HomeMy WebLinkAbout2015 - 24,000 BTU A/C Unit Replacement Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 42 Pink Row (Faria's)
Job Description: Remove& Replace Existing 24,000 BTU Ductless Split Air Conditioning Unit
Permit Number(s) M2015-0073 Permit Date: May 29,2015
Not Approved Approve!
INSPECTION Date: Comments Special
Conditions
Condensing unit 6/9/15 DJ
•
Electric
• Both condensing unit,wall unit and service panel are •
Circuit labeling 6/9/15 DJ required to be permanently labeled as to unit location 6/15/15 DJ
and the circuit control location.
Final inspection and •
certificate of approval 6/15/15 DJ
Rex. Date: 1/18/06 Pape 1 or 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:M2015_0073 Date: _ _29-Mav-15_Map/Lot: 074/031000 Owner ID: 5496000
Project Location: 42 PINK ROW Unit:
Job Description: _R_etnp_v_e and_Repface xistida 24.000_BTU_Ducfless SolitAir Conditionina Unit
Owner Nam J oAla_a-Eauo Corn Tenant Name_N/A
Careof:
_O Box 983
Uncas_vllle CT _06382- Telephone: _(8601848-9271
Applicant Name Slew Enatan_d_Nlecbaoical_ — Telephone: (860)442,1855
DBA: Lic/Reg Type S1
Lic/Reg N 032Z9
ShamesCc_vP Exp Date: 31Auo-15
_New_I-on_don CJ
Conefnrrtion\/nl��c PprjJ F_c�s
Building Value: SAM__ Building Fee: SCOT]_ Use Group: IRC
Plumbing Value: O 09_ Plumbing Fee: S1�00 Code: 2005 State Building Code
Mechanical Valu S5.425,00_ Mechanical Fe S 0
Electrical Value: $0110 Electrical Fee: SD00_ Construction Type IRC
Total Value: $5.425_,00 Penalty Fee: 50.00_ Permit Code: C5
C of 0 Fee: _ S0,00__ Comment
Plan Review Fe .__ 5200 Fire Marshal Fee of$31.50 Paid
State Ed Fee: S1.4L
Total Fee Paid: __ $100,_41
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:
❑ Framing — 0_
❑O R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
�/❑ Certifi e of Approval
rtificate of Occupancy
_BuiLdina_OfficiaJ s Aczotczval:
'l'own of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax. 860-848-7231
PERMIT APPLICATION FORM i�3015-- 3
Permit No.:•
Type of Work Occupancy Classification Construction Type Permit Type
❑ New Construction ❑A-1 ❑B ❑H-1 ❑ 1-1 ❑ R-1 ❑S-1 ❑Type IA
❑Addition 0 A-2 0 B,Medical ❑H-2 ❑ 1-2 ❑ R-2 ❑S-2 ❑Type IVB ❑Building
g
❑Alteration ❑ H-3 ❑Type IB ❑Type IV
❑A-3 ❑E ❑ R-3 ❑ U yp ❑Mechanical
❑Change of Use ❑A-4 0 F-1 ❑ 1-4 ❑ R-4 ❑Type IIB ❑Type VA ®Mechanical
❑A-5 ❑F-2 ❑ H-4 0 M Mixed ❑Type IIB ❑Type VB
❑Type IIIA ❑Electrical
CRS#:
Property Address 44c;, P ;t/i1 /gip es-LJo 3,11.2(Number) (Street) ���' /�� ��
(Unit)
Job Description: /2et7 v ✓f C�/-taf' /Y'p ' e ex'j r ,- �._�44/ °C)C3 rt c's S
SQL,•T /,i i- ! n i. uit,i� 0/7 , /
•
Owner: 7a-rec.. 6- E.-,4. Co -P, Tenant:
Address. "9,4.
- ,^/,( , C(i f
Address:
City/State/Zip: !),ll CG45 1,, //( City/State/Zip:
Telephone(AO )_P j- 9-.2.-7 / Telephone( ) _
Applicant: AJ e46/(2, /1e icx it, Ca e
DBA:
Address: 3 S ce S Co Je
city:/u /407141 State: C Zip Code: UZ 3vLc) Telephone 066 )c44 - /4'S S
Contractors - Complete the Following:
S ,o.3U3,c7rf-S/ r/3///3—
License/Registration Type: F / License/Registration No 4-04 C.G'2 57EZCEkpiration 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.
