2003 RS Means Residential Cost Data --------:-.5f� 7/26/2005 ,' / `' , f I Town of Montville r ) Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit# i e (7` O 0 O ❑ .New Construction 0 Addition 'ACteration 0 Accessory Structure 41Singk Famity 0 Two-Tami&y 0 Townhouse Job Address PREA3A KT t itJ 0 ,A1...- a C}Q310 (Number) (Street) (Unit) Job Description IJ' - 1 kisot c c C ...AxcA3 LAN it Owner-,�( cc- j3 .0 rl-u; Mailing Address 1 P EJk R„tj City c---T),..„,- , State Cr Zip C� 39-0 Tel �S(.P0/L3G1/ Cnam Contractor j‘R.1>h oK Mailing Address \ . R C -Ro R 0..\-3,,,, , .J City ./I,A-F-n/ILLE. State C.1- Zip OtR3 0 Tel -7S6M-n -/ C v .., Contractor's License/Registration Type&Number 3 C 1 M P t2cs�lEtvtE►., Exp. Date I I /3c;/ Cf I hereby certify that the proposed work will conform to the Basic 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 autorh—ized to make application-for mi for such work as described above. Separate applications are required for electrical,plumbing,mechanical, etc. Owner/Agent Signature �6�u1kst .,_) Date 1 / ) / 0Th Construction Value Fee Building $ Q,94-1, . lot- $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See 4-verse side for additional-requirements) .cviseiSeptem6er9,2004 •z Town of Montville Building Department 848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL 1 1 --et-AEA>AtiT C K.Ni-,_- CT- CA..)3 Property Address 1 1)\15cALL I1J5WYCE.y) G o � L IJ€(L__ Job Description `J The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval ® Tax Collector �rc...� 7Az.(/o Signature/date WPCA '74 Signature/ date ❑ Planning&Zoning Signature/date ❑ Health Department Signature/date ❑ Department of Public Works Signature/date ❑ State Dept. of Transportation Signature/date— ❑ Fire Marshal Signature./date Comments/Conditions: ftviseiiSeptem6er9,2004 TA - 7B - 7C rN � State of Connecticut r N Workers' Compensation Commission DIRECTIONS 41•PE DIRECTIONS for FILING FORMS 7A, 7B and 7C w Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project. This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit,a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below)must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves, and attests that they will require proof of workers' compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers'Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/ Members of an LLC Form 6B-1 for employees who are Members of a Partnership S(tmatitAvve, Chimney Services LLC P.O. Box 217 Taftville, CT 06380-0217 (860) 887-8981 * (860) 440-3317 Proposal Don Cell (860)234-0654 * CT Lic# 508367 (860) 367-0225 7/5/2005 Mr. Bruce Bechle q iv/9'1O 7) 11 Pheasant Run Oakdale, CT 06370 Labor and material as needed to install a new insulated chimney on existing home. Price includ emove and disposal of the original ci thxiey,and any framing changes as needed-to eom-Tete the new installation. The existing furnace is to be connected to the chimney upon completing the installation. The new insulated chimney is to be a 6" inside diameter. Priced as follows: All materials needed to install the new chimney,chase cover, and connect furnace Labor to install new chimney, chase cover, and connect furnace Grand Total $ 2,941.67 Note: We accept Visa, Mastercard, Discover, & American Express for.your convenience.' All old and excess