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HomeMy WebLinkAboutGas Tank and Line for Fireplace 1998 TOWN OF MONTVILLE Building Department Tel . 860-848-7166 Fax 860-848-7231 ****************************************************************************** Building or Trades Permit Owner : John Maxon Mailing Address: 177 Park Avenue Extension City: lJncasville State: Ct. . Zip Code: 06382 Tel : 848-9602 Job Location: 177 Park Avenue Extension Map/Block/Lot: 096/0076-000 Contractor: Suburban Propane/Gardiner Mailing Address: 262 Gallivan Lane City: Uncasville State: Ct . Zip Code: 06382 Tel : 848-5510 ****************************************************************************** Stick Built : Modular : Manufactured Home: Commercial/Industrial : Addition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas: x Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement: Job Description/Materials Used: install gas logs , run piping and set tanks Size: Type of Heat : Fireplace: No . of Stories: No . Rooms: Breezeway: No . Baths: Garage: Use: Building Official 's Signature: �� ,,� Date: 4 /5';',/- ******************************** ***************** /************************** BaWit1 �23-G Estimated Cost: 795 .00 Building: 10 .00 Plan Review: n/a Code: 06 co .. : n/a Total : 10 .00 Cash/Check: pd .cash ****************************************************************************** A MINIMUM OF 24 HOUR NOTICE REQUIRED FOR INSPECTIONS _ Required Inspections: footings prior to pouring concrete footing drains damp proofing prior to backfill framing electrical service rough electrical rough plumbing-leak tests required heating system fireplace-throat inspection and final chimney-above thimble and final gas line test pool bonding insulation Final Inspection for Certificate of Occupancy TOWN OF MONTVILLE Building Department Telephone 860-848-7166 Fax 860-848-7231 APPLICATION FOR BUILDING PERMIT OR TRADES PERMIT FILL IN THIS SECTION COMPLETELY. n Owner : 10‘"\1\ A.a&.XC)(' Mailing Address: 1 1'G.( Av c ext- City: xt-City: State: C✓"N- Zip Code ovi2a Tel : N--CiC2Cq Job Location: rnpk /"lu e C�c} Map/Block/Lot: a%4vT7 C1O0 Contractor : L,1/4L-4' r\ Nora t\e -onn ,;45r i 1 i ng Address: 4(v). 6c,AI1 uk,4 LA" City: u-r\co‘s.u.\Xe. State: art- Zip Code: O103�'k Tel : gi-lg "SS 1d ****************************************************************************** Stick Built: Modular Home: Manufactured Home: Commercial : Addition: Garage: Car Port: Shed: Remodeling: Roofing : Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: Repair/Replacement : Job Discription/Materials used: \/\Sfi,--\1\ �r�,� Loc CkA L - (LA- \ A oto. '�c.r\ k Size: Type of Heat: Fireplace : No.of Stories: No . Rooms: Breezeway: No. Baths: Garage: Use: 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 . Owner/Agent Signature: / Q q c,erVr Date: \D -, %-"ITS( If signed by Contractor , type of license/registration & No: C3p 30'1 SAI ***************************************************************************** Building Department Use Only FEE Permit If /0"-‘ Oki Estimated Cost 1�1S, o0 Building Plan Review C .O . • al 4111111 /Check 116„e___Cor_4(„4„,/ • Suburban Propane P.O. Box 385 • 262 Gallivan Lane • Uncasville, CT 06382 Office 860-848-5510 • 800-573-3757 • Fax 860-848-5517 http://www.suburbanpropane.com . y DATE: \X- a-48"-al JOB NAME: , OO.1\ /t'`c. )Car1 JOB ADDRESS: \\r Pmt k AO e -e STATE OF CONNECTICUT Ol l'O.V'i1 ,111:1? P101/L(TIO.V This Is to certify that under dati0MOVIsions of the General Statutes STARTING DATE: the following persortorffir noxi haensed or registered. HEATING,PIPING 8c COdLIIV 4I'D CONTRACTOR-G5 THOMAS TT GARDINER -.