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LP Line for Water Heater 2015
Field Inspection Notice Town of Montville , f Building Department 860-848-3030 Ext. 382 Address: 25 Powerhouse Road Job Description: Install Gas Line for Water Heater from Mechanical Room to Outside Permit Number(s) M2015-0204 Permit Date December 29,2015 INSPECTION Not Approved Approval Comments ,nr,-i i Date Gas pressure test , 1/5/16 DJ Final inspection for certificate of approval I I • /5/16 DJ I 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: M2015-0204 Date: 29-Dec-15 Map/Lot: 068/015-000 Owner ID: 5687000 Project Location: 25 - POWERHOUSE ROAD Unit: Job Description: Install Gas Line for Water Heater from Mechanical Room to Outside Owner Nam Jeff Radack Tenant Name N/A Careof: 10 Quarry Road Waterford CT 06385- Telephone: Applicant Name James M.Kane Telephone: (860)625-5312 DBA: Lic/Reg Type pl Lic/Reg N 278268 13 Perkins Farm Road Exp Date: 31-Oct-16 Waterford CT 06385- 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 Valu $500.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.13 Total Fee Paid: $30.13 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: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation El Certificate of ..royal • ►- 'fig at- 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.: DA301 -(i Type of Work Occupancy Type Permit Type ►.� ew Constructioningle Family 0 puilding • Addition Two-FamilyPlumbing ❑Alteration 0 Townhouse ']Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: as (Number) ( treet) (Unit) Job Description: vvs (.1\ Cr-- c 5 1-1 %N-t— -Co r \A)c.i-t r '14c \--z r' I ' b v` Y1n r c: Owner: � ii)-c) e rAc c_Ac. Address: City: State: Zip Code: Telephone( ) Applicant: C v DBA: Address: \3 ?t t v.S I c City: \f-�C i- Qi)f State: Zip Code: (Db., Telephone(et..0 ) Contractors - Complete the Following: License Type: License No.: n j p /DA j 20 /6, YP 1 \ ��'(���() 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 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: t 1,2_` I l Co• t tion Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: S' -!9 d Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: 4visetf fiugust 23,2007 ''.v�- State of Connecticut `6.: 11`.? • Y1 j .. Workers' Compensation Commission LY=: *j.* '� 1 :�� `• 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 Property located at in the City/Town of ATTEST 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: 4 ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant-- --• - —•_—• )4,,:11 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 1.,VV\t S ` 1 Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Alle /72/7/Z---- Town of Montville Building Department File Receipt Date: 28-Dec-15 ReceiptNo: 11019 Received From: Jeff Radeck Job Address: 25 Powerhouse Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $30.13 State Cash: 50.13 Bldg Check: $0.00 State Check: 50.00 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: tO 00 Fire Check: $0.00 Fire Credit: t0.00 Construction Value: $500.00 Demolition Value: $0.00 CheckNo: 0 Received By: Carmen Kneeland Cet/1 yk . ' QCT Address: 25 Power House Rd. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - S - AMENITIES Kitchen EA $ - $ - S - Full Bathroom EA $ - S - Half-Bathroom - EA $ - S - GARAGE Detached SF $ 71.53 $ - S - MECHANICAL Warm-Air n Y/N S - Hot Water n Y/N $ - Electric n- Y/N S - 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 $ - 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 $ 500.00 TOTALS S - $ - $ 500.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ _ Mechanical y $ 500.00 $ 30.00 Electrical y $ - $ - Working before Permit Issuance $ Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.13 TOTALS $ 500.00 $ 30.13 Figures are based on the 2006 RS Means Residential Cost Data • OcoN o Lu ¢1-4 X M OMZ t--- O o Vim " R , a A w i Waw Zwt eno Zy a k+ V >o L41 I Cz zcid CZ cn W\ f Woza � W� I w ti a x I. 2..''C W b 00 o� \\I\ V) A wn 0. CU ti z J 14 (.7i 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. h � J\ Property Address � DO = CS pc �Lk\ OC Ic.4�J 6� //i� -rfowr� � (7 ) Job Description Required roval Department Permit Issuance Approval Approval Tax Collectori„-",.P j/S' Signature/date Comments: Planning & Zoning Signature/date / ► Comments: ® Fire Marshal Signature/date Comments: ❑ Health Department Required for properties with private septic or well Comments: ❑' / WPCA, Administrative �� 0 , ) i Ruire q d 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 spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised May 23,2011 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 25 Powerhouse Road Job Description: Install Two LP Tanks to Plumbers Stub Out for New Boiler Permit Number(s) M2015-0205 Permit Date: December 29,2015 Not Approved Approval INSPECTION Comments Special Conditions Gas pressure test 1/5/16 DJ Final inspection for • • 1/5/16 DJ certificate of approval Rev.Date: 1/18/06 Page 1 of 1 Town of Montville Building Department File Receipt Date: 28-Dec-15 ReceiptNo: 11014 Received From: Spicer Advanced Gas Job Address: 25 Powerhouse Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 50.00 State Cash: $0.00 Bldg Check: 530.03 State Check: 50.03 Bldg Credit: 50.