The URL can be used to link to this page

Home My WebLink AboutFireplace 2005 Field Inspection Notice Town of Montville Building Department November 8, 2005 Address: 93 Pires Dr. Job Description: Gas & fireplace insert Permit Number(s): M2005-0163 Permit Date: 11/1/05 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date GAS LINE AND • • Tested at 15 PSI TEST • 11/08/05 FIRE PLACE • • INSERT Comment: Call for inspection when insert installation is complete. Rev.Date: 10/18/05 Page 1 of 1 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: M2005-0163 Date: 01-Nov-05 Map/Lot: 039/092-000 Owner ID: 5538000 Project Location: 93 PIRES DRIVE Unit: Job Description: Gas line underground,from existing tanks&fireplace insert Owner Name: Scott G and Stacia S Miner Tenant Name: N/A Careof: 93 Pires Drive Oakdale CT 06370- Telephone: Contractor Name: Suburban Propane Telephone: (860)848-5514 DBA: Lic/Reg Type: G1 Lic/Reg No: 391834 P.0. Box 385 Exp Date: 31-Aug-06 Uncasville Ct 06382- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $2,842.00 Mechanical Fee: $24.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $2,842.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.45 Total Fee: $24.45 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation certificate of Approval C-- cat- of.ccupancy Building Of Approval: ` -- — Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form cgi Single Family [] Two-Family 0 Townhouse Permit# ii..?1 or C'(. Job Address9:3 P/V c i r (Number) (Street) (Unit) Job Description //1/sf f7 3o/ tnAtter,reu,vtd0 I i rAie ' degio 40 AA adi Al _[_ /A- s71S7 -cw'e p(4 ce //use 14 /ect, k d- OwnerC-C)44 /� /� '" `t NeY- Mailing Address 93 Fire h)-- City City (/C[k(- 1..I Q State C71 Zip 4 6 370 Tel / / Contractor &loc./AIR,J Pro Ne Mailing Address es `/ �4t e 3 ES City U A/CcZ c vi ire State C74 Zip 063g 2 Tel £o /Big / SS/fi- Contractor's License Type&Number_ / 39/X3�C Exp. Date a" l 3/ l s�Od45 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. Separate applications are required for electrical. Owner/Agent Signature Lcy/rvzr.,.,--.____?If Date / / 2/ /....A=2-0.5- Construction da sConstruction Value Fee Mechanical $ e-Y $ c Electrical $ $ Plan Review Fee State Education $ Total $ $ , f: ftv reiSeptem&r9,2004 Town of Montville Building Department File Receipt Date: 31-Oct-05 Receipt No: 795 Received From: Suburban Propane Job Address: 93 Pires Drive Fees Collected State Educational Training Fee Cash: $24.45 Cash: $0.45 Check: $0.00 Check: $0.00 Check No: 0 Construction Value: $2,842.00 Demolition Value: $0.00 Or Received By Sandra Pand.ra 4, Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector f i o/3�J o S ,:ignaturel date ❑ WPCA Signature!date ❑ Planning&Zoning Signature/date ❑ Health Department Signature/date ❑ Fire Marshal Signa tit re/date Comments/Conditions: 44viced.Septem6er9,2004 MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER PRODUCER NYC-001929938-02 USA Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 44 WHIPPANY UANBOX 1966 AFFORDED ROAD POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. MORRISTOWN,NJ 07962-1966 FAX:(203)229-6883 COMPANIES AFFORDING COVERAGE E-MAIL:CERT.REQUESTNE@MARSH.COM COMPANY J08990-ALL-CAS-05-06 SP LP CLIE A ACE AMERICAN INSURANCE COMPANY INSURED COMPANY _--- SUBURBAN PROPANE PARTNERS,L.P. B 1 SUBURBAN PLAZA P.O. BOX 206 COMPANY WHIPPANY, NJ 07981 C COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for thepolicperiod THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED O THE INSURED NAMED HEREIN ORTH noted below. POLICY RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY HDO G2170698A 03/01/05 03/01/06 X COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 250,000 A AUTOMOBILE LIABILITY MED EXP(Any one person) $ 10,000 !ISA HO 8010730 03/01/05 03/01/06 X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 X ALL OWNED AUTOS X BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS X BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $A WORKERS COMPENSATION AND WLR C44 180868(AOS) 03/01/05 03/01/06 X EMPLOYERS'LIABILITY WC S7ATU- QTH- A I SCF C44 180820(WI) TORY LIMITS ER ( ) 03/01/05 03/01/06 EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ PARTNERS/EXECUTIVE x INCL EL DISEASE-POLICY LIMIT $ 1,000,000 OFFICERS ARE: OTHER EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE. PROOF OF INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ;{l DAYS WRITTEN NOTICE TO THE TO WHOM IT MAY CONCERN CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES.OR THE ISSUER OF THIS CERTIFICATE MARSH USA INC. BY: Laura Thompson MM1(3/02) VALID AS OF: 02/28/05 SUBURBAN PROPANE • 262 GALLIVAN LANE\ P.O. BOX 385 UNCASVILLE, CT 06382 (800)-573-3757-(860) 848-5510 FAX-(860)-848-5517 DATE: c)-5 JOB NAME: 5 JOB ADDRESS: 93 //PS STARTING DATE: 42, 3/_ p s CONTRACTOR'S AGENT: y #z4 o^/S TO: CITY/TOWN OF / 'Z j� 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. STATE OF CONNECTICUT NAME:TERRY SIMONDS DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING LIMITED CONTRACTOR Gl IGNED: TERRY D SIMONS 11GUNSHOT,RD_ ICENSE# WATERFORD,„CT""06385 IC./REG NO 1 EFFECTIVE EXPIRES ✓ 7�^/1 391834 i z,, /Ol/20VTk3 08/31/2006 SIGNED