HomeMy WebLinkAbout50 Gal. LP Tank and Lines to Range and Dryer 2017 Field Inspection Notice
Town of Montville
Building Department
September 29, 2017
2016 Ct Building Code
Address: 6 Michael's Way
Job Description: Install One 50 Gallon Propane Tank& Run Lines to Customer Provided Range& Dryer
Permit Number(s) M2017-0163 Permit Date: September 13,2017
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
Gas Line Plumbing 9/29/17 DJ
Gas Line 9/29/17 DJ
Pressure Test •
••
Final inspection and • 9129/17 DJ
certificate of approval •
Rev.Date: 1/18/06 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: M2017-0163 Date: 13-Sep-17 Map/Lot: 018/004-012 Owner ID: 4410000
Project Location: 6 MICHAEL'S WAY Unit:
Job Description: Install One 50 Gallon Propane Tank&Run Gas Piping to Customer Provided Range&Dryer
Owner Nam Jane Cole Moran Estate Tenant Name N/A
Careof:
6 Michaels Way
Oakdale C'T 06370- Telephone: (860)772-2319
Applicant Name Samuel Sugawara Telephone: (860)680-7935
DBA: Osterman Propane LLC Lic/Reg Type G1
Lic/Reg N 394019
7 Enterprise Lane Exp Date: 31-Aug-18
Oakdale CT 06370-
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: 2016 State Building Code
Mechanical Valu $1,200.00 Mechanical Fe $0.00
Electrical Value: $0.00 Electrical Fee: $30.00 Construction Type IRC
Total Value: $1,200.00 Penalty Fee:
$0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0 Fire Marshal Tank Set Fee of$20
Paid
State Ed Fee: $0.31
Total Fee Paid: $30.31
It shall be the owners reosonsibility 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 frami ❑ Electrical Service CRS No: o
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation In Certificate of Approval
ertificate •' •- cy
Building Official's Approval: '
'Own of Montville
Building DepartmentComf on F e_
310 Norwich-New London Tpke. 1
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: Mao((-/Au 3
Type of Work Occupancy Type Permit Type
❑New Construction NI Single Family ❑Building
❑Addition ❑Two-Family 0 Plumbing
Alteration 0 Townhouse ®Mechanical
0 Accessory Structure 0 Electrical CRS#:
Property Address: 4) 1Mic-II P" li ( &w(AO.nkIpl e
(Number) (Street) /
(Unit)
Job Description: / 5-0 /0,1 Cva_ Lt iv i i-` q S p i'frn 4
Zvi rr k r/rye'',
Owner: 5uiai C i'
Address: ,lii 4 J
City: ( State:M177_
C� 7 /� 77
`'�G � Zip Code: l �Qelephone(�t'XJ ) / /Z— 231 1
Applicant:J /77ue / .�41 A'wet/A--
,i
DBA: (35Aipn2LC
Address: / P
i--../- J
City: �
C) C State: C I Zip Code: Telephone 803) ,660_273,..L-7
Contractors - Complete the Following:
License Type: License No.:3/Cj
-02?Expiration Date: f--3/r 704
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.
0 By checking this box, I will follow the requirements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code,
instead of the electrical requirements in ch-• - s 34 'rough 43 of the Residential Code.
Owner/A e Signature: - Date: /7- 0 g- //
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
6/ cx�
Mechanical Value: ___i 2 Mechanical Fee: 30
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
t
C of 0 Fee:
flivIA-RetierTFTC:- cO
State Ed Fee: , 3
Total Fee: 60 .,3'i
€i
i;
i
7a`evisod August 23,2007
Town of Montville
Building Department
File Receipt
Date: 11-ten-17
ReceiptNo: 12640
Received From: Osterman Propane-Montville
JobAddress: 6 Michael's Way
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash:
Bldg Check: $0.00
$30,31 State Check: $0 31
Bldg Credit: $0.00 State Credit:
Fire Cash: $0.00
$0,00
Fire Check: $20,00
Construction Value: $1 200.00
Fire Credit: $0 00
Demolition Value: $0.00
CheckNo: 3757
Received By: Carmen Kneeland CLI/1 r m , 1�
�--t, Q G
STATE OF CONNECTICUT
DEPART.AIE.NT OF CONSUMER PROTECTION
HEATING,PIPING&COOLING LIMITED CONTRACTOR
SAMUEL I SUGAWARA
35 CLUB HOUSE RD
LISBON,CT 06351-3119
R
/
LIC. EG NO,
HT /RE 401. EFFECTIVE
EXPIRES
0 /0 2017 08/31/2018
SIGNED
11111
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
t p ins e l 'S lx--)Cr
Property Address
psi c.AI O SU G, Pro c�vie --t-c,(1 t-- Cos Or e r
Job DescriptTn
Required Department
Approval ' Permit Issuance Approval
lij Tax Collector �' ,�ly.� f Q��
Comments:
Signature/date
Fire Marshal
G� [
- — 9 <-"PraJ._ Signature/date Comments:
❑ Planning &Zoning
Required for all permits except Signature/date
Plumbing, Electrical.Mechanical, Roofing,Siding,Windows&Doors
(� Health Department
Required for properties with private septic or well Signature!date
Comments:
❑ WPCA, Administrative N/A
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: -
❑ Montville Police Department
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ Copy of State Dept. of Transportation Certificate
Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per
CGS 14-311
Signature/date
Building Department Final Inspection
RevisedMarch23,2015