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HomeMy WebLinkAbout275 Gal. Oil Tank Replacement July 2016 - Permit Voided Imo TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2016-0076 Date: 11-Jul-16 Map/Lot: 096/019-000 Owner ID: 5326000 Project Location: 119 PARK AVENUE EXTENSION Unit: Job Description: Remove/Replace 275 Gal Oil Tank and Associated Piping Owner Nam Barbara A Thompson Tec t Name N/A Careof: 119 Park Ave Ext \ ;t Uncasville CT 06382- Telep ne: (860)848-3370 • + / Applicant Name Martin D McKinney Jr Telepho 60)848-2278 ' '..-)c ). DBA: Service Station Equiipment Lic/Reg Tye P9 ,\ 1111 'c/Reg N 208469 V /N\j 20 Murphy Road t` in p Date: 31-4- -16 O� IN N Franklin CT 062 �� Construction Value Permit Fees ,a ,nstruction Information Building Value: S0.00 Buildi . - — $,.A0 UT)OU•1&\ IRC Plumbing Value: $0.00 Plumbing --: $0.00 .de 2r. State Buildin C Mechanical Valu $1,500.00 Mechanic. Fe S30..s Electrical Value: $0.00 Electrical Fc-- $0.08‘,. \ Construction Type IRC l Total Value: $1,500.00 $0.00 Permit Code: R5 $0.00 Comment Vr $0.00 V° �y� '� J $0.39 V� ( Y �f� $30.39 It shall be t. D l r („ / 'ons a minimum of 2 business days in advance: Fl ? 4 -61 �- l �/ 'Table onsite during all inspections. BUILDING PE VG,MECHANICAL.ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouria Ibing and leak test ❑ Deck Piers ical ❑ Backfill-Footing drains c )ch-with conduit installed ❑ Concrete Slab-Prior to p ling ❑ Anchor Bolts-with sill plat€ .., Kcal Service CRS No: Q ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation El Certificate of Appr.val I. - ' ate . 4ccupancy Building Official's Approval: .?,/'e--tel— — &,..— -E� IUW11 Ul 1V1U11Lvlllc Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 y. Uncasville, CT 06382 ,, Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM ) Permit No.: i �C '(((; -(.X5X,, Type of Work Occupancy Type Permit Type ❑New Construction Ix Single Family ❑Building ❑Addition 0 Two-Family ❑Plumbing f 'Alteration ❑Townhouse 0 Mechanical 0 Accessory Structure Electrical CRS#: Property Address: 1 i cr) P02)e-- 4Yt. f Ews,v-✓ (Number) (Street) (Unit) Job Description: gem Ov S2fC4 CE 22 S 64 L FviS L (9) I>L •T V& 4-)449 so c.)t3 3 49► P)kV , ftv S 4 V' '16 L-OC 77 Owner: 1-2Aa6, X20 --j)-8,1isl PSDIti ,, / Address: 1 ) 9 Fr-v.v.:. 6 S AV (' {�t,c)o,`/ City: vt✓crAs✓Zi-(j State:CJ Zip Code: ()(0. -2Telephone(c'(,'..) ) 950;;33 A:, Applicant: IMI/T- 1 h/ D- M c--:-`LI it `j .3-r2., DBA: 5fAvkce / Oki e_ /) em Address:o{Dn'�M' v(l.'P{f P) ,,�- �t p City.fv, Ft ltirLLA./ State: < ZipCode: o�v/ Gro Telephone( � ) e y e _ 2-2-76, Contractors - Complete the Following: )113 License Type: License No02. �y (p[j.: Expiration Date:1i 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. J°t 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. Own Agent-Signatur • 0 Date: 06-R9-1 L Construction Value Permit Fees Building Value: Building Fee: - • 3 7 Plumbing Value: Plumbing Fee: Mechanical Value: 5 C(— Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: r 3 7 Total Fee: Reviser(August 23,2007 Town of Montville Building Department File Receipt Date: 23-Jun-16 ReceiptNo: 11443 Received From: Service Station Eauinment Job Address: 119 Park Avenue Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: Bldg Check: $0.00 $30.39 State Check: Bldg Credit: $0'39 $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1.snn.nn Demolition