material to be removed, with complete work area left in original, neat condition. We propose to hereby furnish labor, equipment& materials, as specified above for the sum of: Two Thousand Nine Hundred Forty One & 67/100 dollars $ 2,941.67 Payment to be made as follows: 50% Deposit to order material Balance due in full upon completion Ct Registration#508367 Home Improvement Contractor Insurance Agency: SAVA Insurance Group LTD, 750 Broad St, Waterford, CT 06385 Starting date: .Starting date negotiable as o is wear related. All material to be as specified. All work to be completed in a workmanlike manner according to Authorized / � _ Standard practices. Any alteration from above specifications involving extra costs will be executed Signature Only upon written orders,and will become an extra charge over and above the proposal. All Agreements contingent upon strikes,accidents or delays beyond our control. Note:This proposal may be withdrawn by us if not accepte. • i 15 da s. Acceptance of Proposal—The above prices,specifications and Date of acceptance / f ZctE, conditions are satisfactory and are hereby accepted. You are authorized to do the ✓J `� work as specified. Payment will be made as outlined above. In the event of default Signatur ti s.C2� eg`, .moi, by buyer,buyer agrees to pay atl costs of collection,including reasonable attorneys fees In addition to other damages incurred by seller. Signature You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation on the reverse side for an explanation of this right. (Saturday is a legal business day in Connecticut) This instrument is based upon a Home Solicitation Sale,which sale is subject to the provisions of the Home Solicitation Sales Act. This instrument is not negotiable. li 1 rsr., i .-.i. g2 jggile) el." 1111111 cCD U1iDI oom O �n". x co g o ct 3 zn S 4 ?ii. a0 tD ar A P w 2: y t• 0 f. A tD m c 2 cc x -, O O V1 C „^� co w ' j r.� z cn co „y �• P. � (p Q ..r t 1 C . : \ \ it col , „, ,... N �° ` _1 L..� z5Sw C n as Y o 5 z1 r) ep �3Sy g. g y 9 ° a z a y 8- 6 .moi , O Z �� 2 (1 w. C g ug. ` y CL 00 S �p r �W r. lD ^: p� O .+ vi cr — — 0 0 r t9 (.7.. Q lag #4 p ..1 �, }p O !it � 2is is O. 0. 0 ..- . y ... K. OE..id s Nn s '+ to p. -ig C "" m t• 1 i (RC�p o gi � � a �y ►d O co �e i �C/cr �C'2l�J Aa�j to C/� a • • .l 5 O A O O (7 q. rr.. 07 co ti) Z A2 x >.0 ", Oi , gU :las 2 C3 N w V) C7 ... R g `l U4 b.r. cr. 11110 6 +0 VT, * .r oiEN ,,,o °2 2 0 a erI "/ ii7,4! 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I i J 0D471-17 I\:i # 1 ...I --4----N1 if i kl I✓= ® C itri \ ....... ) , HE f , , ,, \ Iti of A x QQ S *IP (/* CZ ,,> 0) 4) / ____ . ‘„, q ct:=-,0 \ i k*1 t/\`` zo { r { S .1 .. m / z3 �yyy� n il i 1 l 1i } { i 1 I i 1 he } 14 '1111110., t( ,,,,, $4\-=',...,- gr 14 / 44 0 I \ iso:In=M T3 z f5 • r � I -i- I t-- t` V '-ti .`r,t'' zf. Y' ,{ `'','S. fr -✓ t_'y ,trl1 j.-.li 4,.`-t t' .„0..;`r .%"rt.. {. � 1 ` ij r, %._ Pl.t1te�,•� . v , . %' •v,+r; --i".xir• :. yvr ,• •rv''m / . '1/4.4.'''':4* r< ' � Y • / ,. f " t t�J {rt1.v •�{�V✓? kG✓ \u{1 rrv , ,- v,i { . 5 t:„ , . 1 ; 1 , / . , '4'`r , ' STATE OF CONNECTICUT + DEPART11'IENT OF CONSUMER PROTECTION a--- e-„= Be it known that DONALD R ARMSTRONG = _ PO BOX 217 TAFTVILLE,`CT 06380-0217 t is certified by the Department of Consumer Protection as a registered HOME IMPROVEMENT CONTRACTOR Registration # 508367 _ '. ARMSTRONG MASONRY i = < Effective: 12/01/2004 : Expiration: 11/30/2005 ' •; ,.