HomeMy WebLinkAboutFurnace 2002a
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Building Department Impr
Date / j 7/_16.4 Field Inspection Notice Permit # 4pz 00�—/e0
Job Location Q /A) h !-J r~
Approved Type of Inspection et /6/1.)e `17e."-:05,'
Not Approved - Please call for re-inspection when following corrections have been completed:
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TOWN OF MONTVILLE jimi
Building Department imp
310 Norwich-New London Tpke.
Uncasville, Ct. 06382
Tel. 860-848-7166 Fax 860-848-3271
Property Location: /�
F,�r:.�; JLi Ne t;,
Accept this
NOTICE OF VIOLATION as per 152.001 of the Montville Ordinances. 7/i 5`a
You are hereby ordered to discontinue the violation at the above referenced property under the 1995
CABO,Section 106 or the 1996 BOCA,Section 116.0 as adopted as the Connecticut State Building
Code.
The violation consists of:
012.-.A.)DCC- r-- pt-ext-) r-i+a l�
You must Stop Work(see Section 118, 1995 CABO or Section 117,1996 BOCA)and contact the
Building Depa nt with a plan of compliance to avoid legal action.
ate
Building Official
Town of Montville
Building Department
Date 7 / /o / at_ Field Inspection Notice Permit #
Job Location 5 0G,
Approved Type of Inspection ft/r24.) P% GAME)0
Not Approved - Please call for re-inspection when the following corrections have been completed:
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v Building Official
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ext.82
Mechanical Permit
Permit Number: M2002-100 Permit Date: 15-Jul-02 Permit Code R5
Job Location 5 RAINBOW DRIVE UNIT: MAP/LOT: 016/T29-000
Job Description: gas furnace
Owner Contractor
DOROTHY CARNAROLI M.IW Heating
r.P.O.Box 263
5 RAINBOW DRIVE Unit: Plainfield,Ct.06374
UNCASVILLE CT 06382 Telephone: 564-4242
Lic/Reg Type: G1
Use Group R4
Lic/Reg Number: 389352
Code 1995 CABO
Exp Date: 10/31/02
Construction Type 5B
Construction Values Permit Fees
Building Value: $0.00 Building Fee: $0.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $900.00 Mechanical Fee: $10.00
Electrical Value: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $900.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $0.14
Total Fees: $10.14
It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested):
❑ Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab-Prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney-One flue above thimble
❑ Rough Electrical ❑ Firestopping/draftstopping
❑ Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test 0 Final Inspection
❑ Gas Piping and Pressure Test • Certifi . _ .rior to use or occupancy
Building Official's Signature: � � / ` -✓ ,�_
Town of Montville
Building Department Permit # .j`1 Zucrz_/ou
310 Norwich-New London Tpke.
Tel. 848-7166,Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
❑Tfumbing ❑Electrical EIfeckanicaf
X 5(eating
Air Conditioning
❑� _ has'Piping
her
Job Location S IC4-�� �c
Job Description/Materials cle p14.c �x;s`�%ti �� t-�r nc.c ,. -(-.Q,; e. H ;ger"
6, U/4-- MbSt.1 C M F 8 0
Owner /Vs Cast\a Mailing Address
City State Zip Tel /cc/VA i
Contractor M t-0 1-4 .--1 MailingAddress
((��.. .,� Po ��ek a�3
City c lags.Q{Q State C-I Zip O10379 Tel 0 /5 /I cid 9(2
Contractor's License/Registration Type&Number I 3$9 3—Ca Exp. Date (C) / I / as
I hereby certify that the proposed work will conform to the Basic 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.
Owner/Agent Signature Date —) / / 0-q
Construction Value Fee
Building $ $
Plumbing $
Mechanical $
Electrical $ ci'o� _ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education
Total $ 9e o
Ammenew
Town of Montville Building Department Receipt
I.
f.
Date 7 / /0-L
E 01897
No.
From. n_, W >4C5'/-,--T/A)G
----------
4:
Job Address: j- ,2,644) .aL„- .10..
Amount $ to . /II ,-'JCas heck
Check #
(Circle one)
Received by , . `' —i
Permit # LjZo.L,z--/ems
II
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING&COOLING LIMITED CONTRACTOR
Type: G1
MICHAEL J WALENTA
290 BLACK HILL RD
PLAINFIELD,CT 06374
LIC./REG. NO. EFFECTIVE EXPIRES
389352 09/0 /2001 08/31/2002
SIGNED_
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Buildin: Permit Affidavit for Pro.e
Owners or Sole Pro.rietors
(Conn.Gen. Stat. §31-286b)
Property located at Dir
In the town of "{ �4,l'1 ,
Name of building permit applicant c, e
Please check one:
1. I am the owner of the above property.
2.-�4 I am the sole proprietor of a business.
_2A.Name of business 1 lLA) L
r
2B.Federal Employer Identification Number(FEIN)
Pursuant to ................
a
property
owner or sole proprietor[who] intends to act as a general
contractor or principal employer"may provide either a insurance or a"sworn notarizedcertificate of workers compensation
affidavit... stating that he will require proof of workers'
compensation insurance for all those employed on the job site in accordance with this chapter."
Please check one:
1.'(I do not intend to act as a general contractor or principal employer.
[Sign a.d stop .ere]
Sign: of appli t
2. I intend to act as a general contractor or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit
below.
Affidavit
I hereby swear and attest that I will require proof orkers'come
contractor, subcontractor, or other worker before hefengages in work on the abshe n�kon�uabovfor every
accordance with the Workers'Com e property in
Compensation Act(Chapter 568).
I understand that pursuant to §31-275 C.G.S., officers of a corporation
partnership may elect to be excluded from coverage by filing waiver and the appropriate a
District Office; and that a sole proprietor of a business is not with the
files his intent to acce..t cov.. :pe.p required to have coverage unless he
Stir• of applicant
Subscribed and i to before me this
day of ,200 .
(Notary Public/Commissioner of the Superior Court)