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HomeMy WebLinkAbout2003 - Two 120 LP Tanks and Lines for HVAC Unit Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0090 Date: 18-Jun-03 Map/Lot: 074/038-000 Owner ID 117507 Job Location: 42 PINK ROW Unit Job Description: Install Gas Tank&Piping for HVAC Owner: Contractor: Martin Gottesdiener E. Osterman Propane C/O Kostin Ruffkess and Co P. 0. Box 310 400 Bayonet St Ste 306 New London Ct. 06320- New London CT 06320 Telephone: (860) 680-7935 Lic/Reg Type/No. G1 388504 Exp Date: 31-Aug-03 Tenant: Self Telephone: Construction Values - Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: F-1 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1996 BOCA Mechanical Value: $500.00 Mechanical Fee: $10.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: C5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $500.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.08 Total Fees: $10.08 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany 0 Gas piping and test Building Official's Signature: `"'� Town of Montville ie Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-7166,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family LP-Gas Permit Application Form Job �f Locatan S�� �9f/�,11//Ca -�`t/�AIQdnl Job Description/Materials 2/2 7 Jr z L.Q 7-#Af, ji-/P/it)G. F E OvTs/QC VMC v //- Owner Owner bf-s 6. 19/2,,x- cagP Mailing Address 33-5,c wail-4/&"/1vNvDNZ7A/ City C/r1)Cfti LLt-' State C-7- Zip ©6 3 Tel / / Contractor J f Df fe, 1,,/ °,0,0//A ie-Mailing Address / `v' de/ 3/ City i7 ' L©r--'Qes.J, State C7 Zip 37 Tel (Qj)/ 6 / �f .S— Contractor's License/Registration Type&Number / c$ 3 ` �� Q� Exp. Date e / 3/ / 2e22.3 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 Signature ,—� "= Date 6 / 2 / c),3 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ 5-60 on $ — Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ of Total $ 6--0 p4.J $ /o Town of Montville Building Departmer+ Receipt Date 6 / z. / 03 No. 0 2 81 4 I From: GP21c�- ���e-2�''�pti 1 Job Address: ,36-5 Jam/ TT 3Z-- Ak-A liZ pry-r 1--- 1 Amount /0. v . Cash Check # Circle one) I Received by S S. chi, i. Permit # Zoo3—o o9 o 1 1. N i H ' I rk ..un,v(,vi.1..,1 Anc.U,x:,.tiN.)6,;.;,[-es,.; C) w. . O iet'nian Propane ',..,:i (1 ,; 4) SPECIALISTS IN THE DISTRIBUTION OF PROPANE P O. Box 124 • 40 Cenele,y Poa:i • Pla;nbe,C. 06—,:','.1 Telen'lone 060)564.2731 • (6U7)537.05: `''STATE.OP C�)NNl:Cr14iyt', ; L Nltirdlf:Ny'oamou *Pmiri:i Wiiw. I MATING,PIPING S COOLING L1111ITED CONTRACTOR MICHAEL H FARIMIER 95 RILLBROOK ROAD GR1SWOLD,CTC,351 , TYPE: G1 - UCi REG NO. F.FFECTP✓E CXF'iF,ES 388504 i 09/01/2002/ , 0813112:03 SIGNED /4�46j1K 09/� 7 • _T /1�/C'/1/4V L /7/, �,E nuc e Z--. CSS/c�../Yl/ 'J� f�4,t/c !l/c iJ 2 0.1./ 0,k/ C'.T" 0 c-�i d. Pc7zm/S S i 0-L1 %5 c/S cc- /-/ //C%-.