HomeMy WebLinkAboutBoiler 2006 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: M2006-0146 Date: 29-Sep-06 Map/Lot: 111/010-000 Owner ID: 5732000
Project Location: 200 PRUETT PLACE Unit:
Job Description: Boiler Replacement
Owner Name: Joseph E Polino Tenant Name: N/A
Careof:
200 Pruett Place
Oakdale CT 06370- Telephone: (860)414 8060
Contractor Name: Telephone: (869)443-2191
DBA: Bernies Oil Lic/Reg Type: S1
49 Westwood Ave. __._. Lic/Reg No: 390124
New London,CT 06320 _.__. .. ....._.___ Exp Date: 31-Aug-07
CostructimVaiw_ Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: X0.00 Code: 2005 State Building Code
Mechanical Value: $800.00 Mechanical Fee: $8.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.13
Total Fee Paid: $8.13
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
111 Deck Piers R Electrical
Backfill-Footing drains and waterproofing Li Elec Trench -with conduit installed
`'Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
Anchor Bolts-with sill plate and prior to floor framing J Electrical Service CRS No: 0
p Framing [ R HVAC
Li Masonry Fireplace Throat or Chimney Thimble Gas Piping and leak test
Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑Insulation te o -•proval
; : e of Occupancy
Building Official's Approval:
Town of Montville
A______— Building Department
310 Norwich-New London Tpke. Fax. 860-848-7231
Uncasville, CT 06382
Tel.860-848-3030, Ext 382 _A •-t _•^.4,_„,iii
TIAL PERMIT RMIT APPLICATION FORM I:/4'Occu anc T e Perml eO
TVM� a o_ f Work 0 Building 51(Co
Al
Ingle Family 0 plumbing
❑Addition
Construction 0 Two-Family oPlumbing
❑Addition 0 Townhouse 0 Electrical CRS#:�—
�Iteration 0 Accessory Structure ����
�O Prac (Street) ,^�
Job Address: �'( mb-) JAL a `k
Job Description: id G
0/C-0 Of �D! { / V"
'
Owner:
�v �rN c G �.r -_ ---
Address: State: '
�.
O Telephone:
° Contractor:
DBA: o LO
��5'f(rQ Zip Code:
Address: ` / State: l/ O
[/ d (�!/� � Expiration Date:
City: sem—License No.'
2-______.3.--.2-1-?-!---
/9 � License Type:
Telephone:! � the State of Connecticut and the Town
ted by application for a permit for such
certify that the proposed d work is authorized by the owner in fee and that I am authorized to make
ce fyro osed work will conform to the State Building Code and all other codes as adopted(herebyproposed of Montville and further attest that the p P compliance
work as described above. aper section E3301.2.1 of the Residential Code,
require of the 2.15 NEC as thh enter Code
instead0E(ay
checking this box, I will follow n s req ers 33 thro • 42 of the
requirements in • 2
of the electrical req !,I pate:
Owner/Agent Signature: - perm=es
Construction Value Building Fee:
Plumbing Fee: ��
Building Value:
Mechanical Fee:
Plumbing Value: �QO
Electrical Fee:
Mechanical Value: penalty Fee:
Electrical Value: C of O Fee:
Plan
Total Value: 3
Review Fee:
State Ed Fee:
Total Fee:
revised rpecem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 29-Sep-06 Receipt No: 1729
Received From: Kenneth Hendrix
Job Address: 200 Pruett
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $8.13 Check: $0.13
Check No: 235
Short/Over: $0.00
Construction Value: $800.00
Demolition Value: $0.00
Received By Vernon D Vesey II
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING Sc COOLIN
S1F�11TEDCpNTRACTOR
KENNETH R HENDRIX
14 PARS OOD DR
GALES'FERRY„C1'06335
LIC./REG NO.
390124 E \IVE.
ko 40//2006 EXPIRES
! G r 0831/2007
SIGNED
,:i-Aci --12)
LA
Town of Montville , r.....9.44.4
Building Department
310 Norwich-New London Tpke.
Tel 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
oxv &-qc7ii /
Property Address
4/ar..,c Boaz LJ
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.
RequiredDepartment Permit Issuance Approval
Pp
II Tax Collector '.. C2,662--°• J4o-& ._ 9/L q /a 6
Signature/date
Comments: r
❑ WPCA, Administrative G ' q i -CtiOe
do
Signature/ i:1,rthi
Comments:
C WPCA, Operations
Signature! date
Comments:
n Planning & Zoning V ,
Signature/date
Comments:
C Health Department ��
Signature! date
Comments: (�
C Department of Public Works
igriatur€at date ......)\
Comments:
l
❑ State Dept. of Transportation
(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
Comments: -
J / % i2i
Fire Marshal �1/ ®./ i. � / &� /
T - � ! t
Si ature'd
Comments: // 1 fa % ! ,
RvisedAugust 5,2005