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HomeMy WebLinkAboutTwo 120 Gal. LP Tanks 2017 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: M2017-0165 Date: 14-Sep-17 Map/Lot: 062/056-000 Owner ID: 827000 Project Location: 31 CHRIS DRIVE Unit: Job Description: Set Two 120 Gallon LP Tank in Rear of Home Owner Nam Richard M and Edith W Lamprecht Tenant Name N/A Careof: 31 Chris Drive Uncasville CT 06382- Telephone: (860)848-4505 Applicant Name Norman Sylvia Telephone: (860)941-7420 DBA: Suburban Propane Lic/Reg Type G1 Lic/Reg N 407019 1447 Old Colchester Road 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 $100.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $100.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.03 Total Fee Paid: $30.03 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 frami ❑ Electrical Service 111 Framing CRS No: ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble Q Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of •o.roval Cel cad .f Occupancy Building Official's Approval: / • Town of Montville Building Department 310 Norwich-New London Tpke. • Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: a0017—01(05 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑ Building ❑Addition ❑Two-FamilyPlumbing El Alteration ❑Townhouse 'Mechanical 0 Accessory Structure ❑Electrical CRS#: Property Address: 3 I dfr;s Pr VActsw114.- C.T 064•M (Number) (Street) (Unit) Job Description: Sek 62-1.2 p f Pe, R.Y ✓n h1�� Owner: RiA Lq,.,Pre_J,.)- Address: 31 ChriN Dr. City: LAT,./vs:/l4 State: C T Zip Code: d63$2, Telephone( f O ) $Y$ - L/3b Applicant: 44"-rifts -St./#. DBA: S v Pr'vo4os Address: /�f tf 7 Old Ce/cis.{r,,. ed City: O4Icei/C State: G77 Zip Code: 06 370 Telephone( 8'60 ) 9411 - '7t/JO Contractors - Complete the Following: '1 License Type: 6+ – I License No.:!4T6.OyO7Of9- piration Date: 0$/3//a0! 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 1 am authorized to make application for a permit for such work as described above. c& 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 chapters 34 through 43 of the Residential Code. Owner/Agent Signature: Date: 03/,?or-7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: 100— Mechanical Fee: 3O-c) Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: 1•f evie 00.00 State Ed Fee: .03 Total Fee: 50 03 Revised August 2,2007 lam Town of Montville Building Department File Receipt Date: 13-Seo-17 ReceiptNo: 12645 Received From: Suburban Pronane Job Address: 31 Chris Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: Bldg Check: $0'00 130.03 State Check: 10 03 Bldg Credit: $0.00 State Credit: Fire Cash: 10.00 10.00 Fire Check: 120.00 Fire Credit: $0.00 Construction Value: Demolition Value: OQ CheckNo: 281 Received By: Carmen Kneeland C STATE OF ��7 T DEPARTMENT OF CONSUMER E PROTECTION ON HEATING,PIPING&COOLING LIMITED CONTRACTOR NORMAN E SYLVIA III 1447 OLD COLCHESTER RD OAKDALE,CT 06370-1222 LIC./REG NO. EFFECTIVE HTG.0407019-G1 07/05/ EXPIRES 2017 08/31/2018 sIG NED��—j�_�y �/ � 09 6'2016 �----- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYYY) 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 MARSH IDSA,INC CONTACT NAME: 445 SOUTH STREET PHONE --- - - MORRISTOWN,NJ 07960.6454 (A/C,No.Ext): E-MAIL -- I (A/C,No). 1 Attn:MorrIstown.CertRequesl(dlrnarsh coin Fax:212 948 0919 ADDRESS: INSURER(S)AFFORDING COVERAGE (;LIE — NAIC# — ACE American Insurance Company INSURER A - INSURED !266/ SUBURBAN PROPANE PARTNERS,L.P INSURER a Indemnity Insurance Company of North Arnerica 240 ROUTE 10 WEST '435/5 WHIPPANY,NJ 07981 INSURER c;ACE Fire Underwriters Insurance Company 070? INSURER D: _-- INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: NYC-007655291-25 REVISION THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEBFOR.2THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC r TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB LTR r TYPE OF INSURANCE INSD Sy POLICY NUMBER POLICY EFF POLICY EXP ---- A X I COMMERCIAL GENERAL LIABILITY HDO 027856329 (MM/DD/YYYY) (MM/DD/YYYY) LIMITS 10/01/2016 10/01/2017 _ I�CI.AIMS-MADE Lx 1 OCCUR I EACI I OCCURRENCE __ $ ?.0110 GGIJ OAMACE TO RENTED" - ""- - - .-.._ PREMISES(Ea occ ewe) a 250 000 MED EXP(Any one parson) -; 10.000 ERSONAI h ADV INJURY I g "-- "– �OINI IlO� GENT_ACGRfGAT_CLIfdITAPPLIESP PER X I POLICY PRO- GENERAL AGGRCGAIC I _. .I JECT I .._I LOC OTHER PRODUCTS COMP/OP A(;(; S _ 2.000 000 A AUTOMOBILE LIABILITY I 1--- 1 ISA H09045065 10/01/2016 10/01/2017 COMBINED SINGLE LIMIT 1 X ANY AUTO , .t �"— ALL ([a scctdnl) 2.000.000 / AUTOS WNEU X SCHE UU(ED i BODILY INJURY(PK,person) 1 E All TOS _ BODILY INJURY Il er accident) y ----_..__ X HIRED AUTOS X NON-OWNED - AUTOS I PROPERTY DAMAGE f'er aCGtlentl S -- UMBRELLA LIAR OCCUR I - ---"----�ti ---- EXCESS UAB _I J CI AIMS-MADE EACH OCCURRENCE DED T RETENTION S AGGRFGA IL S B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WLR C486111/5 (AOS) 10/01/201610/01/2017 X i PER I DTII S A ANY PROPRIETOR/PARTNER/CXECUl IVG Y/N I WLR 0448611163 CA,MA) I STATUTE I1 OFFICER/MEMBER EXCLUDED? LN , N/q ( 10/01/2016 110101/2011 STATUTE: l_ FR 0 (Mandatory in NN) F 1 EACH ACCIDENT II yes describe under ISCF C48G11187 (WI) 10/01/2016 11010112017 1(100 prN) DESCRIPTION OF OPERATIONS below E L DISEASE•EA FIdPI IhiIT I 1.00(1000 E.L.DISEASE-POI ICY1 IM11l"f I S 1.000 DUB I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) vinrnicr or rovr-RACE -- CERTIFICATE HOLDER CANCELLATION — ---- SUBURBAN PROPANE PARTNERS.l.P 1 SUBURBAN PLAZA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO©0X!06 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WHIPPANY,NJ 07981-0206 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc, Manashi Mukherlee ACORD0 1988-2014 CORPORATION. All rights reserved.25(2014/01) The ACORD name and logo are registered marks o ACORD Town of Montville Building Department • CONSTRUCTION PERMIT APPROVAL 3► ch cc ( r;\ /- Property Address 3e+ Too l 30;5 t-f vuSe. Job Description Required Department Approval ' Permit Issuance Approval Tax Collector - g‘/. /7 Comments: nature/date Fire Marshal / /J/ Signature/dat 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 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 QevisedMarch 23,2015