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HomeMy WebLinkAboutFurnace 2002a 0 Town of Montville dia 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: .,,,/ AllOr --z;C--- �d1We tial, a.. 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: 07 /o PSS -Q v I rZ�Q /-} PR-UXyM A-re Ta G✓ I.-)Do" 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)