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Home My WebLink AboutGas Lines/Tank for Ventfree 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: M2006-0026 Date: 17-Mar-06 Map/Lot: 035/006-000 Owner ID: 60000 Project Location: 16 ALLISON'S WAY Unit: Job Description: Install gas line, propane tank and vent free fireplace Owner Name: Wayne K & Joann C Records Tenant Name: N/A Careof: 490 Kitemaug Road Uncasville CT 06382- Telephone: Contractor Name: Mark Martin Telephone: (860)859-9070 DBA: Advanced Gas Lic/Reg Type: G1 Lic/Reg No: 386875 183 E. Haddam Rd. Exp Date: 31-Aug-06 Salem Ct 06420- 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: $450.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $450.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.07 Total Fee Paid: $8.07 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 Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REOUIRED UPON COMPLETION ❑ Insulation Q gadt~ e of Approv Ce ' ica o O upancy Building Official's Approval: Town of My ntville 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.A~24d6'~i.~ Type of Work Occupancy Type Permit Type --New Construction Single Family ❑ Building Addition wo-Family Plumbing ❑ Alteration ❑ Townhouse Mechanical ❑ Accessory Structure ❑ Electrical CRS#: Job Address: ALL ISoM ✓Aq ZDA K n l LE , Cz o6390 (Number) (Street) (Unit) Job Description: y~5` L,L 51 as j•~y(~c CrWaek qas rim d- Ai l t Vevi t ke..-e aas ~ r eplack_ Owner: WAVYOl✓ A &10 .12) R in ~GC°_®'i-DS' Address: 1(9 bt.. - 1~ S o n k)" P, C) - Bob. 'Q 14 City: IC p State: r. Zip Code: 06 376 Telephone: 3&0 1 q 1/7 - 091J Contractor: A /nR~ K M~12~ P DBA: D ~l-rY^7t cil~I) t /'7 ils Address: g y = RAP 0 AW f2t) WD City: S AA_L7" State: f~ C7F Zip Code: 0 G 42b Telephoner OS0 ` 17o License Type: p~ License No.:V Expiration Date: 0,Y °31 ~c 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: 0 3L/7 6 Construction. Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: c~ z( echanical Valuer Mechanical Fee: Electrical Value:. w/ Electrical Fee: Total Value: "f Penalty Fee: C of O Fee: Plan Review Fee: o-~ State Ed Fee: Total Fee: Q~v ed Decem6er31, 2005 Res' ntial Permit Requirements Checll-'-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 Not Item Not Supporting Documentation Provided Applicable Item 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 www.ener code Design loads -for floors, ceilings, roofs s. ov or Chapter 11 Street address of project on all drawings and Bearing partitions - fo identified on the plan documents Direction of framing Spans, beam Wind Limitations Criteria Wood species and grade openings Documentation showing compliance with the Framed Wall framing size andspacing identified requirements for construction in 110 mph wind Sheathing type and thickness zone 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 1-joists Framing plan for engineered lumber Site Plan Property 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 Drivewa Note: Unusual structural conditions may require Topography existin and proposed) that additional engineering back u be submitted Footing 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 Footin sizes Meter socket location Frost protection GFCI outlet locations Foundation anchor type, size, locations Smoke detector locations Window and door sizes and locations Lights and switches Hatchways Mechanical Information Columns D ervent Draina a details Waterproofing details Bathroom exhaust ventilation (natural or Crawls ace ventilation size and location mechanical type and size Hood exhaust Crawls ace access size and location Concrete strengths T e of heat oil, electric, as Heating, ventilation, and air conditioning plant Floor Plan Information location Dimensions Oil tank size, location, and piping Door and window sizes, egress window LP-Gas tank location, size, and piping Glazin in hazardous locations Combustion air requirements Gara a/dwellin opening protection Manufacturers data forequipment. Gara a/dwellin separation, Heat loss, eat gain calculations Kitchen layout Plumbing Information Bathroom layouts, tub sizes in gallons, space clearances )Building trap location if.on.munici al sewer sewer location indicate use o a 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, & structure larger