HomeMy WebLinkAboutReplace Heat Pump 2017 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: M2017-0170 Date: 18-Sep-17 Map/Lot: 016/030-125 Owner ID: 2966000
Project Location: 46 INDIAN HILL ROAD Unit:
Job Description: Replace Heat Pump
Owner Nam George F.and Carolyn M.Andrews Sr. Tenant Name N/A
Careof:
46 Indian Hill Road
Uncasville SL 06382- Telephone: (860)848-0339_
Applicant Name Dennis D.Girardin Telephone: (860)887-0147
DBA: Broad Brook Heating&Cooling Inc. Lic/Reg Type S1
Lic/Reg N 388799
P.O.Box 519 Exp Date: 31-Aug-18
Jewett City CT 06351-
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: 2016 State Building Code
Mechanical Valu $3,500.00 Mechanical Fe $48.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC
Total Value: $3,500.00 Penalty Fee:
$0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.91
Total Fee Paid: $48.91
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
Certificate of Approval
/ LJ Ce cate of ' - pancy
c l
Building Official's Approval:
Town of Montville CoriJ
\ ��fBuilding Department - On
310 Norwich-New London Tpke.
r Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: M 11--0110
Type of Work Occupancy Type Permit Type
['New Construction ,Single Family ❑ Building
['Addition ❑Two-Family ❑Plumbing
fa Alteration ❑Townhouse mechanical
❑Accessory Structure Electrical CRS#:
Property Address: �i �Qv1 #(.1/iI gQ
(Number) (Street) (Unit)
Job Description: t 4QC'e ke cam$ p‘Avhe
Owner: e0 (4 Nv-k e�w 5
Address: 11 Zito S',nAyav, 1k.:\\ (4
\\"" S?4u Y q
City: l��C,f7•SV �K State: C� Zip Code: ��p� Q � Telephone( ) � �� 3 1
Applicant: Coe3:f C,GtcSk et uc.14... C".cA.NN Ar1 �1 CA( 41 fl-7 -..
DBA: P
Address: O 6 or. 5(9
City:��yiQi��4—
C.-Al
State: t'T Zip Code: 4'6 7 S ( Telephone(CF&O) 8i? - d( 4 T
Contractors - Complete the Following:
License Type: s ( License No.:3ke ?91 Expiration DateitkiLe
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 1 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 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code,
instead of the electrical requirements in chapters 34 through 43 of the Residential Code.
Owner/Agent Signature Date: / Y ( 7
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: 31e' U Mechanical Fee: g
Electrical Value: Electrical Fee:
c�
Total Value: Qi J v0 c`— Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee: ,r1
Total Fee:
Revised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 14-Seo-17 ReceiptNo: 12652
Received From: Broad Brook Heating&Colina
Job Address: 46 Indian Hill Road
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash: $0.00
Bldg Check: 148.91 State Check: 10.91
Bldg Credit: 10.00 State Credit: 50.00
Fire Cash: $0.00
Fire Check: $0.00
Fire Credit: 10.00 Construction Value: 13.500 00
Demolition Value: 10.00
CheckNo: 1746
Received By: Carmen Kneeland em �-Ul `( LLp ���
Court 46 Indian Hill Road
ITEM QTY $/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 $ 3,500.00
Solar Install n
TOTALS $ - $ - $ 3,500.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ - $
Mechanical y $ 3,500.00 $ 48.00
Electrical y $ - $ _
Plan Review Fee y $ _
Certificate of Occupancy Fee $ _
Plan Review Fee $ _
State Education Fee $ 0.91
TOTALS $ 3,500.00 $ 48.91
Figures are based on the 2006 RS Means Residential Cost Data
Print Lookup Details Page 1 of 1
flirtte
State of Connecticut
Lookup Detail View
Name and Address
Name Address
DENNIS D GIRARDIN 89 Osga lane
Griswold, CT 06351
Credential Information
Effective Expiration
Credential Credential Type Date Date Status
HTG.0388799- HEATING, PIPING & COOLING 09/01/2017 08/31/2018 ACTIVE
S1 UNLIMITED CONTRACTOR
Generated on: 9/18/2017 9:23:06 AM
https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=154783&contact=116... 9/18/2017
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
416 sn g.. ��L\
Property Address
`aee_ heu2*. e onP
Job Description
Required Department Permit Issuance Approval
Approval '
`i Tax Collector 1 / 7
Sinature/
Comments:
C
Fire Marshal ` l 11
Comments: I Y� rl t
/�1 -L(Ri- Signature/date n r
[� 1
❑ Planning & Zoning
Required for all permits except Signature/date
Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors
❑ Health Department
Required for properties with private septic or well Signature/date
Comments:
❑ WPCA, Administrative
Required 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:
❑ Copy of State Dept. of Transportation Certificate
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 Final Inspection
RevisedMarch23,2015