`'4S' 77) /74 aC. ,e_z._ A✓8ssus4.ey >7c-E.7-7/7--s , / /0(V-" AryiAe_ • in Client# : 2427758 OSTERGAS ACORD, CERTIFIC A TE OF LIABILITY INSU .7 A NCE DATE(MM/D D/Yr 10/04/02 PRODUCER THIS CERTIFICAT ISSUED AS A MATTER OF INFORMATION Gaudette Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Plummers Corner HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Whitinsville, MA 01588-2100 508 234-6333 INSURERS AFFORDING COVERAGE INSURED INSURER A:Utica Mutual Insurance Company E . Osterman Gas Service, Inc . INSURER B:Workers Compensation Rating & 1 Memorial Square INSURERC:Hartford Underwriters Ins . Co . PO Box 29 Whitinsville, MA 01588 INSURER D: 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 WffH 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILIA ITYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER DATE(MM/DD/Yr DATE(MM/DD/ill LIMITS A GENERAL LIABILITY CPP2347678 10/01/02 10/01/03 EACH OCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one lire) $50, 000 _ i I CLAIMS MADE X OCCUR MED EXP(Any one person) $5, 000 X PD Ded: 1, 000 PERSONAL&ADV INJURY 31 , 000, 000 h--' GENERAL AGGREGATE :2, 000, 000 I GENt AGGREGATE LIMITAPPLIESPER: PRODUCTS-COMP/OP AGG s2 , 000, 000 r---, PRO- I POLICY' I JECT ^I I LOC A IAUTOMOBILE LIABILITY BAC2347680 10/01/02 10/01/03 COMBINEDSINGLELIMIT X ANY AUTO (Ea accident) sl, 0 0 0 , O O O i ALL OWNED AUTOS BODILY INJURY IS I SCHEDULED AUTOS (Per person) , X HIRED AUTOS I BODILY INJURY X NON-OWNED AUTOS ! (Per accident) $ X Drive Other Card PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ A EXCESS LIABILITY CULP2347686 10/01/02 10/01/03 EACH OCCURRENCE $10, 000, 00C X OCCUR CLAIMS MADE AGGREGATE $10 , 000, 00C 7-1 $ IDEEDUCTIBLE $ I XI RETENTION 610000 f s B ! WORKE E RS COM ENSATIONAND BYLIMT INDER0149707 10/01/02 10/01/03 X TORS ly fl� C BINDER068041102273 10/01/02 10/01/03 E.L.EACH ACCIDENT isl, 000, 000 E.L.DISEASE-EAEMPLOYEE $1, 000, 000 E.L.DISEASE-POLICY LIMIT $1, 000, 000 I OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r CERTIFICATE HOLDER I ADDMQNALINSURED;INSUFlERLETTER CANCELLATION 7�m(�S .Qr�� (�Or V. SHOULD ANYOFTHEABOVE DESCRIBED POLICIESBECANCELLEDBEFORETHEEXPIRATION `` �` DATE THEREOF,THEISSUINGINSURERWILLENDEAVORTOMAILI 0 DAYS WRITTEN 3�5 sacN,,�'v`— fs T NOTICE TO THE CEFMFICATE HOLDER NAMED TOTHELEFT,BUT FAILURE TO DO SO SHALL -k \ \\-. \ �` - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERITS AGENTS OR REPRESENTATIVES. • AUT ORIZED REPRESENTATIVE ACORD 25-S(7/97)1 of 2 JIZ # 4 5 2 2 3 M DLM 0 ACORD CORPORATION 1988 A Family Owned Ard Operated Business SINCE 1 )63 r V�terinan Propane, Jn C. SPECIALISTS IN THE DISTRIBUTION OF PROPANE 410 Bank Street • P.O. Box 310 • New London,CT 06320 (860)447-0341 • (800) 680-7935 • Fax: (360) 447-039') '�v^c Z" ZL�Q 3 www.ostermargas.com 16 1,://40/71 i / Ay CC,e e2ti, NE2E is At peays57 /N`.0,e/MAI%on) 2GG41A2Din)6 /•vsr/,--ez4-7,0.0 of 2--/2 „ie L.P. r4_,JKS 4r 7 Dion)/45 G. fi42/ 6z,06247,0") ze 091-60 Al U/0C/150LCE. I, (a'it C ibUIV6 APING W ILL Be GAS-7EG AL C51'97 3 (1)/y6' To8/,t/G I itivoFoc7vaeo Tp 4-SM /3 /8""37 WA A To-r4 Rvi✓Di 2O J, �S fiA5/t) - N/,a.5 Q ,,ai '1 ,4r,4 bEPTR of 28 "r /'/ M -r 0 IQ.801/E & v IA *B006-, 31EE A7YAo//e 2 i2 //o,ec 2. 4501,6 62,0/06 P,Pin1G 3E „ BLAGIz .. (zoN w,4 4 >7-7)-t ,Qv,tJ o� la'. A- Sl,'UT of f' `3/y 4)hnlD 14,0/6,t)(34 " ) via a 6e eors/o6- E X/MC J r-it/4 ,41at ri1/tN 2'9 " IRo E 14/46. vi), 3. ff/E 2-120 L. P l` / ),cst i/�LL Q I i�-�r� ofv I —Mkr �s Si CRO n1 1/16 4,V /1 i:021,7 %1 e CL 2$F T////IC vv,/ - y0v 169-/E Avy ilbD/J/0A)4L 60116-/)A Z70E,C7'OAJf 16C/SE "26-Z- , l'D C4,1)0967- ./1/ gcs/fe -, 4Ly S'8, ,.,6D r �I 54,,4A 5�,.4./ -/Ac/s ‘kb ,--- —-2 ." . t Fi". z .... , ..k, ... 