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HomeMy WebLinkAbout50 Gal. Water Heater 2011 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 22 Pheasant Run Job Description: 50 Gal Water Heater Permit Number(s) M2011-0022 Permit Date: February 16,2011 Not Approved Approval INSPECTION Date Deficiencies Special Date Conditions • • • Final inspection and • • certificate of approval 2/25111 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: M2011-0022 Date: 16-Feb-11 Map/Lot: 028/005-060 Owner ID: 5464000 Project Location: 22 PHEASANT RUN Unit: Job Description: Replace 50 Gal.Water Heater Owner Nam Patricia L Benda Tenant Name N/A Careof: 22 Pheasant Run Oakdale CT 06370- Telephone: Contractor Nam Curries Plumbing&Heating Telephone: (860)859-3533 DBA: Uc/Reg Type S1 Lic/Reg No 303434 P.O. Box 63 Exp Date: 31-Aug-11 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 $895.00 Mechanical Fee $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $895.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: 30.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.14 Total Fee Paid: $8.14 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-Fooling 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 © Certificate of :,.proval ■ .-rti' .� - of Occupancy Building Official's Approval: �� ✓ / r 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.:Type of 1rork Occuaancy Tvpe Permig Tvpe ❑New Construction ❑Single Family '--'—"— ❑Addition ❑P 0 Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: 22- P n (Number) (Street) Job Description: 50 • g t (Unit) Owner: PO 42 4 Address: 22 6.1 City: j 4 - State: /r Zip Code: 73 Telephone: Contractor: CURRIE'S PLUMBING HEATING & COOLING INC. DBA: Address: P 0 BOX 6 3 City: OAKDALE State: CT Zip Code: 0 6 3 7 0 Telephone: 8 5 9—3 5 3 3 License Type: S1 License No.: 0303434 Expiration Date: 8/31 /2011 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. 0 By checking this box, I will follow the requirements of the 2005 NEC as the altemative 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 Signatur-: � / f 09 ' Date: Z I�( Construction Value Building Value: Permit Fees Plumbing Value: Building Fee: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Total Value: Electrical Fee: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: !V Total Fee: XrvrceQ EDecem6er31,2005 Currie's Plumbing, gHeating, Cooling,Coolin , Inc Town of Montville February 14, 2011 Dear Town of Montville, My daughter, Hollie Belle Currie will be my agent in order to pull a permit for Robert Benda on 22 Pheasant Run. We will be installing a 50 gal electric water heater. My licenses are P-1 0204570 and S-1 0303434. Sincerely, Paul R. Currie Sr. Currie's P, H, & C. 627 Route 82 #9 P.O. Box 63 Oakdale, CT. 06370 Town of Montville Building Department File Receipt Date: 14-Feb-11 Receipt No: 6138 Received From: Currie Plumbing Job Address: 22 Pheasant Run Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $8.00 Check/Card $0.14 Check No: 0 Short/Over: $0.00 Construction Val $895.e II-•P'Rio, value: $0.00 Received By Vernon D Vesey II —/2�L '�^ »,'„ ;gs `:V.,G, .s b "°* 1 ;F'" , `--,, .-7--a; `�x 7a ,A,.....--,--- r '`5.`fi, \ '''1--''''''''''''''''4. 'y v im` s.c,' \' r,' ,.1, �✓ STATE OF CONNEC'T'ICUT + DEPARTMENT OF CO\SUMER PROTECTION i s 1 Be it known that _; PAUL, R CURRIE SR 116 OXOBOXO CROSS RD 3 ` OAKDALE, CT-06370 -: ter has been certified by the Department of Consumer Protection as a yy � t Y.q+- HEATING, PIPING & COOLING UNLIMITED CONTRACTOR r License 4t' , G:J303434-S1 _._ !