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30 Gal. LP Tank and Line to Stove 2012
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: M2012-0129 Date: 16-Aug-12 Map/Lot 039/098-1303 Owner ID: 5518000 Project Location: 49 PIRES DRIVE Unit: Job Description: Set One 30 LP Gas Tank-Install Lines,Fittings&Connections for New Cookstove Owner Nam Christopher&Susanne L Morgan Tenant Name N/A Careof: 49 Pires Drive Oakdale CT 06370- Telephone: (860)460-9829 Contractor Nam James Saporito Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type G1 Lic/Reg No 388986 183 East Haddam Road Exp Date: 31 Aug-12 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: S0.00 Code: 2005 State Building Code Mechanical Valu $1,000.00 Mechanical Fee $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: S0.00 Comment Plan Review Fe S0.00 State Ed Fee: $0.26 Total Fee Paid: $30.26 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ RHVAC ❑ Masonry Fireplace Throat or Chimney Thimble © Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d Certificate of Approval ® le 11C-cite of Occupancy Building Official's Approval: v��G���--r•`'' ����'- 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.: Cy1ald -01a9 Type of Work Occupancy Classification Construction Type Permit Type 0 New Construction 0 A-1 ❑B 0 1-1-1 0 I-1 ❑R-1 0 S-1 ❑Type IA ❑Type 111B ❑Building 0-Addition 0 A-2 ❑B,Medical 0 H-2 Q 1-2 0 R-2 ❑S-2 ❑Type 1B El Type IV 0 Plumbing El Alteration El A-3 ❑E El H-3 ❑ 1-3 0 R-3 ❑U 0 Type 11A ❑Type VA aridlecharrical DChange of Use 0 A-4 0 F-i ❑H-4 0 1-4 ❑R-4 0 Mixed 0 Type 11B 0 Type VB 0 Electrical 0 A-5 ❑F-2 0 M 0 Type IIIA CRS#: Property Address: Lf Ci ?l res be,the_ 6p(CDA-Lts 1 C, OG 37 D (Number) (Street) (Unit) Job Description: S (— 2 m V jj)or Le �..�s tI - .„. --es--.e j Das Lio s --c-ItTTIA q 6'34A C'onn.er.i2t_Imes -2or Cus-1em.6,ar(_S )0aij (260 .S-Fov.e. Owner: an rl s 11/10rct,tU Tenant: Address: Li q Pl re s`v1Dr t u-e _Address: City/State/Zip:::) ©i t. 6 a t,Qi ( OG 3 n ' cnyistatefZip: Telephone(O r,0 ) '7(00 _- 9 ga9 Telephone( ) - Applicant: erre) Ore-t1–Y4- DBA: S P tc k U Q.tti CL_� C$3--C Address: l $ 3 e-y4�T- 14-A IS 6*41 2 A 6 h City- &A -e/1 State: (I Zip Code: Lap Telephone C EZ00 )T - 9 )70 Cy�9) Contractors -Complete the Following: - "20 S----/ 9iS License/Registration Type: g.7... License/Registration No.: /1r03elpExpiration Date: 0e/3/A20/z I hereby certify that the proposed worts 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. — 15 Owner!•sent Signature:if - . Date: �8/tel /2.. Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: O� /O–OZ) ''------ Mechanical Fee: Electrical Value: Electrical Fee: Total Value: °D Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Re:it 31>5eut 23,2007 Town of Montville Building Department File Receipt Date: 15-Aug-12 Receipt No: 7667 Received From: Spicer Advanced Gas Job Address: 49 Pires Drive Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $30.26 Check/Card Check No: 2106 $0.26 Short/Over: $000 Construction Value: $1,000.00 Demolition Value: $0.00 Received By Carmen Kneeland (16i 6vuLv1 +n r 1�l ,„0 Address: 49 Pires Drive 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-Air 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 $ 1,000.00 TOTALS $ - $ - $ 1,000.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ 1,000.00 $ 30.00 Electrical y $ - $ Working before Permit Issuance n $ Certificate of Occupancy Fee $ Plan Review Fee $ _ State Education Fee $ 0.26 TOTALS $ 1,000.00 $ 30.26 Figures are based on the 2006 RS Means Residential Cost Data at.o Allfcr State of Connecticut N 7A Workers' Compensation Commission V. or- Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT /' Name of Applicant for Building Permit Selo¢;a ill i V y]c 1) j�/S Property located at "! ? 2,res / in the City/Town of 611)9K L3/�L/ ) et' 663 -7 O ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant- _--- - ------ ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I W LL NOT act as the general contractor or principal employer. Name of Business 5 ,4 DV194C /J Federal Employer ID#(FEIN) /2-7 6 7Y 600 07 c� f Signature of SOLE PROPRIETOR Applicant y � j)ti1440 �� Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Appticant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. qq , res brt ti (0)31.4 }(,� CT 0437 Property Address /- 3o iv V ADT L nQ@S 111--AJ t� �G" 4nLs >' 6,1e,S'/vY`e. �J Job Descripti Required Approval Department Permit Issuance Approval Tax Collector � f�,,� R8/iS/1 £_- Signature!date Comments: Planning &Zoning �' ?