HomeMy WebLinkAboutFurnace 2005 Town of Montville
Building Department
Field Inspection Notice
Address: 50 PRUETT PLACE
Job Description: Furnace
Permit Numbers:M2005-0001
Footing Not Approved: Approved:
Comments: 1.
Deck Piers Not Approved: Approved:
Comments: 1.
Backfill Not Approved: Approved:
Comments: 1.
Anchor Bolts Not Approved: Approved:
Comments: 1.
Concrete Slab Not Approved: Approved:
Comments: 1.
Rough Plumbing Not Approved: Approved:
Comments: 1.
Rough HVAC Not Approved: Approved: 3/28/05 JS
Comments: 1.
Rough Electric Not Approved:
Approved:
Comments: 1.
Pool Bonding Not Approved: Approved:
Comments: 1. p
Electrical Trench Not Approved: Approved:
Comments: 1. t
Electrical Service Not Approved: Approved:
Comments: I.
Gas Line Not Approved: Approved: R
Comments: I.
Masonry Fireplace Not Approved: Approved:
Throat& Chimney Comments: 1.
FireBlocking& Not Approved: Approved: £
Draftstopping Comments: I.
Framing Not Approved: Approved:
Comments: 1.
Insulation Not Approved: Approved:
Comments: 1.
Certificate of Not Approved: Approved:
Occupancy Comments: 1.
t
Comments:
1.
Page 1 of 1
Revised 9/20/04
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: M2005-0001 Date: 13-Jan-05 Map/Lot: 004/019-000 Owner ID: 5702000
Project Location: 50 PRUETT PLACE Unit:
Job Description: furnace replacement
Owner Name: Lozupone, David&Donna Tenant Name: N/A
Careof:
50 Pruett PI
Oakdale CT 06370- Telephone:
Contractor Name: James Hickey Telephone: (860)271-2040
DBA: Dahl Oil Co. Lic/Reg Type: Sl
Lic/Reg No: 303545
68 Melody Lane Exp Date: 31-Aug-05
05
Meriden Ct 06450-
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: $5,000.00 Mechanical Fee: $40.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $5,000.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.80
Total Fee: $40.80
It shall be the owners repsonsibilitv 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 0 Certificate • Approval
- of Occupancy
Building Official's Approval: Ale
t
J f Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit#/7 ®O ��- Q O , r
Plumbing U ECectricaC [I9vlechanicaC
CR # S{eating
Air Conditioning
Gas Piping
Single rFami1y 0 Two-FamiCy 0 Townhouse
Job Address ...5-6P12 0 rl-sl •
-
(Number) (Street)
(Unit)
Job Description e v 1 L-i a. /Re p L A c .e 7----
Owner,( Z (-1 pc,Ai /` Mailing Address U pe? T )—
City D 19 J< i9 //,l L i State C.>- Zip 6 G sc S Z Tel 0 / Sel/Z. /96 6:-6-
Contractor
6Contractor S) rn>` S id 1 c k e v Mailing Address 6 iP lid/U C. o O 7 c,v"
City VI E fZ i 0 E L.) State c(-- Zip 06.'l S p Tel %o / 7 i / 2 o yd
Contractor's License Type &Number S I -30 3 S4 S'' Exp.Date - / 3 I / 6�--
Ihereby_.certifythatthe_proposed work will conform to the Basic Building Code and all other codes as adoptedbythe
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 / / / 1/ / 6 t f
Construction Value Fee
Plumbing $ $
Mechanical $ cv GU es"-- $
4/0` 06Electrical $
$
Plan Review Fee $
State Education $ S'd
Total $ SO OG 0.5.._, $ 4/0, i-O
(Complete reverse side)
&viseaSeptem6er9,2004
Town of Montville Building Department Receipt
Date f' / l d ,7 No. 04561
From: , „.
// L_ / il „ _/_ _....,_.:,.. ..... t
,..._ ,
,r,-,,,,
Job Address: -'410 4
0 - _ _' ,
Amount $______740__• Cas Check Check #
(Circic one)
Received /,r. ,,, �/i'
04,--0 - :. .�= Permit # aoO,r-000
•
•
. National
' ENERGY
DDLc *.
Your 4-Season Comfort Company U.$,Environmental Protection Agency
Itagagggil
l
I,JAMES T.HICKEY GIVE MY REPRESENTATIVE KEVIN CAREY
PERMISSION ON THIS DAY OF / I 11/p c TO SIGN AND RECIEVE THE MECHANICAL
PERMIT FOR THE JOB LISTED BELOW. / FOR JOBS IN THE NAME
OF DALH; DANIELSON, LEHIGH
(TY CO LC.
C AL,DD
•
•
• STATE OF CONNECTICUT
..f DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING&COW.II�j,yf3 TrLIMITED CONTRACTOR
•
JAMS `HI Y
68MELD„ '1 z.. •
MEftTDEN7, 06450';
L O %NQ - 716-0-5fON /
565 GENERAL MANAGER
•
;$'
IS
SIGNED -
•
•
•
•
KEVIN CAREY
EQUIPMENT SPECIALIST
. . ,_ - , : : Partners, L.P.
• 41.0 Bank Street-•New London; Lt voi211 • (860) 271-202ffoi 1-888-225-5540
Fax: (860) 271-2050 • CT Lic#S1-303545 RI PM 3386
' Town of Montville
CONSTRUCTION PERMIT APPROVAL
Property Address
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
A royal Department Permit Issuance Approval
pP
Tax Collector a ,; �cGu� /�( _ 1/41c,
.s
SiLrnature/date
❑ WPCA
Signature/date
❑ Planning&Zoning
Signature/ date
❑ Health Department
Si mature/date
❑ , Fire Marshal
Signature/date
Comments/Conditions:
•
RcvisedSeptem6er9,2004