HomeMy WebLinkAbout275 Gal. Tank 2003 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860)848-3030, Ext. 382
Mechanical Permit
Permit Number: M2003-0087 Date: 18-Jun-03 Map/Lot: 080/011-000 Owner ID 119502
Job Location: POINT BREEZ Rnen Unit
Job Description: fuel oil tank in basement
Owner: Contractor:
Thomas D and Tina M Grove Service Station Equipment Services Inc.
33 Leffingwell Road
9 Point Breeze Road Uncasville Ct. 06382-
Uncasville CT 06382 Telephone: (860)848-2278
Lic/Reg Type/No. P9 208469 Exp Date: 31-Oct-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $825.00 Mechanical Fee: $10.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee:
$0.00 Comments:
Total Value: $825.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.13
Total Fees: $10.13
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice requiredl;
❑ Footing- Prior to pouring concrete ❑ Rough HVAC
❑ Backfill- Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service El Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: � �
i-
Town of Montville
Building Department Permit#/lf,,,7 -'j
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
IP(umbing Jjftectricaf EJMechanica(
-Seating
.fir Conr(itioning
['OtherGas TiFing
Job Location 9 POINT 8RazE RD./ d 4S/(Lt.I."/ CT 6,6372-
Job Description/Materials T/JSMI.L (I \ N E J v273 64214n/ /11).2- Fust 40,1- AST
&SO%air
Owner T CPOJE Mailing Address 9 Pe)/NT 8RL-Z26- f OfO
City U N CAS-1t[.LE State LT- Zip O63gZ Tel &66 IS4f$' I /2-6 (
Contractor 55' Es -ThIC• Mailing Address 33 LEFF/N 6-L.0CU_ IZ.o 49
City v N cAS✓I LLC State C 7 Zip 66 3 f - Tel 56 c / gy Fi/ 2272'
Contractor's License/Registration Type&Number 7_..O$c(6ill? Exp. Date IC) / 31 / 03
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 05 /30 / 03
Construction Value Fee
Building $ $
Plumbing $ a5.01-
Mechanical $ $f
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $ /,, , /3
Town of Montville Building Department Receipt
Date l ,30 / d No.
From: "iii..../ ,r ./ .....,,,,., �. . --40_,• ,' ♦ l I
Job Address: ilk- I '- '
Amount $._____,Ze2._ Cash tab Check # ���
Of y Alp i (c i r c I c
Received b i /
C, ,„" '_,. .e..,.-. ��, ;,i Permit #
e /N
ervice Station
Equipment
Inc."1 - Specialties: Gas Pumps - Lifts - Self Service Specialists
33 Leffingwell Road Sales, Service & Installation
Uncasville, CT 06382
\3
(860) 848-2278 • 1 -800-801 -TANK
Date -5�36�03 /EaTu;LI/ENT uF•('u.\'stlMERPRO M:c'it0N
PLUMBING&PIPING LIMITED CONTRACTOR
• MARTIN D MCKINNEY JR
RFD#1 8 TOTEM LN
City/Town �NTUILLfi C/ - GRI CT 06351
TYYPEPE:: P9
RE: Applicant-for Plumbing Permit UC./REt3 NO. EFFECTIVE EXPIRES
208469 11/01/2002 10/31/20C3
SIGNED #1,----/,----
Licensed contractors, as defined in section 20-338b of the Connecticut General Statutes,
Must personally sign each building permit application. This letter authorize the below
Named agent to sign the above referenced permit application.
Project Name %ar`^ 6R 6-
Address: q /70/Nr UE-624-- RoA D
UNGAs ut / GT , 63.?2 -
Staring Date: fit)
Licensed Contractor's Name: Martin D.Mckinney, Jr.
License Number : 00208469
International 1.:.,
Conference of Building Officials
Agent Name: JDH►i "PlF°RD MARTIN D MCKINNEY JR A.
Is CERTIFIED in
UNDERGROUND STORAGE TANK
UECUMMISSIUNINU
The Individual named hereon Is CERTIFIED In the category snowr,
"Tanks A lot" pursuant to successful completion of the prescribed written
examination.
Expiration date:July 11,2003
ICBG No.5073836.26
et-
,..,--.4---------":'
ASI No.32026243
'es- - i. ck'
Service Station Equipfnent, Inc. IC80 certification attestlld�competenttkn b edge of c des des,and„o,
Applicable experience should be verified by local jurisdictions.
