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Home My WebLink AboutSFR Gas Lines 0 Town of Montville in Building Department IOW Date /7 / 2N /0 I Field Inspection Notice Permit # Job Location )5 /31,-e. f-- Q`'r Ei Approved Type of Inspection 6,4 - -7-,--.J 4- Not Approved - Please call for re-inspection when the following corrections have been completed: / Building Official Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number M2001-223 Permit Date 1/2/02 Permit Type Mechanical Permit Code R5 Job Street# 48 Job Location PHEASANT RUN Map/Lot 028/005-054 Job Description Gas Piping Owner Contractor Bob Geisler Hendel's Inc. Address 48 Pheasant Run Address 35 Great Neck Road City Oakdale State Ct. City Waterford State Ct. ZiP 06370 Telephone Zip 06385 Telephone 443-5337 Lic/Reg Number 308397 Lic/Reg Type G1 Exp Date: 8/31/02 Use Group R4 Code 1995 CABO Type Construction 5B Building Value $0.00 Building Fee $0.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $100.00 Mechanical Fee $10.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $100.00 C/O Fee a _ $0.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.02 Total Fees $10.02 II Building Official's Signatur- Date / I Zj /`-? - It is the owners respon- • ; • sc edule the following required inspections (minimum 48 hours notice requested): Footings -prior to •i. r,g concrete Backfill -footing drains and waterproofing ❑ Fireplace Throat Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney -one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service CI Insulation [Rough Plumbing and leak test ❑I Pool bonding [� Gas piping -pressure test and installation ❑ Final Inspection ❑ Rough HVAC ❑ Certificate of Occupancy-PRIOR to use or occupanc Town of IVlontville Building Departn—nt Receipt ID Date /a /62 6 l G / No. 41369 From: ALtede ,V1 ‘6 ..e• v 1 Job Address: ___ :��L, r,, 40 Amount $ 10 . ®c7,_ Cash Check Check # (Circle one) i Received h i /..14•0/ Permit # /40/i /-•,2A2,3 1 0 Town 6f Montville 0 Date / / Building Department v� p? 7/ d / Field Inspection Notice Permit #�,?OO/a3 Job LocationXj 54, AA, - 1 Approved Type of Inspection iiik fNot Approved - Please call for re-inspection when the following corrections have been completed: monk ` PS/ AN ON LIP to' l2044../1r 0 Ta ITO PI i 0• /a Ps1tic ,11.11 ---- , 0 Building Official Town of Montville Permit # /702 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑New Construction D Accessory Structure ❑Plum6ing Q9Kec(tanuaC ❑Action L DemoGtion D E1 ctricaC ❑Afteration ['Other9feating Air Conditioning n Gas Pilling Job Location G- `eft t2(,(/l.) Job Description/Materials I /` S� 19 C (1//(-r 7 S )CVO Owner �a�`, G2 / .�5 C �� Mailing Address - A/Z--- City feC) L` State cif"' Zip Tel Contractor C/'ll Z___ Mailing Address -75-6-7--- c i fc 6 City cfilC/ G l ?, State / Zip (") (?F-C-- Tel 4/(a/ / 2 7 Contractor's License/Registration Type&Number -?0 0 ) 9 7 Exp. Date / 3 / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes ❑ No 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. Owner/Agent Signatu ``,�, � /6)4 /' Date / 2 / �6 / C \ Construction Value Fee Building $ /JO ‘7-f--- Plumbing —Plumbing $ /l Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ �cR Total $ $ Oa FAX 800 JT19 I EV NI: W'EBSTER INS X00?