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HomeMy WebLinkAboutLP Tank for Heating System 2009 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: M2009-0151 Date: 13-Oct-09 Map/Lot: 103/003-000 Owner ID: 5558000 Project Location: 24 PODURGIEL LANE Unit: Job Description: Add Second LP Tank to New Heating System Owner Name: Michelle M and Stephen M Ahlcrona Tenant Name: N/A Careof: 24 Podurgiel Ln Uncasville CT 06382- Telephone: (860)367-9091 Contractor Name: James Saporita Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type: G1 Lic/Reg No: 388968 183 East Haddam Road Exp Date: 30-Aug-10 Salem CT 06420- 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: $450.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $450.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.10 Total Fee Paid: $8.10 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 Ei Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation :rtifi .•- of Approval ificate of Occupancy Building Official's Ap.roval: — ,CGS ��� s,-- Town of Montville Building Department Co vvyV N 4 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: m alb-C)15 Type of Work Oc_ cuqpancy Type Permit Type ©Njw Constructionmgle Family 0 Building ddltion 0 Two-Family []P bing ❑Alteration ❑Townhouse l 11echanical ❑Accessory Structure ❑Electrical CRS#: Property Address: / r�e9dy rY / e'-L 2 S!/!!-G, C 1 (Number) (Street) (Unit) Job Description: 1€70L/ r ,J /v2 ) AA '-/-951,(//4( .7L 1) iv / rf6t/'>e �/S >�( i'(' p4'/t'J /0,e leire Owner: S7—b7 > /9"2. C—R-D4//4 Address: 22 gee/1/ 49A ' City: /ft7�CL S l </�-C State: Cfi Zip Code:443F Telephone( 2- <D '7/ Applicant: DBA: S211/ /(I ice _ ird/�yl e' /) Address: /(fc1 //�� p � City: %-CenL State:C - Zip Code:r✓C c7,3-L) Telephone(Cale/ ) OJ l 9e 7e) Contractors-Complete the Following: // License Type: "1/C-/`-t. License No.:= >07isrf Expiration Date: /000//47) 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 requiremen 'n•chapters 33 through 42 of the Residential Code. Owner Agent Signature: Zi Watch e6fL, Date: /e/V..2e. ?Yr- Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: uU Plumbing Fee: Mechanical Value: �)c) -� Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: � State Ed Fee: Total Fee: r9-r/At 9trvireL_August 23,2007 Town of Montville Building Department File Receipt Date: 09-Oct-09 Receipt No: 4961 Received From: Spicer Plus Inc. Inc. Job Address: 24 Poduriel Lane Fees Collected ---- State Educational clonal Training Fee Cash: _ $0.00 Cash: Check: $0.00 $8.10 Check: Check No: $0.10 0 Short/Over: $0.00 $0.00_ Construction Value: 0.00 Dem. . .in Val '���'a►� $0.00 Received By Vernon D Vese II / 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. c /940Z/kg/ Z., L Aj / //(;,5- LL e, e D6 -s' Property Address LSA c24 d / CW_SW- A .- Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval Tax CollectoroJq /0 Signature/date Comments: ® Planning &Zoning (4,0-6-.L" f Signature/date Comments: i® Fire Marshal 1�� _ i0 (cA ` �L�� ( V% , LLQ / Signature/date Comments: t IV +=fr lel 7 Health Department Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: � — WPCA, Administrative - (Y\ ,`' � (619, I c') Required for properties on sewer nature/date Comments: WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainaoe requirements 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 4jvired`Novem6n 5,2008 r771 it • • f . ••1 (err�I'#��.� F r �.. • •Q.,".' N,}rr 14 r•'. • • T. 36 Thames Street, Croton, Ct. 06340 1. i- �r,.r_,: -• . ._ (860) 145-2436 , (800) 448-2028 r Fax (860) 145-2313 . iu ; �4, `W. •?.'-• Date: ft/Prr / .r* • 1 , ort t�y $ �' ". ate: tl. /jfC r : t1.,';;3•';',4.4.•,ram. s +i : '. / c '.3t.� 9:fir• �1� s. • ''''•':.-.41---'4-'''•".". li w . . tart. abort the fo.11o date: /D y win: ��`3 moo© Kt„...,..!-„ .+Ka,,._, . !. - • =r-_[''" +334th • ' • ' sow � 441./4' . to obtain � • / 41..,,t , •i . f : Y �r -th,e-'f 110. w. i cu t • • • jet s .1 1. -.- --�•r. .h .• • • ...• • :.t: t:I`� `, ,� 0 v .c.V '�ur L 1. A}.t_ x;��. .,.:. „ 3 '' . , • �J s L. psa• rfta.--- !V;s `hcJ nI an ' . ' t••• ;h1aid' X..• -"r .•i p-: • • • - • • • . • • !, �a� . . " . .. •rM.�:_= • litri-$f�pl. er PIGS • ...-.'' : - int. •'Ct. Uc. 89$6 • R:t.•Lk. #00007469 • • _ •' .4 •( .. , STATE OF CONNECTICUT DEPARTMENT OF CO. 'S UA1ER PROTECTIO.X' HEATING,PIPING 8c CONTRACTOR ,ate JAMES "fiy A MY IC, - LIC./REG ''1 ECtIV g;,...-N,....,;:-_: EXPIRES HTG.03:8986-G1 °"/• 03,y !I,5 08/31/2010 SIGNED T• - . t. .. ��k _ +► tr a M +•..r' +. r —,.-. -^ 4L,_26" t 5; ' • 5`/ �V . i' t • y4 :L+5 /:•2l,..I.,„ -. 'o `V .,t s :5.7 A '• s � , h . . •i r .fy::..\t/-C.,..,-;::',..... V.:• e: \/r.•�. S:. :L%„ c�if2.1',...--4,411,,M„. et. .ypittr•. +A t8 s „ '1j, i m. •• '; ,at.,. gY, r . .. . e;i. :t .... , • ', ., 0.' , ,01.....6::,,.,,, b a 4 41,b S b a 6. ...,,Ai- Sr -1,- 't STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION x• i I ,t ,�� Be it known that r , z : JAMES L SAPORITA 2060 Gold” : ,• 7 MYSTIC ` �. , 4-4 /s. , . 4 . �'._.. L7�% I,- tai {..a. ' , has been certified by t Dep i e1it of Co, t umer Protection as a f.:" ' HEATING, PIPIN -9 .NG ., B CONTRACTOR 1 license }:..4 E X8986-G1 y :/ � Effective: 09/03/2009 I Expiration: 08/31/2010 ` 7. Jerry Farrell,Jr.,Commissioner ....„ .02,....' ✓ n -" f r, ,* `,. 7 . q .. . +Ir : r •4 11. 4 4 F _, , - > .; • ; Lss ;\« f ': tf .01 a45..� {y - r ' St : 1 a� Yf, tits, � i� `+ t. 14S �P.444,44"4414,°,4'` ''% l'', svrtt: : ''tky2: 'r .•. � ' SZ'7 gAni.,;.yamF,v, .s%Y3gg// ` r, ,,, • L •: ;s.qt .L: . 5 V ^a . jY tI. S'v jt ,• s .. % MAR-18-2009 WED 1207 PM Energy Insurance FAX NO. 518 979 7251 P. 01/01 #440110. CERTIFICATE OF LI6114LITY INSURANCE DAYS wIMIODmYr► AI PRODUOt4R 0 Y ' a iA'TE 1S-ISSUED AS A MATTER OF 1 1 e,C ' 'OM ENERGY 2NStJEAAQ$ 9ROXER9, INC. TF! i-`,s Na RIGHTS UPON ' HE c,-v t ATh F• (GATE DOES NOT AMEND, Y,4 = !