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Furnace 2005 Field Inspection Notice Town of Montville Building Department November 14, 2005 Address: 7 Rainbow Dr. Job Description: Furnace replacement Permit Number(s): M2005-0167 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date FURNACE INSTALLATION • 11/14/05 DJ CERTICATE OF • • COMPLETION 11/14/05 DJ Rev.Date: 10/18/05 Page 1 of 1 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: M2005-0167 Date: 01-Nov-05 Map/Lot: 016/029-T07 Owner ID: 5744000 Project Location: 7 RAINBOW DRIVE Unit: Job Description: Replace trailer furnace Owner Name: Sheridan and Joanne P Rand Tenant Name: N/A Careof: 7 Rainbow Drive Uncasville CT 06382- Telephone: Contractor Name: Currie's P, H &C Telephone: (860)859-3533 DBA: Lic/Reg Type: S1 Lic/Reg No: 303434 P. 0. Box 63 Exp Date: 31-Aug-06 Oakdale Ct 06370- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $2,895.00 Mechanical Fee: $24.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $2,895.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.46 Total Fee: $24.46 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 REQUIRED UPON COMPLETION ❑ Insulation El Certificate of Approval ❑ -'if�'0. up- cy Building Official's Approval: — - Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# 402d0�j-'-O'/� 7 �Pfum6ing LElectrical V .i'1eclianical CRS # ✓?feating Air Conditioning Gas Piping ❑Single Family Two-Family LI Townhouse Job Address I ' 1 t h bo Thri Vr' tel.nC-1.51/i I It, (Number (Street) (Unit) Job Description ,IC%r p 4-ru ' B r r r l) tr- (Arc Owner -iGk t r G JOn� gar() Shy Mailing Address Rai City LI rACC.00 l r State C7 Zip 06s Tel U / 21-6/ Contractor Cu 2_23 P RIC Mailing Address Po . &ox 3 City Oakcic I c State CT Zip Oil 3k) Tel / FiY/ 353.5 Contractor's License Type&Number S-1 30 31431/ Exp. Date S / 5) / 0040 P- 1 20(4570 /0/a, /tet 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 Signatt � c, CAIT7 Date Construction Value Fee Plumbing $ $ Mechanical $ 2,13(3 S ,0 a $ 2 q. o Electrical $ $ Work commencing before the issuance of a permit $ Plan Review $ State Education $ r yd Total $ vlsed7Yowem6er1,2004 Currie's Plumbing, Heating, & Cooling, Inc. November 1, 2005 Dear Town of Montville, My daughter, Hollie Belle Currie will be my agent in order to pull a permit for Sheridan and Joanne Rand at 7 Rainbow Drive, Uncasville, CT. 06382. The permit will be for replacing a trailer boiler. My licenses are P-1 204570 and S-1 303434. Sincerely, Paul R. e Sr. Currie's P, H, & C. 627 Route 82 #9 P.O. Box 63 Oakdale, CT. 06370 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 1 HEATING, PIPING & cocouNp,UNLIKITED CONTRACTOR . ...< Si ' . •••• 7. ,- PAUL W.CURR.,1 :SR 116 OXQBQ9.. 10SS,RD OAKtOAL ,.'0.41 06370) , .:.\:, LIC. / REG NQ..- ' .....' iFECI-IVE:-:;; . ' .....,. EXPIRES .*-- , ,',;1 ' •. : 1:---;,„ .• ../ 303434 s. — „4,,,,,,...*,,.; Q9/0 . , :;•0\ ' - 31/2006 i • i - • . STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING & PIPING UNLIMITED CONTRACTOR • Pl.. . PAUL .g CURRIE SR 116 OXOBOXO CROSS RD I oAKDAT,g, cT 06370 LIC. / REG NO, .. EIFEOTIVE..i.: ' . .. . EXPIRES 1 204570 . ..:' ' 4/01/2005: .c...1:.... 10/31/2006 Fit!‘‘;. ...1! ::-::::::"....:' —)-• : : SIGNED 5_, _ _ _ _ . . ._, _ `7,: liiipor :"...... :4- -..... • , i • ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 DATE PRODUCER i l O-0 5-2 0 0 5 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BEST RATES INS GROUP LLC/PHS I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 0 24 717 P: (866) 467-8730 F: (800) 308-5459 I ALTER THE COVERAGE AFFORDED BY THE PO! HOLDER. THIS CERTIFICATE DOES NOT D CIES BELOW. ; 4401 MIDDLE SETTLEMENT RD NEW HARTFORD NY 13413 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hartford Casualty Ins Co ; PAUL CURRIE DBA CURRIES PLUMBING INSURER B:Hartford Underwriters Ins Co HEATING & COO INSURER C:Hartford Fire Ins Co PO BOX 63 INSURER D: I OAKDALE CT 06370 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YY) I DATE IMM/DD/YYI I LIMITS GENERAL LIABILITY I EACH OCCURRENCE H1, 000, 000 A COMMERCIAL GENERAL LIABILITY 02 SBA TF2658 07/05/05 0 7/0 5/0 6 1 FIRE DAMAGE(Any one fire) 1 $300 , 000 I CLAIMS MADE I X I OCCUR MED EXP(Any one person) �' $10 , 000 ,X Business Liab PERSONAL&ADV INJURY I S1, 000 , 000 GENERAL AGGREGATE $2 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG I $2 , 000, 000 1 I POLICY I,X 1 28-i I I LOC I AUTOMOBILE LIABILITY B X ANY AUTO 02 UEC UF1954 07/05/05 07/05/06 EaaMacBcideDISINGLELIMIT $1, 000 , 000 I ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HX HIRED AUTOS NON-OWNED AUTOS BOD(Per IaccLY idINJent)URY $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I $ ` I ANY AUTO OTHER THAN EA ACC I $ AUTO ONLY: AGG $ if— EXCESS LIABILITY I EACH OCCURRENCE I $1, 000, 000 A X i OCCUR I I CLAIMSMADE 02 SBA TF2658 07/05/05 07/05/06 AGGREGATE 1 $1, 000 , 000 $ n DEDUCTIBLE S X RETENTION $1 0, 0 0 0 $ WORKERS COMPENSATION AND I TORY all TS I X I TP- C EMPLOYERS'LIABILITY 02 WEC NM 7 7 0 3 07/05/05 07/05/06 E.L.EACH ACCIDENT 1 $500 , 000 E.L.DISEASE-EA EMPLOYEE $500, 000 E.L.DISEASE-POLICY LIMIT $500 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured' s Operations . kec 1Q►�nlx�L art ve_1 VncaSVi/l '� CERTIFICATE HOLDER I X , ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL TOWN OF MONTVILLE 30 DAYS WRITTEN NOTICE(10 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE ATTN: BUILDING DEPT HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO "' OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 310 NORWICH-NEW LONDON RD REPRESENTATIVES. UNCASVILLE, CT 06382 A ORI DRE ESEN ATI j ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 1 Rai nbow Drive. Uncasvillc Property Address pIac-e h to \er '}v rnare 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 A royal Department Permit Issuance Approval pp • Tax Collector � 'p c hi oS JJ Signa ."/ date Comments: ❑ WPCA,Administrative Sig=nature/date Comments: ❑ WPCA,Technical Signature!date Comments: ❑ Planning& Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Signature/date Comments: ❑ Fire Marshal Signature/date Comments: Wyvisedifiugust 5,2005