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Home My WebLink About120 Gal. LP Tank and lines for Fireplace 2008 Field Inspection Notice Town of Montville Building Department September 24, 2008 Address: 14 Pheasant Run Job Description: Install Gas Logs, Gas Lines and a 120 Gallon Tank Permit Number(s) M2008-0120 Permit Date: 8/14/08 INSPECTION Not Approved Approval Date: Deficiencies Special Date Conditions Gas line pressure • • 10 lbs.Pressure test 9/24/08 CC Gas tank 9/24/08 CC Final inspection for • • 9/24/08 CC certificate of approval Rev.Date: 1/18/06 Page 1 of 1 } TOWN OF MONTVILLE Building Department ? t 310 NORWICH-NEW LONDON TURNPIKE ' 4 UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2008-0120 Date: 12-Aug-08 Map/Lot: 028/005-062 Owner ID: 5460000 Project Location: 14 PHEASANT RUN Unit: Job Description: Install Vent Free Gas Log Set,Gas Lines and 120 Gallon Tank Owner Name: Gary R Peterson Tenant Name: N/A Careof: 14 Pheasant Run Oakdale CT 06370- Telephone: (860)848-0636 Contractor Name: James Saporita Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type: G-1 183 East Haddam Road Lic/Reg No: 388986 Salem Ct 06420 Exp Date: 31-Aug-08 Construction Value Permit Fees Construction Information_ Building Value: Building Fee: _._._._---.--__---- $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $925.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: ---_-- $925.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.17 Total Fee Paid: $8,17 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: ❑ Framing -- 0 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑d Gas Piping and leak test ❑ Fireblocking_Drafl.slopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation d❑ Certificate of Appr. al Mica • o occupancy • Building Official's Approval: rr • Building Department 310 Norwich-New London Tpke. i Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 = Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: ill)ooB-o/d o Type of Work Occypancy Type Permit Type ew Construction Ingle Family 0 Building ❑Addition ❑Two-Family D P�mbing ❑Alteration 0 Townhouse �1G1 echanical 0 Accessory Structure 0 Electrical CRS*. Job Address: "I - ', Y) OA K O C j C2 (Number) (Street) Job Description: ►&kLLQ Veil b4? Q q jq,S Q L "[ .9(%_._____________d___ c,, 1- 1 aD Prop2►-u2._ cja,s <irvr► Owner: ,p kip r- ,0,(1) Address: )1{' I -r i��.cc cQ(l t it City Cl A K1L2 State: Zip Code: 0(2:) ,3'70 UlP Telephone: 0-34E-6( Cp 3 Co Contractor: 1E `/��oat-T- -`� DBA Pi C& F��I I�r lXlJ►I c r ct s Co Address:_I ('. Y 1ST 14%) A ��n-JJfl ) ►C Jr4 0 City 80I �/Lem pp State: C---I Zip Code: (�'v 1) Telephone: R91 91)76 License Type: ty� License No.:Q 3gR906 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. Own r/Agent Signature: L4/(94 , Date: Ciit 12600 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: C4Mechanical Fee: I °I) Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: ' .17 Total Fee: 41►:.� .; 9, j j) rviW&..a1 q,w 23,2007 Town of Montville Building Department File Receipt Date: 12-Aug-08 Receipt No: 3736 Received From: Spicer Plus Inc Job Address: 14 Pheasant Run Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $8.00 Check: $0.17 Check No: 1114 Short/Over: $0.00 Construction Value: $925.00 Demolition lue: $0.00 Received By Vernon D Vesey II Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Li Ph-ea4-044 Vu..vt/ temg NALL- Property Address -axS c I lap ��'" f " ' a d (/��1 �rept o S. U Job Description - �: The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector 81,x4 a �{ Required for all permits Comments: WPCA, Administrative ' 811 