HomeMy WebLinkAbout120 Gal. LP Tank and Line for Fireplace 2007 Field Inspection Notice
Town of Montville
Building Department
November 13, 2007
Address: 14 Partridge Hollow
Job Description: Installing one 120 gallon L.P.tank and lines to new fireplace
Permit Number(s): M2007-0162 Permit Date: October 22 2007
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
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Final inspection for • 10 LBS. 11/13/07 CC
certificate of approval Pressure
R .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: M2007-0162 Date: 22-Oct-07 Map/Lot: 028/005-078 Owner ID: 5364000
Project Location: 14 PARTRIDGE HOLLOW Unit:
Job Description: Installing One 120 Gal.Tank&Lines to New Fireplace
Owner Name: John J and Yvonne M French Keegan Tenant Name: N/A
Careof:
14 Partridge Hollow
Oakdale CT 06370- Telephone: (860)848-3167
Contractor Name: Spicer Telephone: (860)445-2436
DBA: Lic/Reg Type: GI
Lic/Reg No: 338986
36 Thames Street Exp Date: 31-Aug-08
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: $3,200.00 Mechanical Fee: $32.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $3,200.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.51
Total Fee Paid: $32.51
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 ] Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation �I Certificate of Approval
❑ Certificate of Occupancy
Building Official's Approval:
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.: fl bcil-pl (off
Type of Work Ocsvpancy Type Permit Type
❑New Construction Single Family 0 Building
❑ ition 0 Two-Family ❑PIchanin
Alteration 0 Townhouse ical
g
e
0 Accessory Structure 0 Electrical CRS :
Job Address: /% ?wyL"o - e l 1
(Number) (Stree410C0�/ n (Unit)
Job Description: (A'S littLt 1-•.c t^00 50-1 1401--" 44444 , 1"1-e40
V F iaglei
tam l -D- ,A.4.,..)1- 1.,-e c c,,
Owner: OL- (.` Ate,
Address Cq q,v4rGC //4- ' '°< '
City: Clar--Ge.A/IK., State: — 66 3719
19
Telephone:
3(,7 Zip Code:
Contractor: Srd�.ei`/C (21,,e41 a►v
DBA: / �� �`
Addresss:: �36 T1�.��.,,n,`v� .r4-,
City: ut//a-4:71,-v ��
ell-16---)‘1761
��/� / //���,,// State: -../t/,,/{� Zip Code: 06 3q0
Telephone: o — alp License Type:tl License No.: 0 1-!cO o0//de
Expiration Date:
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.
----;&6
Owner/Agent Signature: Date: 44/6-2
Construction Value
Permit Fees
Building Value:
Building Fee:
Plumbing Value:
Plumbing Fee:
Mechanical Value: 4 3a-oo S
1 Mechanical Fee:
Electrical Value:
Electrical Fee:
Total Value:
Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
ROvn.red Decem6er31,2001
Town of Montville
Building Department
File Receipt
Date: 19-Oct-07 Receipt No: 2904
Received From: Spicer Gas
Job Address: 14 Partridge Hollow
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $32.51 Check: $0.51
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Check No: 320
Short/Over: $0.00
Construction Value: $3,200.00
Demolition Value: $0.00
Received By Carmen Roberts
Address: 14 Partridge Hollow
ITEM CITY $IUNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $ -
Basement,Finished - SF $ 20.87 $ - $ -
Basement.Unfinished - SF $ 11.28 $ - $ -
Crawl Sapce SF $ 8.46 $ -
Interior Renovations SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - $ - $ -
Basement - SF $ 11.28 $ - $ - $ -
Crawl Space - SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom - EA $ - $ -
Half-Bathroom - EA $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ -
Detached - SF $ 63.21 $ - $ -
Under - SF $ 9.12 $ - $ -
Carport - SF $ 18.08 $ -
MECHANICAL
Warm-Air Y Y/N $ -
Hot Water N Y/N $ -
Electric N Y/N $ -
Air Conditioning N Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Overhead,new -Amps $ -
Underground,new Amps $ -
Subpanel EA $ 545.00 $ -
Gen Set EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry w/lfireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove,free standing - EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS 8 HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
Inground Pool - EA $ 19,430.40 $ - $ -
Above Ground Round - EA $ 4,635.88 $ - $ -
Above Ground Oval - EA $ 5,472.50 $ - $ -
Pool Heater - EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical - SF $ 1850 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.38 $ -
Roofing,Strip 8 reroof - SF $ 3.76 $ -
Roof Sheathing - SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows - EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors,Exterior EA $ 401.50 $ -
Oil Tank,275 Gallon EA 5 -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS $ 3,200.00
TOTALS $ - $ - $ 3,200.00 $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ -
Plumbing Y $ - $ -
Mechanical Y $ 3,200.00 $ 32.00
Electrical Y $ - $ -
Working before Permit Issuance $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.51
TOTALS $ 3,200.00 $ 32.51
Figures are based on the 2006 RS Means Residential Cost Data
44"11"11'
OAS
36 Thames Street, Groton, Ct. 06340
(860) 445-2436 • (800) 448-2028
Fax - (860) 445-2313
Date: a 07
City/Town/Borough: A /Q -1--VZ te- , C4
Job Site Address: l Li Pe4471--r r e 6:44(4..)
DaLceet, 6 C(..., 063-7,o
Project to start on or about the following date: iG 2 b7
This letter authorizes Robert Mitchell to obtain a permit on my
behalf for the following customer/project:
Property Owner: TO .
