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LP Furnace and A/C 2007
Field Inspection Notice Town of Montville Building Department August 2, 2007 Address: 88 Pires Dr. Job Description: Install propane furnace with air conditioning Permit Number(s): M2007-0061 —E2007-0111 Permit Date: 5/18/07 INSPECTION Not Approved Ap.royal Date: Deficiencies Special Date Conditions 7/23/07 CC • Plug for condensate pump needs to be GFCI . HVAC protected 8/2/07 DJ • Propane Furnace 7/23/07 CC • PVC pipe needs proper support—Check on pitch • • 848—7851 -Nancy 8/2/07 DJ Certificate of approval • 8/2/07 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: M2007-0061 Date: 18-May-07 Map/Lot: 039/087-000 Owner ID: 5537000 Project Location: 88 PIRES DRIVE Unit: Job Description: propane furnace with central air conditioning Owner Name: John F and Nancy A Allen Tenant Name: N/A Careof: 88 Pires Dr Oakdale CT 06370- Telephone: Contractor Name: DDLC Energy Telephone: (860)271-2020 DBA: Lic/Reg Type: S1 Lic/Reg No: 303006 410 Bank Street Exp Date: 31-Aug-07 New London Ct 06320- 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 Value: $18,125.00 Mechanical Fee: $152.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $18,125.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $2.90 Total Fee Paid: $154.90 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble i1 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 Deizartment 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: Odej Type of Work OccupaType ❑New Construction ncy PermiType QSingle Family 0 Building ❑ dition 0 Two-Family ❑Plumbing Alteration 0 Townhouse ❑Mechanical ❑Accessory Structure 0 Electrical CRS#: Job Address: - (Number) (Street) Job Description: P (Unit) ... '�'�— r ►�6 2 t r tel-. �( ,,/ Owner: � Ant Al at Address: .. P(,?e City: /c d ate__ State:_ ' 1 Telephone: ZIP Code: .�(o __ Contractor: DBA: Address: 1 • Qn k �• City: P cnr p, m ti dtm�.3 A State: CZ*. Zip Code:0_ Telephone: ^7 I -�p,,,;a License Type:YP 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 workof 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 as described above. lit 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 esidential Code. Owner/Agent Signature: �J` Date: �b /df Construction Value Building Value: Permit Fees Plumbing Value: Building Fee: Mechanical Value: _ Plumbing Fee: I t _ Mechanical Fee: Electrical Value: Total Value: Electrical Fee: t 8 Its Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: 4ZFsdsed Oetem6er31,2005 Town of Montville Building Department File Receipt Date: 15-May-07 Receipt No: 2328 Received From: Ken Wojick Job Address: 88 Pires Drive Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $154.90 Check: $2.90 Check No: 3360 Short/Over: $0.00 Construction Value: $18,125.00 Demolition Value: $0.00 Received By Sandra Pandora ®� I:, * DOLC • * ENERGY Your 4-Season Core fort Company DATE: (--1/6-to-7 I TOWN OF:1 /yle/Nvs /f- I I CITY OF:1 I I, RICHARD JOHNSON GIVE MY REPRESENTATIVE KEN WOJICK PERMISSION ON THIS DAY OF TO SIGN AND RECEIVE THE MECHANICAL PERMIT FOR THE JOB LISTED BELOW IN THE NAME OF DDLC ENERGY. OWNER'S NAME: —n h N (4,l(/J I TELEPHONE NO:I ADDRESS: p g 'etreS 1)'1- , STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLIi'�£k t I11:gI'ED CONTRACTOR -=`Sl RICHAR4O JASON EAST HART�,`CT 06108 RICHARD JOHNSON `+. a LIC./REG NO. =tzf�-FECtIVF^ .,` EXPIRES 303006 o(AI 0I 20)ta 08/31/2007 J rRkntsr ��`'1��:-f U SIGNED Q.L;: DRIVER LICENSE 122' ,77 gyF A. -- .0..12-13-1953 eq. 12- 34PQR 1 G4 Mils:2M Restr.B Enders NONE •• � ,„ 4Se*MHyt€0 `Ejes:BRO Issued 12-102005Y �WQICK t KEN WOJ C • KKrINE4 = ENERGY CONSULTANT ' 1ST%PAW, : _ _ Member Heating Oil Partners, L.P. 410 Bank Street • New London, CT 06320 • (860) 271-2020 or 1-888-225-5540 Fax: (860) 271-2050 • CT Lic#S1-303545 RI PM 3386 • Client#:11242 HOPENERGY ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 01/26/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GENATT ASSOCIATES,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3333 NEW HYDE PARK RD HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 490. NEW HYDE PARK,NY 11042 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN HOME ASSURANCE HOP ENERGY,LLC INSURER B: CONTINENTAL CASUALTY INS DDLC ENERGY INSURER C:,TRANSPORATION INS CO. 1120 POST ROAD INSURER 0: NATIONAL UNION FIRE INS. DARIEN,CT 06820 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. MSR ADDIIiIJ POLICY EFFECTIVE POLICY EXPIRATION LTR NSRU TYPE OF INSURANCE POLICY NUMBER DATE IMMIODlYY) DATE(MM/DD/YY) LIMITS A I GENERAL LIABILITY GL5442668 10/27/06 10/27/07 EACH OCCURRENCE $750,000 TO COMMERCIAL GENERAL LIABILITY DA PREMMAGE I$FSI6FS[RENTEDEaoccvrrenLel $750,000 ■■CLAIMS MADE X OCCUR MED EXP(Any ono person) $5,000 © SIR$250,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY PRS f [LOC B AUTOMOBILE LIABILITY BUA2049208645 10/27/06 10/27/07 COMBINED SINGLE LIMIT $2,000 000 X ANY AUTO (Eu accidonl) r ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per acddenl) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY 4485740 10/27/06 10/27/07 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $1,000,000 PROD/COMPL $1,000,000 DEDUCTIBLE OPS AGG. $ _ X RETENTION $10,000 $ C WORKERS COMPENSATION AND WC2049208628 10/27/06 10/27/07 X TWCAUS (11-3`• EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,990,900 OFFICER/ME MEER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,descnbo under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS S- _ 5 -- • _ h Al do(Cde CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF MONTVILLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 301 NOR-NL TPKE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Uncasville,CT 06382 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV W i ACORD 25(2001108)1 of 1 #S197339/M185699 JSF 0 ACORD CORPORATION 1988 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 <TV Property Address ,ti ?r o P e{ ''��f n�P — '- c e Job DescriNo. ion V /.24-/c1- 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 s t5 I (0 date e r its\ Co ents. ture/d! : ❑ WPCA, Operations :.fates Comments: ❑ Planning &Zoning Comments: Signature/ t£4 ❑ Health Department Sigrk Lure' date Comments: El Department of Public Works 'ignatu re/ date; Comments: El State Dept. of Transportation (Structures over 10Q,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311) I �J1gnature,' date Comments: Fire Marshal 1(S ill Signature/date Comments: 4ZFvisufAugust S,2005