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HomeMy WebLinkAboutFireplace 2006 Field Inspection Notice Town of Montville Building Department January 18, 2006 Address: 1 Partridge Hollow Job Description: Gas-fireplace Permit Number(s): M2005-0223 Permit Date: INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Gas line • . 11 PSI at time of pressure test • inspection. OK 1/18/06 DJ Fire place 1/18/06 DJ appliance • Certificate of • • 1/18/06 DJ approval Rev.Date: 10i 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: M2005-0223 Date: 10-Jan-06 Map/Lot: 028/005-015 Owner ID: 5358000 Project Location: 1 PARTRIDGE HOLLOW Unit: Job Description: Fireplace,gas logs,set tank&gas lines Owner Name: Russell Dimarco Tenant Name: N/A Careof: 1 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: Spicer Gas Telephone: (860)445-2436 DBA: lac/Reg Type: G1 Lic/Reg No: 388986 36 Thames St. Exp Date: 31-Aug-06 Groton Ct 06340- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $3,000.00 Mechanical Fee: $24.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $3,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.48 Total Fee: $24.48 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 El Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulationd❑ C; ificate of Approval rd Certificate of Occupancy Building Official's Approval: le°1te r. Town of Montville i Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form Single Eamily 0 Two-Family 0 Townhouse Permit# /1020,�/j('- 7cU 3 Job Address .1- --PG{,✓4(: e- `-(J((/ OU-) (Number) (Street) J (Unit) / f Job Description l v-54-04 IC f P-0 a.0 ex--f� / `t'iA-e t * �vw/J re._ V f- a.iloi ( t, - ;r€ \ t" .C:ye-t Le.2, . • OwnerT,s �4 M&4'C0 Mailing Address Ja-A^^-Q- City 06,46(1C-__ State 0, Zip 66370 Tel r(0 / F`7(/ Contractorf) ' '!�('��/ (a-5 Mailing Address 36 t des J4 / City Cn,ro-4.(„ . State CA - Zip b Tel Tel V3.0/ 144S7 a-u3(... Contractor's License Type &Number 3 b 0 9 p CO ‘ ` Exp. Date 8 / 31 / 0C 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. Separate applications are required for electrier cal. // .--'10Owner/Agent Signature9 Date / / b / 0 Construction Value Fee Mechanical $ ?j 1090013' $ L_ L� Electrical $ $ Plan Review Fee $ State Education $ Total $ $ ' L"-i' NvueiSeptem6er9,2004 Town ofMontville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL Par•(-v 140 (69c,) , 676.370 oPerh'Address / 1A-S1-alt ( J r'(' ( L,� i vf c c2 t© , 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 Department Permit Issuance Approval Approval - Tax Collector C v.° \ �, sign; .c date. ❑ WPCA " \ he'it.A..9-4...) 1 lo U CO Signature Cate ) ❑ Planning & Zoning Signature date ❑ Health Department Signature' dale ❑ Fire Marshal dole l?rvised*September 2004 • PIER 4145 36 Thames Street, Groton, CT 06340 (860) 445-2436 • 800-448-2028 Fax (860) 445-2313 Date: /(6/0(2 City/Town/Borough: 1.4 .v L- 1 (E , c- . Job Site Address: 1 I�A,✓kr ; e go l(oc c) Oaledi(C. 1 iJ , ©U3 7 o Project to start on or about the following date: ( I -7 04, This letter authorizes Robert Mitchell to obtain a permit on my behalf for the following customer/project: 0 Property Owner: Tc.A.ss re. o Mailing Address: 1 ?a{.1ri'ciej 2 gol(o co 00),_4,4c) C-1, 06370 iA ,,,st, F Sap rita — LP Gas Technician CT Lic. # 388986 Division of Spicer Plus, Inc. • CT Lic. # 00308503 • RI Lic. # 00006311 