Value: CheckNo: 10463 tn.nn Received By: Carmen Kneeland as,,,*, .y1 n ► l IC-VW Y.CA-1ACI Address: Lio 119 Park Ave Ext. ITEM Y $/UNIT TOTAL QT Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ $ $ Full Bathroom EA $ $ Half-Bathroom EA $ $ _ GARAGE Detached SF $ 71.53 $ - $ MECHANICAL Warm-Air n Y/N $ - 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 $ - Masonry w/1f'ireplace 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 $ 1200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ RENOVATIONS 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 $ 1,500.00 TOTALS $ - $ 1,500.00 $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ 1,500.00 $ 30.00 Mechanical y $ - $ Electrical y $ _ $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.39 TOTALS $ 1,500.00 $ 30.39 Figures are based on the 2006 RS Means Residential Cost Data Li 4 Smoke ice Petroleum Contractors Since 1984 f- Web site:ssE-INC.Net Nation i, Members of NFPA,PEI,CBIA,ICPA tati iati ? Veeder Root/6iibarco ASC .yC apmew, jac. 4fri 1-800-801-TANK STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION Date 0 G- 023-- PLUMBING&PIPING LIMITED CONTRACTOR MARTIN D MCKINNEY JR 8 TOTEM LANE GRISWOLD,CT 06351-1427 City/T.own N dhij) l,lr� LIC./REG NO. EFFECTIVE EXPIRES Re: Applicant for plumbing permits PLM.0208469-P9 11/01/2015 10/31/2016 Licensed contractors, as defined in Section 20- SIGNED C----y 3388 of the Connecticut General Statutes, must personally sign each building permit application. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION This letter authorizes the below named agent to HOME IMPROVEMENT CONTRACTOR sign the above referenced permit application. SERVICE STATION EQUIPMENT INC 33 LEFFINGWELL RD Project Name: 0/)(2.13069 f1PSOV UNCASVILLE,CT 06382-1022 Project Address: 11 9 ' z-1_ OYi 'e. , LIC./REG NO. EFF CTIVE EXPIRES J s✓jL( 6 C/ o(0332HIC.0582539 12/01/2015 11/30/2016 2 g(OeD — �LfO -3370 SIGNED �� = C //_ /� STATE OF CONNECTICUT Starting Date: ©lo ^ / `1 DEPARTMENT OF CONSUMER PROTECTION' REPAIRER OF WEIGHING&MEASURING DEVICE: Licensed Contractor: Martin D. McKinney, Jr. MARTIN D MCKINNEY JR License Number: 00208469 8 TOTEM LANE 1 GRISWOLD,CT 06351-1427 1 Agents Name:_D ,,J 6 Vr2.49-011 LIC.,REG NO. EFFECTIVE EXPIRES RPR.0000684 01/01/2016 12/31/2016 Tanks -A _. Lot SIGNED STATE OF CONNECTICUT M n D. McKinney, Jr AEP4RT.MENT OF CONSUMER PROTECTION" 1 resident MAJOR CON 1 RAC OR Service Station Equipment, Inc. SERVICE STATION EQUIPMENT INC 33 LEFFINGWELL RD 33 Leffingwell Road, Uncasville,CT 06382 ! UNCASVILLE,CT 063824022 Phone: 860-848-227 Fax: 860-848-4449 LIC./REG NO. EFFECTIVE EXPIRES CT Home Improvement Lic.#582539 CT Plumbing Lic,#208469 MCO.0902957 07/01/2015 067 /30/2016 CT Weights 6 Measures DLR#106 RI'Gas Station'Lic. CT Major Contractor Lic.#0902957 • SIGNED _ F s Ate .• jCa .^gnt'.Q `�y`' f DEPARTMENT OF ADMINISTRATIVE SERV/CES STATE OF CONNECTICUT DIVISION OF CONSTRUCTION SERVICES OFFICE OF THE STATE F/RE MARSHAL DEMOLITION CONTRACTOR LICENSE • • LICENSE NO:2065 CLASS :B • • This• License is being issued pursuant to Connecticut General Statute 29-402 to: • • ....... Service Station Equipment Inc . _ 33`7 Uncasville CT 06382 Designated Technical Expert: Martin .D McKinney Class .8 is limited to the demolition of buildings not to exceed 2 1/2 stories or 35 feet in height Issued by: 77414 Ali , Commissioner Date Issued: 2016/02/18 • �_ .. . ... ..._ , . . ... Expires: .,2017/03/31,.._.,... ,,._.. w .