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Heat Pump and Power Supply 2017
Field Inspection Notice Town of Montville Building Department July 20, 2017 2016 Ct Building Code Address: 19 Pollys Lane Job Description: Install Heat Pump &Supply Power to Two Outdoor Condensing Units from Main Panel Permit Number(s) M2017-0047, E2017-0057 Permit Date: March 29,2017 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Three wall units 7/20/17 DJ One wall mounted • • condenser unit 7/20/17 DJ Electric 7/20/17 DJ Final inspection and • • 7/20/17 DJ certificate of approval • 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 ELECTRICAL PERMIT Permit Number: E2017-0057 Date: 29-Mar-17 Map/Lot: 103/060-000 Owner ID: 5605000 Project Location: 19 POLLYS LANE Unit: Job Description: Supply Power to Two Outdoor Condensing Units from Main Panel Owner Nam Paul L.and Sheila L.Scott Tenant Name N/A Careof: 19 Polly's Lane Uncasville J;T 06382- Telephone: (860)884-2403 Applicant Name Property Owner Telephone: DBA _ Lic/Reg Type Lic/Reg N Exp Date: 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: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $1,100.00 Electrical Fee: $30.00 Construction Type IRC Total Value: _ $1,100.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.29 Total Fee Paid: $30.23 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: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d 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.: 61) 510 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family ❑ Building 0 Addition ❑Two-Family ❑Plumbing 121 Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure g Electrical CRS#. Property Address: 19 Polly's Lane, Uncasville, CT 06382 (Number) (Street) (Unit) Job Description: Supply power to two (2) outdoor condensing units from Main Panel. Owner: Sheila Scott Address: 19 Polly's Lane City: Uncasville State: CT Zip Code: 06382 Telephone( 860 ) 884 - 2403 Applicant: Robert J. Walter, Walter Electric LLC DBA: Address: 19-B Thames Street, Floor#2 City: Groton State: CT Zip Code: 06340 Telephone( 860 ) 446 - 0600 Contractors-Complete the Following: License No.: 0198343 Expiration Date: 9/30/2017 License Type: CT E1 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!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: ""�� Date: 3/28/2017 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: $1,100 Q(1 Electrical Fee: $30.29 Total Value: $1,100.00 Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: $30.29 vised August 23,2007 Town of Montville Building Department Bank Card File Receipt Date: 05 Aor 77 Receipt No: 5535 Received From: Sheila L Scott Job Address: 19 Polly's Lane Fees Collected State Educational Trainina Fee Bank Card $30.23 Bank Card SO.23 Short/Over: $0.00 Construction Value: 11,100.00 Demolition Value: $0,00 Received By Carmen Kneeland 6-44 K 5_,,,i1 (V1 , 2_.A..�6�,1/1 CI Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL (Cr Poi ly'S c. Property Address S 101`i ad"-)er -t-t- i t om e) 0 Lk-1-0106r Co nd enSt r7 ulr► 1K� rm YYlc,i r� Job Description G) Required Department Permit Issuance Approval Approval Tax Collector '"1 1 -� - \3/a ? 117 Signature/date Comments: ®I Fire Marshal nL �1 1 \ Signature/date Comments: I I(�U` ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: 1111 WPCA, Administrative 0 K �( ��c{w1 .31.:.1q11-1 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection Qevurd March 23,2015 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: M2017-0047 Date: 30-Mar-17 Map/Lot: 103/060-000 Owner ID: 5605000 Project Location: 19 POLLYS LANE Unit: Job Description: Install Heat Pump Owner Nam Paul L.and Sheila L.Scott Tenant Name N/A Careof: 19 Polly's Lane Uncasville £T ..� 06382- Telephone: (860)884-2403 Applicant Name The Heat People Telephone: (860)848-4121 DBA: Lic/Reg Type S1 Lic/Reg N 303067 P.O.Box 901 Exp Date: 31-Aug-17 Uncasville CT 06382- 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: 2016 State Building Code Mechanical Valu $14,419.00 Mechanical Fe $180.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $14,419.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $3.75 Total Fee Paid: $183.75 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: ft ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation k Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: £V VY 11 VL 1V1V1U.V 111v 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.: I11,9bl7 `0-17 Type of Work Oic pancy Type Permit Type ❑ ew Construction Single Family 0 Buil ' g le Addition 0 Two-Family 0 mbing ❑Alteration ❑Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 11 ) 1 I 4 'j Lz A - (Number) I (Street) (Unit) Job Description: 'TN) 1 R' I IA e-c,,,i— KA..r'1-1 Owner: cC.C) 4 ck e_l 1 p, Address: 19 TU I t .S EC% f� e ayu 1,� City: � c (.t��t l (f State: (---1— Zip Code:( )t!)