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50 Gal. Water Heater 2012
TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2012-0050 Date: 26-Apr-12 Map/Lot: 028/005-042 Owner ID: 5477000 Project Location: 51 PHEASANT RUN Unit: Job Description: Replace 50 Gallon Water Heater Owner Nam Theodore B II and Elizabeth J Richmond Tenant Name N/A Careof: 51 Pheasant Run Oakdale CT 06370- Telephone: (860)367-0503 Contractor Nam Michael Lauretti Telephone: DBA: Lauretfi Plumbing Lic/Reg Type P1 _ Lic/Reg No 277510 785 Middle Street,Suite 5 _ TM Exp Date: 31-Oct-12 Bristol w� .CT 06010- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: S0.00 Use Group: IRC Plumbing Value: $750.00 Plumbing Fee: - $30.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee S0.00 Electrical Value: $0_00 Electrical Fee: $0.00 Construction Type_IRC _ Total Value: $750.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: _ S0.00 Comment Plan Review Fe $0.00 State Ed Fee: 50.20 Total Fee Paid: $30.20 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 ❑ RHVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certifi..te of Approval ■ =rtificate of Occupancy Building Official's Approval: / 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.: 0;01a—00 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ❑Addition ❑Two-Family❑ 0 Plumbin g Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: 5- I /ica S -, f' /Z ., (D�•k At(L) (Number) (Street) (Unit) Job Description: /C,'/it e c.s, t. f o f S^° .� //c. -C lc �. Z &A-/c- kr- f-cr Owner: (r z el Address: ci fir I it v6, City: 04- k a a State: C.T Zip Code: Telephone(SG G ) 36 7_ O co3 Applicant: / '/i ..Act DBA: Address: /1i a d (c. S T 5✓ S ,k City: 'i 5ID / State: C f Zip Code: U G C I C Telephone( ) Contractors - Complete the Following: License Type: p-( License No.:O Z?7.(1 Expiration Date: 7 /r,// z PI 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 hrough 42 of the Residential Code. Owner/Agent Signature: %� �_ �1 Date: 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: Revised August 23,2007 Town of Montville Building Department File Receipt Date: 25-Apr-12 Receipt No: 7364 Received From: Lauretti Plumbing Job Address: 51 Pheasant Run Fees Collected State Educational Training Fee ... ... ....... ........ .._.... Cash: $0.00 Cash: $0.00 Check/Card $30.20 Check/Card $0.20 Check No: 2609 Short/Over: $0.00 Construction Value: $750.00 Demolition Value: $0.00 Received By Carmen Kneeland G 1 I Address: 51 Pheasant Run ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA 4 Basement,Finished SF $ 41.96 $ - $ Interior Renovations - SF $ 36.09 $ $ - $ I AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ - $ Halt-Bathroom EA $ - $ i 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 $ 71 Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ 3 Masonryw/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - 1 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 $ - $ 1 Above Ground Round EA $ 6,299.46 $ 4 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 $ 75000 TOTALS $ - $ 750.00 $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ 750.00 $ 30.00 Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.20 TOTALS $ 750.00 $ 30.20 Figures are based on the 2006 RS Means Residential Cost Data -.,.