HomeMy WebLinkAboutBoiler 2009 Field Inspection Notice
Town of Montville
Building Department
Address: 40 Porach Road
Job Description: Replace Boiler
Permit Number(s) M2009-0030 Permit Date: March 18,2009
Not Approved Approval
INSPECTION Date Deficiencies Special Date
Conditions
•
Low water cut off •
device 8/5/09 DJ
Back flow prevention 8/5/09 DJ
Flue connection • •
• 8/5/09 DJ
Makeup air is now 8/5/09 DJ • Make air is required for the boiler.
required 8/19/10 DJ
Final inspection for • •
certificate of approval 8/19/10 DJ
Rev.Date: I/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: M2009-0030 Date: 18-Mar-09 Map/Lot: 103/077-000 Owner ID: 5673000
Project Location: 40 PORACH ROAD Unit:
Job Description: Replace Boiler
Owner Name: Matera Properties LLC Tenant Name: N/A
Careof:
40 Porach Rd
Uncasville CT 06382- Telephone: (860)608-4338
Contractor Name: David Marien Telephone: (860)234-0873
DBA: MRP Plumbing&Heating Lic/Reg Type: S1
Lic/Reg No: 390763
266 Pleasure Hill Road Exp Date: 31-Aug-09
Franklin CT 06254-
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: $4,000.00 Mechanical Fee: $32.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $4,000.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.72
Total Fee Paid: $32.72
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 E 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 RE•UIRED UPON COMPLETION
❑ Insulation _ .te o •pproval
do, •: e of Occupancy
Building Official's Approval: /l��
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.:fyk acti-00-3O
Type of Work Occupancy Type Permit Type
❑New Construction (]Single Family ❑Building
❑Addition 0 Two-Family 0 Plumbing
El Alteration 0 Townhouse El Mechanical
0 Accessory Structure 0 Electrical CRS#: •
/
Property Address: ,..4 v l-U,a c. ` /Zv L., ., �,S /r
(Number) J(Street) (Unit)
Job Description: c l- a-►yC D `e
Owner: /I r ice /4'1 G/e"--/a
Address:
� �� I / 6u� _ x/ 33 v
City: N'G State: Zip Code: Telephone(CGU )
Applicant: bay, d /' 11 a v i P ti
DBA: i
Address: a 6 l pit uS v^C L , l( fl _o
City: �rN^"- � State: C ! Zip Code: 0 0-o/S Y Telephone( &b U ) 01j'/ - U Zt7.1
Contractors-Complete the Following:
License Type: r License No.: t)?/O 76 1 Expiration Date: SV O
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 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 Signatu . Date: .? ' t/ G
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: UV V Mechanical Fee:
Electrical Value: / Electrical Fee:
Total Value: `7 l)&I S) Penalty Fee:
CofOFee:
Plan Review Fee:
State Ed Fee:
Total Fee:
tvisa August 23,2007
Town of Montville
Building Department
File Receipt
Date: 16-Mar-09
Receipt No: 4291
Received From: MRP Plumbin. and Heating
Job Address: 40 Porach RD.
Fees Collected State Educational Training Fee
Cash: $0.00
Cash:
Check: $32.72 $0.00
Check: $0.72
Check No: 0
Short/Over: $0.00
Construction Value:
$4,000.00
Demolition Value:
$0.00
Received
By David Jensen AI
Address: 40 Porach Rd.
