HomeMy WebLinkAboutLP Tank and Line for Generator 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: M2013-0067 Date: 07-May-13 Map/Lot: 028/016-000 Owner ID: 5374001
Project Location: 40 PARTRIDGE HOLLOW Unit:
Job Description: Install LP Tank&Run Lines to Generator
Owner Nam Robin Hill Village LLC Tenant Name W.P.C.A.
Careof: 310 Norwich-New London Tpke.
183 Quarry Road Uncasville CT 06382-
Milford CT 06460- Telephone:
Applicant Name: Brian Swanhaus Telephone: (860)680-7935
DBA: Osterman Propane Lic/Reg Type G1
Lic/Reg No 392907
7 Enterprise Lane Exp Date: 31-Aug-13
Oakdale CT 06370-
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 Valu $1,000.00 Mechanical Fee $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC
Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: C5
C of 0 Fee: 30.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.26
Total Fee Paid: $0.26
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 framin ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
d❑ Certificate of Approval
- • e if O upancy
Building Official's Approval: _ _ _A
Town of Montville
` Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
PERMIT APPLICATION FORM Permit No.: N()t3 —0a..40.
Type of Work Occupancy Classification Construction Type Permit Type
❑ New Construction ❑A-1 ❑B El H-1 ❑ I-1 ❑ R-1 ❑S-1 ❑Type IA ❑Type Ills ❑ Building
❑Addition 0 A-2 ❑B,Medical 9 H-2 1:11-2 ❑ R-2 ❑ S-2 ❑Type IB ❑Type IV ❑ Plumbing
❑Alteration ❑A-3 ❑E ❑ H-3 ❑ 1-3 ❑ R-3 ❑ U ❑Type IIA ❑Type VA ❑Mechanical
❑Change of Use ❑A-4 ❑F-1 ❑ H-4 ❑ 1-4 ❑ R-4
❑A-5 ❑ Mixed ❑Type IIB ❑ Type VB ❑Electrical
❑F-2 ❑ M ❑Type IIIA
CRS#:
Property Address: , #Q7�/D6f- /$1124) ai<0,-/-&--
(Number) (Street) /� (Unit)
Job Description: �nJS1j LO7:1A/c{ Al/] fei,t/ C ,f" G/A// Xeevige-ro
Owner: 79u',/4./fj1/7 //// e/# Tenant:
Address:`3%1) //bo/' ' OW- Address:
City/State/Zip: t//I/6/11/j(fg, e),61:3J2 City/State/Zip:
Telephone( ) - Telephone( ) -
Applicant: 87Zt9ii) O2/9/,1,1(
DBA: &SffEM21// ee0/ 7I
Address: 7 l,/v tziP4,5-E Lid
City: (2/940/511/6 State: CT Zip Code: v 7() Telephone( 090 ) 6-(C -___ZZLI
Contractors - Complete the Following: (J
License/Registration Type:(-9- J License/Registration No.: 3Tc2/27 Expiration Date: 6 3/07/
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.
---- ;;;/
Owner/Agent Signature:
Date: ����
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
]
Mechanical Value: v000—D[ Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee: ,a(c,
Total Fee:
Revised-August 23,2007
Town of Montville
Building Department
File Receipt
Date: 06-May-13
ReceiptNo: 8354
Received From: Osterman Propane
Job Address: 41 Partridge Hollow
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00
State Cash: $0.00
Bldg Check: $0.26
State Check: $0.26
Bldg Credit: $0.00
State Credit: $0.00
Fire Cash: $0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value:
$1,000.00
CheckNo: Demolition Value:
2465 $0.00
Received By: Carmen Kneeland CEA.A Q '�` _R.XnC,i�
Y1� .
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained.
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Property Address
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ST/ / 7 'x c- WOO ZiAle /Ov.
Job Description
Required
Approval Department Permit Issuance Approval
■ Tax Collector
Signature/date
Comments:
Planning & Zoning I� � 6/(D 1(3
Comments:
date ►
Fire Marshal sq
Comments:
Signatur /date
❑ Health Department
Required for properties with private septic or well
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:
❑ State Dept. of Transportation
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 Review Complete
Signature/date
Revised May 23,2011