a\A Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA . Comments: Planning &Zoning � <) cdrq OS Required for all permits / - itcc Cly Health Department Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: ❑ State Dept of Transportation Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Comments: Fire Marshal Required for all permits Comments: Rcvi dfiugurt 5,2005 ..., 5 .1 +1... P• 4 • 1:13411 boo 94$ 36 Thames Street, Croton, Ct. 06340 (860) 445-2436 • (800) 448-2028 Fax - (860) 445-2313 Date: I! City/Town/Borough: Job-Site Alid ress: Ph eci v a D PrgV t to start on or about the following date: � This letter authorizes � � i4 A" '2. '.. ` p to obtain a permit on my behalf for the following customer/project: Property Owner: M fling Address ; ) 0 ,, A at Al James L, Saporita - "Gas Technician Division of Spicer Plus, Inc. • Ct. Lic. #388986 • R.I. Lic. #00007469 JUIN-10-CVJYJCI L'Jt3:CUH rNUI'I:5r1L..EN'HUUHNLEU (tRS 18604452313 TO:98893627 P. 1 _ ACORDn, CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDOJYYYYI ' PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ENERGY INs17RANCE BRORERB, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BOX 1729 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AI.,AANY, NY 12201-1729 - __ __ INSURERS AFFORDING COVERAGE NAIC# INSURED SPICER PLUS, INC. BTAL I INSURER A:TRAVELERS PROP CAS CO OF ANKRT S.P. ACQUISITION COOP I INSURER B: TRAVELERS INDi>;MNTTY CO OP ABER PO BOX .903 INsuRER C: NEW HAMPSHIRE INS CO GROTON, CT 0E340 i INSURaR u: AAJIIPA_L INSURANCE COMPANY _- _., EPIC01 ! INSURER 5: COVERAQES 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 OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PALO CLAIMS. CY IQ •INS IADD' EXVR.A LTR NSRP!..-- TYP nF au>;IInaN e j POLICY NUMSFA POLICY EFfEC IVE 'POU DATMII�Lr�•Yl DATEi{�N/OD/V .. LIMITS — J9 GENERAL LIAWRITY 660-4151003109 04/.30/2008 04/30/2009 EACH OCCURRENCE d _,000,000' { R COMMt:ACIAL GENERAL LIABILITY •DAMAGE TSRI:�S�` • PREMISE@,(FA oC ,.nnr•pl 6 _ 50,000 CLAIMSMAOE J OCCUR MED EXP Any onnpario o 5f 000 -- .-.-•- I PERSONAL d ADV INJURY a•_ 1,000,000. -•••-- GENERAL AGGREGATE • 2. 000,Q00 GEN'L AGGREGATE LIMIT APPLIES PEP: PRODUCTS-COMY/OP AGO J • 2,000,000 7 POLICY 7 PRO• r .' JF T LOC A ALROMORILEUABILITy II 414 424C092 04/30/2004 04/30/2009 COMBINEDSINGLE LIMIT • 1L AUTO IED xctitlanl) 1,000, 000, AANYLL OWNED AUTOS �- - �— BOPILY NJYPV 7 SCHEDULED AUTOS (Per pilaw/ HIRED AUTOS _._ -. BODILY INJURY NON.OWNED AUTOS Pmacciaent) I Xi AfC8-90 - PRO PERry DAMAGE __ ' .J xi SUVDBN Sr ACCID. pi I Puruceia•nU i CANOE UASIUTY µAU700NLY-EAACCIOENT 4 71 ANY AUTO OTHER THAN —EA ACC a --, ALJTOONLY; AGG J D CfCESSIUMGRELIA UABIUTY 510000055? -o.T 04/30/2008 04/30/2009 EACH OCCURRENCE d 5,000,000, Til OCCUR n CLAIMS MADE AGGREGATE e_ 5,000,000 S .— DEDUCTIELE _ .. .. f RETENTION II • WC C WORKERS COMPENSATION AND GIC69S2731 01/12/2008 01/11/2009 X ORYLIN fU II O7h- EMPLOYERS'LIABILITY I TORY LIM[($j„�j�, .__ _ ANY PRDPRIETORIPARTNERJEXECUTIVE EE^L.EaCHACCIDFNT _ 100,TOO,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $ 100,000 Il vas,dnacribo Inas , '• SPECIAL PROVISIONS oalaw G.L.DISEASE•POLICY LIMIT 0 500,400{ A OTHER 8A9921C032 04/30/20081P4/30/2009 DED PPT'9 & LIGHTS $500 PHYSICAL DAMAGE COV. i i,nix) ALL OTHERS/ACV $2,000 DESCRIPTION Of OPERATIONS 1 LOCATION.,I YEnICl[S r 0$OLLSIONo ADDED AY ENDDEICE*IENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLI BSFORE THE.EXPIRATION CATE THEREOF, THE'SEWINSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.OUT FAILURE TO DO SO 3IiALL . IMPOSE NO OBUO.ATIOEI OR LABILITY Of ANY KIND UPON THE INSURER. ITS AGENTII OR REPRESENTATIVES, � AUTHORIZED RE:PRESEN'i+�?