7,---- S I' E OF CONNECTICUT iii I.1/ 1/1 \l nl (H\1l ill A. /'KH1/ ( /Ii/\ . HEATING,PIPING&COOLING LIMITED CONTRACTOR Gl JAMES,LSAPOgITA =- 6DEERRIDGERP STONINGT041%CT 06378 LIC./REG NO. EFFEC?IVE, EXPIRES r r 388986 - - 1)9/01/2005,,4.' i 08/31/2006 SIGNED I STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING LIMITED CONTRACTOR G1 JAMES L SAPORITA - I 6 DEER RIDGE RD STONINGTON,CT 06378 LIC./REG NO. 388986 9/0C/20 04 08/A7a5 SIGNED ( ' 'AU �` CUU., IIIU U;,; :U rll hN.KUY INSUKHNU . tiKUKtKS PHA NU. 51tl41.IGOI r, Ui/Ll3 DATEIMMr001VVYYL ACORD,. CERTIFICATE OF LIABILITY INSURANCE I 1?/„/2UOS 'ADDUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UPON THE CERTIFICATE ENERGY INSURANCE BROXERS, INC, ONLY NCONFERS SRIGHTS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 2729 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ALBANY, NY 12201-1729 i (NAICO INSURERS AFFORDING COVERAGE *sow' 3PICER PLUS, INC- ETAL i.LNSURUI A. ST PAUL FIRS & MARINE INS CO P.O. BOX 903 IN6uREg B: L+ANU1dAR1C INSURANCE CO. ..� GROTON, CT 06340 INSURER CCOMMXRCS & INDUSTRY INC CO INSURER D: 3PICO1 INSURER E: _ I — COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM DR 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rNSR ADDTJ ) POLICY EFFECTIVE POLICY EXPIRATION LIMITS ,LTR ran, TYPEOF INSIIRANCE POLICY NUMBER DATE,IMM1ON(Y i DATE IMMI(DDIYYI A . GENERAL UAUJUTY C=021426'0 04/30/2005 04/30/2006 EACH OCTo RE NTED COMMERCIAL GENERAL LIABILITYNCL a 1,000, 000 i I A PgEM16ES LEA Oppure11cai 4 50,000 X 5,000 �I.. CLAIMS MADE IX J OCCUR( I I MEDEXPIARY ORO Pa saAI i I i�PPERSONALSAOV NJURY 0 1,000,000 —'""I I I GENERAL AOOREGATE I 0 2,000,000 1 GENII_AGGREGATE LIMIT APPLIESPER: ` I PRODUCTS-COMP/OP AGO I 1 2,000,000 1 I POLICY i 1 .1 LOC I AUTOMOBILE Lig/MIT cx002142E0 1 04/30/2005 � 04/30/2006 'cDMBINED SINGLE LIMIT I QIICCISofIl 1,000,000 � rS�ANY AUTO I � + — I ALL OWNED AUTOS IIPU Pereont BODILY INJURY S -t SCHEDULED AUTOS IHIREO AUTOS BODILY,N.IURY s ^"II (Pm ucne«nl NON-OWNED AUTOS _ICIy� MCS PROPERTY TY DAMAGE e 11POr acatlantl X ENDORSEMENT i GARAGE LIABILITY fAU, TO ONLY•EA ACCIDENT I ^� EA ACC 6 OTHER THAN II ANY AUTO AUTO ONLYI AGG L ,� B EXCUSJUMBRELLA UA_IIUTY LKao21660 04/30/2005 104/30/2006 EACH__OCCURRENCE _ 5,000,000 _C OCCUR r I CLAIMSMAOE I r__ 9 5,000,000 --i H— ____4' , - ,ODD,BOO+ 1 I DEDUCTIBLE l $ (1 I RETENTION 0 j WC 6TATU- IOTM- C I WOREER6COMPENIATIONAND I HC8936266 01/11/2006 01/11/2007 IX ,Qt7YTATJ. -_ ER I_. - IEMPLOYERS'LIABRJTY IrE._.EACH ACCIDENT 1 e 100, 000 ANY PROPRIETORIPARTNHPEXECUTIVE I ( I !tom.OrSEASti •fA EMPLQYEEt a 2D0,OOQ OFFICER/MEMBER EXCLUDED? Hyaa,OeattlOa'i„aa !---------.±—_- 04/30/2005 1 E.L.DISEASE•POLICY JMIT I S 500,000 SPECIAL PROVISIONS DaIOw A IOTHER CXO02 460 04/30/2005 4/30/20061DED PPT'S O LIGHTS $500 IIPHYBZCAL DAMAGE COV. 1 DED ALL OTHERS/ACV $1,000 DESCRIPTION OF OPERATIONS i LOCATIONS/VEIi1CLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS TOWN OF GROTON I8 NAMED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POUCIE6 BE CANCELLED BEFORE THE EXPIRATION TOWN OP GROTON DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 45 FORT XILL ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL GROTON, CT 06340 IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTNOR12U1 REPRESEN RIT g ./...„ ! NJ ACORD CORPORATION 1988 ACORD 25(2001108)