� / : - - j Signature!date Comments: ' 1 ,f / • Fire Marshal (1 o Comments: Signature!date ❑ Health Department Required for properties with private septic or well Comments: . ❑ WPCA, Administrative A• G �� Required for properties on sewer , Signator. date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ❑ Department of Public Works Required when prgigct includes driveway work or certain drainage requirements Signature/date Comments: ❑ 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 sg.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 ReviseI May 23,2011 5A.Pirderdvancedd Gas A DIVISION OF SPICER PLUS. INC. 36 Thames St., Groton, Ct. 06340• 1 83 E. Haddam Rd., Salem, Ct. 06420 (860) 445-2436 • (860) 859-9070 Fax- (860) 445-2313 • (860) 889-3627 www.spiceradvanced.com HOD# 0000744 I designate name of authorized person)____A2_1 & L ___, as my authorized agent. This work is to be performed in (name of town) ___C24. 1,),11- _,,_ - This work is to be performed at (street address) 20 P,rt.s .1)0 ic. Our Anticipated start date is (expected start date) 'a/29i 2— I, I, James L. Saporita, am the licensed contractor. My license number is:HTG 0388986, (Type) Gl . Expiration Date: 08/31 /2012 This request is made pursuant to Connecticut General Statute, Sec. 20-338b I - AlL . ---->i<c1/4‘ *nature of Licens d Contractor Ct. Lic. #388986 • R.I. Lic. #00007469 • Ct. H.O.D. #0000744 1 t(;)," A o d 41k. 1 . . ,) � pp 6u �! 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STATE OF CONNECTICUT CT ICI1T + p i _NT Off' CONSUMER OTFCTI�ON r Be it known that, TA 1 r TAMES L SAPORITA ,a "060 G«4�.S try f :,��c M.1 STIC, CT 06355-1016 J. has been certified by the Department of Consumer Protection as a HEATING, PIPING & COOLING LIMITED CON'T'RACTOR a License ,HTG 0388986-GI u`& s:4,. , , Effective: 09/01/2011 65:7,`' Expiration: 08/31/2012 '' i It ppi — William M.Rubenstein,Commissioner ' "�"1•_., ` !', 1 1tO.ilp�.,v^ 1`ms}s,., g f. .'�., !�'> •{v2�M'r'rir 'k 7i:. , ,i,„r'°yC }DibFJ 5„rdr. , l .�r '} E ,. ,: �1FaT P IP, }r �JJ � y(r a ,,AP, i 1 ',14; ? jj^i. i= /s .j .t.,, • J ,:. •, .M .ak : ,,r.V4.p ✓+ .,� ��•�{ V9i\ �aiii N \V",1":{1111,:`,1,,.:lIl 1 PV 1,i� �yfV i OrtIf/'+� $ !j;v + 1 � 1w � i "� ,h1 �4LsN �6�_ sX , N• ,r' :>� • MAY-03-2012 THU 1Q: (0 AM Energy insurance FAX NO. 516 479 7251 P. O1/o1 �1'�...NSPICPLU-01 LF P1.OWSK1 _4,,E �' CERTIFICATE OF LIABILITY INSURANCE WTI ow piny" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO R)GHTB UPON THE CERTIFICATE Ht glL IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TheramEs BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(6),AD REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cortfticate holdor (a an ADDITIONAL INSURED,the pollcy(les1 Rtuet be endorsed. If SUBROGATION 18 WAIVEQ„ bt to the tarns and condttlans of the policy,certain pollctea may require an endorsement. A statement on this certificate dose not confer tbthe certificate holder In lieu of such endoraernentls). PRODcense#BR-735146 - C rrAcf ,< license I =ne/ Insurance Braker',Inc. r'Ar. 3 o Eox 1729 ,,. • , 6t a 47s•T244 pAx_ 5111 A 7261 Albany,NY 12201-1729 MISUREn(8J WO/WINO COVERAGE AMC N8URERA:NORTH RIVER INSURANCE CO. 21105 NSl11EO moan a:Contttty Surety Company (38961 __ SPICER PLUS,INC. INSVPERCIGRANITE STATE INSURANCE CO. 23809 36 THAMES STREET twin p: GROTON,CT 06340 t _ IwsIReR f COVERAGES CERTIFICATE NUMI3ER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL)CY 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 SUBJEGTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMBS SHOWN MAY HAVE BEEN REDUCED BY PND CLAMS. USENSR ADM-S ag a errs - JP-, TYPE OFIM6URANCE 114113=- POUCY NUMMI'_ 141t1QQ�(r1'YLlWa9Rlrin'1 � CE.MERAL UABILnY EACH oCGURRENCE 3 1 000,000 A X COI.IMERCIAL GENERAL LIAHtLRT 5068703446 4/302012 430/20/3 =sip)li.irNTr➢ 3 100,000 CLAPAS-MAPF [)OCCUR LEO EXP('ny au pliaaon) I 6+0_0 PER9ONAL4AOVINJL Y s 1,000,000 1 . ceNERAL AOC GATE c 2,000,000 OEN L AGGREGATE 0411"APPLIES PER: PRODUCTS•COMP/OP AUG 2.000,000 ___ )71 POLICY 1.171A, _LOC i 3 AUTONOMLE LIMIEST( —comeiNto sINOLE LII.HI A ANY AUTO 50611703846 4/30/2012 4/30/2013 tEn ttnot.Y INJular(Per panon) $ 1,000,000 X ALL OIANNEO ^ SC*IELED AUTOS AUTOS 5003.Y INJURY(nrecCldaN) I X HIRE°Aures X �03 D eta pERYY DAAIAaE � X MCS-90 END. tPk _ UMUAELLA LNS X OCCUR EACH OccURRENCf i 4,000,000 3 X iEXCFas LIAO CLAIMS-MADE CC P760892 4/30/2012 4/3017013 Acr,AEGATE 3 4,000,000 DEC I ROTE 4T)ON* • 3 W OfUcEA8 COMPEM f ATeON TT1 AND EMPLOYERS'WMuTY Y/N X TRY