HomeMy WebLinkAboutFurnace 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