�/.r/��Q��CX/'y !� Jy11D ACORD 2E(2001!08) 0 ACORD CORPORATION 1950 . as Yn✓ ATO : '•;' t'4678 ? • . rtGA3a9 G• .f087 99 tN x/31/2008ov ..0 !, 11? Sr f5:• SIONEp c{�r l • • .. . .. 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'-,'-'0f7.....- :... .-,..fc-:. • ....• .._..;.,....c‘ .••,,v-iii•t-•....r_ 9410107 . `4 1 iii Farrell,Jr., O • :�'�' - _ Jim F �;JsC �sstouet * b ,47" 4 y — f y\= j, x:):^::.J -+rs .' _ .;o::: ? f M .. 5 :•.,^ s 'fi ... s 4• h?-b.. ii•. .+•..rA•{:off;'R '.+, .` T'.•1i ° i}�5.�',• .✓..tfr +,a° �r '�.K +. ,ftiyi ti f VUIY-IO-CUUO LIU:06H rKurl:Sf-'ll,tK'HUVHNLEU (.H5 18604452313 TO:98893827 P. 1 ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE IMMiDNYYYYI - PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OFNFORMATION ENERGY INSURANCE BROKERS, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 80A 1729 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ALBANY, NY 12201-1729 - ____ _ INSURERS AFFORDING COVERAGE NAIL# INSURED 3PZCBR PLUS, INC. ETAL iNwaER A:TRAVELERS PROP CAS CO OF AMBRI S,P. ACQUISITION CORP INSURER B: TRAVELERS INDEMNITY CO OF AMER _ PO BOX 903 INSURER C: NEW HAMPSHIRE IPS CO _ GROTON, CT 06340 INsuACA u: ADMIRAL INSURANCE COMPANY -- . SPI C01 INSURER 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. ExCwsION3 AND CONDITIONS or SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. INIER104001i --_ -- ------ POLICY EFFEC IVE I`01.1U Y PIRA.Tiq MAIM r:• - • 4�. .-, POUCYN _ .,1, ,a „• LIMITS D GENERAL LIABIUTY 660-4951CO3A08 04/10/2008 04/30/2009 EACH OCCURRENCE , d 1,000,000 •_ OAMTGE TURF NT615— . - t X COMMERCIAL GENERAL LIABILITY vgEM13Rg,(Fn namrnnral 1 5 50,000 ]CLAIMSMAOE I OCCUR MED EXP IAnyono pnraos 0 5 000 — PERSONAL&ADV INJURY 0--2,000,000 GENERAL AGGREGATE a 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PEP, PRODUCTS-COMP/OP 460 • 2,000,000 7 POLICY as r I LOC .• -. • A AUTOMOBILE LIABILITY Dad 42*C092 04/30/2008 04/30/2009 COMBINED 6INOLE LIMIT • ^S ANY AUTO IEa actitlrml — __ 1,000, 000 ALL OWNED ALTOS BODILY iNJOHY 4 _ SCHEDULED AUTOS Per Berton) HIRED AUTOS - BODILY INJURY NON-OWNED AUTOS IPblacci0ent) a X! Arca-90 _- — - PROPERTY DAMAGE XI SUDDEN Sr ACCID. PO I IPuracc'rIantl I .--4 EARAOE UABIUTY AUTO ONLY-EA ACCIOENT • _ .�ANY AUTO EAACC a �_Tr OTHER THAN _ I AUTO ONLY: AGO i D —EXCESBRIMCRELLA UABIUTY Si00000 573.o.T 04/30/2008 04/30/2009 EACH OCCURRENCE a 5,000,00Q alOCCUR 7 CLAIMSMADE AGGREGATt s 5,0 0 0,Q 00 i _ I• DEDUCTIBLE is .�RETENTION i — . • -- - --- yVC STATU II IIO-T-H- C WORIfEPSCOMPENSATIONAND * E98271 01/11/2008 01/xl/3009 ^X J TOffLuMrcR.I ER, EMPLOYERS'UABILITY - ANY PRDPRIETORIPARYNER/EXECUTIVL ESL EACH ACCIDENT _—. 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 8 100,000 It vac,drarribaunoa, I SPECIAL PROVISIONS oalw - B.L.D15EASE POLICY LI j• 50000'001o A ONES A41421C032 04/30/2008744/30/2009 DBD PPT'3 & LIGHTS $500 PHYSICAL DAMAGE COV. DED ALL OTHERS/ACV $1,000 OSSCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I U(OLUOIONG ADDCD PY ENODAI•KMLNT I SPECIAL PRDVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED it PORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER'ANLL ENDEAVOR TO MAIL 10 SUPAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENT$OR AEPROSEPITATI V BE. AUTHORIZED REPRES D ACORD 26(2001/O6) 0 ACORD CORPORATION 1988 cr. "41 IF 1.7.........mft. - --,r 1ri1,i: 0 . a5\ Or. C —/ I . .g04 r> c-cc , ... .„.... -- '1. .--, ---____ --- ,. •- cr Cr-- leN '.i.:. 'z• - .--) _ ----Z 0 st, , . ..4,... .. .,. 1 ....r ..-:, •_ = c.7:".. Irri tn C7 - 7i X 0 - D .Z3 \-t?' o -, `J ' I- - ..., ' z ... 0 Z5 -al rz - -1, .... I t.c - i