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HomeMy WebLinkAboutHeat Pump Replacement 2017 , I 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: M2017-0150 Date: 28-Aug-17 Map/Lot: 016/030-018 Owner ID: 4447000 Project Location: 17 MOUNTAIN LAUREL RIDGE Unit: Job Description: Replace Existing Heat Pump System Owner Nam Temma Silberman Tenant Name N/A Careof: 17 Mountain Laurel Ridge Uncasville CT 06382- Telephone: Applicant Name Paul J. Russo Telephone: (860)289-5509 DBA: Glasco Heating &Plumbing Inc. Lic/Reg Type S1 Lic/Reg N 392780 56 Glendale Avenue Exp Date: 31-Aug-17 South Windsor CT 06074- 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: 2016 State Building Code Mechanical Valu $7,000.00 Mechanical Fe $84.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $7,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.82 Total Fee Paid: $85.82 It shall be the owners repsonsibil tv 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 frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation El Certificate of A pprov• Certifi.:. e of• upancy Building Official's Approval: / 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.: f cDOI 7 )I,J Type of Work Occupancy Type ' Permit Type ❑New Construction jIrSingle Family ❑ Building ddition 0 Two-Family ❑ P umbin Alteration 0 Townhouse g Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: 0 /10 11.... T14:. 1./ le-Av i.'1.1- 62-\t , (Number) (Street) (Unit) Job Description: ,,,p Qy(,//p LI,c_ £X s ;� Owner: --g:,(1/1,4 . .+ L Q t,t.M A,-.1 � Address: t♦> �yv,.. 1A ,�J Gpvlt z. L... SACc__ ,C__.- City: t v&PS v.GL 1. State: Zip Code: 44 3 P. 1_ Telephone( ) _ Applicant: 4i_--t, ''' ..t v DBA: of. SCi:> d�%� /- .- -firs'/, /rvL..../ Address:(('� �‘ 6-6i, �/st,ti- A City: .X) v A S.nJ State: Zip Code: OCG ) 4- Telephone( VtG ) - -9 co Contractors - Complete the Following: 77 License Type: g-1 License No.:3 Z-) (?C9 Expiration Date: EI-2//JP 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 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements in chapters 34 through oft Residential Code. Owner/Agent Signature: UP.L t.s.i o Date: z: /7 Construction Value Permit Fees Building Value: 396115 Building Fee: Plumbing Value: —7 Plumbing Fee: Mechanical Value: [ J Mechanical Fee: ?)-y_ Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: 1 _ Cc r2N Total Fee: 8-S y s-ea Revised-August 23,2007 kis Town of Montville Building Department File Receipt Date: 23 Aua 17 ReceiptNo: 12587 Received From: Glasco Heatina and Coolina Job Address: 17 Mountain Laurel Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: 185.82 State Check: $1.A7 Bldg Credit: $0.00 State Credit: $0 00 Fire Cash: 10.00 Fire Check: $0.00 Fire Credit: 10.00 Construction Value: V000.00 Demolition Value: X0.00 CheckNo: 14844 Received By: Vernon D Vesey IIS Courtvir ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ _ Full Bathroom EA $ - $ Half-Bathroom EA $ - $ - GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N Hot Water n Y/N $ - Electric n Y/N $ Air Conditioning n Y/N ELECTRICAL SERVICE Upgrade Amps Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub ' EA $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ Inflatable Type Pool EA $ 1,200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 7,000.00 Solar Install n TOTALS $ - $ - $ 7,000.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 7,000.00 $ 84.00 Electrical y $ - $ Plan Review Fee y $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education'Fee $ 1.82 TOTALS $ 7,000.00 $ 85.82 Figures are based on the 2006 RS Means Residential Cost Data NNW .r ''v •• 1 0;•••0.1•.•-•-••t....xk�• , \��' ,, 4 �l��x 1 �1�. ,�!r—�'1 .