•oOJ _3 01 1i 1_ ._� _ — -. �___� DATE IMMIO°rM C1 fent 11763 _ --— 04/23/01 CERTIFICATE OF LIABILIV INSURANCE �Qg�---------- PRODUCER CERT THE CERTIFICATE THIS CERTIFICATE IS ISNSOUEAIG TS 0 R OF INFORMATION �— -Jr ONLY AND CONFERS CERTIFICATE DOES NOT AMEND, EXTEND Levin HOLDER. THIS FORDED BY THE POLICIES ;Levine / Webster Insurance ALTER 711£ COVERAGE AF 914 Hartford Turnpike INSURERS AFFORDING COVERAGE Waterford, CT 06385 — _—-----— —— 860 447-1735 — — Waterford, ----NSDRERA:01d Republic Insurance --_ Hendel' s Inc. _------- I .._--- ____ -------- 35 Great Neck Road •INSURER D• _ _ --- Waterford, CT 06385 .INSURER E: COVERAGES NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING V CF IN KATE .MAY BEWI ISSUED ORG D BELOW HAVE BEEN QCT ORO ER DOCUMENT WITH RESPECT TO WHICH THIS SUCH THE P PERTAIN. . THE IN U NC CONDITIONROOD OF ANYCO ANY REQUIREMENT. TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.IXCLLSIONS AND CONDITIONS OF MAY PES AG- TE INSURANCE TLICr EFFECnVE pOLlcv no uMiTs POLICIES. AGGREGATE UMTTSRANO SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS /r•10 ,NSR_ TYPE OF INSURANCE 1— POLICY NUMBER 0.1 L,"/O r W O 1 L., EACH OCCURRENCE 0 O O,O O 1 GENERALUAeIUTY 1} L25896 ;04/11/01 ,04/11/02 L----- - A t Acmo cuRRENcf_ a 53001000_, IRE r. I X C01AsaERC,AL GENERAL LIABLITY 1 CLAIMS MADELX�OCCURS MED EXP(Any one person) +35LO 0 — —� rPERSONAL dAOY,NJURY (31,OOO,OOO l GENERAL AGGREGATE 1$2, 000, 000 —a-- _ (PRODUCTS-COMP/OPAGG�$1,000,000 GEN_L AGGREGATE OMIT APPLIES PER: �• ` , L-1 r PRO- LOG COMBINED SINGLE LIMIT POIOBILLICY s (Ea ac'cmenq —-- —-- -- 1AUTORY AILS LIABILITY( ——— � ANY AUTO ' ,BODILY INJURY ;f r. ;(Per person) — � !All OWNED AUTOS 1 1 SCHEDULED AUTOS I BODILY INJURY I f ((Per BODILY t) ——— - I !HIREO AUTOS j 1 NON-OWNED AUTOS I PROPERTY DAMAGE i f I---1 (Per accident) AUTO ONLY-EAACCIDENT)i s __— LG,_ ANY LIABILITY ' 1 OTHER THAN EA ACC i — I AUTO ONLY Y. AGO 'S ANY AUTO EACH OCCURRENCE f —— iEXCESS LUlB1U1! AAOOREOATE —___O — 1 OCCUR ICLAIMS MAO i _ —i—.....—— -- r �9_ 1 1 DEDUCTIBLE i +. . RETENTION S O2 X TIICg}S'j1TMQ.Sl OTH 04/11/01 04/11/ B EMPLOYERS' ON AND WC7206709 -� E.L.EACH ACCIDENT S500, — Eµ►LOTERS UABIIITY I EL.pISEASE-EA EMPLOYE 3500,000 1 1 E.L DISEASE-POLICYLIMI 3500 000 OTHER , TIONS/LOCATIONSIVEHICLEFJEXCLUSIONS ADDED BY ENDORDEMENTISPEGIAL PROVISIONS DESCRIPTION OF OPERA Evidence of insurance CERTIFICATE HOER ADDITIONAL MSURETiIFRER CANCELLATION C4Ol1 LD ANY OF TI-IE ABOVE DESCRIBED FOUCES BE CANCELLED BEFORE 11 F] n DATE THETTEOF,THE ISSUING INSURER WILL ENDEAVOR TO MAI LLD—DAYS WR1T-'FN NOTICE TO RICC.ERTFFIGATE HOUJERNAMEOTO TIE LEFT.BUT FNWI TO DOS°SI-IAtL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSUHER.ITS AGENTS OR REPRESENTATIVES A 10FBZE0 REPRESS AT1VE 0., \ o MORD CORPORATION 1985 - ACORO 25-S(7/717)1 0f 2 #M8184 JCH