HomeMy WebLinkAboutGas Line for Fireplace Logs 2015 Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 127 Polly's Lane
Job Description: Install Gas Log Set into Existing Fireplace, and Associated Piping
Permit Number(s) M2015-0179 Permit Date: November 19,2015
Not Approved Approval
INSPECTION Comments Special Date
Conditions
Gas Test 1/6/16 DJ
•
Final inspection for
certificate of approval 1/6/16 DJ
Rei.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:M (1L5_0179 Date: Map/Lot:j.02J-N_odxi0 Owner ID: 5644000
Project Location: 127 POLLYS LANE Unit:
Job Description: InstalLGs�s l oa So}into_it_enlac_e_&Asso_ciatesLGgsTioina
Owner Nam Francis W and mann S lutkiewicz Tenant Name N/A
Careof:
197 Pollvs I one
_Uncnsville CT 1337- Telephone:1fl601848-7870
Applicant Name Michael.Inner Telephone: C860)38ga422
DBA:jc er Professional Gas Services I I C Lic/Reg Type G1
Lic/Reg N _308258
93 Elm Street.Suite E Exp Date: 31-Aria-16
_Old Sovhrnok CT _06475-
_on•b ection Vraruo P_e_nnitleaes CanstnadtionJofonoc icon
Building Value: SAGO_ Building Fee: SO 00_ Use Group: IRC
Plumbing Value: S.0 00 Plumbing Fee: $D_nQ Code: 2005 State Building Code
Mechanical Valu $2200.00 Mechanical Fe
Electrical Value: S0 00 Electrical Fee: $0,40_ Construction Type IRC
Total Value: $2.200 UQ Penalty Fee: SO.00 Permit Code: R5
C of 0 Fee: 50,00_ Comment
Plan Review Fe SO.OQ_
State Ed Fee: 50.57
Total Fee Paid: $36.57
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 El Pool Bonding
El Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTI•N REQUIRED UPON COMPLETION
❑ Insulation fi••te Approval
•
- ;• ate of Occupancy
auildina Official AoDrovs7L'
Town of Montville
Buildinq 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.:yrjr)p .��_nl 79
Type of Work Occupancy Type Permit Type
❑New Construction aSingle Family 0 Building
❑Addition 0 Two-Family
ng
❑Alteration ❑Townhouse 6d.M chancal
l
0 Accessory Structure Electrical CRS#:
Job Address: I
(Number) ( L 0 1+
(Street) .. (Unit)
Job Description.
P i " 4,/ t i r I 1 01 i a- if ' a449 4 .1.,_/
51Qt( ,
atk_ -4- Pt-,790 ctiA- i- 411 Nr6 t 11111/ k?..V cak (.01/4(- MA
till
Owner: r/vott,y, 0.-T'k(tut) t t �
Address: I IPO L((ll
I „ pj CJS.�'�—
City: v A C CAO to l• i t u2--- State: V4' 3
Telephone: 0 l/ (l F'- 9 Ca /)0 Zip Code: CY J
' `1✓tC v �}
Contractor: ' - (( e�
tea .y , / / /
DBA: C/l.� �1��/� lid-�,� �V L y 4_Le
rL J ' `v7 5 - 6'/' E----
Address:
City: ti3O 1I . i ,�t^^��,//''�
'—a_ 1 7_ State: Zip Code4✓Co 4/ 5
Telephone: 910 jy cense Type:(.. License No.: 03006.5
xpiraGon Date: er,8‘ (6
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:
Date: //— 0.°45.---)
Construction Value
Permit Fees
Building Value:
Building Fee:
Plumbing Value: `
Plumbing Fee:
Mechanical Value: a, aPp Co'�V,
Mechanical Fee: `f”
Electrical Value:
Electrical Fee:
Total Value:
Penalty Fee:
C of O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
&vised'Decem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 18-Nov-15
ReceiptNo: 10916
Received From: Jaaer LLC
Job Address: 127 Pony's Lane
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
$0.00
Bldg Check: $36.57 State Check:
$0.57
Bldg Credit: $0.00 State Credit:
$0.00
Fire Cash:
$0,00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $2 200 00
Demolition Value: $0,00
CheckNo: 9461
Received By: Carmen Kneeland OCA.A vitt A 1 1, LtA CSL Q C14/1(D
Address: 127 Pollys 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 EA $ 2,692.25 $ -
Woodstoveinsert FA $ 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 $ - $
lnground 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 $ 1200.00 $ - $
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 $ 2,200.00
TOTALS $ - $ - $ 2,200.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ - $
Mechanical y $ 2,200.00 $ 36.00
Electrical y $ - $
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.57
TOTALS $ 2,200.00 $ 36.57
Figures are based on the 2006 RS Means Residential Cost Data
•
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING&COOLING LIMITED CONTRACTOR
MICHAEL D JAGER
6 Burgis Lane
Guilford,CT 06437
LIC./REG NO. EFFECTIVE EXPIRES
IHTG.0308258-G1 09/01/2015 08/31/2016
SIGNED
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No .ermit will be issued until all the re.uired si.natures are obtained.
0—1 Pokt_5 L . ne
Property Address
Z1Sict(k ccs l orj Se-{- ►aro fi re-p la(- ` c ss«4cd e,e, ri
Job Desc'ption
uired
Aep oval Department Permit Issuance Approval
pP
Tax Collector / /// �SSignatur �
Comments:
Planning & Zoning
Signature/date
Comments:
Fire Marshal
Signature/date
1
Comments:
❑ Health Department
Required for properties with private septic or well
Comments:
I()0WPCA, Administrative 16 1( M /C
Required l
q 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 s.aces-Official co• of STC Certificate of O.eration re.uired—.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
Revised May 23 2011