„,„-..... _. .•, ..-- . • • ' *I ........ 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If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies mayrequire ++E certificate holder in lieu of such endorsement(s). an endorsement. A statement on this certificate does not confer rights to the PRODUCER PAYCHEXNAME- ___ TACT INSURANCE AGENCY INC NAME 210705 P: PRONE O F: (888) 443-6112 tI,11. —. 'FAX PO BOX 3301.5 --.Y Alt. (ArC.Nol: (ees)y.f3-61i- 'SAN ANTONIO TX 78265 ADDRESS PRODUCER -- -- ' `INSURERISI A(EORDING COVERAGE AYSLIRED INSURER A• f1ar f - -._ _ NAIC R i LAURETTI PLUMBING INSTALLS LLC INSURER g ord Underwriters Ins_Co 785 MIDDLE ST STE 5 f IN c BRISTOL CT 06010 i INSURER D: --.-- INSJRER E ......_.----.... COVERAGES INSURER r —�— — CERTIFICATE NUMBER: , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED IN A NAMED NUMBER: E 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 RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH PO!ICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR GENERAL ERAc LIABErOf AYSLANCf AODL SUR- � Ran VINO POLICY Nuu BER . __ IwcFrfFax',E9ir-•. - IIAANDINYVYY) utfaf/00/Y I LIMITS _ -COMMERCIAL C NERAI. IIABIUrY EACH OCCURRENCE '$ DAMAGE TO RENTED --- C!Allis 4rADE j OCCUR °REMISES(Ee occurrence) S MED EXP(Any one person' 's ' 'ERSONAL&ADV INJURY $ GEN'L AGGREGATE i BAT P4IES DER. GENERAL AGGREGATE ; --� POLICI' PRO. - - . � LIABILITY _-z_�FrT OC LAT PRODUCTS-COMP•OP AGG $ r... AUTOMOBILE L �- rrY i s j ANAUTO COMBINED SINGLE LIMIT 'Ea accident? $ ALL OWNED AurOS BODILY INJURY{Por person: $ ---- -_- SCHEDULED AUTOS _—_...._--... _ _-_- BODILY INJURY/Pet accident/18 - _ tIIRED AUTOS __-.-•_ rPRQPERTY DAMAGE WON.OWNED AUTOS iPb neC�der,;± $ y 1 UMBRELLA LIq� _-. _________ --- . _- -- ! S OCC.UR -- -. -- EXCESSLIAR '._ _._ _-,.,CLAIMS-MADE EACH OCCURRENCE s AGGREGATE ` S RETENT10t. 8 1---- WORffs QOMPEMS ....- --__--_ I S __. AND FATPUNERS'LIABILITY S -_.. AV( PROPRIETOR.PARTNER,F ECUTr,E`, ,V X '..,i - DTH. A OFFICERMEtABEREXCL;1DFo7 NrA D_RY_I,LMIT$ FR r FFI C rory/n NHr '--- -- 76 WFG i L'ves Cescriar..rnder 1X5531 . E.L.EACH ACCIDENT' 10 D00 ___/ OESCRIPTIO'v pi OPERATI C:I i,5.'-,5 n E L-DISEASE-EA EMPLOYE a 10- '' ..- - ONS bear: 0, OOO - --- -_ F .DISEASE.POLICY LIMII S 0, 000.. DESCRIPTION Of OPERATORS;L - _ ___ OCATMNS I VEHICLES/AIWA ACORD► nel R Those --- — G U S Ltd l Roraima;Schetlnlx,if more space Is regWrgrh to the Insured ' s Operations_ Re: Plumbing Installs , CERT—_____IFICE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE 11 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTA rwVE 1988-2009 ACORD CORPORATION. All rights reserved- ACORD 25(2009'09) The ACORD name and logo are registered marks of ACORD 1 From:Jim Kleine*FaxID: PAQa 2 of 2 131110:4/1M012 03:31 PM Page:?of 2 Ate--- CERTIFICATEuu� OP ID;JK OF LIABILITY INSURANCE °"'�""�'°°"""' THIS CERTIFICATE IS 18$UED A8 A MATTER OF INFORMATION ONLY AND 04117/12 CERTIFICATE fOEB NOT AFFIRMATIVELY OR NEGATIVELY AMEND CONFERS AL NO RIGHTS UPON THE F RTIRICATR!me PO,THIS BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT � E�I7'END OR ALTER NE �V!l1tAOE AFFORDED BY THE POLIgEg REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.UTE A CONTRACT BETWEEN THE MUM INSURERS), AUTHORIZED IMPORTANT: It the cerHNaate heeler is an ADS KNEED.the poncvtba)must be endorsad. If SUBROGATION Is tee tem and Bondman"of ehe PeRCY,amain may requite an endorsement. A statement on Mie Cartklcale dee-net cont I sub let to ',r:.'