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Home My WebLink About2005 - Boiler and Chimney Field Inspection Notice Town of Montville Building Department September 6, 2007 Address: 18 Powerhouse Rd. Job Description: Boiler& Chimney Re-line Permit Number(s): M2005-0135 Permit Date: Boiler& _ Not Approved Approval Chimney Re- Date: Deficiencies Special Conditions_ Date line 9/26/05 DJ • Not Approved Approval Certificate of Date: Deficiencies Special Conditions Date approval • 9/26/05 DJ Rev.Date:8/4/05 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: M2005-0135 Date: 22-Sep-05 Map/Lot: 070/034-000 Owner ID: 5683000 Project Location: 18 POWERHOUSE ROAD Unit: Job Description: reploace boiler and line chimney with stainless steel liner Owner Name: Louis and Paul Schwell Tenant Name: N/A Careof: 18 Powerhouse Rd Uncasville CT 06382- Telephone: Contractor Name: Brian Lewis Telephone: (860)710-2559 DBA: Lic/Reg Type: S7 Lic/Reg No: 395429 P.0. Box 232 Exp Date: 31-Aug-06 Montville Ct 06353- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $2,600.00 Mechanical Fee: $24.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $2,600.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: _ $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.42 Total Fee: $24.42 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 ❑ 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 pepartment 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# No?,‘,O O /3: LjcPtum6ing LlcECectrica( j9Kechanicat CRS # .7feating Air Conditioning Gas Piping [ ] Sin0 Eamity J Two-'Family ❑ Townhouse Job Address 49 COwer t ->--k4c, (Number) (Street) (Unit) Job Description 4-4405e OUT .c!›, /f r L -vi { ch/-14" e 62 QI e cc 57-14./cs L, tier- Owner TrAy',/ Ceht"-i I Mailing Address SI9/A-,� City 04 co‘v,(f State Cr Zip Tel 860 /a135 / L 1//5 Contractor Ai-, 9h t c t�vi? Mailing Address Pc jx)x RP. j/K CI City /140 State et- Zip C63S3 Tel/6O /? IC) / Contractor's License Type&Numbers- 7= 3 93 L1� 9 Exp. Date S / 3/ / 0d I hereby certify that the proposed work will conform to the Basic 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 Signature • ,' - Date 9 /c` ? / OS Construction Value Fee (0'O . Plumbing $ $ Mechanical $ a-GOc7 erz. Electrical Work commencing before the issuance of a permit $ Plan Review $ State Education $ Z yZ Total $ $ 02 9, 'J 44vueiWovem6er1,2004 . . • Town of Montville Building Department File Receipt Date: 22-Sep-05 Receipt No: 666 Received From: Brian Lewis Job Address: 18 Powerhouse Rd. Fees Collected State Educational Training Fee Cash: $24.42 Cash: $0.42 Check: $0.00 Check: $0.00 Check No: 0 Construction Value: $2,600.00 Demolition Value: $0.00 i Received By Sandra Pandora � _....-- IS:1:2 • • `•�v State of Connecticut E 7A Workers' Compensation Commission :ter: Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building Permit b r 9 h /� /'6✓ /_.15 Property located at (Q t-"er in theCity/Townof �('A -OW`L I/ cr Attest `/ 1 If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE (1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant ® I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Z!1 4 ti ) ci ', ��j/,iyl�� 1;116"01(--, (--, Federal Employer ID#(FEIN) 0 - '7C -3$Ss Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL / G'(-7(A..4er f:40 �oQ d 00 ,il< Property Address 2.0 - J L 4e C�� .-,�, ey abe. Pieces C7-4,4. kcl,�cr Job Description 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 Department Permit Issuance Approval Approval Tax Collector _ k aa1 pS `Mature:!date Comments: 111 WPCA,Administrativev 114 I0`c Signature'• to Comments: ❑ WPCA,Technical Signature/date Comments: ❑ Planning&Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Signature/date Comments: ❑ Fire Marshal Signature;date Comments: 2cviseifiugust 5,2005