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: 820.00 Fire Credit: X0.00 Construction Value: $100.00 Demolition Value: 80.00 CheckNo: 2374 Received By: rio. * (r , 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: M2015-0205 Date: 29-Dec-15 Map/Lot: 068/015-000 Owner ID: 5687000 Project Location: 25 POWERHOUSE ROAD Unit: Job Description: Install Two 120 Gal.LP Tanks to Plumbers Stub for New Boiler Owner Nam Jeff Radack Tenant Name N/A Careof: 10 Quarry Road Waterford CT 06385- Telephone: (860)908-0195 Applicant Name Spicer Plus Inc. Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type G1 Lic/Reg N 388986 183 East Haddam Road Exp Date: 31-Aug-16 Salem CT 06420- 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 Valu $100.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $100.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fire Marshal Tank Set Fee of$20 Paid State Ed Fee: $0.03 Total Fee Paid: $30.03 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 El Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certificat- of Approval IN 'Vi ' ate of Occupancy Building Official's Approval: J 5Piger dvanced Gas A DIV;SION OF SPICER PLUS. INC. 36 Thames St., Groton, Ct. 06340 • 183 E. Haddam Rd., Salem, Ct. 06420 (860)445-2436 •(860) 859-9070 Fax - (860) 445-2313 • (860) 889-3627 www.spiceradvanced.corn Date: i.)-- 41/6- , City/Town/Borough: ( 00iA o4 M 4V � Ie VY • Job Site Address: v�-r�l ower&ot. .st. Toad tt Vlfe10-.1 o%W - Project to start on or about the following date: P1130/15- Pursuant a- 30 ISPursuant to State of Connecticut General Statutes Sec. 20-338b and State of Rhode Island General Statutes Sec. 23-27.3-113.3, this letter authorizes Te e-r4 M���4./ ( to obtain a permit on my behalf for the following customer/project: Property Owner: westa-46-e/K Mailing Address: 10 Q .ta,rr egoad moo► e4o , ��.063 James L. Saporita LP Gas Technician Ct. Lic. #HTG.0388986-G1 • R.I. Lic. #00007469 • Ct. H.O.D. #0000744 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: (YI )( —c; Du-3 Type of Work Occupancy Classification Construction Type Permit Type ❑ New Construction 0 A-1 ❑B ❑ H-1 ❑ I-1 ❑ R-1 ❑S-1 ❑Type IA 0 Type IIIB ❑Building ❑Addition ❑A-2 ❑B, Medical ❑ H-2 ❑ 1-2 ❑ R-2 ❑S-2 ❑Type IB ❑Type IV ❑Plumbing ❑Alteration ❑A-3 ❑E ❑ H-3 ❑ 1-3 ❑ R-3 ❑ U ❑Type IIA ❑Type VA ❑ Mechanical ['Change of Use ❑A-4 ❑F-1 ❑ H-4 ❑ 1-4 ❑ R-4 ❑ Mixed ❑Type IIB ❑Type VB ❑ Electrical ❑A-5 ❑F-2 ❑ M// .S ❑Type IIIA CRS#: Property Address: ops ' —POGO ivkoue 4:J (Number) (Street) (Unit) Job Description: I 1W-5 .(-aL 1'•Lot d -/ -Ci 34.1 L7 t's".d/e'S p/a I erIS a -0 fe4 ,10‘1 k 4 of tor . ' rot ;‘,Slaifir c � ONLY . Owner: u .[r R Tenant: Address:(0 Ci µA•-►'y?oadr .,Address: City/State/Zip: VVwteI-4 . Gt' ©p 3rc ' City/State/Zip: — Telephone (160 ) *Ye - 0/435 Telephone ( )- - Applicant: Sp c!( I" (int-64 -0-e DBA: Sp i E..•E(Ad V/Imo-/ea eet 4-C l O Address: 63E4411 6�1-`^ 11 .,,�.K6""4v`' ?i. City: . .611.4.14.4". State: ` -.'"1"• Zip Code:D 64U Telephone(V60 )rs-Q - 4o70 Contractors - Complete the Following: . 4 License/Registration Type: 41 License/Registration No.:Jin` Expiration Date:* 3 1 Ido 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. -.41 4 Owner/Agent Signature: • • Date: a" D/ - Construction Value Permit Fees Building Value: [0Oenv Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: 3 C •d C) Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: `� Plan Raul es F : e C •0✓) State Ed Fee: 0 3 Total Fee: S7) .0 3 .evised August 23,2007 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION I(EATING,PIN Nit;z.• (.(1(PLINt. LIM I VD CVN FRAC fOR JAMES L SAPOltI t•,' 2060 GOLD STAR I IWY r IVS'rtC, CT (6355-1016 LI RI C, IQ; 11'1"6.0388986-GI ')(),"1,1 �2+115 08/31/2616 :D 1/47:471 101 At.4"4 State of Rhode bland and Providence Plantations Rhode Island Department of Labor and Training PJFPROP GAS SRV/ STR2-•QQ007469 .a+ria • JAMES L SAPOKI4 2060 GOLD STAR' - MYSTICCT A6 - 3,.5�'� r. jgHil AdministratorsW expiration Date