---,--.1' Effective: 09/01/2010 (..,„; ''11Expiration: 08/31/2011 el._, Jerry Farrell„jr,Commissioner ' w " . J yei - tz. .."� v- .ks4* .:'-SO., :x, 5.,.::'11.e' ^ •��,''' x' 11: 3.7' * -: 1 ':;.` — '.4`..;:1' tW'''"* ?/" $:::14.'11'".1.4.W , 7- *x- .4, f...v"' *�,x kr#,i-'T_•_. `":s `•2,y :- - tt.,,, .- d'z<°a `'✓ ,.- --'0..„7?\ a. 3:;:�i. - , --y _ ;.` ' ' `� § . .a,.�;, ,,r � � .may`, _ .�.} -,,*,�s'y_4A. .-48 , 7 & ' , I A R21 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°DIYYYY) PRODUCER 10/12/2010 Christine Wagner, Agent THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION 239 Bank Street Rear ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR New London, CT 06320 ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED C NAIC# CURRIES PLUMBING, HEATING COOLING INC. INSURER A:State Farm Fire and Casualty Company 25143 25143 627 ROUTE 82 #}9 INSURER B: OAKDALE, CT 06370 INSURER C: INSURER 0: COVERAGES INSURER E: 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L I LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION{ A GENERAL LIABILITY 97 BD-B057-7- 07//06/20 0 07/06(Mt/WY) DATE /2011 LIMITS EACH OCCURRENCE S 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO REN rED PREMISES(Ea occurrence) g 300,000 CLAIMS MADE I. 'OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENLAGGREGATE LMITAPPLESPER GENERAL AGGREGATE $ 2,000,000 O- PRODUCTS-COMP/OP AGG 5 2,000,000 1POLICY�JPRECT 3LOC A AUTOMOBILE LIABILITY 041 7355-A06-07C 07/06/2010 01/06/2011 041 7356-A06-07C COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 041 7357-A06-07B ALL OWNED AUTOS 041 7358-A06-0713 BODILY INJURY $ 500,000 X SCHEDULED AUTOS 041 7359-A06-07B (Per person) HIRED AUTOS 041 7360-A06-07A NON-OWNED AUTOS BODILY INJURY g 500,000 (Per accident) PROPERTY DAMAGE $ 100,000 (Per evident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY A E7rCES3/UMBRELLALIABILITY 97-BB-F138-4 07/06/2010 07/06/2011 AGG $ X 'OCCUR nCLAIMS MADE EACH OCCURRENCE $ 1,000,000 AGGREGATE s 1,000,000 DEDUCTIBLE $ $ X RETENTION $10,000 _ A WORKERS COMPENSATION AND 9%-BD-B058-4 s WoRREE COMPENSATION 07/06/2010 07/06/2011 WC STATU• V- ,EMPLOYERS' PROPRIETOR/PARTNER/EXECUTIVE (TORY UMITSI X' ER OFFICER/MEMSEREXCLUDED7 EL EACH ACCIDENT g 500,000 II yes,describe Sober EL DISEASE-EA EMPLOYEE $ 500,000 SPECIAL PROVISIONS belay f OTHER EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN OF MONTVILLE 310 NORWICH NEW LONDON TPKE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 310 ICT 06382 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. F AUTHORIZED REPRESENTATIVE ACORD 25 2001108 AMANDA W. ALFORD , OFFICE MANAGER ,� li 13284 25(20017 ) I he registration notices Indicate ownership of Lie marks by their respective owners OACORD - . •ORA • 988,2b07 11, ights reserved Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 22 Phectscu-)-1r Property Address qCd ele,C (A) 14- Job Description 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 Approval Department Permit Issuance Approval Tax Collector ' u,iL)Comments: I WPCA, Administrative N • 1 ` It St. r'.a sui et Comments: WPCA, Operations Signature/date Comments: ( I Planning &Zoning 77j,r 2 rSi 2�/ Comments: Signature/.it . Health Department Signature/date Comments: Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation (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) Comments: tcmatuie/date 111 Fire Marshal ‘f/ /0 Signature; Ul4 Comments: aki4e3L. ----- A-vulf___ (.4.619 RraredAugust 5,2005