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Home My WebLink About120 LP Tank and Line Extension 2006 Field Inspection Notice Town of Montville Building Department April 19, 2007 Address: 44 Pheasant Run Job Description: Gas lines &tank Permit Number(s): M2005-0224 Permit Date: INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Gas Line Test • • 10/19/01 JS Certificate of • • 10/19/01 JS approval Rev.Date: 10/18/05 Page 1 of 1 0 Town of Montville 0 Building Department Date JD / /g / D 1 Field Inspection Notice Permit # y Job Location 9 /lea.50 A)21 )6 {441 , 71yipproved Type of Inspection (t 5 -j P 54 Not Approved - Please call for re-inspection when the following corrections have been completed: // 1'51 --- I I I air- Building Official Town of Montville Building Department RESIDENTIAL GAS INSPECTION CHECKLIST CONTROL DEVICES TANK INSTALLATION ❑ Automatic appliances shall be equipped with a ❑ Underground containers minimum 10 ft from listed and labeled device or devices that will shut basements, structures which extend below grade off the fuel supply to the main burner in the event level or adjoining property lines(2611.4) of pilot or ignition failure(1308.1) ❑ DOT & ASME containers shall have a readily visible the firm name and emergency telephone ROUGH-IN numbers(NFPA 58;2-2.6.6) ❑ Pressure test (air, CO2, or nitrogen) 10 psig for ❑ ASME containers shall have the firm name and minimum 15 minutes OR 6" mercury measured telephone numbers a minimum of V2 inch in with monometer or slope gage(2603.3.1) height(NFPA 58; 2-2.6.6(a)) ❑ Welded piping and piping for appliances in ❑ Tank protected from vehicular traffic (NFPA 58; excess of 14"wc shall be tested at 60 psig for 3-2.4.1(c)) minimum 30 minutes(2603.3.1) ❑ Shut-off valve to be located within 6 ft of appliance(2606.3) ❑ Sediment trap(2608.2.2) ❑ Meter located min. 3 ft from sources of ignition when installed indoors(2604.1) GAS PIPING INSTALLATION ❑ Min. 12" burial depth for metallic piping below grade(2608.1.1) ❑ Min. 18" burial depth for plastic piping below grade(2608.1.1) ❑ Protected against corrosion(2608.1.2) ❑ Min. #18 AWG yellow insulated copper tracer wire conductor shall be installed adjacent to underground nonmetallic gas piping and shall be accessible(2608.1.6) ❑ Hanger spacing-tubing max.6 ft—rigid up to'/," max. 10 ft—rigid 1"and up max. 12 ft(2608.2.6) ❑ Yellow label "GAS" @ 5 ft intervals were exposed piping except for black steel (2608.8) ❑ Metallic gas piping to be bonded to the grounding electrode(2608.9) ❑ Above ground piping to be protected from physical damage(NFPA 58;3-2.8.7) LPG TANK LOCATIONS MINIMUM HORIZONTAL DISTANCE FROM: Tank to Buildings, Pressure-relief Pressure-relief Fill Connection CONTAINER TYPE SIZE(Water capacity �' Device to and Gage Vent Structures or Device to Property Lines Building Openings Sources of to Sources of (fes) ( ) Ignition or Vents Ignition or Vcnts (feet) (feet) DOT Exchanged Less than 125 None 3 5 — DOT Site Filled Less than 125 None 3 5 10 ASME Less than 125 None 5 5 10 ASME 125 to 500 10 — — 10 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: M2005-0224 Date: 10-Jan-06 Map/Lot: 028/005-055 Owner ID: 5473000 Project Location: 44 PHEASANT RUN Unit: Job Description: set tank&gas lines Owner Name: Ryan K Taylor Tenant Name: N/A Careof: 44 Pheasant Run Oakdale CT 06370- Telephone: Contractor Name: Spicer Gas Telephone: (860)445-2436 DBA: Lic/Reg Type: G1 Lic/Reg No: 388986 36 Thames St. Exp Date: 31-Aug-06 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: $100.