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275 Gal. Oil Tank 2015
Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 115 Park Avenue Ext. Job Description: Replace 275 Gallon Oil Tank Permit Number(s) M2015-0140 Permit Date: September23,2015 Not Approved Approval INSPECTION Date: Comments Special Date Conditions • Final inspection for 9/28/15 VV certificate of approval • **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Rev.Date:1/18/06 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: 64203-014Q Date: 23-Sen-i 5 Map/Lot: 096/02011QQ Owner ID: 5325000 Project Location: 115 PARK AVENUE EXTENSION Unit: Job Description: Re tce 2Z5 Galtoj Qil1ar�c Owner Nam _Luis M aud_suzanne Silva Tenant Name-N/A Careof: 115 Pork Ave Fxt tlncasville CL 063A2- Telephone: Applicant Name Holli Btlle C!_urie Telephone: 18601859-3533 DBA:Currie's Pitmhinc7 Je)tnc &CooJ1❑a Lic/Reg Type Si Lic/Reg N 304434 P.O.Box 63 Exp Date: 31-Aua16 (Oakdale ,CL06370- [`nocfAuetio2Vnly�c Pgrmi#pose Col_isft.c io_n_j fnmmnfinn Building Value: $0.00 Building Fee: S_flO.0_ Use Group: IRC Plumbing Value: SHOO Plumbing Fee: SO� Code: 2005 State Building Code Mechanical Valu S2.495.00_ Mechanical Fe S 0� Electrical Value: S.011a_ Electrical Fee: S0.00 Construction Type IRC Total Value: $2..95.00 Penalty Fee: SO.nn Permit Code: R5 C of 0 Fee: Sn.nn Comment Plan Review Fe SO,OC_ State Ed Fee: $11.65 Total Fee Paid: $36.65 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 frami ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation I- •"'ficate of •.proval ❑ '- •c. - .f Occupancy Buildin ffic�ial's Aonrov�J: �1CL�2��L- _ _ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:01:301 j— 0 4iO Type of Work Occupancy Type Permit Type ❑New Construction El Single Family ❑Building ❑Addition 0 Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure El Electrical CRS#: Job Address: 5 r� t (Number) �" �� (Street)' t (Unit) Job Description: r'Gp\C(c, ,n4 175 gcf i(or- of tank-- Owner: Lou t S S. \VCI. Address: I15 r- nu-c- iA- City: V naWv t I 1/4? State:State: Cir Zip Code: .3E-.7) Telephone: sille 0 S>'59 - 3533 Contractor: CUR-R-1u- IS P K )0- , 0- DBA: Address: Po Boy. (o 3 City: Acfa 1,C. State: /l'.,_ i Zip Codc_�7(-) Telephone: P!)t-51 ,"753. 7 cense Type: ' I License No.: / 523\4-39 Expiration Date: �J 3l/I I hereby certify that the proposed work will conform to the State 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signatu . hal . Iv Date: 9)a-a11 S Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: ilea Decem6er31,2005 Town of Montville Building Department File Receipt Date: 22-Seo-15 ReceiptNo: 10753 Received From: Curries Plumbina Heatina&Coolino Job Address: 115 Park Ave. Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $36.65 State Check: $Q 65 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $2.495.00 Demolition Value: $0.00 CheckNo: 10639 Received By: Carmen Kneeland (G/'tM riO fi 5 Address: 115 Park Avenue Ext. ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ _ $ Hatt-Bathroom EA $ _ $ GARAGE Detached SF $ 71.53 $ - $ MECHANICAL Warm-Air n WN $ _ Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonryw/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ Pool Heater EA $ 8,984.25 $ - $ Inflatable Type Pool EA $ 1,200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ i RENOVATIONS y Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows - EA $ 550.00 $ - Skylights - EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ _ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 2,495.00 TOTALS $ - $ - $ 2,495.