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HomeMy WebLinkAboutGas Lines/Gas Tank for Fireplace 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: M2006-0144 Date: 27-Sep-06 Map/Lot: 035/009-023 Owner ID: 55000 Project Location: 8 ALLISON'S WAY ❑Unit: Job Description: as lines and tank for fireplace Owner Name: Gabriel 0 & Carla M Crawley Tenant Name: N/A Careof: 8 Allison's way Oakdale CT 06370- Telephone: Contractor Name: Uncas Gas Telephone: _(860)889-7702___ DBA: Lic/Reg Type: S1 Lic/Reg No: 387812 P. 0. Box 17 Exp Date: 31-Aug-07 North Franklin Ct 06254- ~9 s io 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: _$350.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRCmy Total Value: $350.00 Penalty Fee: $0.00_ Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.06 Total Fee Paid: $8.06 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test ❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ific of Approval ificate of Occupancy Building Official's Approva❑_ Tovm 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.:~ Zj ij Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building ❑ Addition ❑ Two-Family ❑ Plumbing ❑ Alteration ❑ Townhouse ❑ Mechanical ❑ A/ccessory Structure ❑ Electrical CRS#: Job Address: 8 k15ane, W+-~A 01q(_Ck I& (Number) (Street) (Unit) Job Description: Owner: CJD,-(- 1CR C.Acn ,t 1) Address: A( i SCE S 1.J151 City: n f) State: Zip Code: Telephone: O "1 cc Contractor: )'oCAo~S Q a S C--0 DBA: Address: 1~ t oC 1J~ City: (y(C? t C~ i Stater Zip Code: Telephone: (500 _ _7~y~ W License Type: License No.: 87 8 a 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: Date: ~lV~ L1 W Construction 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: Total Fee: 4?S.viserk Oecem&r31, 2005 Resi,",ntiai Permit Requirements Check"Nt 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 Not Item A licable Su orting Documentation Provided Not Item Ap licable 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 com ensation 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 www.ener codes. ov or Cha ter 11 Design loads -for floors, ceilings, roofs Street address of project on all drawings and Bearing partitions identified on the plan documents Direction of 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 framin 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 i-'oists Site Plan Framing plan for engineered lumber Pro ertlines Engineering data for steel beams, signed and Distance from ro ert to structure sealed b a CT registered design professional Structure dimensions Engineering data for trusses, signed and sealed Strvewa b a CT registered Professional Engineer Note: Unusual structural conditions may require To o ra h (existing and proposed) Footing drain inverts, outlet and separation that additional engineering back u be submitted Pro osed utilities Chimneys & Fireplaces Wetlands and flood zone limits and elevation Clearances to combustible materials Septic sstem shown and located on the plan Manufactures data for metal flues Well and piping shown and located on the plan Exterior fresh air source for fireplaces Foundation Information Flue sizes Assumed soil bearing pressure Manufacturers data and installation instructions for metal fireplaces Dimensions Electrical Information Wall thickness Footing sizes Panel locations with main size Frost protection Meter socket location outlet Foundation anchor type, size, locations Smoke detector tor lo to at Window and door sizes and locations Smoke Lights and switches Hatchways Columns Mechanical Information Drainage details D ervent Waterproofing details Bathroom exhaust ventilation (natural or Crawls ace ventilation size and location mechanical type and size Crawls ace access size and location Hood exhaust Concrete stren the 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 rotection Manufacturers data forequipment Gara a/dwellin separation Heat loss, Heat gain calculations Kitchen layout Plumbing Information Bathroom layouts, tub sizes in gallons, space Building trap location if on munici al sewer clearances Indicate use of all rooms Sewer location 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, & structure larger 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 Town of Montville Building Department File Receipt Receipt No: 1714 Date: 26-Sep-06 Received From: Carla Crowley Job Address: 8 Allison's Wa Fees Collected State Educational Training Fee $8.06 Cash: $0.06 Cash: $0.00 $0.00 Check: Check: Check No: 0 Short/Over'. $0.00 $350.00 Construction Value: $0.00 Demolition Value: Received By Sandra Pandora C Z Cl D N rw % a.. ~3. '~~r-~~ 101 ry. 