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $100.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.02 Total Fee: $8.02 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 ❑d Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certificate of Approval Certi e • *ccp. cy Building Official's Approval: - � • Town of Montville ` ~ ° Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form Sns*Eamify 0 Two-Eami[y [] Townhouse Permit# /' d e 0 Job Address L("i 7 kp 1 -Pc.. (Number) (Street) I (Unit) A Job Description �.54-a.(A� � � �Qyvt-ilai, 141,-4- � 4.4 �e��`�f I t � r S • Owner T Q . Titi/gam Mailing Address City 6161.K Q.. State L/f—. Zip 06 370 Tel be) / vete,b S.445— Contractor Ce i C1P.ic" Mailing Address 3C, T1-.244,..es City l/©4-0 w State Zip �0 Tel 063 d/ o�Ce3Y / 3 Obyy'�j Contractor's License Type&Number ��'J o - e I Exp. Date 31/ 3 / / 0 I hereby certify that the proposed work will conform to the Basic 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. Separate applications are required for electrical. Owner Owner/Agent Signature 7 -� / / Date I j Construction Value Fee Mechanical $ foci / c9� $ S" Electrical $ $ Plan Review Fee State Education $ Total $ $ c 02 s 8-, d Ar alt r ,v RC*nseiSeptem6er 9,2004 Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL 140 7� 5�.,.� � ,. , oa e, C1 y 6X3 W Property Address ( t.1,( 12-0 41- UP he.y e_4;5( (: 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 loL, ❑ WPCA '` I I leoz:s S]g5iatll •tite ❑ Planning&Zoning Signature date ❑ Health Department Si<gnarure dale ❑ Fire Marshal tiigma tr'e date Comments/Conditions: .cviseQSepum6er9,2004 Town of Montville Building Department File Receipt Date: 06-Jan-06 Receipt No: 962 Received From: Spicer Gas Job Address: 27 Bridge St.,1 Partridge Hollow &44 Pheasant Run Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $40.52 Check: $0.52 Check No: 239 Construction Value: $3,200.00 Demolition Value: $0.00 Received By Sandra Pandora '/� �l�� X2KiefiZIfis_./ PIER 4,45 36 Thames Street, Groton, CT 06340 (860) 445-2436 • 800-448-2028 Fax (860) 445-2313 Date: 02/9(7 City/Town/Borough: AnObutr 1 ((et V ' job Site Address: L(L( --PLA2a6ZAA- bcde, , C4- , 063 0 Project to start on or about the following date: i7 ( 0f0( � This letter authorizes Robert Mitchell to obtain a permit on my behalf for the following customer/project: Property Owner: Tki Com- /ati/ Mailing Address: 4-4 G .,e at,,..,_4- 72‘..t...i.„ Oal- c r c , 06370 1 , ,4(. James L. Sa. •rita - LP Gas Technician CT Lic. # 388986 • Division of Spicer Plus, Inc. • CT Lic. # 00308503 • RI Lic. # 00006311 i ST.V1'1 OF CO`V EC'I'ICL'.1' 1,1 Pilo Ill \I 111 (u\1( ►((.R /Run.