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
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AC4RD CERTIFIC OF LtIA13lITY;N►UI
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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
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AUTOMMILE LIABMM COMBINED SINGLE LIMfI 1,000,00D
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X HIRED AUTOS I BODILY 'INJURY
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3 X COMP DEB $ 1,000 I PROPERTY DAMAGE F
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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_
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iP ea, describe under f I -T_ E. L DISEASE --POLICY OMIT ^a
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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