� 188 STARKWEATHER.RD CONTRACTOR'S AGENT:\J.c(2MOOSUP CT 06354 So6L0.r‘11A r\ PC°^' k C LICJREG.NO. EFFECTIVE EXPIRES + 00307591 I 9/01/98 I 8/31/99 TO: CITY/TOWN OF s. q-/ SIGNED: as L�� W-✓ PLEASE BE ADVISED THAT THE ABOVE REFERENCED AGENT HAS BEEN AUTHORIZED TO OBTAIN A PERMIT FROM YOUR BUILDING DEPARTMENT FOR THE SPECIFIED PROJECT IN THE NAME OF TILE CONTRACTOR. NAME: THOMAS J. GARDINER SIGNED: k,.,-,yu..,)2 ;' LICENSE# 00307591 t. ACORo„, CERTIFICATE OF 'LIABILITY INSURANCE __ �� w, _ �PAGGt)cFA • THIS CEM-IFICATE IsIsSUFD As A MATTER or INWoRMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HoL.DEA. THIS CCFrTIPIISATE DOES NOT AMEND, EXTEND OR S))DGWICK OF NEW JERSEY, INC. ALTER THE COVERAGE AFFORDED BY THE POLiClf=9 EIELOW. 3 BECKER FARM ROAD , —cOMPANIEq AFFORDING COVERAGE _ ROSELAND, NJ 07068 COMPANY _W. --------- A PACIFIC MPLCTYERS_ INS. CO. INsUpeo Ct7FAPANY SUBURBAN PROPANE, L.P. B .__— P.O. BOX 206 COMPANY WHIPPANY, NJ 07981 „c• _______._____ =OArANY J4_.... _ -.___.._. . ...... _ COVERAGES• I THIS is TO CERTIFY THAT THE PVLIGIE,e OF INsURANGE Liu E3ELOW HAVE BEEN Is6UEO TU THE INsuRED NAMED A!UVC foR TME F+vLucY PERIOD INDICATED,NOTWITHSTANDING ANY REaU1REMENT,TEAM Op CO 4O1TION Op ANY CONTRACT OR OTHER DoccM_NT WITH RESPECT To WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED HY THE POLICIES DESCRIBED HEREIN IS SUBJECT-TO ALL THE TERMS, ExCLUSIONS AND CONDMO_NS OF SUCH POLICIESAMIT'S 5F(O,,,VN4AtIFi4V,�-�EF i alg,Ep BY PAID CLAtMB, _ Lco 1TA TO' or INoUMNcl: I PoucY',MADElt DATE DlYYI DATE IId6!/POLICY EFFECTIVE POLICY ID�DM�M���1------LIMITS A OENERALUABILITY HDQ G1 932601 .9 3/1/98 3/1/99 GENERAL AG PEGATE s 1 .®00 ,000 `X GOMMEAGIAL OENEMLUADIUTY I-+ ?Floovc T-GUM?(Pr'ARO 5 1 1g0,e@0 -- J CLAIMS MAW RuLx OCCUR I I PERSOn8 AOV INJURY a 1,000,000 OWNEFSdCONTRACTORSPROI EekIOCCUARENCE 1$ 1,000,000 I. �FIRE DALw6E Wty gm nrul (.1___U,0 0 0 MEp pfPJAny eine Dernonl 5 S G @®@ I AurGIAUOILG LIAoIWTV .� -------.--- ....,_.•—••u._...,. Y.._..____..._._..,.....,.._.7..,.__�.__.. COMBINED SINGLE WATT S s_____.5„.1.191 - A X_ AN AU ISA HO 740264-8 3/1/98 3/1/99I: 1 ,000,00(4 X ALL OWNED AUTOS P4DILr IuJUAY 8 X SGtEDULEb AIMS (Per pe ear) X HIRED AUTOS BODILY INJURY _ NON•OWNED AUTOS (Rot AacIHonfl S -- .--------- PROPERTYDAMnos —I�aaneLL4sNUTY _.__.___ ._.---• -- _____._.___ AUTO oNLY-aaAoaoavT s AN/AUTO 0THK,ri/1 IN AU1b my; _FAQ.,Arcau rr I a, — I Ac,canAm 3 .. EXCESS UAWUTY EACH OOCJRRENCE _ S UMBRELLA FORM I , AQr3pEOA18 ; r_07HERTFIANUM ___ FOfIM , lw ..—__._..—....._ ----------- I _.... _S Wet • Yr01iKCR5 GOLIPENSATIOp AND _ A ,iMPLOYCRTLIAOILITY WLR C4 253883-8 3/1/98 3/1/99 ELi A, �NT �� s � e7 TIEPROPRETow I SCI' C4 252884-A (t*I & WY) —„ r r, , r.ATr+ r YDttcUYt� II WCL E(DISEASE POLb•Y OMIT I-ft i r®0 0 r @�r�tY OFFICs_as ARE: —J_,__. __. —. L.._�......_•-----�•EL DISEASE.EA EMPLOYE E I s . cakui i __ _ --J_ _ —-813 ] 4P3•..Pi f,Ir gj..JPrPJDIrB817D AVFdSY- ALL Wil Iggi9 Et$iniT 'snftI L OPERATIONS iTT(E �t- Y GptacEk7N CANCELLATION_ _��_ � _.. �, --_-- __-• i SHOULD ANY OF THE mon DEBCRIREG POLICIES RE CANCEt1ln HOWIE THE Cte1TION DirE THERKF, THE I SUSHQ COMPANY"WU.L ENDEAVOR TO MAIL • PAT,WHITIEN NOTICE TO TMC CErrIWICATE DOLDEt NAMCD to THE LEFT, - BnT FA4LUPH To MAIL SUCH NOTICE sHAJJ,IMpose NO oNUOATIck OR UAou.ItY op ANY KIND ENr THE co �Ts Trr v Fs -AUTHORIZEDTNowZEzEo FESErianVe p — AC.F D 00RFORAY(oN 198a AGORA 23•S(1/95 r _ 9 RTSS_t Z-d -11=larle >l3IMQ3S WdZO!20 SG, bZ 91 TOO/TOOIj dNIvd021d -011111111S 9669 5T5 CL6 XVd Z6:60 86/6T/ZT . , UV Logs VF logs VM40 Logs Features: Features: Features: • Made from the highest quality • Made from the highest quality • Made from the highest quality refractory concrete materials with an ceramic fiber or refractory concrete refractory concrete materials with an • authentic, deep bark wood texture- materials (your choice)with a hand- authentic, deep bark wood texture. • Four piece log set and single vent- painted multi-colored authentic deep • Nine piece multi-colored hand free yellow-flame burner provide bark wood texture. painted log set sits on realistic steel convective and radiant heat. • -Five piece log set and dual