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Woodstove 2014
Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 45 Powerhouse Road Job Description: Install Wood/Coal Stove Permit Number(s) B2014-0533 Permit Date: December 17,2014 Not Approved Approval INSPECTION Comments Special Date Conditions 12/17/14 DJ • Clearances are not in compliance with cote,more • Installation Wood/coal Stove information is required. matches data installation the data plate 12/18/14 DJ applied to the rear of the unit. • Final inspection and • certificate of approval • 12/18/14 DJ Ree_Date: 1/18/06 Pagelofl TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number:_g201411O533 Date: _ 11Dec-1_4_Map/Lot:_ Q6R/Qll_OQQ__ Owner ID: 5694000 Project Location: 45 POWERHOUSE ROAD Unit: Job Description: _Install Wood/Coal Stove Owner Nam ,Cohn A-SOi n_ato,)r. Tenant Name_N/A Careof: 452owerhoiise Rd _Jnc_osville CT _0.6,3112- Telephone: 01601848-9448 Applicant Name E[ooectv Owner Telephone: _ DBA: Lic/Reg Type Lic/Reg N Q_ Exp Date: Cnnefn irginn irc Permit FAPc ConsfnictionJnformatinn Building Value: 51.916 OQ_ Building Fee: S.31011_ Use Group: IRC Plumbing Value: S_0_01) Plumbing Fee: SOSIO_ Code: 2005 State Building Code Mechanical Valu— SD-00_ Mechanical Fe Electrical Value: S1).00 Electrical Fee: CQ_QQ_ Construction Type IRC Total Value: $1.91_6.00 Penalty Fee: S0,00 - Permit Code: R5 C of 0 Fee: S0 00_ Comment Plan Review Fe State Ed Fee: i SOIL Total Fee Paid: $30.51_,_ 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 Certifi ate of A.Kval ❑ ' - ificf,te +f Occupancy _Bul-Idino Officials Aoorov_al: I O WII 01 1V1UuL V 111G 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.: 114-0 533 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: y P o hJ f- fL 1-I c si s r R 0 - (Number) (Street) (Unit) Job Description: /Ai 574 1 L w c 0 0 C 0 4 L s v Owner: S(2 'y'-' Address: J-) 5 P o bU %_ Q f 7 c E, 5 is 11 City: LI#( 4S Vi 11 r State: C 1 Zip Code: o 1 3 2 Telephone( r I c ) - Y- 9 Le S Applicant: S P1 DBA: Address: City: State: Zip Code: Telephone( )Contractors -Complete the Following: License Type: License No.: 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: - I Construction Value Permit Fees Building Value: I 9 / t, Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: - Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: cVvise&August 23,2007 Town of Montville Building Department File Receipt Date: 16-Dec-14 ReceiptNo: 10010 Received From: 3 Spinnata Job Address: 45 Powerhouse Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $30.00 State Cash: Bldg Check: $0.51 $0.00 State Check: Bldg Credit: $0.00 $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1,961.00 Demo i ion - e: $0.00 CheckNo: 0 Received By: Vernon D Vesey II Address: 45 Powerhouse ITEM OTY $/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 $ - 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 $ 1,961.00 TOTALS $ 1,961.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 1,961.00 $ 30.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.51 TOTALS $ 1,961.00 $ 30.51 Figures are based on the 2006 RS Means Residential Cost Data STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR JEFFREY L DECKER 21 IRENE ST DANIELSON,CT 06239-4211 IIC./REG NO. EFFECTIVE HIC.0622935 12/01/2014EX11/30/2015PIRE • SIGNED CPREI A CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 12/16/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 CONTACT Shannon Bilodeau NAME: Gerardi Insurance Services Inc PHONE (860)928_7771FAX IAIC.No.Ext): (AIC,No): (860)928-7144 16 Pomfret St ADDRESS:sbilodeau@gerardiinsurance.corn INSURER(S)AFFORDING COVERAGE NAIC# Putnam CT 06260 INsuRERA:Ohio Mutual Insurance Group 13072 INSURED INSURER B:Chartis Specialty JEFFREY DECKER INSURER C: 666 UPPER MAPLE ST BLDG E INSURER D: INSURER E: DANIELSON CT 06239 INSURER F: COVERAGES CERTIFICATE NUMBER:2014-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 SUBR LTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER (MM/DD/YYYFY) (MMJDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR — MED EXP(Any one person)_ $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED CPP0011317 1.2/8/2013 12/8/2014 ) AUTOS AUTOS BODILY INJURY(Per accident $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ UMBRELLA LIAB Underinsured motorist $ 1,000,000 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ B WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WC I)MIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N TH- X TORY I IMITS ER OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) WC051757575 9/16/2014 9/16/2015 If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN John Spinnato ACCORDANCE WITH THE POLICY PROVISIONS. 44 Powerhouse Road Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE Jay Long CIC/JL ����-� ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSf2se2nInn51 M The.ARfpr1 name.,nrl Innn ara rnnicfnrnri marirc of Ar(1Rr1 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. e a h/ r✓ o tr S r 1` D Property Address J/krs71L1- 1/1/ 0. ° P ccd slc, yr Job Description Required Approval Department Permit Issuance Approval Tax Collector (,(9/ `` IlLt C Signature/date omments: Planning & Zoning Co-Pa2-, 1 /.27",,, A q Signature/date Comments: Fire Marshal / 1 (h _1 4 Comments: !"-t � ----Signature/date ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative G iZ// /117 Required for properties on sewer Signature/ ate Comments: n WPCA, Operations When Required by WPCA Comments: Signature/date ❑ 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