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 2,495.00 $ 36.00 Electrical y $ - $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.65 TOTALS $ 2,495.00 $ 36.65 Figures are based on the 2006 RS Means Residential Cost Data Currie's Plumbing, Heating, Cooling,& Coolin , Inc. I September 22, 2015 t i I i 1 To Whom It May Concern, 1 My daughter, Hollie Currie will be my agent to pull a permit for Louis Silva on 115 Park Ave. Ext. to install a replacement 275 gallon oil tank. My licenses are S1 #' 0303434 and P1 0204570. Sincerely t` ?., e2t 'i[ 2495 Paul R. Currie s i t i i k i i t 1 i 1 i' i' I i` ly iii i r r 627 Route 82 #9 P.O. Box 63 Oakdale, CT. 06370 i r ' �. ,,I ' r"'i/, \t/-Y,tr �.``t .,yam \ \,+/ is%,. r'r "'•4Se,- $+V., .4.., -+'`�i t� �'S'Y f •,, rt t/ ?fit\ ' �t/•1 V�� ,.t�, \t/,.t/�:FSI/' �I/= ', j • 'I ti\ 4� ,'; ,rs, . M ,s'f. ti,4tl s• % i "d 1}5f N+ r •, Mtn t •• !' `• ,- `3-'�.`{.`•,•.. . STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that 2 PAUL R CURRIE SR ' 116 OXOBOXO CROSS RD F z 3 " Oik KKDALE CT 063704033 has been certncied by the Department of Consumer Protection as a licensed ,..:....,---,4 vY 7, HEATING, PIPING & COOLING UNLIMITED CONTRACTOR ; .- t SCK. =--"` . s -kLicense #HTG.0303434-S1 Effective: 09/01/2015 irat 08/31/2016 - Expiration: ► C , ♦ �. Jo,aiIJan A.I Farris,Cotpriassioncr °ate /i,.`r/i�a2�"C r. � .' fit:; • gni•'? �/ ; x :9 ,firAi, ! '�'' ''t`v'' ',•: ,jt'1f .§. •S'y'\�'�„r•"`rya y�„4� it\`� � \r�;, f,\.;� w•�,,,,i�N c'' ,4;--- -,::,:i ,, `._+ {, d.'-.r i K/ ,,,!t 'S.�.,.041,... 41N .04.... ....„\,...........,„,,,, ``mow 0 ^—..41 CURRPH&-01 LMILLER Ac. Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bailey Agencies, Inc. PHONE 15 Thames Street,Suite 100 (A/C,No,Ext):(860)446-8255 FAX (/uc Groton,CT 06340 E-MAIL ,No): (860)448-1608 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Ins.Co. 29424 INSURED — INSURER B: Currie's Plumbing Heating&Cooling, Inc. INSURERC: P.O. Box 63 - — 627 RT.82 INSURER D Oakdale,CT 06370 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR __- _-- - ADDL SUS LTR TYPE OF INSURANCE INSD I WVD' POLICY NUMBER /YYYY MM DDYPOLICY EXP -- A X COMMERCIAL GENERAL LIABILITY ( ) (MM/DD/YYYY) LIMITS EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X ' OCCUR 02SBATU5118 07/01/2015 07/01/2016 I pREMSEs(EaEoccurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY L PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Ea accident) A X $ 1,000,000 ANY AUTO 02UECAX8656 07/01/2015 07/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - AUTOS I AUTOS 1 BODILY INJURY(Per accident) $ HIRED AUTOSNNOTOSWNED PROPERTY DAMAGE $ (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ ■ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED , : RETENTION$ $ WORKERS COMPENSATION - _ AND EMPLOYERS'LIABILITY YIN X STATl1TE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 02WECCT5872 07/01/2015 07/01/2016 . E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 :DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT, $ 500,000 A Business Owners Poli 02SBATU5118 07/01/2015 07/01/2016 Umbrella 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance for Currie's Plumbing Heating&Cooling,Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Currie's Plumbing Heating&Cooling, Inc. PO Box 63 ACCORDANCE WITH THE POLICY PROVISIONS. 627 Route 82 Oakdale,CT 06370 AUTHORIZED REPRESENTATIVE .. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No .ermit will be issued until all the re.uired si.natures are obtained. H 5 P('rk f\v-c Property Address rq man 75 <a ( ±a(- Job Description Required Department Permit Issuance Approval Approval ® Tax Collector �G�-��/�la -<___ ?/,� /1.5- Signature/ 1.5Signature/date Comments: ■ Planning & ZoningCo.tctz,„ �� Jl Comments: Signature/date 3 1 7)/7 Fire Marshal I/4 z re lc Signat re/date Comments: ❑ Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required q ed for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Re.uired for Structures over 100 000 s..ft or with more than 200 •arkin. s.aces-Official co. of STC Certificate of O.eration re.uired-.er CGS 14-311 Signature/date Building Department Review Complete Signature!date Revised May 23,21117