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2012 - Boiler Replacement
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: M2012-0052 Date: 13-Apr-12 Map/Lot: 070/116-000 Owner ID: 5489000 Project Location: 5 PINK ROW Unit: Job Description: Boiler Replacement with Indirect Water Heater(Oil) Owner Nam Matilda P Bourez Tenant Name N/A Careof: 5 Pink Row Uncasville CT 06382- Telephone: (860)823-9663 Contractor Nam William Rheaume Telephone: (860)848-2647 DBA: Rheaume Heating.LLC Lic/Reg Type S1 Lic/Reg No 303676 1295 Route 32 Exp Date: 31-Aug-12 Uncasville CT 063827 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 $7,000.00 Mechanical Fee $70.00 Electrical Value: $0.00 Electrical Fee: S0.00 Construction Type IRC Total Value: $7,000.00 Penalty Fee: S0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe S0.00 State Ed Fee: $1.82 Total Fee Paid: $71.82 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 E 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 Approval ❑ Certificate 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.: (Yl Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse gkffirechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: "f I N K -R o f (Number) (Street) (Unit) Job Description: d SS t f1S�-�� (.:1+In i N.1)ire c-r 'vii Tc a l c -- CC1c)ii Owner: l'\G-}i I c c&. r e Z_ Address: 5 tJ k Raw City: (AAA C'c4�v11<A State: CLT Zip Code: ?R? _ Telephone( 6)71_9_3 - (..a..0.3 Applicant: k) 01e a DBA: M"iote Tc� ( C C - Address: i oc T J �le 3 City: C 4 c cES .•AState:CT Zip Code: s.2 S - Telephone(S40 )94 F - �c 7 Contractors - Complete the Following: License Type: C3 License )(c Expiration Date: — 3 l V 12 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. Owner/Agent Signature: l,(,�A ._ �-cztk.....� Date: y//Z [9:%:=12- Construction )_iLConstruction Value Permit Fees Building Value: Building Fee: Plumbing Value: rt" Plumbing Fee: Mechanical Value: /2 ono �� Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: PZ.evisedE Avgw-t 23,2007 Town of Montville Building Department File Receipt Date: 12-Apr-12 Receipt No: 7317 Received From: Rheaume Heating LLC Job Address: 5 Pink Row Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $71.82 Check/Card $1.82 Check No: 19947 Short/Over: $0.00 Construction Value: $7,000.00 Demolition Value: $0.00 Received By Carmen Kneeland 06/Wlet_L“ LSC �1 Address: 5 Pink Row ITEM OTT $A/NIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 118.03 $ - $ _ Basement,Finished SF $ 25.96 $ - $ - Basement,Unfinished SF $ 12.40 $ - $ - - Crawl Sapce SF $ 9.30 $ - - Interior Renovations SF $ 36.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ $ _ - Basement SF $ 12.41 $ - $ - $ . Crawl Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen EA $ $ - Full Bathroom EA $ - $ Half-Bathroom EA $ - $ - GARAGE Attached SF $ 56.35 $ - $ - - Detached SF $ 71.53 $ - $ _ - Under SF $ 11.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water Y/N _ - Electric n Y/N $ _ Air Conditioning n Y/N $ - ELECTRICAL SERVICE y. Upgrade Amps $ Overhead,new Amps $ : Underground,new Amps $ Subpanel EA $ 599.50 $ _ - 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 $ - WoodStove,freestanding 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 $ 26,373.44 $ - $ _ Above Ground Round EA $ 6299.46 $ - $ - Above Ground Oval EA $ 7.019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - Inflatable Type Pool EA $ 2,001.00 $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrioal SF $ 26.85 $ - $ - 6.' RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - - Siding SF $ 6.50 $ - - Windows EA $ 550.00 $ - I Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - , - 1. Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 7,000.00 TOTALS $ - S - $ 7,000.00 S - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 7,000.00 $ 70.00 Electrical y $ _ $ Working before Permit Issuance $ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 1.82 TOTALS $ 7,000.00 $ 71.82 Figures are based on the 2006 RS Means Residential Cost Data 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. 1J - 1 L c .moi; Property Address '1C�t 1 Job Description Required Department Permit Issuance Approval Approval Tax Collectorh.)__/ I L Signature/date Comments: Planning & Zoning n /z/ /Z Signature/date Comments: / " . - /A, Fire Marshal r 1rl ( 7 signature/date Comments:�'�( IV E L-C, . ( LI ❑ Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative 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: ❑ 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