+,yjT 1,'[..,10:::;::-T .: .jtik ..s ,e;��,,1'.t' g= �t}01.."4g 1,;1 u.. --xrNtj•...,,C- •�3$x$�B ifi 1.'r% 1�Cyt y .•;-::::::;,%'-'.' ..k.� fk,1,1:...,;.110.,� , y1 'AE. .T \l oi, s.:k ZE y..15 j t•. / t '4� 4 Lh�,l{P' �yy �.y� �f�/. �y� y�. �y� MJF 1%!,4g: -r4jz �y� �y� M �.y� � � tfr i X �'... ; • ,,:t. til P n - _ - p I . . �. H = - 1 •• - ' oo 0 'J - �. 0 ' I � ! ' ' , � N t'! Z a - n ! _ fto � d � . _It -0 ICD 1 . � x 1 r o H 1 on %: 4 . ',',02'.. f = o H =t� �n O _ I ; I 00 F., ►�: li W n €te: ' F- dCD --- -----.- N C o -. w 1 P I = I .:i f = n CD - -C � -f� p O .0 :� . M' ,� /fQ . ;', . �, i f"fll` "A1 `S.'g * .-01 �{ r7 ter". i T/ -,„,...:5,::A:,_o zi. w. / /,;tiv to ' 'r L4 .'',( Y f 4. 7 f� {rte y ...-or".*,,. '1'g/ 1M1rh'�Kk .:...4::,.0...,.:A:,0,. ..-,^_� ,.,;:-.--2,3::._,!•,03,;,.--./..b .'�yG§.l K r0• tlti 7'•''N. r fw- CCPRO ACERIV ICATE OF LIABILITY INSURICE I DATE(MM/DD/YYYY) 3/9/2017 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicole Zern T M Burgess CO NAME: PHONE (860)644-2534 FAX 828 Sullivan Avenue (q/C,No,Ext): (A/C No): (860)644-8500 ADDRIESS:nicole@tmburgessins.COIR INSURER(S)AFFORDING COVERAGE NAIC# South Windsor CT 06074 INSURED INSURER A:UtiCa National Insurance Group 10687 INSURER B:Republic Franklin Insurance Company 12475 Glasco Heating & Air Conditioning 56 Glandale Rd INSURERc:Graphic Arts Mutual Insurance 25984 INSURER D: ' South Windsor INSURER E: CT 06074 COVERAGES INSURER F: CERTIFICATE NUMBER:Master Cert 17-18 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP X COMMERCIAL GENERAL LIABILITY (MMlDD/YYYY) (MM/DD/YYYY) LIMITS A CLAIMS-MADE X OCCUR EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 4945218 3/5/2017 3/5/2018 ( y MED EXP An one person) $ 10,000 GEN'L AGGREGATE LIMIT APPLIES PER PERSONAL&ADV INJURY $ 1,000,000 X POLICY jE LOC GENERAL AGGREGATE S 2,000,000 OTHER: PRODUCTS-COMP/OPAGG S 2,000,000 EPLI S 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S 1,000,000 BODILY INJURY(Per person) $ B ALL OWNED x SCHEDULED AUTOS AUTOS 4830471 3/5/2017 3/5/2018 BODILY INJURY(Per accident) $ X HIRED AUTOS X N -OWNED AUTONOS , PROPERTY DAMAGE S (Per accident) X UMBRELLA LIAB X Underinsured motorist S 1,000,000 OCCUR EXCESS LIAB EACH OCCURRENCE S 2,000,000 A CLAIMS-MADE DED X AGGREGATE S RETENTION$ 10,000 4945239 3/5/2017 3/5/2018 WORKERS COMPENSATION s AND EMPLOYERS'LIABILITY X PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ER C OFFICER/MEMBER EXCLUDED? N/q E.L.EACH ACCIDENT S 500,000 (Mandatory 4930165 3/5/2017 3/5/2018 If yes.describe and under E.L.DISEASE-EA EMPLOYEE S 500,000 yes. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION (860)848-7231 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Montville THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN -- 310 Norwich/New London ACCORDANCE WITH THE POLICY PROVISIONS. Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE V Prestileo/CSR1 �`- - ' ' - -��� �_`� ACORD 25(2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INS1195,oni nn„ Town of Montville Building Department , CONSTRUCTION PERMIT APPROVAL 1� \ALA,4t-ct, Property Address \417-1-1- 2A. e.7e- 3 - Jo Description Required Approval Department Permit Issuance Approval Tax Collector �/ g)a.3 r r 7 Signature/date Comments: Fire Marshal P /01c3//e-/Comments: Signature/date ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: WPCA, Administrative O14-04.1 P-er 11?)17 °Z Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: - ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate 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 Signature/date Building Department Final Inspection Revised March 23,2015