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HomeMy WebLinkAboutTwo 120 Gal. LP Tanks and Lines to Generator and Cooktop 2013 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: M2013-0118 Date: 29-Jul-13 Map/Lot: 039/098-003 Owner ID: 5518000 Project Location: 49 PI RES DRIVE Unit: Job Description: Set Two 120 Gal Propane Tanks&Run Line to Generator,Tee In for Existing Cook Top Owner Nam Christopher&Susanne L Morgan Tenant Name N/A Careof: 49 Pires Drive Oakdale CT 06370- Telephone: (860)867-1543 _V Applicant Name: James Saporita yr Telephone: (860)859-9070 DBA: Spicer Advanced Gas Lic/Reg Type G1 Lic/Reg No 388986 183 East Haddam Road Exp Date: 31-Aug-13 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: $0.00 Code: 2005 State Building Code Mechanical Valu $970.00 Mechanical Fee $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC_ Total Value: $970.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.25 Total Fee Paid: $30.25 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 ❑ R HVAC ^------�^--�--- ❑ Masonry Fireplace Throat or Chimney Thimble d❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation iii -•:fie. of Apr. oval ❑ -rtif ca •- • •ccupancy r Building Official's Approval: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uneasvilie, CT 06382 Fax.860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (1r1 Qni3-0116 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building 0 Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 4 (7,2e-S oG- A (Number) (Street) (Unit) Job Description: �5,) eullo.A _Q\r"-Qlo-w12-- �•`^�E—S 1 t��✓� lc' 6«^a-J'c�4 4-- 1=e-e- \' -€€r .e.scL'T%_--s l ?? ' Owner: Address: 4-{et P<•re-S .Yd. City: OAState:_1 Zip Code: 0 to 3 70 Telephone( ) gC j- t S�3 Applicant: Jcu. A S Address: • 4 -- City: SG` -' State: CS-- Zip Code:C �E 'a-4D 6 c7 Telephone( �CX�) scot- `010 Contractors- Complete the Following: License Type: G 1. License No.: WtG.0%gdgg Expiration Date: r/R i 1 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. CI By checking this box,I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.21 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: Date: 7/a-r Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: ? . t5r) Mechanical Fee: Electrical Value: Electrical Fee: Total Value: q..210 • CIO Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Reviad•August z3,2007 Town of Montville Building Department File Receipt Date: 26-Jul-13 ReceiptNo: 8620 Received From: Spicer Advanced Gas Job Address: 49 Pires Dr. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $30.25 State Check: $0.25 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $970.00 Demolition Value: $0.00 CheckNo: 10068 Received By: David Jensen 6, �/) ` 7-7 ��z=-�— Address: 49 Pires Dr. 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 $ - $ - lnground 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 $ 970.00 TOTALS $ - $ - $ 970.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ - Mechanical y $ 970.00 $ 30.00 Electrical y $ - $ - Working before Permit Issuance n $ Certificate of Occupancy Fee $ _ Plan Review Fee $ - State Education Fee $ 0.25 TOTALS $ 970.00 $ 30.25 Figures are based on the 2006 RS Means Residential Cost Data J` p J Q '-'-s:) f'` IC 10 -----ef./ C ¢irl _ lt 0 =4- vi r� g r 4 -J - n C T ti rir s it - - -"' :.":\t ,--7; c AQP t- 0 (7 in P v '-a opIA Q r n g. P 0 rn45 Asib dvanced Gas A DIVISION OF SPICER PLUS. INC. 36 Thames St.,Groton, Ct. 06340• 183 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) Gg"-a.t a�s'C�tf , as my authorized agent. This work is to be performed in (name of town) C \e This work is to be performed at (street address) Lka‘ Our Anticipated start date is (expected start date) $_14 I, James L. Saporita, am the licensed contractor. My license number is:HTG 0388986, (Type) G1 . Expiration Date: 08/31 /2013 This request is made pursuant to Connecticut General Statute, Sec. 20-338b Sit ature of Licensed ntractor Ct. Lic. #388986 • R.I. Lic. #00007469 • Ct. H.O.D. #0000744 _____......