HomeMy WebLinkAboutNG Furnace 2017 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: M2017-0166 Date: 14-Sep-17 Map/Lot: 092/145-000 Owner ID: 2444000
Project Location: 77 GEORGIA ROAD Unit:
Job Description: Replace Natural Gas Furnace
Owner Nam Daniel P.and Emily M.O'Hearn Tenant Name N/A
Careof:
77 Georgia Road
Oakdale CT 06370- Telephone: (860)235-8331
Applicant Name Property Owner Telephone:
DBA: Lic/Reg Type
Lic/Reg N 0
Exp Date:
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 $3,000.00 Mechanical Fe $36.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC
Total Value: $3,000.00 Penalty Fee:
$0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.78
Total Fee Paid: $36.78
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 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 J Certificate of Appr•-al
• e cupancy
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.:Val(47-01 kik
Type of Work Occupancy Type Permit Type
El New Construction Single Family 0 Building
EI Addition LfTwo-Family ❑Plumbing
RICIteration
El Townhouse mechanical
0 Accessory Structure Electrical CRS#:
Property Address: ---7-7 G-:zrcj.(.0. act. f c.L ac.LQ Cr D6;70
(Number) (Street)
, ] (Unit)
Job Description: ,/(/C!` ��.✓> 4..- 74,4,ce. ...4-
Owner: '-'- .--,N;(.-I O�/-IPOJ fl
Address: -7) ate rc.._
City: a.Ltdt,.LL State: C-( Zip Code: OG 3 7 D Telephone(W J ) Z3 - 233 r
Applicant:TC-410 0fJ t 4 r1
DBA:
Address:
^' -7 Cre J r5�. 2 .
VG
City: . ELL State: Cr Zip Code: 0 63-70 Telephone( iG J ) Z-35-- g371
Contractors - Complete the Following:
License Type: License No.: 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 1 am authorized to make application for a
permit for such work as described above.
ty-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 43 of the Residential Code.
Owner/Agent Signature:
Date: 9 / 151 17
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: 53 0170' Mechanical Fee: 3 t.C)C—)
Electrical Value: Electrical Fee:
Total Value: S?0 w Penalty Fee:
C of 0 Fee:
Plan Review Fee: 4
State Ed Fee: ,-.1p
Total Fee: 36.7
7irev sed August 2,2007
Town of Montville
Building Department
Bank Card File Receipt
Date: 13-Sen-17
Receipt No: 5562
Received From: Daniel O'Hearn
Job Address: 77 Georgia Road
Fees Collected State Educational Trainina Fee
Bank Card 836,78 Bank Card
$0.78
Short/Over: 10.00
Construction Value: 13.000.00
Demolition Value: 10.00
Received By Carmen Kneeland CirAn ,U1 rn (/�e Q r
Court 77 Georgia Road
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 YIN _
$
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 8 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 $ 3,000.00
Solar Install n
TOTALS $ - $ - $ 3,000.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ - $
Mechanical y $ 3,000.00 $ 36.00
Electrical y $ - $
Plan Review Fee y $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.78
TOTALS $ 3,000.00 $ 36.78
Figures are based on the 2006 RS Means Residential Cost Data
J•`/ n
State of Connecticut
j N`fir Workers' Compensation Commission 7A
: %� Please TYPE or PRINT IN INK
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit i tl C�'I-1,r ,,
Property located at 7'7 On r5;G., fG' • uc,L o.QQ- C 06 3 7 c)
in the City/Town of OCL-CC.L . C
ATTEST
If you are the owner of the above-named property or the sale proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE(1) BOX ONLY and complete the following:
1 am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer
Signature of OWNER Applicart
❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant
Town of Montville e3.tp O ead
Building Department
CONSTRUCTION PERMIT APPROVAL
7 7 C�cOCC(%[,, P,oct.C)
P}4perty Address
Rept& 6ci_s �
Job Description
Required
Department
Approval ' Permit Issuance Approval
Tax Collector -'%'/ nate/d2//7
Comments:
✓ Fire Marshal /', / q ( L \ I n
Comments:Li • I Signa - _ - a n ^r 3
❑ 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
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