yellow- log grate. • Ash-like materials supplied for flame vent-free burners give • Vent-free yellow-flame burner realistic hearth appearance. convective and radiant heat. • 99.9%heating efficiency—all the heat provides multi-side viewing as well as • Ash-like materials supplied for the convective and radiant heat. stays in your room. hearth. • • Available in IV and 24"widths Ash-like materials provided for • Available in manual or thermostatic • 99.9%heating efficiency—all the heat realistic hearth appearance. stays in your room. • Optional remote control control versions P • Available in manual, thermostatic, • Btu burner can be turned • 18"manual 25,000 Btu adjusts • 40,000 or remote control versions. down30,000 Btu for comfort. lower for comfort to • Available in 24" and 30"widths • VM 0 logis 261/2"wide, 17" front to • 24" manual 20,000 - 40,000 Btu 4 adjustable • 24" a• nd 30" manual 20,000 - back and 13" high. • 18"thermostatic 12,500 - 25,000 40,000 Btu adjustable • Great emergency heat source— Btu adjustable • 24" a• nd 30" thermostatic 20,000 - works without electricity • 24"thermostatic 20,000 40,000 40,000 Btu adjustable • Natural gas and propane models Btu adjustable • Great emergency heat source— • Approved for use in existing masonry • Great emergency heat source— works without electricity or Martin Industries factory built works without electricity • Natural gas and propane models. fireplaces. • Natural gas and propane models • Manual and self-generating versions • Approved as vent-free or decorative • Manual versions are dual certified as are dual certified as vent-free or gas appliances. vent free or decorative gas appliances. decorative gas appliances. Optional MLB Blower Optional MHR Hand Held Optional MWT Wall Thermostat Remote " • Adjustable thermostat • Available only on VFG24,VFG30, • Available only on VFG24,VFG30, • For usewhen logs are installed in a and VM40 log sets and VM40 log sets pre-existing solid fuel burning • Remote operation • Conveniently modulates on and off to fireplace - • Maximum convenience maintain comfort level • Features built-in thermostat Optional GFWS Wall Switch • Easy to use Optional PK Log Extender Kit • Easy access on and off • Available only on VM40 logs • Available only on VFG24,VFG30, • Can extend log width over 8" and VM40 log sets for large fireplaces • Martin .••. et G N1cE6r (024PGEAMade inWARMGAS PRODUCTS yams . a.am g,,.,,/ .......,o....., U.S.A. 301 E. TENNESSEE STREET• FLORENCE,AL 35630 (205) 767-0330• (205) 740-5192 (FAX) SOLD BY: To avoid personal injury or property damage, the product described by this brochure must be installed,operated and maintained in strict compliance with the instructions packaged with the product and all applicable building or fire codes.Contact local building or fire officials about restrictions and installation inspection requirements.All photographs and drawings on this brochure are for illustrative purposes only and are not intended for,nor should they be used as a , substitute for the instructions packaged with the unit.Appearance and specifica- tions of the product are subject to change without notice. MGP/EM/12-97 • VF24/VFG24 VF30/V1 DOUBLE BURNER 24" DOUBLE BUI e xw - ...4"1":-....04:10 + 11A >n , .�� - "" -.1.i.----. -� i i 1-i '• _ ~ .' V . • F S. " -sVK„•` ., _ Atia .- Z'4 a`4, ,. Ear rn> .A °' " w - . .i t jYds . a ,. 0 No . . IT' S THE REALITMVENTFREETY BEAUTIFUL, ROMANTIC, DANCING FLAMES. , 4 Glowing embers. Deep bark �`a '`� j �"'•• texture. The warmth of fire in �� y i.. ar a' ?mss t` ' ay/ tea.." ,+ . "s. y the hearth. !'r'411r F1r '"�� � r; Today, no one wants the hassle _ ' 421117 of carrying wood or cleaning t'4' y; ,/ w •+' ",-.0..�a � -' cam.•.- ..", r ashes. So, at the risk of offend- - • _- ___. -- ing Mother Nature, Martin Gas 4 - introduces Reality, the most '',•ti- r , .. -... , realistic looking vent-free gas UV18 SINGLE"BURNER 18"