tubs Required light and ventilation for each habitable room Elevations Type of siding Roofln Other finishes - Finish rades Building heigh Hei ht of chimney above roof Roof itch Town of Montville Building Department File Receipt Date: 17-Mar-06 Receipt No: 1098 Received From: Mark Martin, Advanced Gas Job Address: 16 Allison's Wa & 29 Hillcrest Dr. #3600 & 3599 Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $16.14 Check: $14.00 Check No: 3600 Short/Over: $0.00 Construction Value: $900.00 Demolition Value: $0.00 Received By Sandra Pandora d'r<'vq,;iv,'I.OAM, VVN 1. ~b11JV JV.t YF~VO . ,oov rig rccv State of Connecticu Dopartmenfi t of ConsuM e r ,Profio cf.lon 4.: L I C E N... S.:13 Vg .R 1 ~.1 . C A T10 111 Thls I$ t0 ce 'ify' that the Connectlcut Department o Indlcate the4011owing Inform t f '0 n$ a Ian regarding; umer Protectlons rec MARK MARTIN 67 FOWTH RD LEK.Ct 06 120 STATE OF CONNECTICUT + DEPARTMENT OF COIVSIJME~ PROTEC Be it known That r TION A ARK A MARTIN 67 FORSYTH RD SALEM '-QX, 0642.0 has been certified by Dp,prtment cf C nizmer Protection as a HEATING, PIPING & 0'60; *IAD CONTRACTOR Effective: 09/01/2005 Expiration: 08/31/2006 Edwin R Rodriguez, Comma 'ssione; j From: Rat Barrett At BalleyAgenoles in* FaxID; 860-448-1608 To: Anne Marto Date, 1,012=5 03:07 PM Page: 2 of A CERTIFICATE OF LIABILITY INSURANCE . X10 28 08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PaoD eBR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bailey Agencies, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 84 T~iaza court, PO Sox 1 ALTER THE COVERAGE AFFORDED BY. THE POLICIES BELOW. GrJoa CT 06340-0001 Yhorae:860-446-82ss Sax:860-448-1608 INSURERS AFFORDING COVERAGE NAM WPA4RA VA= q6= IASUranae , pZVwRBI Aasto+n znit-ta n" c 89 e Service MLMRQ East'HaadamROad q~sLReRD Sale= CT 06420 0 VOLRERE: COVERAGES TFE ES OF MW.ANCE LISTED BFA.OW HAVE BEEN ISSUED To THE mLwo NAMEDAsove FoRTHE POLICY PERIOD INDICAmo. Norms STAr•W m my keamEMEM, TERM OR CONomON OF ANY CONTRACT OR OTHER OOCLW09 WrtH RESPECT TO Y"O I THIS CWWICATE 1MY BE ISSUED OR MAY PERTNN, nZ 11BIXtANCE AFFOFt= BY THE POLICIES DESCRww HVwIN IS IK"CrTo l." ne TERMS. E%G.USIONS N O Comm" or SUCH POLIt TES, AG0R9"T6 L.MTS ANY W W6 BEEN REDUCED BY PAD CLAIMS. -LM NA ME OF INRURANCQ ►OuaY NUMBQR M MAW L1ItTs GSNERALUA84 T• EACHOCCURRENCe i 1000000 A X COMMEACW. GENERA LIABILITY =gG02382.84 10/01/05 l0/01/06 - r ~~i ounnc. V300000 _W I CLAMS MADE x OCCUR MeD EXP lAIV oo. P.rc.. Pr:RBOFWL SADV PIAATY GENERAL Aa6kE0ATE 12000000 GENL AGGREGATE Wp(.t+TAMIeS PER: PRODUCTS•COMP/OP IyGB 12000000 POLICY JECr LQC AvrGAroen~L""" coAeRleD $INGLELIMIT i 1000000 A X ANYAVro SBA0364746 10/01/05 10/01/06 tee satONY) ' ALL OVWOHZWD BODILY NARY SCHeDUL1:0 AO4 i HIRED AUTOS tBPODIY WARY i NOWOWNED AUTOS PRO ) E i OARAOS LUAATTY A4TlyrpOO OPILWYN. CO. AC IMN AU i ANY ALRO iOONLY: EA ACC i AGO i EA TBCCESwuwRCLUUABILrtY CHOCoLTiRe= 110'00000 A X 06an C]CLAMSMADE CVP042IP34 10/03/05 10/Ol/06 AGGREGATE i 1000,000 DEDUCTIBLe i ' } :x RETEMION $2.0000 wci TOR ER ]3 WC7762506 10/01/05 10/ol/06 EL.FiICF1ACCIDENT 1500000 ANY PROPRIETORIPARTNEINE%ECUTIve R IMI OFF+CFIL/AQABER IXCUAED7 L. o1SEASE• EA 9;ZoYee :500000 E. Ir .i a..enw uW.r . s~ES`IAL PaovlsloNe eww e.L. olseASe . POLICY uMrT '500000 OTIUR , A Property 3eatica EN00238204 10/01/05 30/01/06 VXOOC'Qf insurance with regards to the named insured, Original Issue Date 10/28/06 CERTIFICATE HOLDER CANCELLATION ADVANCI NO" ANY OF THE ABOVQ DE8CRI690 POUCIE* as CAHCVASO BEFORE THE VW RAnOH OATS THERBOF, THE ISSUWO INSURER WILL BNDQAVOR To MAIL 10 PAY: WNTfEN NOMI TO THE CERTIFIOAT@ HOLDER NAMEO TO THE LEFT. BUT FAILURE TO 0010 SWILL IL Advanced Gas .Sales & .Service Stacy Marcia WOSENOOBUOATIONORLIABILITY OFANYKIND UPON T118INSURERrrSAcomopt • ' 183 East Haddam Road ,RSPREeBNrATrvEe• Salem, CT' 06420 AL7KORMD ANS ACORD 2 (2001108) -DACORD CORPORATION 1988 r 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 Y P~operty Address 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 / o--~- - \3 ~p Comments: ❑ WPCA, Administrative Comments: ❑ WPCA, Operations Comments: ❑ Planning & Zoning Comments: ❑ Health Department r Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation 1' ite Comments: Fire Marshal I ~ @r/ rate 7 Comments: 4R v ed,Aug-t 5, 2005