( IIu\ HEATING,PIPING&COOLING LIMITED CONTRACTOR ti JAMES. ..iSAP( t!TA I 6 DYER RIDE Rif; 1 STONINGT CT 0678 LIC.I REG NO. EFFECTIVE EXPIRES 388986 -� i o,;,Q9/01/2005,,i."' 08/31/2006 As yil SIGNED V' STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING LIMITED CONTRACTOR GI . JAMES LSAPORITA 6 DEER RIDGE RD STONINGTON,CT 06378 L1388986O. 04%01/2004 08/ 72665 SIGNED ULU-22-000b 'HU 113: !U Vel tNbKLiY INSUKHNU. aKUKhKS hrIX NU blt-: U L.Oi r u. DATE fMMIODIVYYYI ACORD, CERTIFICATE OF LIABILITY INSURANCE � 171,9,700S PRODUCER 2 MATION ON�LYCAND CONFERS CERTIFICATEISISNO RIGHTS SUED ASA MATTER UPON HEOF IrCERT F CATE ENERGY INSURANCE BROKERS, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 2729 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ALBANY, NY 12201-1729 I NAIC4 INSURERS AFFORDING COVERAGE MSUIBD SPICER PLUS, INC. ETAL INSURER A: ST PAUL FIRS I MARINE IPS CO P.0, BOX 903 INsvREa e: LANDMARK INSURANCE CO. GROTON, CT 06340 INSURER C COMMERCE I INDUSTRY INC CO � . INSURER 0: - ._, SPIC01 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 'O.ICY PERIOD INDICATED NOTWITHSTANDING ANY MAY PERTAIN, THE INSURANCENT, ORCAO FORDED BY THE PONDITION OF ANY OL CIES DESCRIBEDCT OR ER DOCUMENT WITH HEREIN IS SUBJ CT TOE ALL THE TERMS EXCLUS ONS ANDCT TO WHICH THIS TE MAY BE ISSUEDCOND TONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR jlDD,LIT POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR plat/. TYPO OF INSURANCE POLICY NUMBER D IMMIDOIYYI DATEiMM 00Ml I A `GENERAL LIAIIIUTY CK002162f0 04/30/2005 04/30/20061-0�`Cv RENC6 I 1,000,000 5 MIcES PEs oscura cl a 50,000 I x COMMERCIAL GENERAL UA9IOTV p y 5,DUD CLAIMS MAGE OCCUR 1 MED EXP IAM Ono Pawn) '4�' _ - I I PERSONALS ACV•NJURY e 1,000,000 — -- ` GENERAL AGGREGATE E 2,000,000 GFML AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGO 1 / 2,000,000 i1 POLICr J uECT I '1�C F �' A AUTOMOBILE UAeILITY cxoo2142cD 04/30/2005 04/30/2006 COMBINED SINGLE LIMIT I ItiiCCIoentl I 1,000,000 x,ANY AUTO ALL OWNED AUTOS BODILY INJURY 1 IPer parson) SCHEDULED AUTOS .. HIRED AUTOS 1 BODILY,NJURY 1 I IPee acclde•nl NON-OWNED AUTOS Ill MCS-90 PROPERTY DAMAGE i I I I:Per acatleMl X aoRSEMBPT F GARAGE LIABILITY AUTO ONLY.EA ACC.CENT 4 �- OTHE - �AAC� ► I ANY AUTO AUTOO ONLY: I AUTO ONLY'. AGO I a 1 B EXCEBSAHABRELLA LIABILITY LHA02S660 04/30/2005 04/30/2006 EACH occuRRENCE 1 5,000,000 I OCCUR I CLAIMSMAOE I I AGGREGATE — d 5.000,000 -- ` DEDUCTIBLE t... a RETENTION a WC STATU- 10.1H- C WORCERECOMPENSATION AND I IIC8936266 01/21/2006''01/21/2007IX I'QRYLIMITS _ I_. - EMPLOYERS'UAIIUTY E:..EACH ACCIDENT IUD,000 ANY PRO PAIEYOR(PA RTNEIUE XECUTIVE OFfICERIMEMBER EXCLUDED) I ' j �l.L.olsz Asi .EA EMPS,OYEEi I 100,DOD III a.eleialtto .' u 1 I E.L.DISEASE•POuCY-IMIT I $ 500,000 SPECIAL PROVISIONS DeIOMe I A II OTHER CIf0021l260 ' 04/30/2005 104/30/2006 04/30/2006IDED PPT'S I LIGHTS $500 PHYSICAL DAMAGE' COV. !DBA ALL OTHERS/ACV $1,000 I 1 J DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT(SPECIAL PROVISIONS TOWN OF GROTON IS NAMED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF GROTON DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 45 FORT HILL ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL GROTON, CT 06340 IMPOSE NO OOLIGATION OR LIABILITY OF ANY FIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTNORIZO)REPRESENT*T ? / //, XJ _ ACORD CORPORATION 1988 ACORD 25(2001!081