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Home My WebLink About2006 - Gas Lines-Cook Stove i - Field Inspection Notice Town of Montville Building Department November 8, 2006 Address: 11 'damn Avenue Job Description: Gas f r cook stove Permit Number(s): M2006-)J63 Permit Date: 11/3/06 ! Not Approved Approval INSPECTION !Date: Deficiencies Special Date Conditions CERTIFICATE OF 11 0/06 JS • No answer at the door, call to reschedule • APPROVAL I • i • • • i i i i I I I ! I i i i i i i Rev. Date: 1/18/06 Page 1 of 1 j TOWN OF MONTVILLE Building Department i 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2006-016 Date: 03-Nov-06 Map/Lot: 131/024-000 Owner ID: 5000 Project Location: 11 ADAMO AVENUE Unit: Job Description: install 50 al. Tank and gas line for cook stove Owner Name: Madline Eskaru a Tenant Name: N/A Careof: 11 Adamo Ave ue Oakdale CT 06370- Telephone: Contractor Name: Uncas Gas Co. Telephone: (860 423-9271 DBA: _ Lic/Reg Type: S1 Lic/Reg No: 387812 P. 0. Box 1 Exp Date: 31-Aug-07 North Franklin Ct 06254- ___CgnAtru i V I 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: $200.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $200.00 Penalty Fee: $0.00 Permit Code: -R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 i State Ed Fee: $0.03 Total Fee Paid: $8.03 It shall be the owners re sonsibili to schedule the f II win inspections a minimum of 2 business days in advance: Field set 61f approved construction documents shall be available onsite during all inspections. BUILDING PERMI INSPECTIONS PLUMBING, MECHANICAL. ELECTRICAL PERMIT INSPECTIONS i ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill - Footing drains and aterproofing ❑ Elec Trench - with conduit installed ❑ Concrete Slab - Prior to you rig concrete ❑ Pool Bonding ❑ Anchor Bolts - with sill plate d prior to floor framing ❑ Electrical Service CRS No: ______0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or himney Thimble ❑d Gas Piping and leak test ❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of proval i erti it of Occupancy Building Official's Approval: r Town-of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 3E2 Uncasville, CT 06382 Fax. 860-848-7231 I RESIDENTIAL PERMIT APPLICATION! FORM PermitNo.: M '-p i Type of Work Occupancy Type Permit Type ❑ New Construction Single Family ❑ Building ❑ Addition Two-Family ❑ Plumbing ❑ Alteration Townhouse ;W Mechanical Pccessory Structure ❑ Electrical CRS#: Job Address: i~ C) (Numb r) (Street) (Unit) I Job Description: C CU t_ Std ojn LA 5t .iv I Owner: I Address: City: State: C- f Zip Code: Telephone: 34J(9090 go i Contractor: - CA S ce: DBA: Address: 3 /r City: State: C f , Zip Code: 2S T Telephone: License Type: License No.: J ~78~2 Expiration Date: I hereby certify that the propose 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 th t;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. i ❑ By checking this box, I will dllow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical req iiements in chapters 33 through 42 of the Residential Code. " 11~ 1Z Owner /Agent Signature: 1 Date: Constr ction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: f Total Fee: c i QZFvraetk Oecem6er31, 2005 i i ti Res, '-,ntial Permit'Requi'rements Checl- °st This list is to be used as a guide only and is not all-inclusive, additional information may be required for your particular project. Two complete sets of construction documents required. Provided I A lict Item Not Item Su orting Documentation Provided Applicable Completed, signed and dated Building Permit Building Section & Details Application Floor-to-floor heights Completed worker's compensation affidavit for Material type, size, andspacing property owners or sole proprietors or copy of Stair details (rise, run, treads, nosing, width, workers compensation insurance headroom Co of Contractor Registration or license Handrail details Construction permit sign-off sheet signed by all Guardrail details departments Roof ventilation Documentation showing compliance with the Framing Plans Energy Conservation Code Design loads - for floors, ceilings, roofs www.ener codes. ov or Chapter 11 Bearing partitions identified on the plan Street address of project on all drawings and documents Direction framing Spans, beam Wind Limitations Criteria Wood species and grade Documentation showing compliance with the Framed openings requirements for construction in 110 mph wind Wall framing size andspacing identified zone Sheathing type and thickness Design publication identified; WFCM-2001, Window and door header sizes chapter 2; WFCM-2001, chapter 3; SSTD 10-99; Decking material, size, spacing ASCE 7-02, AISI, COFS/PM Engineering data for engineered lumber (LVL's and Hoists) Site Plan Framing plan for engineered lumber Property lines Engineering data for steel beams, signed and Distance from property to structure sealed b a CT registered design professional Engineering data for trusses, signed and sealed Structure dimensions b a CT registered Professional Engineer Driveway Note: Unusual structural conditions may require Topography (existing and proposed) that additional engineering back u be submitted Footin drain inverts, outlet and separation Chimneys & Fireplaces Proposed utilities Clearances to combustible materials Wetlands and flood zone limits and elevation Manufactures data for metal flues Septic sstem shown and located on the plan Exterior fresh air source for fireplaces Well and piping shown and located on the plan Flue sizes Foundation Information Manufacturers data and installation instructions Assumed soil bearing pressure for metal fireplaces Dimensions Electrical Information Wall thickness Panel locations with main size Footing sizes Meter socket location Frost protection Foundation anchor type, size, locations GFCI outlet locations Window and door sizes and locations Smoke detector locations Lights and switches Hatchways Columns Mechanical Information Dryer vent Colima a details Bathroom exhaust ventilation (natural or Waterproofing details details mechanical type Crawls ace ventilation size and location and size Crawls ace access size and location Hood exhaust Concrete strengths Type of heat oil, electric, as Floor Plan Information Heating, ventilation, and air conditioning plant location Dimensions Oil tank size, location, and piping Door and window sizes, egress window LP-Gas tank location, size and piping Glazing in hazardous locations Combustion air requirements Garage/dwelling opening protection Manufacturers data forequipment Garage/dwelling separation Heat loss, Heat gain calculations Kitchen layout Plumbing Information Bathroom layouts, tub sizes in gallons, space Building trap location if on municipal sewer clearances Sewer location Indicate use of all rooms Stair location Domestic water location Attic access location and size Water heater size, type, and location Square footage for each habitable level of the Manufacturers data for whirlpools, corner tubs, & lar er structure tubs Required light and ventilation for each habitable room Elevations Type of siding_ Roofing - Other finishes Finish grades Building heights. Height of chimney above roof Roof itch i Town of Montville Building Department i File Receipt i Date: 9-Oct-uu Receipt No: 1790 i Received From: Fawly Solirnan Job Address: 11 Ad ' mo Ave. i Fees Collected State Educational Training Fee Cash: $8.03 Cash: $0.03 Check: ( $0.00 Check: $0.00 Check No: j 0 Short/Over: j $0.00 Construction Value: $200.00 Demolition Value: $0.00 Received By Sandra Pan ora I i UNCA !GAS 8606424171 11102/06 02:15pm P. 001 ACAS G,u Co. Division Of Northeast Oil . Propane, Inc. FAX COR SHEEN DA E: ~o PAGES: FRO', ` i uILQ~ f r Date Faxed: i Time: i i _ RQ4140? P.O. Box 17.e Nortta F ranklim. CT 06254 860-423-9271 ~ 860-889-.7700 -Toll Free 1-866-689-7700 UNCA iGAB 8606424171 11/08/06 02:15PM P. `002 ACORD CER IFICA rE OF LIABILITY INSUR/ONCE.,' ' _ , 1U,Z6f2095 ! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTMATIr JalllsrsbrlYcireanCorpor>itfExL HOLDER. THIS CERTIFTCATE DOES NOT AMEN CI~ EXTEND OR P.O. Box 621149 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 625 Encudw Od" j Orledo FL 32M ! INSURERS AFFORDING COVERAGE NAIC 6 ENSURED Northeast Olt S P , Inc. muRER A. Falprowd Sped ! Rai Ins. Co. uTICaS QaEt MSURER B. W IlTeluaurxe Com P.O Box 264 INSURER C Danielson CT INSURER 0: i INSURER E COVERAGES THE POLICIES OF INSURANCE STED 9ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERIOD INDICATED. NOTWTt WANDING 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 PCUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ExcLUSiONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS 3 MAY HAVE:BEEN REDUCED BY PAID CLAIMS. I POLICY NUMBER E'OL1CV EFFECTIVE POLI Y PIRATION LIMITS 0 Ex1ETt1LL LIABIIJTY EACH OCCURRENCE s 1000000 A X COMMERCIAL GE LIABILITY EPP 000021OWT11 12m 112005 12/1112006 DAMAGETO RENTED 100 000 CLAIMS MADE ! OCCUR MED EXP A one R2Mpjn S 5.) i j PERSONAL IL AM INJURY 1,000 f GENERAL AGGREGATE $ow m GENL AGGREGATE OMIT A ES PER: PRODUCTS - COMPIOP AGG s 2rOMAIM POLICY PRQ Loc AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1,01M.000 A X ANY AUTO EPP 000021000711 12111/2005 121111200& (Ea a-weny ALL OWNED AUTOS BODILY iN 1URY SCHEDULED AUTOS (FW Pte) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (P- $ NX COMP DED $1, ( PROPERTY DAMAGE (Per aocideM) s COLL DED $ 2,000 iAR1113E LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN CA ACC S AUTO ONLY: AGG $ EXCESSIUMBRELLA LIA91 EACH OCCURRENCE s 1000,000 A X OCCUR Im1 s MADE EUB 000029OW480 12!11!2005 1211112006 AGGREGATE s tow,000 S DEDUCTIBLE j s X RETENTION 10 s WORKERSCO1~EINIATION AND ! WCSTATU OTH- B IU1TY 1 INCIA- 8150 12111!2005 19J'i1/M &L. EACH ACCIDENT s 500,Of111 _ oRFTCEwMEAeBER E7tt t UDED? EL. DISEASE - EA EMPLOYE s 500 000 tt descrbe ugder S E.L. DISEASE - POLICY UNIT s 5,O . OTHER DE-AwmON OF OpEAATIONS l LOCA f vouci .ES I ExcLUSIONO ADmn BY ENDORSEMENT I SpEcmL Plri]vmoNS - FAX II 8604963199 i CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTH£ABOVE DESCRIEDPOUCIESSECANCEUM BEFORETHEEXPIRATION DATE THE3t W. THE MUM WOURI3R WILL I NOFJIVOR TO MA& 30 DAYS WRRTEN i~ TOWN O MONTVILLIE MOTIFTOTHECEKnFICATEftXJ%RNAMEIDTOTIMLEfT.BUTFAI ORIETODOs0&ML BUILDING DEPARTMENT MOW NO CRU"TION OR L"LITY OF AMY KM UPON THE WSURER, LTS AGENTS OR EtEPRESE3ITATIVE5 42 AuTEIORIZED m a E tD m En OF SS ¢ r~ce± CONNECTICUT D ~}~mMEETO N g ~g P ry~ . ~ y-ter co ~.E [3..~E E 1-LiE:1:.~E g C ~V.t` 61"LY'E i F f~. .E CTIO Z t m ' . U IC {inoxvn that 11 J B SCOTT .69 WATEAMAK. sr i has mn certiftod by D HPATINIG, PIPING c ED CONTRACTOR 03 Effective- 09/01/20ID6 Expiration: 48,31/2007 uj 8~ z - i Town of Montville k Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, F..xt 82 Uncasville, CT 06382 Fax. 860-848-7231 i i CONSTRUCTION PERMIT APPROVAL AOb Property Add ess 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 Department Permit Issuance Approval Approval } Tax Collecto l 9 Comments: ' WPCA, Adm histrative L~ t C Comments: ❑ WPCA, Operations Comments: ❑ Planning & ning Comments: f ❑ Health Department F dat Comments: i ❑ Department f Public Works i Comments: ❑ State Dept. o 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) Comments p0 Fire Marshal A/) 6; Comments. r Rp*edAugust S, 2005!