Apr 17, 09 :32 EDT by: AKHKimberly J. Hicke ( 10 : 19) Page 2 of 2
• "" •' ' ",, ::::4MINI!:At•:
•
S, ,y'• fi
PROPOSAL Page No. of Pages
SERVICE STATION EQUIPMENT, INC
. Residential Tank Specialists Lic.# 00208469 0 3, YY ,�
33 Leffingwell Road
Uncasville, Connecticut 06382 �� r`J
(860) 848-2278 I t7�s
Toll Free 800-801-TANK
PROPOSAL SUBMITTED TO
M R. .. Cs R1oV E ..WE-W--1'147- q DATE• ,
STREET CO)� � O'��� 1 X 6 {�� l J/ 1Q3
49 POINT JOB NAME
r T I3RE-ZE Rom)
CITY.STATE and ZIP CODE
UNcASV/c-,E c r JOB/LOMCATION
ARCHITECT t 063 ` �r7�••�I
DATE OF PLANS ---
r/ JOB PHONE
We hereby submit specifications and estimates for: X- Kl c. Rom)
W ehersrActAnonl of , 2Ernovi t, a DiSpoSAL.. d F(I SSo Ga-uon) c. ,crr� Afl0. L PC)6-2._ 0lL UST
C ) 275 GFlttvN CVEX.71C41-) r4Sr. ).0 ly4S neNr
0$7141' p Lr-Gcn,T'AC_r FIE rr sj4-
F)RavlSH4-,A.-)37:RC1- (t) keiN a-15 GAN (VF]2TIC K. • r ,--erhev
4 rus mi-u. Neil L" FILL 4-Vo-3r P'Pa ONO GQRGE 5 ysr 70 Co P E-
4+ IN S77iti- PVL S L,ryc►j Gap/ek_ Foe-z_ LINE d-eoNnrecr- To goie/v4c4-[v/A OVr-et0,--0-ivcr_zssM
4 1 11 ( j up To ? 7S - ?U.o vS or Fuc2., O!L / ah oc-i) U57- 7a New 14--s
peon-a- yw-tar- 5c1S7
£VACCitriE R ove, Def 6 c- DISPOSE- OF i
3 0(,T ltki c'S 5ouL 5i9s74ei a (c-7- ,) UST up 7a SSO 6,94.1-0A1 C.4pAG�Ty
1J4Ck cx_ Ta is 244E W t Tk- L.
CG�b1/ /1417-ca fy� //
PR1ou is o C C o IL 5pc..E jitw4 yscs R bc' TO w =
Fd LLdwIN . NQT Gove&D
itz. I L Gon/T/trni/v/t/.oN
It -R,ouri Nc, on v n gs ser OS n o s-r'g
11 A5plifil 7�GplkiLle r6 p2Eping OR- ACIPC acemra„-r
$ �. u'0/ iL(J D 6E 2EwtQ✓/rt Dt SRS'A� L, GNSavE 2~) e d/.m P.R.-G444-41/
`4 l tSUpc Rerikta IeyoNO SCdpa-- —
fli '-co_x-c- 2.1.0 Coudni As r tJcs,i -jr /fop dc/d0.6) --rorn-
z.) R ovAt d.D 1 YR75ft t_ O t` c(-.r) 2:75 64'u-anv A S 7' ---
GIC,. 5�2tGGC R.EZYurR,e`pi ��'s/oa. Q° 7v ToTitt_
7b 1-121-0 �S OCL ACp/77dnrtl
Ghh4RGrs /1flppL�
We Propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum of:
ONH0V5/9- D N INE—Hv/iDE 2D / ' MIR-Ty-— t 1' p. •
C "�
Payment to be made as follows: dollars($ !3$•• -ter T
So% ON A CCePTA,CC_ 134 Lmvccc a N Tek. aenOlim ..
W E ACCLpr- (4-gHr t!ek/ PitgiV L Cite° d- (/(y4 l#7Q
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications Authorized
. i 444.444.104
involving extra costs will be executed only upon written orders, and will become an extra g
charge over and above the estimate. All agreements contingent upon strikes, accidents or Si nature
delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Our Note • osel may be
workers are fully covered by Workman's CTmpensation Insurance. withdrawn by us not accepted within •' �-
days.
Acceptance of Proposal pes, zepecifications
r_._.,
and conditions are satisfactory and are hereby accepted.You are authored to do the , /��
work as specified.Payment will be made as outlined above. Signature
k.. / '1 .M el.w n •