HomeMy WebLinkAboutTwo 100 Gal. LP Tanks and Line to Pool Heater 1998 oy65)4-1
TOWN OF MONTVILLE .. 0
Building Department /
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 13577-0 Approval Date: 8/25/97 Expiration Date: 2/25/98
Estimated Cost: 450 .00 Fees: 10 .00 PRF: C.O:
Owner : Scott Miner Address: 93 Pires Drive Tel : 848-2413
Job Location: 93 Pires Drive Code: 06
Contractor : Suburban Propane Address: 262 Gallivan Lane Tel: 848-5510
Stick Built: Modular Home: Manufactured Home: Commercial :
Addition: Garage: Car Port: Shed: Remodeling: Roofing:
Fireplace: Chimney: Windows:
Pool : Demolition:
Plumbing: Heating: Electrical : Air Conditioning: Gas: x
Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement:
Type of material used/description: installation of underground gas line and 2
100 gallon cylinders for pool heater
Size: Type of Heat:
Fireplace:
No.of Stories: No. Rooms:
Breezeway:
No . Baths: Garage:
Use:
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 .
Applicant 's Signature: � .� 'I , , , ! Date:
l q �
If signed by Contractor , type of license/registrati•/ & No: r/ 3efn7ej8
Building Official 's Signature: /
Date:
Date of Health Dept . Approval :
Date of Zoning Approval :
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE , SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS .
/ ���`�/J p 6 TOWN OF MONTVILLE
` -` Building Department
Application for aPermitJ
Owner: 2.p-�--� "-l/A,e.
Address : 9.3 AQt'� L2 p
Tel : O ' o�
Job Location: c13 J R
Contractor: ,.A:S� A�cJ0?
Address: o���
Tel : 8yg.-- -70
Stick Built : Modular Home:
Manufactured Home:
Commercial :
Addition: Garage: Car Port :
Shed: Remodeling: Roofing:
Siding: Fireplace: ChiI
mney: Windows : Pool : N
Demolition:
Plumbing: _ Heating: A Electrical :
Air Conditioning: _ Gas : aL42-2LLe_____
Patio: — Porch: _- — Retaining Wall : — New: Repair/Replacement : _
4110
Type of Material/job description: ,k-V- L. 1 ',
♦ : 9' • --c' 1
..'u." `T .r .:ten '2
Size: &_CO, 00LD 6�-,-t) T --
--�-- Type of Heat : Fireplace:
No. of Stories : No. Rooms :
Bree• -way:
No. Baths :
Garage:
Use: OIL .•C---e_
Suburban Propane
—Quantum 90 Macktowp Road • P.O. Box 220 • Windsor, CT 06095
FAX 203-683-2703 TEL. 203-298-7950
DATE:
JOB NAME: 5�,(�"— ' M
STARTING DATE: cJI f ) d0 " I k
Nik
CONTRACTOR'S AGENT: i fE c T i (ja--)
1C ,V/
TO: CITY/TOWN OF ^, ----..
PLEASE BE ADVISED THAT THE ABOVE REFERENCED AGENT HAS BEEN AUTHORIZED
TO OBTAIN A PERMIT FROM YOUR BUILDING DEPARTMENT FOR THE SPECIFIED PROJECT
IN THE NAME OF THE CONTRACTOR.
SIGNED . ; � j 1110, d -`
LICENSE 11 308608 •
STATS'' CONN•
DEPARTRENT Of C l!t 1 •iFFR PRO' '(770'
This is to csmty aut under the provisicrts of ale General Statutes
the fdfowm:persue or firm is licens2.d or registered. •
- H"c.A:'TNG, PIPING & COOLING WORK BCARD
LDMI CO TRACTOR — G1
RICHARD E DESROSTERZ SR
28 THEODORE S'^
ENPI E:,.D, CT 06082
LIC:REG. NC. EFFECTIVE E.:FIRES
003086081 9/C1/96' y 8/31/97
'�--.