-.-it ,r,...0. -� < E x ,- Edwin R Rodriguez,Commissioner a Iglirl- iiE'' i I 'r .1 y,,, ?i$4rf ' ; - t tf R �S`b. 12;r4 .;..41-i---7 ! '�,�`��r `�.�f f✓ k. `,. /{ \... h ti J \ �, r q •,4 S:`• r tir ti P\ v ',..w Y x r .i ?.,.. '- .-+.. v ,,,�� a 'tib v✓ ti �,,.?.. `.' `,.-. ✓,j �i, �.. i. I:+ -/L�"••a1'4'. `,ii: "'•' iii�-k: I.`ak iJ�`':v .ri..:a: .✓2 •' /1 _ .ii.. .,it, �1:,�aaA3�il '<=% �' I �:+. �L I I .:,r 1 7/26/2005 8 :32 AM 9, 1-860-376-1904 001 ACORE CERTIFICATE OF LIABILITY INSURANCE 07/26/2 o PRODUCER (810)437-7282 FAX (860)447-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sava Insurance Group Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 750 Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterford, CT 06385 Diana Buscetto INSURERS AFFORDING COVERAGE NAIC# INSURED ARMSTRONG CHIMNEY SERVICES, LL INSURER A. PEERLESS INSURANCE PO BOX 217 NSAERB EXCELSIOR INSURANCE 11045 TAFTVILLE, CT 06380 NSURERC. PEERLESS INSURANCE COMPANY 24198 INSURER D. INSURER£- ... I — COVERAGES 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 POLIUES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRIADD'L � �Y NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR jNSRD _ IRATE(MMIDD YYI DATE(MMIDDFYYI GENERAL,-MBILITY CBP9860045 06/24/2005 06/24/2006 EACHOCCLRRENCE $ 1,000,000 DAMAGE TO RENTED S 200 000 X COMMERI�ISL GENERAL LMBLtfY PREMLSES(Ea orwence) ICLAIM5MAOE I X OCCUR MED EXP(Any one person) $ 10 000 A PERSONAL&ADV INJURY 5 1,000,000 GENERAL AGGREGATE S 2,000,000 GENU AGGREGATE LME APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,000 POLICY t0 n LOC AUTOMOBILELIABILrtY BA9869241 06/24/2005 06/24/2006 coMeu,DSwGLEtJMIr : X ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S B HRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pet acadena) $ PROPERTY DAMAGE $ (Per°cadent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY AGO. $ EXCESSAJMBRELLALIABITVY CU9860645 06/24/2005 06/24/2006 EACHOCCLRRENCE $ 1,000,000 7X1 OCCUR . n CLAIMS MADE AGGREGATE 5 1,000,000 i C $ DEDUCTIBLE g X RETENTION $ 10,000 S WORKERS COMPENSATION AND WC9908021 10/01/2004 10/01/2005 X I c STA U- OTH EMPLOYERS'LIABILITY R A ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT s 500,000 OFFICERRv1EMBER EXCLUDED? E L.DISEASE-EA EMPLOYEE $ 5 00,000 (yes,describe under SPECIALPROVISIONSbeim EL.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES H EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS chimney cleaning CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town of Mont viii e OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES Building inspector AUTHORIZED REPRESENTATIVE 1.011..",. � n Diana Buscetto/DUB 1.1) � �q ACORD 25(2001/08) FAX: (860)376-1904 ®ACORD CORPORATION 1988 J4,14614-ore, Chimney Services LLC P.O. Box 217 Taftville, CT 06380-0217 (860) 887-8981 * (860)440-3317 * Fax (860) 859-3212 CT Lic# 508367 Date: _ To Whom it may concern, Dionne Sergiy has my permission to sign for, and obtain permits,using my license number, for job(s)to be completed for the following Customer,as per the signed proposal. Name: ��,�-�c k \NI t+1 Address: IND 's,-,Arc4�{ at'S'Rn (t PrkFf'tS°tfl1T 2 .�Cr ,CA- 1A-m- r o�3 T - . You, Donald strong