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30 Gal. Water Heater and Lines 2012
Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 78 Pink Row Job Description: 30 Gal. Water Heater& Piping Permit Number(s) P2012-0076 Permit Date: July 24,2012 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Electric • 7/24/12 DJ Plumbing 7/24/12 DJ Final inspection and • certificate of approval 7/24/12 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 PLUMBING PERMIT Permit Number: P2012-0076 Date: 24-Jul-12 Map/Lot: 074/015-T78 Owner ID: 5503000 Project Location: 78 PINK ROW Unit: Job Description: 30 Gal.Water Heater&Piping Owner Nam Patricia A Kochler and Steven L Clark Tenant Name N/A Careof: 78 Pink Row Uncasville CT 06382- Telephone: Contractor Nam Curries Plumbing, Heating&Cooling Telephone: DBA: Lic/Reg Type PI Lic/Reg No 204570 P.O.Box 63 Exp Date: 31-Oct-12 Oakdale CT 06370 Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $1,395.00 Plumbing Fee: $30.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,395.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.36 Total Fee Paid: $30.36 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 El Footing-Prior to pouring concrete © R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing El 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: / c 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.:&C(.1-0 Type of Work Occ pancy Type Permit Type ❑ New ConstructionSingle Family ❑Building ❑Addition 0 Two-Family ❑ PJrSmbing 9-Alteration ❑Townhouse [ Mechanical ❑Accessory Structure El Electrical CRS#: Property Address: - pin L PO (Number) (Street) ' I � ) (Unit) L.J. Job Description: pled- u)/ 1 Lk`, uJI Ply �n� Owner: ch+ k bI-( Address: I P n (i) City:71 nr U 1 State: CT Zip Code: (i -3,`6 Z Telephone( ) Applicant: Co ar i �S PKC C DBA: /�/l BOA /_ 2 Address: T v &,k UJ J City: Cada State: Cr- Zip Code: 7() Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration 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. ❑ 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 Signatur 4—. j -P} - (��Vn A Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: rV Ic Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revise&August 23,2W7 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Pinlc_ "ReLL) Property Address 671,1 e eC L J H Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval l • ® Tax Collector ' � 7/' c l Signature/date Comments: Planning & Zoning Signature/date Comments: Fire Marshal Signature/date Comments: Health Department Required for properties with septic systems-Not required for Plumbing, Electrical, Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative V 1 !t V I l Required for properties on sewer Signature/date Comments: n WPCA, Operations When Required by WPCA �� Signature/date Comments: kjo1(�( one ► y (? ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept. of Transportation Required far Structures over 100,000 sq. ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation reouired-per CGS 14-311 Signature/date Building Department Review Complete Signature/date q,pviscr gvncxmfia5,200E Town of Montville Building Department File Receipt Date: 16-Jul-12 Receipt No: 7596 Received From: Curries Plumbing Heating&Cooling Job Address: 78 Pink Row Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $30.36 Check/Card $0.36 Check No: 0 Short/Over: $0.00 Construction Value: $1,395.00 Demolition Value: $0.00 Received By David Jensen 8.,-14/7 ���yy� Address: 78 Pink Row ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ _ Interior Renovations SF $ 36.09 S - $ - $ _ AMENITIES Kitchen EA S - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ 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 Est $ 699.00 $ _ 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 $ - Wood Stove,free standing BA $ 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 $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ _ 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 $ 1,395.00 TOTALS $ - $ - $ 1,395.