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Home My WebLink AboutBoiler and Oil Tank 2007 Field Inspection Notice Town of Montville Building Department September 19, 2007 Address: 164 Raymond Hill Road Job Description: Replace Boiler&Oil Tank Permit Number(s): M2007-0114 Permit Date: September 4,2007 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Flue connection • 9/19/07 DJ Low water cut off • device • 9/19/07 DJ Back floe prevention 9/19/07 DJ Fuel line and tank • 9/19/07 DJ Final inspection and • certificate approval 9/19/07 DJ Notice: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and returned to the Building Department. Signoff sheet are available in the Building Department. Rev.Date: 1/18/06 Page 1 of 1 /k / x r 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: M2007-0114 Date: 04-Sep-07 Map/Lot: 085/004-000 Owner ID: 5800000 Project Location: 164 RAYMOND HILL ROAD Unit: Job Description: Replace Boiler&Oil Tank Owner Name: Allison R Hilt Tenant Name: N/A Careof: 164 Raymond Hill Rd Uncasville CT 06382- Telephone: Contractor Name: Williams Oil ,..__ _... Telephone: (860)848-4121..._. 860)848-4121__.__ _ DBA: The Heat People Lic/Reg Type: Lic/Reg No: 303067 _.. 2239 Route 32 Exp Date: .. 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 Value: $8,374.00 Mechanical Fee: $72.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $8,374.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.34 Total Fee Paid: _ .._.._._._______..$73.34 _ It shall be the owners reosonsibilitv 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 REOUIRED UPON COMPLETION Insulation d Certificate of Approval Certificate of Occupancy Building Official's Approval: 6 ,4 m. . • Town of Montville 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.:len atti7-0( Type of Work Occupancy Type Permit Type 0 New Construction ®'Single Family 0 Building Addition 0 Two-Family 0 Plumbing Ma Alteration 0 Townhouse IR-Mechanical 0 Accessory Structure 1 0 Electrical CRS#: , Job Address: 9 41/00/1, //la- II, t�gt ✓iL C r �e'J e._ (Number) ! (Street) (Unit) Job Description: /LQPL14cf fd 1L& , ('IL- 77444V-- Owner: 74s'IVOwner: t SO t y (t tt, Address: (6 11I CNI a vJ WA- O 14 City: 00 tAA-.JJ r'4 State: CT— Zip Code: Ob 3 Telephone: C rid) Q p�ifCp 4 Contractor: Cii t L-L.004A. S a t L. DBA: 71-(1C &i Y C tr L-t2 Address: Z Z 3 9 t,J Q Yt ) 4.4 tip%) ►v city: tJ'1&c-. J lU-+C State:'f -ems Zip Code: 06 82 � Telephone: tor- j iZ 1 License Type: License No.: 3d 306 7 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: 0x.0- it 444' Date: r i, /'o 7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: / Plumbing Fee: Mechanical Value: 9 7 7 / Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: Rrviad August 23,2007 Town of Montville Building Department File Receipt Date: 31-Aug-07 Receipt No: 2707 Received From: Allison R Hilt Job Address: 164 Raymond Hill Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: Check: $0.00 $73.34 Check: $1.34 Check No: 1248 Short/Over: $0.00 Construction Value: $8,374.00 Demolition Value: $0.00 Received By Charles Corell / / / r Address: 164 Raymond Hilt Road ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement,Finished :: SF $ 20.87 $ - $ Basement,Unfinished < SF S 11.28 $ - S _ Crawl Sapce S SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - 5 - MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ Basement ` SF S 11.28 $ - S - $ - Crawl Space ': SF $ 8.46 $ - $ - $ - AMENITIES Kitchen 'I EA S - $ - a - FuA Bathroom EA $ - $ Half-Bathroom EA S - $ - GARAGE Attached : SF $ 49.41 $ - S - Detached f SF $ 63.21 $ - $ - Under a SF $ 9.12 $ - $ _ Carport SF 5 18.08 $ - MECHANICAL Warm-Air Y" YIN - Hot Water N r. Y/N $ $ - Electric ,N Y/N Air Conditioning hi ::: YIN $ $ - ELECTRICAL SERVICE Upgrade :''Amps $ Overhead,new >Amps $ _ Underground,new r,:Amps $ - Subpanel EA $ 545.00 $ - Gen Set :I EA $ 3,500.00 5 - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace '< FA $ 5,907.00 $ - Masonryw/lfreplace ', EA $ 6,451.50 $ - Masonryw2fireplaces FA 5 10,087.00 $ - Wood Stove,free standing EA $ 2,447.50 $ - Wood stove insert :I BA 5 1,690.70 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ - Sunroom ' SF $ 160.82 5 - $ - POOLS&HOT TUBS Hot Tub : EA $ 7,287.50 $ - $ - Inground Pool ', FA $ 19,430.40 $ - $ - Above Ground Round < FA $ 4,635.88 5 - $ - Above Ground Oval " EA 5 5,472.50 $ - $ - Pool Heater EA $ 8,167.50 $ - Inflatable Type Pool ': EA $ 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - S - RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing,Strip&reroof SF $ 3.76 $ - Roof Sheathing SF $ 1.19 $ - Siding SF $ 2.30 $ - - Wndows EA $ 423.50 $ - Skylights ' FA $ 955.54 $ - Doors,Exterior : FA $ 401.50 $ - Oil Tank,275 Gallon ; FA $ - Oil Tank,550 Gallon FA $ MISCELLANEOUS CALCULATIONS $$ 8,374 00 '>s TOTALS $ - S - $ 8,374.00 S - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing Y $ - $ _ Mechanical Y $ 8,374.00 $ 72.00 Electrical Y $ - $ _ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.34 TOTALS $ 8,374.00 $ 73.34 Figures are based on the 2006 RS Means Residential Cost Data • State of Connecticutc 7A `�'� Workers'Compensation Commission Please TYPE or PRINT IN INK Proof of Workers' CompensationCoverage when Applying for a Building Permit for the Sole Proprietor or Pro aerty Owner who WILL NOT act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building Permit i Qt-1 Cok L Property located at 14- 4 r t J A in the City/Town of U C(C-J J t L a 6`_r 4 2 Attest • If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance covera e. 9 CHECK ONE (1) BOX ONLY and complete the following: III am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employee Sionature of OWNER Ap.licant C- C ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as theeneral 9 contractor or principal employer. Name of Business • • Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant • 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 Property Address le aeLACC eotL p tc- 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 Approval Department Permit Issuance Approval Tax Collector ( •7 g(3‘l co 1 Required for all permits Comments: WPCA, Administrative Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: Planning &Zonin 4cr.ii.. c - .F/3/`O7 Required for all permits ,I� ) Health Department Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements 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 Comments: Fire MarshaV,k1 (61 Required for all permits � Comments: /7A6) 4ZeviseiAugust 5,2005 • 7A7B 7C State of Connecticut ' • ;11Y ' +r Workers' Compensation Commission L- { * ) DIRECTIONS DIRECTIONS for FILING FORMS 7A,7B and 7C iZztztsir- Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers'compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project.This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit,a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who act as a general contractor or a principal employer must provide a written certificate of workers'compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below)must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves,and attests that they will require proof of workers'compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers'Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC Form 6B-1 for employees who are Members of a Partnership