ITEM OTY S/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 113.03 $ - $ -
Basement,Finished SF $ 22.96 $ - $
Basement,Unfinished SF $ 12.40 $ - $ -
Crawl Sapce SF $ 9.30 $ -
Interior Renovations SF $ 35.09 $ - S $ -
MANUFACTURED HOMES
Ground Anchors SF $ 6.45 $ - $ - $ -
Basement SF $ 12.41 $ - $ - $ -
Crawl Space SF $ 9.31 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom EA $ - $ -
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 54.35 $ - $ -
Detached SF $ 69.53 $ - $ -
Under SF $ 10.03 $ - $ -
Carport SF $ 19.89 $ -
MECHANICAL
Warm-Air n Y/N $ -
Hol Water n Y/N $ -
Electric n Y/N $ -
Air Conditioning n Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Overhead,new Amps $ -
Underground,new Amps $ -
Subpanel EA $ 599.50 $ _
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 $ -
Wood stove insert EA $ 1,859.77 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 43.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $ - $ -
POOLS&HOT TUBS
Hol Tub EA $ 8,016.25 $ - $ -
IngroundPool EA $ 21,37344 $ - $ -
Above Ground Round EA $ 5,099.46 $ - $ -
Above Ground Oval EA $ 6,019.75 $ - $ -
Pool Heater EA $ 8,984.25 $ -
Inflatable Type Pool EA $ 1,550.00 $ -
SHEDS
w/o electrical SF $ 20.35 $ -
w/electncal SF $ 20.35 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.00 $ -
Roofing,Step&reroof SF $ 4.00 $ -
Roof Sheathing SF $ 1.31 $ -
Siding SF $ 3.50 $ -
Windows - EA $ 500.00 $ -
Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $ -
Oil Tank,275 Gallon - EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS $ 4,000.00
TOTALS $ - $ - $ 4,000.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ _
Plumbing y $ - $ _
Mechanical y $ 4,000.00 $ 32.00
Electrical y $ - $
Working before Permit Issuance $ _
Certificate of Occupancy Fee $ -
Plan Review Fee $ _
State Education Fee $ 0.72
TOTALS $ 4,000.00 $ 32.72
Figures are based on the 2006 RS Means Residential Cost Data
v1,-v
' �. State of Connecticut N
,,.1. r] Workers' Compensation Commission <7 7C
fres,,/� 1.... Please TYPE or PRINT IN INK 'x
ir6y""
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the General Contractor or Principal
Employer who has chosen to be EXCLUDED from Coverage
Applicant for Building Permit
Name of Applicant for Building Permit Da✓ tslz* '" — //
Property located at Li `�r G /2„.„...." v—t c-Gr f(/- ` etc
in the City/Town of t"" CRS✓• /K C T
Attest
If you are the General Contractor or Principal Employer of a business doing work on the site of the construction project at the above-named property and you
have properly excluded yourself from workers'compensation coverage by filing one of the appropriate forms listed below with the Workers'Compensation
Commission,complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court.
FIRST—CHECK ONE (1) BOX:
I am: ❑ an Officer of a Corporation - a Manager or Member of an LLC ❑ a Partner in a Business
THEN—CHECK ONE (1) BOX, provide the appropriate information, and sign the Affidavit below:
I have filed the following certificate with the Workers'Compensation Commission:
❑ Form 6B(for an Officer of a Corporation, a Manager of an LLC,or a Member of a Multiple-Member LLC)
❑ Form 6B-1 (for a Partner in a Business)
AFFIDAVIT
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,
subcontractor,or other worker before he or she does work on the site of the construction project at the
above-named property in accordance with Section 31-286b of the Workers'Compensation Act.
Signature of GENERAL CONTRACTOR or PRINCIPAL EMPLOYER Appy
0
Name of Business—if applicable 4..., 'r f ,_ tie„/,,....,,
Federal Employer ID#(FEIN)—if applicable a c 6 0 3 U7 3
Subscribed and sworn to before me this /" day of /-C- 6' , 200 7 .
Signature of Notary Public/Commissioner of the Superior Court
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 ail the required signatures are obtained.
roft:"^
L 6, 1
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Property Address
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Job Description
111 - Required for all permits - At least one required for all permits ❑ -Required as indicated below
Required Department Permit Issuance Approval
Approval
Tax Collector �-' /`( A- L.3`/
Signature/date
Comments:
-111 Planning & Zoning (AtFJi2-v .3//l./(l9
Signature/date
Comments:
Fire Marshal, I
(��
Signature/date
Comments: `_ '�i E? Li/ 1 ( L
Health Department
Required for properties with septic systems-Not required for Plumbing, Electrical,Mechanical,Roofing,Siding,Windows& Doors
Signature/date
Comments:
WPCA, Administrative r,jX/ Itis' ���11 `l► 1
Required for properties on sewer
ignature/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:
❑ State Dept of Transportation
Required for Structures over 100,000 sqft. or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per
CGS 14-311
Signature!date
Building Department Review Complete
Signature/date
4Zpviszi9r"wcmlerS,200