• OR P 0 BOX 1729 AL, R 'THE V ;�R f` :.'ISE A�FORPED BY THE Pplrl, : y •. . .AZ.HdNY, NY 12201-1729 UN.&UAERE AFFORDING COVERAGE NAM,INSURED BPICBR PLUS, Mc. ETAL r. INIVEHI At gimilsefp429 PJ(OO CAB CO or AMER' — PO 20X 903wEvpEn O: 4'R �R1k,9 rl± RNA'ZT r CO OP 422.0TON1, CT 0 E3 0 0 IN2YAiR c: VECENOZ•OPY ZN SGEANCZ CO PINY �. . • ft GOAEA a: .WJ(XRAL INSURAticir eC3d lxr COVERAGES ._ Spra01 RysuRER ti THE UGieS OF INSURANCE LIST OE BELOW HAVE PEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO.NDTWRHSTANbBJ6 ANY AEOUMREMLNT, TERM OR CONDITEON OF ANY CONTfACT 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 AU.THE TERMS, EXCLUSIONS ANO COND1TIOf1S or SUCH POUCE5:AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. aari468Tc LICp �p11 .. _._ 1..0paw- _Tywaredum ANcI f POY NUmatA nATI MalDA�fl �ATL4M�HlMDOI�YYI UMITE R GEl4T AL UAAILITY if0-l953CO3A0t9 04/30/2009 04/30/2009 EwcHH OCCURRENCE i 1,000,000 X COMMUIGAL�HERALUAIILITY °AMA GE TO.RENYEO 1 AEMISES tE••4tPpncet a 50,000 CLAIMS MAp OCCUR : M50 EXP IAAY am perm' • 5,000 PEI4S Nu ADVINUAV 4 1,000.,000 GENERAL V:ACDATE a 2(000,000. 401'L AOg1EDA E pURMpit APPUE$'au PRooucrs•co,r,o� a 2',000400' • —�,Loucv rm. n LOC -1 IA: X ANY AUTO IUTY SA442(0032 04/30/2001 '04/30/2009 comer,"SINi .ELMHT iOmal • Ma -f 000,900 = ALL OWNED AUTOS • WILY IN.IURY y ECHEOLtEO AUTOS' Ot Oe/SOW HIRED AUTO t NONFO%*.6OAUTO 5 4PSV.cdd III DOII X JCS-90 x SUPDAV ,& Accra. PG For adr MAGE HA ABEHAML1tM +T MAO ONLY,EAACCIOe4T S R ANY AUTO •`.`_' • OTHER THAW EA itacc a AUTO ONLY: AGC 4 D oesWEUM011itLAmammy matOP005S,. .03 04/30/3008 04/30/2009 EACH OCCURRENCE a 5000.000 OCCUR LiCLMMeWOE AGGREGATE ...1.........;_,2021,9.29_ • i c DEDUCTIBLE «� i RETEIVT.ON $ _�.4 C Tam DTH• �:tWORAER6QOUAOILITV tiAND Mel 483.117 1105/?E109 11/05/2009 X I n Y::vlrs 'BIEthDvoAr uAWt,TY . ANY�'�RORlYFTONPARt7vErVEXELUTIVE • E.L,EACHACCIDENT $ lop(ORO OffiCAROAIIMIEft EXCLUDED? Et.DISEASE-EA EMPLOYES a 1 ia..h.e mid.. D'�Ii�100 aT F tits PR VISIDI4 below IL.DISEASE•POLICY UNIT a SOQtqtla'. 30. .oTNFtt" Alai 4260622 04/30/2008 04/30/2009 DED ,PPT IA. & 4WIT2 $101 PNYBZCAL taxa E Coy. D$D AXJ, ODRXRS/ACV f1,004 • oEssMPTIDN of OrERAnoera,LOCATIONS/VEIIIMPS?Wet-46104W A•aotD BYE 4o0aso T,Sp ECIAL►IIDVISMNs . REF: 36 BAa'WER 028w41. FAX: 96'0-848-7231 • CERTIFICATE HOLDER CANCELLATION *HCt1LP my Of TMe APOVE OtOcio0E0 rowan OE CANCELLLO MORE THE f01MllON anti THERLO*.Ti10 mum moven,YMILL ELEANOR TO MAL 30 DAYS wmrn• Noh•C@ TO THE CENTIHCATI4 MOLDER NAMED TO THE LEFT.BUT MUM*TO 00 t0 SHALL iUr06E NO DBUOATIOI OA UADJUYV Op ANY KIND UPON THE R4$UAER. ITS AGE#4TI OR REPRESENTATNB. Atf1'HCM1'J:0 Wags EIYt ►g Il r.� ��nE;.�C .f� ACGRD 26(2001/O81 EX ACORD CORPORATION 1988 6'd . C9ZZ-966-208 ielse1.10 ueor d6n1• 60 9L in