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30 Gal. LP Tank and Line to Stove
Field Inspection Notice Town of Montville Building Department 2016 Ct Building Code August 23, 2017 Address: 205 Derry Hill Road Job Description: Install 30 Gallon LP Cylinder& New Line to New Cooking Range Permit Number(s) M2017-0144 Permit Date: August 17,2017 INSPECTION Not Approved Ap.royal Date: Deficiencies Special Date Conditions 8/18/17 DJ •• Inspection could not be completed as no one was • 10 PSI Gas pressure test home for access. 8/23/17 DJ 1.1111111111 Gas line plumbing 8/18/17 DJ • Access to the interior connections is required for a complete inspection. 8/23/17 DJ Final inspection and certificate of a.•royal IIIIIIIIIIIIIRIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN 8/23/17 DJ 1 Rev.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: M2017-0144 Date: 17-Aug-17 Map/Lot: 034/086-000 Owner ID: 1369000 Project Location: 205 DERRY HILL ROAD Unit: Job Description: Install 30 Gallon LP Cylinder&New Line to Cooking Rane Owner Nam Geoffrey N.Clark Tenant Name N/A Careof: 205 Derry Hill Road Uncasville CT 06382- Telephone: (860)204-6877 Applicant Name Spicer Plus Inc. Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type G1 Lic/Reg N 388986 183 East Haddam Road Exp Date: 31-Aug-17 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: 2016 State Building Code Mechanical Valu $675.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $675.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fire Marshal Tank Set Fee of$20 Paid State Ed Fee: $0.18 Total Fee Paid: $30.18 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 frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble I Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: r__/„,,,,,:774/7 � �� 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.: maC:i7-CA -j' Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction ❑A-1 ❑B ❑ H-1 ❑ 1-1 ❑ R-1 ❑S-1 ❑Type IA ❑Type IIIB ❑Building11 Addition 111 A-2 ❑B,Medical H-2 ❑ 1-2 ❑ R-2 ❑ S-2 ❑Type IB 11]Type IV ❑ Plmin Plumbing ❑Alteration ❑A-3 ❑E ❑ H-3 ❑ 1-3 ❑ R-3 ❑U ❑Type IIA ❑Type VA yp yp ❑Mechanical ❑Change of Use ❑A-4 ❑F-1 ❑ H-4 ❑ 1-4 ❑ R-4 ❑ Mixed ❑Type IIB ❑Type VB El Electrical ❑A-5 ❑F-2 ❑ M' ( ❑Type IIIA CRS#: Property Address: .2°6--- �CYy (( 7L (Number) ( reet) (Unit) Job Description: IIA-s1e -lI1/ a-' 3O . CP C ter- 6A-42.4.4)1- V�- ) /'L - 4-0 i G{AJ mak.: 4. e. . Owner: e-IA S'¢ ba 5G V'T(! Tenant: ki/4. Address: J 40.-1AA+t- 0.1 alo VQ_ , Address: City/State/Zip: City/State/Zip: Telephone(n0 ) )4)4 to ir 77 Telephone( ) - Applicant: SpQ d---CP/i4.5 ,TG►e . DBA: si,:/ Mg av &gd Address: eias S4.1.24. 4„.. 1/I>d 3 E . (4.604.44"... , City: J��Lln. State: c.---f • Zip Code: ©moi p '�d 0 Telephone(s ) o�47- Q070 Contractors - Complete the Following: License/Registration Type: G 1- License/Registration No.:3 l Expiration Date: O 3( 17 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: J9- 4.49.42 Date: g l C. 117 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: ji/ 14 LID Plumbing Fee: Mechanical Value: 101t Mechanical Fee: .UCJ Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: A 8" Total Fee: 30- I t- Revise&August 23,2007 Town of Montville Building Department File Receipt Date: 16-Aua-17 ReceiptNo: 12563 Received From: Spicer Plus Job Address: 205 Derry Hill Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: t0 00 Bldg Check: $30.18 State Check: t0 18 Bldg Credit: 10.00 State Credit: $0.00 Fire Cash: 10.00 Fire Check: $20.00 Fire Credit: $0.00 Construction Value: 8675.00 Demolition Value: gQ_00 CheckNo: 2888 Received By: Carmen Kneeland Court 205 Derry Hill Road ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ _ Interior Renovations SF $ 36.09 $ - $ - $ _ AMENITIES Kitchen EA $ - $ - $ _ Full Bathroom EA $ - $ Half-Bathroom EA $ - $ _ GARAGE Detached SF $ 71.53 $ - $ _ MECHANICAL Warm-Ar n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ _ Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ _ Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ _ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ _ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 675.00 Solar Install n TOTALS $ - $ - $ 675.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ _ $ _ Plumbing y $ _ $ _ Mechanical y $ 675.00 $ 30.00 Electrical y $ - $ Plan Review Fee y $ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.18 TOTALS $ 675.00 $ 30.18 010 V-7-4Y-1 Figures are based on the 2006 RS Means Residential Cost Data 60 cy 5APISt` d rwiczed Gas A UIVISION OF SPICER PLUS. INC 36 Thames St.,Groton,Ct. 06340• 183 E. Haddam Rd.,Salem,Ct. 06420 (860)445-2436•(860) 859-9070 Fax -(860)445-2313 •(860) 889-3627 www.spiceradvanced.com Date: g I J 7 City/Town/Borough: ( Ou91"- O oc.. Yi I ( C-( Job Site Address: o2-OS v-,-7 'fru Road U t,t svr l le_ te. . 003 -- Project to start on or about the following date: _ Pursuant to State of Connecticut General Statutes Sec. 20-338b and State of Rhode Island General Statutes Sec. 23-27.3- 113.3, this letter authorizes ROkY&Y4 AA.t4-et-e..1 I to obtain a permit on my behalf for the following customer/project: Property Owner: -1)4.d.,pLA.VC Mailing Address: a0 (-i ( I Toad (JCv a V i 1 (e, , Cd- . 063T)— ,J . t� James L. Saporita -P Gas Tec nician Ct. Lic. #HTG.0388986-G1 • R.I. Lic. #00007469 • Ct. H.O.D. #0000744 S'I'VFE OF CONNECTICUT r(if rir'.tc.►itk PRO TEC►10c I ILA I ING.PIPING&rrlr rl f Vt: I fhUTTFI)CC)••I RA("I•k JAMES L SAPORITA M STZC,Cr.-O6355.Hth, A41tc�+•-• c•v r�r Gam` ' C„7- U 3S K HfCiNo T11 ``� T-t'TC�.UiN8986-(;1 06'271-2/26116 05/31/2017 C13N �y -t•., Rhode Island Department of Labor and Training Division of Workforce Regulation and Safety PJFPROP GAS SRV/MSTR2 00007469 SPICER PLUS INC JAMES L SAPORITA 2060 GOLD STAR HWY MYSTIC CT 06355 --0-4-130/2019- (94.. Asgistant t),r1-:•tc)r Expiration J;:te 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. a-OS--DaVri4 Property Address ( 44 . TO w e_004("t„,,41 e. • Job Description Required Department Approval Permit Issuance Approval ® Tax Collector ��.� 8h`/ 7 Signature/date Comments: Planning & Zoning - - ��- - _ - /L./// Signa ure/da Comments: � Fire Marshal 672 / 2 Signature//date Comments: Health Department Required for properties with private septic or well Comments: Li WPCA, Administrative N/A- 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: Li 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