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ _ Plumbing y $ - $ Mechanical y $ 1,395.00 $ 30.00 Electrical y $ _ $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ - State Education Fee $ 0.36 TOTALS $ 1,395.00 $ 30.36 Figures are based on the 2006 RS Means Residential Cost Data Currie's Plumbing, Heating, & Cooling, Inc. Town of Montville July 16, 2012 My daughter, Hollie Belle Currie will be my agent in order to pull a permit for 78 Pink Row in Uncasville. This permit is to install a 30 gal electric water heater. My licenses are P-1 0204570 and S-1 0303434. Sincerely, Paul R. Currie Sr. 627 Route 82 #9 P.O. Box 63 Oakdale, CT. 06370 Ac R® CERTIFICATE OF LIABILITY INSURANCE D03/29IDDYYYY) 6..--- PRODUCER 03/29/2012 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION Christine Wagner, Agent ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 239 Bank Street Rear HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR New London, CT 06320 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. UINSURERS AFFORDING COVERAGE NAIC B INSURED CURRIES PLUMBING, HEATING & COOLING INC. INSURERA State Farm Fire and Casualty Company 25143 25193 627 ROUTE 82 #9 INSURER B: OAKDALE, CT 06370 **UREA C: INSURER D. INSURER E 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 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. ow ADDL POLICY EFFECTIVE,POLICY EXPIRATION LIR NERD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDDlYY) LIMITS A GENERAL LIABILITY 97-BD-B053-2 07/06/2011 07/06/2012 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) E 300,000 CLAIMS MADE OCCUR MED EXP(My one person) i 5,000 _ PERSONAL a ADV INJURY S 2,000,000 GENERAL AGGREGATE a$ 2,000,000 ii G1 L (AhIIAiA1RE3� PRO UcTs-COAe'D.AGG $ 2,000,000 XI POLICY [JECT nLOC A AUTOMOBILE LIABILITY 041 7355-A06-07C 01/06/2012 07/06/2012 INEDSINGLE LIMIT ANY AUTO 091 7356-A06-07C (Ea accident) s 091 7357-A06-07B ! ALL OWNED AUTOS 091 7358-A06-0713 BODILY INJURY IX SCHEDULED AUTOS 091 7359-A06-07B (Per person) s 500,000 HIRED AUTOS 041 7360-A06-07A BODILY INJURY f500,000 1 NON.OWNED AUTOS (Per accident) PROPERTYDAMAGE $ 100,000 (Per=Wert) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC I - AUTO ONLY: AGG $ A ExCEss/uMBRELLALIABILITY 97-BB-F13B-4 07/06/2011 07/06/2012 LEACHOCCURRENCE $ 1,000,000 X JOCCUR Li CLAIMS MADE AGGREGATE s 1,000,000 _E _DEDUCTIBLE JE X RETENTION E 10,000 "' A WORKERS COMPENSATION AND 97-BD-B058-4 07/06/2011 07/06/2012 X E INC LIMITS ER EMPLOYERS LU181LITY TORY ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Kye�oesaLe un�r EL DISEASE-EA EMPLOYEE s 500,000 SPECIAL PROVISIONS bet.. • EL DISEASE-POLICY UAR $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CURRIES PLUMBING, HEATING & COOLING SHOULD ANY OF THE ABOVE DESCRIBED POU IES BE CANCELLED BIO.ORE THE EXPIRATION PO BOX 63 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN OAKDALE, CT 06370-0063 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 I RER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /// I AMANDA W. ALFORD , OFFICE MANAGER ' V ..� ACUHD 2S(2001108) I he registration notices Indicate ownershipof tie marks bytheir respective owners (GACORD C•.y-P • 132849 03-13-2007 g 19$ , T All righ•.reserved ? c,�, ,� r,. �,�S 8 .ti t S b 3 � a 3� z 17.,„;„--zi,-.,,..:.:,--501„._---%:,-,:-.1,,„ -:, 4-1,----„,..,,,,,,„).-,f-:i-,4„, ,I4,-..„.,,,,,,,:„...,..:. STATE (JF Ct N V CTICUT # DEPARTME'�T P C NSUMER PRO`T CTION y Be it know.n that ; PAULR CURRIE SR :}, ORALE, GT 063704033 has been certified by the Depart ne f Ciaisitmer Protection as a licensed . ,..,---::1 PLUMBING & PIPING I NL MITER CONTRACTOR 4 ` ` License ; .i sT .4 Q457O-P1 . 1�. • - h' I • 1. Effective: 11/01/2011 Expiration: t "" •.� A. William Ni-Ruben�.teln ,,orn 11, Fnvsir xx p.,gas S =.j i i Ti Z.- 4L`✓-,., 'Y' l _