-Th SPICPLU-01 HJOHNSON .4C WI? TE(MM/DD7YYYY) DA `___ CERTIFICATE OF LIABILITY INSURANCE 6/26/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:__ Energy Insurance Brokers,Inc. PHONE FAX P 0 Box 1729 (A/c2,I9 Extt,(518)479-7244 tAfc No): (518)-479-7251 Albany,NY 12201-1729 ADDRESS: INSURER(S)AFFORDING COVERAGE I NAIC e INSURER A:NORTH RIVER INSURANCE CO. 21105 INSURED INSURER a:Century Surety Company 36951 SPICER PLUS,INC. INSURER C:GRANITE STATE INSURANCE CO. 23809 36 THAMES STREET INSURER 0: GROTON,CT 06340 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR . _.–...._..----------- ADOL SUBRI —.. I POLICY EFF POLICY EXP"..'-•.._.._. —__ LTR TYPE OF INSURANCE i_INSR WVD POLICY NUMBER (MWDDIYYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I I BAMTO ---- '-'•—" X COMMERCIAL GENERAL LIABILITY I i 506-873285-1 4/30/2013 4/30/2014 PREMISEAGE S_LEaRENTE occurrDence) $ 100,000 ICLAIMS-MADE I X i OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES�� PER j PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY I 1!I' I i LOC I I -- $- -- AUTOMOBILE LIABIUTY I COMBINED SINGLE LIMIT 1,000,000 {Ea accident) $ A — ANY AUTO 506-873285-1 4/30/2013 4/30/2014 BODILY INJURY(Per person) $ X'1 ALL OWNED ( 1 SCHEDULED BODILY INJURY(Per accident) $ J AUTOS I _ I AUTOS ) NON-OWNED PROPERTY—DAMAGE X HIRED AUTOS I. A I AUTOS (Per accident) $ X i CA9948 POLL! X ,MCS-90 $ UMBRELLA UAB X I OCCUR ' I EACH OCCURRENCE i$ 4,000,000 g E Xl EXCESS UAB —,CLAIMS 7v1ADE I ICCP818803 4/30/20131 4/30/2014 AGGREGATE 1 s 4,000,000 r DED I I RETENTIONS I$ WORKERS COMPENSATION I X I WCYTIMU- I-5 .._...._.10TH-I._._ ANO EMPLOYERS'LIABILITY ER-1$ C 1 ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N WCf025-88-9047 9/30/2012 9/30/2013 E.L.EACH ACCIDENT 1$ 500,000 i OFICER(MEMEER EXCLUDED? N/A 1 , (Mandatory in NH) . E.L.DISEASE-EA EMPLOYEE)$ 500,000 II yes,describe under ' ---- --_-- ' DESCRIPTION OF OPERATIONS belay I E.L.DISEASE-POLICY LIMIT 1$ 500,000 A ,,PHYSICAL DAMAGE 506-873285-1 4/30/2013 4/30/2014 COMP/COLL DED 1,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ""PROOF OF COVERAGE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD • ,� (Ju;;211._`/;" -iceU.` :d /%:;. t/ I I•:,tY, .•'.1r s..tr� :-0 ' lr-ir1/' it • Yr',�..'•cr-. �Yr v ... -r .., . i .tr •.,. 'II .I• . . ' 1 ! P •h ,.. 4147114'11 \ l:i' I ILS / t •/ i' '''nll . ..I IIl_ :11.. .IIQii" ,„1,,.4 [III.1�:+ :rY,:v:- . :/':1 •,•. i;l"ty ffr ' ;!_ � � ,X. v�y ' d�p ' 1�ti� 7. V� = :.v.= I� A. •Y.._c_ -. .�. ,� : ,•�•.•,•. ,-,� t . ;, �, . d1•/ 1a: �.�, G.,; 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until ail the required signatures are obtained. L CA p e__S � �r . 0� � GE) 7 Property Address - tiU L."(2, GQ Aga. r c- c, .r 7 Cpn Job Description - Required for all permits ® - At least one required for elft pew ❑ -Requited as Indicated below Required Department Permit Issuance Approval Approval //,, Tax Collector JVo- a.._- 7/02 Lo//3 Signature/date Comments: Planning & Zoning - 7 a2Ga/(3 Signature/date Comments: Fire Marshaler r U Signature!date aLn491 Comments: Health Department Required forproperfies with septic systems-Not required for Plumbing.Electrical.N4echariacal.Roofing,Siding.Windows&Doors Signature/date Comments: WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept of Transportation Required for Strvctujs over 100.000 so. ft.or with more then 200 parking soaves-Oficial copy of STC Certificate of Opera tion required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date Arovesaber s,BOOS