....t.. holdN'bNedof endo e • I l:a M9ht/t0 SR C.V.Ma-on a Co Ina. x-41. !,'ra1' SA4 Mein P.O. ime �-314- �rNoaE.CT rr. . r .. ennlay Can WIloon slut I__. .,.. WYC9 T— MMIIIIaRA:T�1e Hartford INlitilii Lattnlq Phrnthh Inablh LLC .-_...-.. Mlchaai Lauren.] #Re:hAotliEpyr US In Co. _T 7R Middle St Stab IS man a c, Whoa',CT oxalo ____- _ ._._ -_ _gip o__ --'- COVERA• j: CiRTIF: nes IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISBUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD fK3TYNTF187MIDINO ANY REQUIREMENT. i._.i. ,• INDICATED. NAY RE TERM IBSUED OR MAY PERTAIN, THE INSURANCERR CONDITION OF ANY CONTRACT OR SCRI•R DOCUMENT HEREIN WITH FCT CT TOALL THE M S. EXCLUSIONS Atp A HAVE IN THE CEO S P ID CLARIS HLgtEIN 19 SUBJECT TO THIS ------___�110t180F811CN POIICI@8.LIMIT88t1 k�'m TIPSS t r n• _�._- — VM(!pN RaDIICBQ tllf PAID M 1 THE TERMS. Qoeor11nCKu GENERAL wsa.ErY a( �ODSe17 11...:..".'''':.';f1, aAlAMI1ACrw i f 61/221/2 "122/13I.. 1 I s 1,1".1 °et�►,�LO,m'�rtleaMk j I � .Nov OEHISIALAGORECIATE J s1 ,osue mr ___ f•_ � A 'AtRo X I OZIlECH7to3$T I ( '' , , • II mHD 'x !� 041221121 ` —_ �.- c HI1113AU �D ' I 04/22/13 QOWYa1NNRYIPrrPlrpl) : 111 BODILY MIRY IRw- EMO E ---__ M LIAO MOM Um OCCUR I i , CLAN/IMAM t EACH 1 $ ;;117:.11.!A Immo, .. �r � I AMDpl�l I ....�. aragMermfeennaftexecurnok if (Mrldgwyki 4-44-- EXCLUDED? , NfAif :�' jE�■ I E.L. , -FA / $.L• -POUBYLaw Mrn i Aa/OIpN11pN OP I ►nONet ROOM*.I PROF!$MONO MOMMOM191.Ada*anu' f — eaEAai a�lNauh. oro'saes Is lagnhs01 CE- TERow-- THESHOULD RADON FN OF THE ARM DERCRIONDPOUCES BE CANCELLED IIERRE M071Ce WILL DE INILIVE ACCORDANCE Wf lr fl POLICY PaOV1amsa. J•aD NV ... 7/011001Y Carl Wilson ACORD 2B(2olO Tha AC 4D 19>sg. 0 ACORD Warta and ,are I+�I-M1ed mark-ofAAGGp PORATION. All/Ights r rved. LAURETTI PLUMBING INSTALLS LLC. Piping, Plumbing, Well Pumps,and Filtering Systems CT. LIC#277510 785 MIDDLE ST SUITE#5 BRISTOL,CT.06010 OFFICE: 860-585-9998 FAX: 860-582-5709 I Michael Lauretti authorize Cu / to sign the plumbing Permit as my agent to perform work at: 51 PHEASANT RUN (OAKDALE) in the amount of$750.00 for home owner: TED & ELIZABETH RICHMOND Phone # 860-367-0503 for the replacement of a leakin 50 gallon ELECTRIC water heater. Agent signature: Lic. Contractor Signature: Michael Lauretti Date:` -16/- I), Ct. Lic. # P-1 277510 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"' � h rtt SCkt1+ t t. I Property Address Job Description Required Approval Department Permit Issuance Approval V.II Tax Collectorl}las1IZ Signature/date Comments: /1 Planning & Zoning —//i_ _ 2 Signature/date Comments: S / Fire Marsha L ? 5 1 2_ - N • igna - .ate Comments: l�/ 1__, • Health Department Required for all permits except Plumbing, Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: . WPCA, Administrative jy` 3< 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: ❑ 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 Ifarch 19,2010