4, 0 . ..,.., ,-.. i . 0 . PuLTETNYLENE•COATEO SOFT COPPER TUBING .t. ' 't ' •1'..'&' f,:' i i . Copper s Gone Undercover ... ,, .: , ... ,..„.,...„:• ... . , „ .;„ ... r ...„. . ..„., ..... ... ,.... .. ,. ."..,.„, .,..,. .,. ..:. , •,,,,,,,,,...„. . . . .. . ..,,,.. . . ----,-....,.....„-,,,,?,..,,,,.,•,..„:„..,, . , . • 7, -. ... . .. .. , . .... , .. , ... ,. ' t i,..:,,,'„;,',,,,,i,,11,,,, '-. • • „.. „,.., • .. 'N.44°414.6„,„,iiiiiiiiiiiiiiiiiiiiii. . - its.---c.c•-•-,1 1 - , . , • . . ... :, ..,, ••,. „. . '- . . .......... . ,.4.1.,,..., ,.... ,. ., ,.N. .. . ..,.. . , . . . ,. . PER( GAS TUBE FiSTI1 `,..., -*I.orifAktik116.0........... . 71,.. ... .,... . . . ,..,.. \.. , 1 11, 1 =- ,--;•.'.' . . . ... p , ., . , ... i .....:„ /........._,.... , . . ,:;;;',.:,74,''...•,1;'''''... ..•,'','.....".:',--.; ',-, . '''''.'''' ' '1."';':‘.'-i''.,'''"!'',1:'''•',44 ' . '".'. '''N''.4'47"'t• .i .- , •'.. ...4'.• ''''0 '.' . . '''.•.':,4.;:',....;:,''''..,'.-,',• .i.•' .-..g.-i' ' ' -• .....- .. • . FOR NATURAL DAS AND LIQUEFIED PETOOL E."UM GAS.41''.'' l'-4.......:•?. '4,'11.-E;'.. -0 II T 114R11.71'.. . ''... ...,..,:,. 4 ;:i" ir, ,• '''.''..., -.: .'•,.'. ''... .''4' ''.'§' t;14. '' 7. 4141W '',. LK .., );. am ,, K at PRODUCTS LIMITED Q _. tici::*3.1:1;:i,!; c Iii,e,. . 4'.. . .,4....,.-.-:-...„,:.:-..,--..:,i,,,, ,.,..., q.';':...,:,:11,.. ,,,,.:.,,.,r., ,--4-.1.-H,- -,if, :, .Li.i.L ... ..,Ja . 2 NOMINAL SIZE I OUTSIDE DIAMETER 1 I WALL THICKNESS STANDARD LENGTHS' TYPE L•L; Ls A S 1/4'1 3/8" G/GAS .031 30' 60' 100' 250' ASTM 888/B837 3/8"L 1/2" G/GAS .035" 30' 60' 100' 250' 1/2"L 5/8" G/GAS .040' 30' 60' 100' 250' 5/8"L 3/4' G/GAS .042" 30' 60' 100' 3/4"L 7/8" G/GAS .045" 30' 60' 100' GE:NLRAI• FURNcsE 3/8" .031 25' 50' 100' 250' ASTM 868/B280 1/2" .031 25' 50' 100' 250' REFRIGERATION 5/8" .035" 25' 50' 100' 250' 'Custom lengths ava''atle upon request. GAS• 8E'L;. POLYETHYLENE- COATED SOFT COPPER TUBING'Il v P� amu" .,,,„.. 'a :i rte. `U.,ii 0�..Lii-^ ° _'4 ., 0 +..� '� , aaµ a B"Yii�k �°y�v, '•”" ,. yam ,x�1�r�'�n , ,fir �' t • ' C' ' ' qL�r, kid 41 ' ra n•+,4 r ,.7 .. �. uu ., -* .4' 040" COPPER GAS T UDE ' / -, k ! f ,a ; e 4 ' i r s t' 4 � , t y'' 1� ,' 4 r �t, = t a S'. ,Ft I uP t 4•4A.:, Y , '1, t• ' • rsi�., w 1,�4, J .. ., .. _..Y ... .., iv,. -. FOR NATIJRAL CTAS AND LILOUEFIED F'EFRDLEUM GA•5 PROTECT THE COPPER from corrosion PROTECT YOUR CUSTOMER from mistaking a gas line for a water line www.karncoproducts.com PROTECT YOURSELF from the risks—use Gas-Tec'R TOLL FREE 1 .800.891 .0800 .....,i ;;;; 1 Y Copper, known for its ease of installation and economical cost, makes a strong foundation for KamCo's Gas-Tec'polyethylene- coated copper tubing for Natural Gas and Liquefied Petroleum Gas. Gas-Tee's yellow polyethylene KamCo's factory coating brings coating with continuous you added corrosion protection line-marking also identifies and the need to carry only one ASTM specification and size. It's inventory for both above and easy to