'rte O y~ iN y ?~q yS~gg I ' I UNI -P, PROT ',CTION J s it known that DAR COW _ YL B SCOW ` l 6s'T, a T D613 hAs been cerL; Bd by MD'vg-rtmeil ; Pratccuon as a A ` S TED HEATUN PING CgPld- 04--l"'.1 utecern-, 09/01!2006 I /31/20 N T UNCAS GAS 8606424171 0/91,26/06 08:88pm P. 002 AC4RD CERTIFIC OF LtIA13lITY;N►UI 1111MM~ PIEOcuca THIB N1rE AB A MATTER OF INFARMATtOII OMM .j--- no Nd m Corpot»i W DEIL To _UPON NOT MEND. EXTEND OF PA. Bw 621149 ALTER THE OCIVERAIt>tE AFFORDED BY THE ZaOL1fr1ES BELOW on E=0" Drirl~ 00oft FL 3x'IlF2 INSURERS AFFORONMQI SAGE NAIO fI NOURM Nol tl1lift ON S PlapwaM b IPIMIREB A: Faltnwd ELRuW lm CO- P.O. Box 284 W&SLMUM C: Dwdelson CT OWD INSURER D: INSURER I- 0Q11ERAGIE8 THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANDINC ANY REQUIREMENT, 'PERM OR CONDITION OF ANY CONTRACT- OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OF MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES OESCRIOED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SLJCF POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY NUMBER POLICY EFFECTIVE POLICY L7L,' MT7ON UMFTS GENERAL UABIL.fRY EACH OCCURRENCE S 1,000,000 A X OOMMERCIAL GENERAL LIABILITY EPP 000021000711 12111/2005 12111/2006 DAMAGE TO RENTED z 100 00D CLAIMS MADE ®OCCt1R MEU EXP one % 5,000 PERSONAL 6 ADV INJURY s 1,000,000 GENERAL AGGREGATE S MAN GEN'L AGGREGATE UA[T APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000 POLICY PRQ LOC i AUTOMMILE LIABMM COMBINED SINGLE LIMfI 1,000,00D A X ANY AUTO EPP 0000,21000711 ~ 1211112005 .1211112006 (Ea accident) s _ ALL OWNED AUTOS 1 ~ BODI (PLY INJURY SCHEDULED AUTOS I ear person) X HIRED AUTOS I BODILY 'INJURY {Per aocident] TS i X NON OWNED AUTOS ` I 3 X COMP DEB $ 1,000 I PROPERTY DAMAGE F X CALL DED $ 2r j (PeraccidenQ GARAGE LIABILITY i i AUTO ONLY - EA ACCIDENT I S T_ ANY AUTO I I EA ACC S OT}1ER THAN I AUTO ONLY, AGG S EXCESSAUMBRELLA LIABILITY ? I EACH OCCURRENCE r 1+OOtt+~ A -Ti OCCUR 7 CLAIMS MADE EUR 000029000480 11211112005 j 121111 ;I AGGRECArE DEDUCTIBLE i S Lx RETENTION s 10,000 WC STATU- OTH- WORKERS COMPENSATION AND i TORY I fMCLS I l1 I EMPLOYERS LABILITY WCM78750 ' 12/1112005 i 121111 E.L. EACH ACCIDENT i S 500,000 ANY PROPRIETOR/PARTNER/EXkUTit/F_ I OFFICERWEMBER EXCLUDED? ~E.L'. D"FSEASE - EA EMPLOYE + S , iP ea, describe under f I -T_ E. L DISEASE --POLICY OMIT ^a CIA. PROVISIONS tseloru OTHER I ; DESCRIPTION OF OPERATIONS I LOCATIOMS I W-HICLES .I EXCLUSFONS ADDEO BY END0RSFjWEM'T T SPECIAL PROVA& ONS Certificate Holder is Listed as Additional Insured with respects to General laaNllty. Re: Grandeville at the Commons, South Mrxv4doWT, Idhode Island CERTIFICATE HOLDER CANCEL I-Knom Safe3ULO AMY OF THiEA eavE CT ,,,IBED FC4,CIES De CWCEIAE013EFCYldE -E -PIRAT - - - - - rae,TlE - HeRZ-0F, TtiE ms"" 3 IMSOREi: WILL ENDEAVOIR TO MAUL 30 DAYS kKV T Town of I.onLv;_11.c, CT RAO-MPe T9J T¢aF2: CF.1&'d1FCCAT7r kit7'-0E14 IaAKIS~3 TO THE LLfP'. BUT FAILURE TO rsla `.a Sao uNPOSE NO QEV0 ATiO% Ofik L"LI T : OF ANY KIND UPON THE IMSURER, rrS A4EKT9 REP1RESENTAATTVE3. AUTHORIZED) RE¢RESIEM Town of iAontville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville; CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL UAV CA Property Address 9- 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 Collector ► a6 o 6 Comments: ❑ WPCA, Administrative Comments: ❑ WPCA, Operations Sirg"Ftu-,e"'j date Comments: ❑ Planning & Zoning Comments: ❑ Health Department Comments: ❑ Department of Public Works Comments: ❑ 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 14311) ;i re date Comments: Fire Marshal Comments: op*e-dAugnt 5, 2005