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Home My WebLink AboutAir Conditioning 2003 ! 7r • Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0114 Date: 25-Jun-03 Map/Lot: 096/051-000 Owner ID 113522 Job Location: • : : ► • ► Unit Job Description: Add Air Conditioning to existing system Owner: Contractor: Susan J Rhodes DDLC Energy 410 Bank Street 48 Park Ave Ext New London Ct. 06320- Uncasville CT 06382 Telephone: (860) 271-2020 Lic/Reg Type/No. 51 303545 Exp Date: 31-Aug-03 Tenant: Self Telephone: Construction Values _ Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $3,000.00 Mechanical Fee: $22.00 Construction Type: 58 Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $3,000.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.54 Total Fees: $22.54 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired); ❑ Footing -Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑d Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: .1.12', e,e-e Town Of M'.rntville Building Department Permit # , -, .//91 310 Norwich-New London Tpke. Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form nPfumbing riEfectrcca[ J*1ecfianica[ Heating Air Conditioning Gas(Piping ❑Other Job Location f" 4' - . :- Job Job Description/Materials, j O o,�.., // G U cx,s /---/A...)6- sysT 2411.44,44, tiR.44)-CP-e-A‘ Owner�,G-z,z ,¢T7.2_0s Mailing Address 'j'cf- /,iy),< ,/ r,,,,- City Z-476415- 'r«, ( State ( Zip Tel 5 ' / c5/1--/ 7 7 3 Contractor )77 LL )E-rz("-c7 Mailing Address �/) /3,a-me- S'7-- City/VELv -24.7rYt--7 State Ci Zip '3�CC Tel ci / 7(/ 2azG Contractor's License/Registration Type&Number .51_- / 3e, 35-7S- Exp. Date / / / 0. 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.,._,,)_.<2 -- ---7 '_ Date / ' / -' Construction Value .3 600 Fee Z_ S `/ Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ Town ofontville Building.Departs t Receipt kw- 1 Date / or3/ 03 No. 02885 From: L C Z-it e 1-72/ Job Address: 5/b". `.. i A _ I Amount $ cl./�,,-C/ Cash 4451111 Check # S2,6?' / i 40 Circconc Received by �� %L,.�,::- : gp�_ -�/+ It; Permit #/;142,04— 1 O * DDLC * DDLc ENERGYNational /''� Your 4-Season Comfort Company U.S.Environmental Protection Agency I gMEDATIEti E7 -? I, JAMES T.HICKEY GIVE MY REPRESENTATIVE SCOTT KNEELAND PERMISSION ON THIS DAY OF Z �3/0 7 TO SIGN AND RECIEVE THE MECHANICAL PERMIT FOR THE JOB LISTED BEL W. FOR JOBS IN THE NAME OF DALH, DANIELSON, LEHIGH CITY COAL, DDLC. NEFONAMM l 'C,fz /&ir-n.er.J Fogg:N.... MBER �`'" — 77 2_ .3 AILC /mac -a«llc STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ,67 HEATING,PIPING&COOLING UNLIMITED CONTRACTOR JAMES T HICKEY 68 MELODY LANE MERIDEN,CT 06450 TYPE: S1 JAMES T. HICKEY LIC./REG NO. EFFECTIVE EXPIRES SERVICE MANAGER 303545 09/01/2002 08/31./200 SIGNED, �� STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING UNLIMITED JOURNEYPERSOP SCOTT H KNEELAND 72 CISAR ROAD WILLINGTON,CT 06279 TYPE: S2 SCOTT KNEELAND LIC./REG NO. EFFECTIVE EXPIRES EQUIPMENT SPECIALIST 3876 3 09/01/2002 08/31/2003 SIGNED Alcmber Heating Oil Partners, L,P. 410 Bank Street • New London, CT 06320 • (860) 271-2020 or 1-888-225-5540 Fax: (860) 271-2050 • CT Lic#S1-303545 RI PM 3386 Marsh USA Inc 12/4/2002 4 : 11 PAGE 3/3 RightFax =� -- � " _._.: • - CERTIFICATE NUMBER _.m GERTIFtC t ' FNS # ANC NYc-0015839434A PRODUCER THIS CERTEICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED N THE 1166 Avenue of the Americas POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE New York,NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY A ILLINOIS NATIONAL INSURANCE COMPANY NSURED COMPANY HEATING OIL PARTNERS B AMERICAN HOME ASSURANCE CO D/B/A DDLC ENERGY 1120 POST ROAD COMPANY DARIEN,CT 06820 C THE INSURANCE COMPANY OF THE STATE OF PA COMPANY D NATIONAL UNION FIRE INS.CO-OF PITTSBURG,PA THIS IS TO CERTIFY THAT POLICES OF INSJRANCE DESCRIBED HEREN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDIT1ON OP ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO W-IICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSJRANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSONS CF SUCH POLICES AGGREGATE LIMITS SOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DDNY) A GENERAL LIABILITY 544-26-68 10/27/02 10/27/03 $ 3,000,000 GENERAL AGGREGATE X COMMERCIAL GENERAL LIABILITY "'GENERAL AGGREGATE IS A`" PRODUCTS-COMPIOP AGG $ 3,000,000 CLAMS MADE X OCCUR "'PER LOCATION LIMIT"" PERSONAL&ADV INJURY $ 1,000,000 OANER'S&CONTR ACTOR'S PROT EACH OCCURRENCE $ 750,000 FIRE DAMAGE(Mymetre) $ 750,000 MED EXP(My mepersan) $ 5,000 B ALITOMOBLE LIABILITY 720-35-96(MA) 10/27/02 10/27/03 COMBINED SNGLE LIMIT $ 1,000,000 A X ANY AUTO 72035-97(AOS) 10/27/02 10/27/03 ALL OWNED AUTOS BODILYINJJRY $ SCHEDULED AUTOS (Per pgscn) HIRED AUTOS BODILY INJURY NCN-OWNED AUTOS (Per acadent) PROPERTY DAMAGE $ - GARAGE LIABILITY AUTO ONLY-EAACODENT $ ANY AUTO - OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ D EXCESS LIABILITY 6E2195476 10/27/02 10/27/03 EACH OCCURRENCE $ 5,250,000 X UMBRELLA FORM AGGREGATE $ 5,250,000 OTHER THAN UMBRELLA FORM $ c WORKERS COMPENSATION AND 720-72-49 10/27/02 10/27/03 X I TORS L~TTS I ER EM P LOPE R S'L IABLLITY .. _ EL EACH ACODENT $ 1,000,000 THE PROPRIETOR/ INCL EL DISEA.SE-POLICY LIMIT $ 1,000,000 PARTNERSEXECUTVE OFFICERS ARE EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER DESCRP TION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SHOULD ANY OF 71E POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL aQ DAYS WRITTEN NOTICE TO TIE CITY OF G CERTIF,CATE HOLDER NA/ED HEREIN BUT FAILURE TO AWL SUCH NOTICE SNL ,1.EOS_NO OBL, AT.CN CA 295 MERIDIANIAN STREET GROTON,CT 06340 LIABILITY OF ANY KIND UPON TIE INSRER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVE S OR THE ISSUER OF THS CERTIFICATE MARSH USA NC. BYn Chui Yuen £2 -.-yet--./ MUl(3102} VALID AS OF: i21041g2 .