install, as few tools are below ground installations. required and no special training And it offers you peace of is necessary. Gas-Tec tubing is _. k i mind—continuous line-marking flexible, compact and compatible on the coating clearly identifies with standard flare fittings and i 44 - ` the tube's contents,thereby meets the criteria of the national r' reducing the risk of mistaking a codes that approve copper for `—= 'fi "'° R gas line for a water line.The lot Natural Gas and Liquefied >' ( number is also printed directly on Petroleum Gas. Gas-Tec tubing is :, i the tube,making it traceable available in several sizes to cover v c. . ,i back to the origin of manufacture. all your installation needs. THE STRENGTHS OF COPPER PLUS THE PROTECTION OF FACTORY COATI H a,,, ," Flexible Added corrosion protection Economical Clearer identification of tube contents Easy to join Reduced risk of mistaking a gas line for a water line Uses standard flare fittings Line-marking identifies: Requires fewer tools Size ASTM specification No special training necessary Tuhr,contents Compact size Lot numbers for traceability Fewer potential leaks than Meets national codes that approve copper steel pipe due to fewer joints —__ Can be used both above and below ground Can be added to existing steel pipe Carry one inventory Quick and easy underground installation Copper is recyclable No on-site sleeving required Polyethylene coating is recyclable :I. 4 );; ./ The aM o Product We 111111. . „■ Gas tubing is just one of the family of KamCo products that help make your installations run 111016 „r- more smoothly and efficiently. Polyethylene-coated copper tubing .1 , r is also available for potable water, t. r . -'.. ‘' fuel-oil and various industrial • "`J ^—' • ,it ° applications.KamCo also manufac- tures line-marked bare copper tubing ' = with footage markings for easy measuring and lot numbers to ensure the tubing can be traced • • back to the origin of manufacture. 1 ll/ �... w, a /\ \, To complement the lines of tubing, I rielk46,::'" � � KamCo distributes several other '"'ft, t© products including a line of gas ,I i regulators for both elevated and low pressure gas systems.KamCo ;r • cs G also offers standard flare fittings, ..„ Y •44 . )) :Q;� "' quick disconnect BBQ boxes and ' 1 distribution manifolds.We are a _ I continuing to expand the KamCo \ ................__ ! product line and welcome your �. suggestions and feedback to ensure LI we cover all your installation needs. POLYE_THYI_ ENE-COATED 3 Karn PRODUCTS LIMITED www.kamcoproducts.com i 0 KAMCO PRODUCTS LIMITED TOLL FREE 1 .800.89 1 .Oe00 P.O. BOX 3396, LANOLEY, BRITISH COLUMBIA, CANADA V3A 4R7 FACSIMILE 1 .800.2 1 6.7266 0 / +� , • It 1x6 ." r-: T ,; i o I a = W Q O• w L 01 tr1 1.4.1 4 ~C r N- 01 I I C- C rZ i ---1 . = L____ 4 4 0 c I c' e k „,. ii . y c w o to,-;.,.c.) N ... a cc v o * 1111 — 1Q £ tr' N N 411111 �� 4 • 4 «C. C. - ta: _ )\....,,e. ..< Immo 'I VA � o - I C. � �a: E. N W 711: ..........1.7=- LW I L. M v i_ iij I 14.4 C a - ''- z w ca c7 ot- - H Y < C 4./1W G CC GT z �.inW -i.- z I C Y z� C7 • e.N.41:6 mr LW I43 w - .••1 w 4C ri H H lz w • w 70/7.0 -Eyd rr VI6V PG E t 8098 bt:81 £072;08/S0