�... �..._.. _.._. .,., . . ,... 165 Capitol Avenue,'Room 258 Hartford,CT 06106 Phone: (860)713-5580 Fax: (860)713-7424 www:ct.gov/dcs An Affirmative Action/Equal Opportunity Employer ACORp® CER ICATE OF LIABILITY INSUL .NCE DATE (MM/DD/YYYY)A� 11/19/2015 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 Bethany Shoff Darby Companies NAME: Cassidy PHONE (203)354-6200 488 Main Avenue ca(A/C,No,Ext); I W.No): (203)354-6480 -MAIL cassidyb@shoffdarby.com 3rd Floor ADDRESS: y @shoffdarby.com Norwalk CT 06851 INSURER(S)AFFORDING COVERAGE NAIC# INSURED — INSURER A:HDI-Gerling American Ins. Co 41343 Service Station Equipment Inc; Service Station INSURERS: Enviromental Inc & Irish Springs Pool Water Inc INSURER : D 33 Leffingwell Road INSURER D: tJncas Ville INSURER E: CT 06382 COVERAGES INSURER F: CERTIFICATE NUMBER:15-16 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 SUBR LTR TYPE OF INSURANCE IVSD VI/VD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYYI (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADEEACH OCCURRENCE DAMAGE TO RENTED $ OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY GENERAL AGGREGATE $ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ _ -- OTHER: AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED BODILY INJURY(Per person) $ AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAB OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE _ DED I I RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X I STATUTE I I EORH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N A OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) EWGCC000211115 E.L.EACH ACCIDENT $ 1,000,000 If yes,describe under 11/18/2015 11/18/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 __DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF Service Station Equipment Inc THE EXPIRATION HDATE E OVTHEE REOF, NOTICE POLICIESSCRIBED WILL CBE CDEL DELIVERED RN ACCORDANCE WITH THE POLICY PROVISIONS. 33-59 Leffingwell Rd Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE Bethany Cassidy/SUZIQ _ _-es- c�-,---7 (1o" ,,L_,-_% ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(2(31401) Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL ) ) 9 pI - A - 6 Property Address P-Ei rat 6_ OIL / /9-ss_cfri16, Job Description Required Department Approval Permit Issuance Approval Tax Collector `— • 6/0‘.3 Comments: Signature/date Fire Marshal / 1 ' /7> Signature/ at lJ� /(6'. Comments: ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: ❑ WPCA, Administrative Required 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: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Final Inspection Qevisetfgdarch23,2015 Town of Montville Building Department File Receipt Date: 23-Jun-16 ReceiptNo: 11443 Received From: ServiceStation Eauioment Job Address: 119 Park Avenue Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $30.39 State Check: $0.39 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1500.00 Demolition Value: $0.00 CheckNo: 10463 Received By: Carmen Kneeland Town of Montville Building Department Customer Receipt Date: 23-Jun-16 ReceiptNo: 11443 Received From: Service Station Eauioment Job Address: 119 Park Avenue Ext. Buildina Dent.Fees Collected Fire Marshal Fees Collected Cash: $0.00 Cash: $0.00 Check: $30.39 Check: $0.00 Credit: $0.00 Credit: $0.00 CheckNo: 10463 Received By: Carmen Kneeland