�% "- �!�,� Telephone( ) ) ? �- -2\__. Applicant:K_____rt I DBA: - \t,r ._ ---)2.--f, l-e e. 6 G Address: ( City. LL I'\C;A-S J 1 I l-( State: l _-- Zip Codd i K.,,- '„ Telephone(7.to 1291:-LI I )-1 Contractors - Complete the Following: License Type: S I _. License No0g0-30L!7 Expiration Date (3 i (17 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. 0 By checking this box, I will follow th equirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requireme in chapters 33 throu 42 of the Residential Code. Owner/Agent Signature: Date: 3 - q -1 / Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: J « U Plumbing Fee: Mechanical Value: 1 1 1 ( Mechanical Fee: I SO .06 Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: 3.15 Total Fee: 05:5.-1 .) Revise&August 2.3,2007 Town of Montville Building Department File Receipt Date: 31-Mar-17 ReceiptNo: 12140 Received From: The Heat People Job Address: 19 Polly's Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: 1138.75 State Check: $3.75 Bldg Credit: 10.00 State Credit: 10.00 Fire Cash: 10.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $14.414.00 Demolition Value: $0.00 CheckNo: 73873 Received By: Carmen Kneeland (( CL A Of Ev1 (y\1 V.AA S1ASC9A Address: 19 Polly's Lane ITEM CITY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - 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 EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonryw/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing 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 $ 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 $ 14,419.00 TOTALS $ - $ - $ 14,419.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building - Plumbing - Mechanical y $ 14,419.00 $ 180.00 Electrical - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 3.75 TOTALS $ 14,419.00 $ 183.75 Figures are based on the 2006 RS Means Residential Cost Data ,..(`. i 'tT mac..; 4i-_,�:, -'.7� 4i•' :y_ ae:i'•'•'k.- : /�. ' �.: �-.��,CT/_: r.. .r•. TT- •! :.�� 'K•'1.. i. i'� ��i- ,/, yy�:i.. ..tS...H .Y�:•- � •�-5: . '•s: y`'� r '-}.�,. � �'� � �a 3. 'n�i � a `Y.7y .y'� ,rl'yge�\3a•r •� •1�, -3 -: '. ti,_,.,'a A ,- LAY't.� '` 3 tiu. J3'�i J • n:-3 ..4�-" . �! .h_•. J !' .q•r i. - S^l ' Zj :+f > �' V ra ju± ,`? V.�.�..t` -2S �Y ._.t• ..4i...:..5.. t..a.oe.;.8.. s? - Sw:�x.�a• ..L....:.. .aC.�,.=:. %- • �a 5O ar. •�. SI i� •.f'i'.l'v'r•�-.r:-•-r - !'L•f:� �~•: Y ♦� r'` �:. r.tF = :i �..:(:.'f'1( _\. !• # it _- _ If. ":t. SI,A? L 0i AL3_\:•@?•-i. i .i,L ! '� sii.i ;'�.i .,E1.. ' )F ` 3:a.`4,'ji.?_ ROT_.(• � :( ' i fir;# Be it known tl1:tl l --'! LAR- R � P F WLE� E Y - 6 STONE �Imi . . I) i:. . -' i` I � ::::,-,:-...,7,-: if_.,,:--- :::: has Ut.'C•I: G&rt'did bti' t-.11,.. tie;7aitment cf('6vSutnt•i Protection a3 a licensed HEATING, PIPING & COOLING UNLIM=ITER CONTRACTOR j°' =: ‘_-,.ti-::i._ • 4.. 'r .i n1 _ >_._; '. I Effective: 09/01/2016 ! _ •17-,---7,- i ?J f I -, . ion 08/31/L017 I ,��t.fl_d....i e .:. :;. — 3 : _ •✓ ►u�:etha❑:\. !Tarns;C oiumivu:rc: . - -...y4. -,�`•6 r }. iu f aW::74. a '.1 t „ ......,,,,A{�- .�4-.'r, - �y_ . ..i.- -- _ ,j' - '4. -„. W 5 ;r 1 - ::? ';... :v --„��- -.r I 1 3., - T'.`..-;:.4 C t\_•:5.1`3 . \l t, -'3•rr-.?' .rt"f,i +:r S� tr.y\-• 0t r� ` .`-.- .. `-„. L 1.z:•' : ,,,,� ti='sy. _L ,tea ,'.:..L .� � ACOR O HEATP-1 OP ID: LA 4,11ftw... CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDJYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 08/18/2016 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTThe Pawson Group NAMEACT Lori Alldredge 31 Business Park Drive PHONE Branford,CT 06405 Igo/ass: No,Ext):203-481-8898 FAX Kenneth Mitchell EMAIL (A/C,No):203-481-5077 DREss:loria Q,pawson.com INSURER(S)AFFORDING COVERAGE INSURED The Heat People Inc - - - INSURER A:UTICA MUTUAL INSURANCENAIc e INSURER B:HARTFORD INSURANCE COMPANY 25976 P.O. Box 901 29424 Uncasville,CT 06382 INSURER C: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: NU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED ENAMEOD N ABOVE BOR 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBRI - LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER POLICY EFF POLICY EXP - - — A X I COMMERCIAL GENERAL LIABILITY (MMIDD/YYyy) (MM/DD/YYYY) LIMITS I _ CLAIMS-MADE I X OCCUR 4578398EACH OCCURRENCE 5 1,000,000 08/22/2016 08/22/2017 PMISE RESO(Ea oa ccu nte) $ 100,000 MED EXP(Any one person) S 10,000 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL 8 ADV INJURY $ 1,000,000 POLICY I I JECOT LOC I GENERAL AGGREGATE $ 3,000,000 OTHER: PRODUCTS-COMP/OP AGG S 3,000,000 AUTOMOBILE LIABILITY $ A COMBINED SINGLE LIMIT ANY AUTO 4569300 (Ea accident) $ 1,000,000 ALL OWNED X SCHEDULED 08/22/2016 08/22/2017 BODILY INJURY(Per person) $ AUTOS _ AUTOS X X NON-OWNED BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) 5 UMBRELLA LIAB $ OCCUR EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE y DED I I RETENTIONS AGGREGATE $ WORKERS COMPENSATION _ $ I AND EMPLOYERS'LIABILITY 0TH- B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 02WECCK5152 STATUTE I I ER OFFICER/MEMBER EXCLUDED? I I N/A OH/2u2016 08/22/2017 E.L.EACH ACCIDENT s 500,000 (Mandatory in NH If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 A Property Section 4578398 08/22/2016 08/22/2017 I 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may ble attached if more space is required) CERTIFICATE HOLDER CANCELLATION MONTVIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Montville ACCORDANCE WITH THE POLICY PROVISIONS. Route 32 Montville,CT 06353 AUTHORIZED REPRESENTATIVE Kenneth Mitchell @ 1988-2014 ACORD 25(2014/01) The ACORD name and logo are registered marksACORD CORPORATION. All rights reserved. of ACORD • Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL lei II (•0 S (•0 erty Address Job Descripon Required Department Permit Issuance Approval Approval Tax Collector �-C� - /�K-.-$-- X3/3,( 1 7 Signature/date Comments: Fire Marshal A ( 11 �RJ t"! 1 IIJI euialSignature/date ti Comments: 1n n � \ 77 LU ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: U WPCA, Administrative 0 k c0,1 fie- 0 t ct n 31:-)q) 7 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: Li Copy of State Dept. of Transportation Certificate 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 Final Inspection Revised March 23,2015 NIF GROUP,INC.-WETHERSFIELD,CT 06109-(860)563-3486 Vendor Number Town of Montville 310 Norwich / New London Tnpk Uncasvilie, CT 06382 Date Invoice Number 6 /6 Geri-- Payment Voucher Payable to: ,cc©unt.Cod� $Amount WoJ4� Ffr-c irr t oo- CO I ci- C�rr�tr— C�er' OCC3LIO Please Make Payment for the Following: Quantity Descli Lion: �imbunf i— � • • • MemoDepa y.;ad Date Approved By: Approved By: Mayor Date Director of Finance Date FINANCE DEPT. COPY Good morning Carmen -- Would you please cancel the permit for 19 Polly's Lane? The Client decided to use another EC. Call me with any questions. Thank you and make it a great day!! Respectfully, Christopher M. Calkins Jr. I Office Manager I Walter Electric (d) 860-410-4484 1 (o) 860-446-0600119 Thames Street, Floor 2, Groton, CT 06340 • TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2017-0057 Date: 29-Mar-17 Map/Lot: 103/060-000 Owner ID: 5605000 Project Location: 19 POLLYS LANE Unit: Job Description: Supply Power to Two Outdoor Condensing Units from Main Panel Owner Nam Paul L.and Sheila L.Scott Tenant Name N/A Careof: 19 Polly's Lane Uncasville CT 06382- Telephone: (860)884-2403 Applicant Name Robert J.Walter Telephone: (860)446-0600 DBA: Walter Electric Lic/Reg Type El Lic/Reg N 198343 19-B Thames Street, Floor#2 Exp Date: 30-Sep-17 Groton CT 06340- 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: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $1,100.00 Electrical Fee: $30.00 Construction Type IRC Total Value: $1,100.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.29 Total Fee Paid: $30.23 It shall be the owners repsonsibility to schedule the followinq 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 LI Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑d R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding LI Anchor Bolts-with sill plate and prior to floor frami ❑ 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 j Certificate of Approval Certificat- •f Occupancy Building Official's Approval: • • Town of Montville Building Department File Receipt Date: 29-Mar-17 ReceiptNo: _ 12134 Received From: Walter Electric LLC Job Address: 19 Polly's Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $30.29 State Check: $0.29 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1.100.00 Demolition Value: $0.00 CheckNo: 2254 r 1 Received By: Carmen Kneeland �lt/�f1�'l--t--�t'� ��}. �-t Z C �---i<�-i� Address: 19 Polly's Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ _ $ 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 EA $ 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 $ 1,100.00 TOTALS $ - $ - $ - $ 1,100.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ _ Plumbing y $ - $ _ Mechanical y $ - $ - Electrical y $ 1,100.00 $ 30.00 Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.29 TOTALS $ 1,100.00 $ 30.29 Figures are based on the 2006 RS Means Residential Cost Data