Mailing Address: CL.( '-"Pct,;flt- C', 64(6260
04-dale, 6 el-, 663-7,o
/ -
James L. Saporita - ' Gas Technician
Division of Spicer Plus, Inc. • Ct. Lic. #388986 • R.I. Lic. #00007469
• r
. STATE OF CONNECTICUT
DLPART31ENT 01 CONSUMER PROI L(TION
HEATING,PIPING&COOLING LIMITED CONTRACTOR
•' JAMES L`SAPORITA
6 DEER RIDGERD
- _- - -__._ ------_--- --- --- STONINGTON; T-:0637S
LIC./REG NO. EFFECTIVE EXPIRES
HTG.0388986=G11 09/01/2007 08/31/2008
SIGNED !,
State of Rhode Island and Providence Plantations
Rhode Island Department of Labor and Training
PJFPROP GAS SRV/Ii 00007469
Lew='��r-,=s
JAMES L SAPORy � = }
BMW..--.,.
6 DEER RIDGE
STONINGTON
41/,e 04/30/2008
Administrator Expiration Date
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4CPRD. CERTIFICATE OF LIABILITY INSURANCE DATEIMNlOD/YYYYI
_ 0 V 5/7007
PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ENERGY INSURANCE BROYJRS, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 BOX 1729 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ALBANY, NY 12201-1729
INSURERS AFFORDING COVERAGE NAICA'
INsuRED SPICER PLU$, INC. STAL INSURER A TRAVELERS INDEMNITY Co OF CT _
P.O. 80X 903 INSURER e: TRAVELERS INDEMNITY CO Or AMER
GROTON, CT 06340 INSURER c: AMERICAN ROME ASSURANCE CO _
INSURER 0: ADMIRAL INSURANCE COMPANY _
SPICO1INSURER E:
COVERAGES
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 DF SUCH
POUCIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ADD'I. POLICY EF_ FF LVE POLICY E PRATTION
LTILfNSBQ, T OF INSORAFJ E POLICY NUMBER DATUM YYI , DATEIMMfDOh YI Lima B
B GENERAL LIABILITY 660-411S1CO9A07 04/30/2007 04/30/2008 EACH OCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES.1Eeocifgncal / 50,000
CLAIMSMAOE OC j OCCUR MED EXP(AnycnoVarian) 4 .5,000
PERSONAL 6 ADV INJURY S 1,000,000
__ GENERAL AGGREGATE, 4 2,000,000
GEN'L AGGREGATE UMtT APPLIES PER: PRODUCTS-COMP/OPAGG4 2,000,000
7 POLICY I i JEST PRO- LOC
A AUTOMOIILEUABILITY BA1121C032 04/30/2007 04/30/2008 COMBINED SINGLE LIMIT
1
X ANY AUTO IEexld;ntl
er1,000000
ALL OWNED AUTOS BODILY INJURY '
IPE(lerson)
SCHEDULED AUTOS T __
HIRED AUTOS BODILY INJURY
_ NON.0WNEDAUTOS lPor4cd0pnq /
X MC9-90
PROPERTY DAMAGE 0
X SUDDEN G ACCID. PO IP IsECidMll
GARAGE LIABILITY AUTO ONLY•EA ACCIDENT 4
,_ ANY AUTO OTHER THAN EA ACC P ^y.,,•-._`
AUTO ONLY: AGG $
D EXCE3SANABREUA LIABILITY 81000005513-02 04/30/2007 04/30/2008 EACH OCCURRENCE 4 5,000,000
X1 OCCUR I I CLAIMEMADE AGGREGATE 4 5,000,100,
7 DEDUCTIBLE -. . . ......,...Y...,.,•._....�_.._...._
RETENTION $ ,_ /
C WORNERSEOMPEN6ATIONAND NC1741722 01/11/2007 01/11/2008 X TDPYUMIT6 DER
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT I 100 000
ANY PROPRIETOR/PARTNER/EXECUTIVE --L
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 4 100,000
H964,cINGID4 uncial
SPECIAL PROVISIONS hallowE.L.DISEASE•POLICY LIMIT 4 500,000
A OTHER PA4424C032 04/30/2007 04/30/2008 DED PPT'. 4 LICHTS $500
PHYSICAL DAMAGE COV. DED ALL OTXSRB/ACV $1,000
DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEME1NT I SPECIAL PROVIGON6
CERTIFICATE HOLDER _CANCELLATION
I
SHOULD ANY OF THE ABOVE DESCRIBED POUCIE6 01 CANCELLED BEFORE THE EXPIRATION
�Ot�C..J � � /� / _�/(4e'
� DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
HAL13 �/Iv/IWi]lV.v,'//Ii IES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE EDT.BUT FAILURE TO DO 60 691164-
'3
/O A /O/� / L / , k/ IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
/�I� �'��{vI /,(/(j(� �y (�(A �VP"W�� REPRESENTATIVES.
\J�,(I<.da,S V,Ue-. �r OV 3i� AUTHORIZED REPRESEPi T E
4. DH
ACORD 26(2001 f081 °ACORD CORPORATION 1988
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
V-1 Pci-41- -e I400 &JM
Prope Address
j&t.a (;615 1-0 0 //1,,-e_ � t441
I/ Job scription 6
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
Approval Department Permit Issuance Approval
® Tax Collector -t&-�- /V w-4--.--`-- o% q o 7
Signature/date
Comments:
❑ WPCA, Administrative 1 16 I VI ) 01
i n u;e' date
Comments:
❑ WPCA, Operations
Signature,/date
Comments:
0.7-LAA-4, 6® Planning & Zoning c
Comments: .c,
❑ Health Department
Comments:
Signature' date
❑ Department of Public Works
Comments:
Signature/date
❑ State Dept. of Transportation
(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)
Comments! signature/ date
* AFire Marsh , /Gz�at.f�e7'r
ate 4.L&._i•9_._
Comments: h( l( (_
RCvisedAugust 5,2005