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HomeMy WebLinkAboutBoiler 2012 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: M2012-0166 Date: 15-Oct-12 Map/Lot: 111/018-000 Owner ID: 5729000 Project Location: 185 PRUETT PLACE Unit: Job Description: Replace Boiler Owner Nam John M Jr and Lamphere Mary H Jakacky Tenant Name N/A Careof: 185 Pruett Place Oakdale CT 06370- Telephone: (860)442-7932 _ Contractor Nam Larry Fower Telephone: (860)848-4121 DBA: The Heat People Lic/Reg Type S1 Lic/Reg No 303067 P.O. Box 901 Exp Date: 31-Aug-13 Uncasville CT 06382- 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 $6,323.00 Mechanical Fee $84.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $6,323.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.64 Total Fee Paid: $85.64 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 framin ❑ 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 In -■ificat= • Approval �� / rC,' cate of Occupancy - 1_,,/-f-40 Building Official's Approval: gP' __ 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.: (Y\--)CI r;—Cite(p Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 ❑B ❑ H-1 0 I-1 0 R-1 0 S-1 0 Type IA ❑Type IIIB 0 Building ❑Addition ❑A-2 0 B,Medical 0 H-2 0 1-2 0 R-2 ❑S-2 ❑Type IB ❑Type IV ❑ Plumbing ❑Alteration 0 A-3 ❑E ❑1-13 ❑13 ❑R-3 ❑U 0 Type 11A ❑Type VA 0 Mechanical ❑Change of Use 0 A-4 0 F-1 0 1-1-4 0 1-4 0 R-4 0 Mixed ❑Type 11B 0 Type VB 0 Electrical ❑A-5 0 F-2 0 M 0 Type IIIA CRS#: Property Address: ' 5 cr.q. SC4CL OA v._(`J [ (Number) (Street) (Unit) Job Description: p_se (rearn: k- O Owner: U\ll‘) t Cl,1L-.a CYK- 3t Tenant: S Address: , 1 rf I��sL._- Address: City/State/Zip:Oft h-�Ci(.�� �� City/State/Zip: Telephone(53(60 ) y 1 ` 7 Telephone( ) - Applicant: (-6..Y r �-( n DBA: Nr�r. * tt'F'Co Is_ Address: P o & c CIG I City: uvl C c,S\/l �� State: C.X.- Zip Code: O(.i'3 Sri-- Telephone( ) J 4 - 41r Contractors -Complete the Following: z r. License/Registration Type: S � License/Registration No.:-3`/1� 6c7 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. Owner/Agent Signature: C 4 Date: - • Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: G Plumbing Fee: Mechanical Value: L.3 Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Town of Montville Building Department File Receipt Date: 12-Oct-12 ReceiptNo: 7844 Received From: The Heat People,Inc. Job Address: 185 Pruett Place Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $85.64 State Check: $1.64 Bldg Credit: $0.00 State Credit: $0.00 $0.00 Fire Cash: Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $6,323.00 Demolition Value: $0.00 CheckNo: 20582 r1 Received By: Carmen Kneeland , I'ULA 14/1 �`,� LkecA I J Address: 185 Pruett Place ITEM QTY S/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 $ 6,323.00 TOTALS $ - $ - $ 6,323.00 $ - _- PERMIT FEE CALCULATIONS 4; Construction Value Fee Building $ - $ _ f Plumbing y $ - $ - :; Mechanical y $ 6,323.00 $ 84.00 , Electrical y $ - $ Working before Permit Issuance n $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.64 u TOTALS $ 6,323.00 $ 85.64 Y Figures are based on the 2006 RS Means Residential Cost Data t', ii CRI.-(12 Re,09/03 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your license. Such license shall be shown to any properly interested person on request. No such license shall be transferred to or used by any other person to whom the license was issued. For questions, please contact the Occupational& Professional Trades Division at(860)713-6135 or email dcp.occupationalprofessional@ct.gov. Visit our web site to download applications and verify licensure at www.ct.gov/dcp. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION LARRY E FOWLER LIMITED SHEET METAL CONTRACTOR 6 STONE HILL RD LARRY E FOWLER GRISWOLD, CT 06351 6 STONE HILL RD GRISWOLD,CT 06351 LIC. /REG NO. ` EFFECTIVE EXPIRES SHM.0002564-S143 09/01/2012 08/31/2013 SIGNED �' �'1��" -���' — v C STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your license. Such license shall be shown to any properly interested person on request. No such license shall be transferred to or used by any other person to whom the license was issued. For questions, please contact the Occupational&Professional Trades Division at(860)713-6135 or email dcp.occupationalprofessional@ct.gov. Visit our web site to download applications and verify licensure at www.ct.gov/dcp. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION LARRY E FOWLER HEATING,PIPING&COOLING UNLIMITED CONTRACTOR 6 STONE HILL RD LARRY E FOWLER GRISWOLD, CT 06351 6 STONE HILL RD GRISWOLD,CT 06351 ale./REG NO. �, EFFECTIVE EXPIRES HTG.0303067-Sh 09/01/2012 08/31/2013 SIGNED HEATP-1 OP ID: LA A4CRCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 09/20/12 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 203-481-8898 CONTACT ' The Pawson Group NAME: Lori Alldredge 31 Business Park Drive 203481-5077 Matto E.*203-315-3417 ;a,No):203-315-3756 Branford,CT 06405 E-MAIL Kenneth Mitchell ADDRESS:loria@pawson.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:HARTFORD INSURANCE COMPANY INSURED The Heat People Inc INSURER B:UTICA MUTUAL INSURANCE P.O. Box 901 Uncasville, CT 06382 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUER LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY 4564192 08/22/12 08/22/13 DAMAGES l Ea RENTEDorrence) $ 100,000 PREMISES( ccu CLAIMS-MADE X OCCUR MED EXP(My one person) _ $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,0001 POLICY J'ECT%j: LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) _$ B X ANY AUTO 4564192 08/22/12 08/22/13 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ _ UMBRELLA UAB _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 02WECCK5152 08/22/12 08/22/13 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 B Property Section 4564192 08/22/12 08/22/13 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION MONTVIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Montville ACCORDANCE WITH THE POLICY PROVISIONS. Route 32 Montville, CT 06353 AUTHORIZED REPRESENTATIVE Kenneth Mitchell ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 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 all the required signatures are obtained. I Sc 1- i } 4 PIA r e Property Address R-Cpka(c 12,1)1 If' f' Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval �Q yi• ■ Tax Collector Signature/date Comments: ✓ ® Planning & Zoning (Leff2_..„ � /df////Z— Signature/date Comments: ® Fire MarshalSignatu e/ e Comments: ® Health Department Required for properties with septic systems—Not required for Plumbing. Electrical,Mechanical.Roofing,Siding.Windows&Doors 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 drainaoe requirements Signature/date Comments: ❑ State Dept of Transportation Required far Structures over 100.000 sq.ft. or with more than 200 parkin spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date gtrvireciglrovem6cr 200R