EDGWICK GLOBAL. TEL : 201-535-0591 Mar 03 ' 97 15 :59 No . 004 P . 01 fl
ACQRD,. CERTIFICAvc OF LIABILITY INSUR>T&INCE 03-Mer 9 r
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ,r1
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE '7
BEDGWICK OF NEW JERSEY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. r
3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE
ROSELAND, NJ 07068 COMPANY
A CIGNA PROPERTY CASUALTY INS. CI
NsuncD — -' • - —
SUBURBAN PROPANE, L.P. °O9A"y PACIFIC EMPLOYERS INS. CO,
P.O. BOX 206 _-
WHIPPANY, NJ 07981 COMPANY
C
COMPANY
0
COVERAGES
w
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD co
INDICATED, NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH18
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 0
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$.
-
CO TYPE of INSURANCE POUCY EFFECTIVE POUCY EXPIRATION
I.TA
PODGY NUMMI DATE IMN/oD/rr) DAIS(MM/DDJYY) LIMIT'S
:t
A VENERALl1ASIUTy HOU V1 9$149b0 - 3/1/97 3/11 YU oENE►tALAoaREOATe ; 1 ,000, 0 :a,
X COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP A00 1 1 ,0 0 0, O', :
CLAIMS MADE OCCUR PERSONAL a ADV INJURY I 1 , 4 4 4 L
OWNER'S&CONTRACTORS PROT EACH OCCURRENCE 1 , 7 4 4 4 ,,
FIRE DAMAGE(Any ono Aro) $ 5 0,0 ' J
MED EXP(Any ono p,r*on) $ 5 ,00 1
AVTOMOBIIC UAIIUTY `.
A ANY AUTO ISA NO 1881280 3/1/97 3/1/98 COMBINED SINOU:WAIT / 1 ,000,00:'
x ALL OWNED AUTOS - - ,
X SCHEDULED AUTOS BODILY INJURY cc
X HIRED AUTOS
(Per pPrAon) $
emu/INJURY G1
X
NON OYVNEO AUTOS (Per AooldMn $ I.
r—
PROPERTY DAMAGE s IA
OAMOE UMPUTY - - :;
ANY AUTO AUTO ONLY.EA ACCIDENT S .
OTHER THAN AUTO ONLY; I-
EACH ACCIDENT 1
EXCES0 UASIUTT Apo AERATE 1
1 UMBAELLAFORM I EACH OCCURRENCE $
CTHEA THAN UMBRELLA FORM I AGOREOATE I -r_
WORKERS COMPENSATION AND I , L
B
WORKERS
C'LIABILITY WC= AT Tl- -a q
- WLR C4 2305388 3/1/97 /2I9B EL EACH ACCIDENT 1 0;� .y
THE PROPRIETOR/ INCL
--I-
PARTNERS/EXECUTIVE EL DISEASE•PO(Icr LIMIT 1 ,100 , 00
OFFICERS ARE; EXCI.
OTHER — -,— El 0►9EASf.EA EMPLOYEE I 170 �
� 0
M1
41
.r
CO
�E9CRIPTION OF OPERATIOWE/LOCATION//VfHICIEC4PLCIAL HA
EMI RT IQ�C$-1 ON RLL OWNL III
ALL PREMISES ALL LOCATIONS AND ALL OPERATIONS '
is
Cl
�e�r oTf-�p 1 a:
FdTWH1414-DA CONCERN CANCELLATION I.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES q CANCE.U.ED BEFORE THE B:
EXPYYWTION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL III
DAYS WRITTEN NoTTce TO no CIRTIPICATE HOWER NAMED To THE Len, G
BUT FABWRI TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABBUTY 11.
OF ANY KING U►ON 111E COMPANYITSC,
AUTHORIZED REPAESENTATTVE ' Anon 0 RLPRR mini, I"AUTH
Of AZ..._..—. o:
CORD 26.8 (1186) /; I
0 ACORD CORPORATION 195 c'