Owner/Agent Signatur _ f <<. Date: C--/ k/ ' S
Construction Value Permit Fees
Building Value:
Building Fee:
Plumbing Value:
Plumbing Fee:
Mechanical Value: ,.) 441)' `r°
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: 28-May-15
ReceiptNo: 10382
Received From: New England Mechanical
Job Address: 42 Pink Row (Faria)
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
$0.00
Bldg Check:
$100.41 State Check: $1.41
Bldg Credit: $0.00
State Credit: $0.00
Fire Cash: $0.00
Fire Check: $31.50
Fire Credit: $0.00 Construction Value:
$5,425.00
Demolition Value: $0.00
CheckNo: 1153
Received By: Carmen Kneeland
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v.COR Services New England Mechanical Services,Inc.
3 Shaw's Cove
New England Mechanical New London,CT 06320-4952
Phone:860.442.1855
Fax:860.442.2139
www.nemsi.com
Public Act No. 91-95: An act concerning the requirement that licensed contractors as defined in Section 20-
330 of the General Statutes,must personally sign each building permit application.
Date: 5-27-15
Location: Thomas G. Faria Corperation, 385 Norwich New London Turnpike, Uncasville CT
In accordance with Public Act 91-95,this letter authorizes the below named agent to sign the above reference
permit application.
1. Project Name: Remove and replace one 24,000 BTU ductless split AC unit that served the wire prep room
2. Location: 385 Norwich New London Turnpike, Uncasville CT 06382
3. Starting Date: 6-1-15
4. Licensed Contractor's Name: EMCOR Services New England Mechanical, Inc.
5. Licensed Contractor's Trade License No.: •
303279(S-1) / it:► _
328 (SM-1) ' s bert G. Krawic
ELC.0125666-E(E1) 1 a A' '
"Ray .t ks
6. Name of Agent: William Garske
Sincerely,
9i)..gtAt 0.91,ax:e>
Robert G. Krawic
V.P./General Manager
860-442-1855 Ext 1413
krawic@nemsi.com
E1-104939,S1-303974,P1-203519 _'
F1-10498,SM1-192,MC#1134
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'� ' STATE OF CONNECTICUT + DEPARTMENT --�--__.__
OF CONSUMER PROTECTION
_r::
=- Be it known that
RAY H SACKS
yl`g ! 85 S EDGEWOOD RD
! NIANTIC, CT 06357 „.„
=.'‘....,,-i,-
u4 1
" i
has been certified by the Department of Consumer Protection as a licensed ! `
ELECTRICAL UNLIMITED CONTRACTOR
License #ELC.0125666-E1 Y.:.
-.1:1,K: I Effective: 10/01/2014
al
Expiration: 09/30/2015
L
William M Rubenstein, Commissioner ' 1,:i.--4:::;.t
Qr i•tlik .\'441,!A✓ Ad �y�\ 'Ave,
�'�y '1�1y' rt IJ Y111 ._" Fes^ DA!`F n✓rG or* A+rtr Y y 4
-'L f. • • . • 'q"Sti 'J� ," ,..:.':,.,M/L1! , /�. ' 4 l if' L} 1 t rt•i.i1�y54,111,,,:,,,,:
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i, w. , meq• I.,-,_•A ALL,:T'"''+'`•f •l'y L;- ',WI': ¢35y l,5 r n / d 4,i';.':,,, s ^ .
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/!i` Z�.� I 1\L, \': •, . L S� • 3 !Y•L SL
/ r-. 7. }.•:��L3L2J (. .LL.L A'C'LL.Ye .tti-' ltLyLLy' .:•ly�'.� :'•C
STATE OF CONNECTICUT
DEPARTaIENT OF CONST MER PROTECTION
ELECTRICAL UNLIMITED CONTRACTOR
RAY H SACKS
85 S EDGEWOOD RD
NIANTIC, CT 06357 I
LIC./REG NO. EFFECTIVE
ELC.0125666-E1 EXPIRES
[�10/O1 2014 09/30/2015
6iiir q
SIGNED_ /T'
4
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 si es are obtained.
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LI a: pi-r-\ k RoL3 A'
Property Address
Q-ecy ve 4- ace t&ce S4 As aow ci,O 8 To, Qac#(�5 (;f ft(c WA c'�
J Job Description
Required
Approval Department Permit Issuance Approval
ill Tax Collector /2/;.b �� J'_
Comments: 0t,�,, Signature/date
7-z.4. Planning & Zoning � � Sgj l .�
Comments: Signature/date t
41 Fire Marshal 4/Z/ v /
bs,(.7 Ccs
Comments: LS--- [ l ./t_ Signature/date ,�
Ell Health Department t
Required for properties with private septic or well
Comments: '
WPCA, Administrative ...--' 1,---, L�' 5— e '
Required for properties on sewer i Signatur- 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