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Home My WebLink AboutBoiler 2002 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030,Ext 81 Mechanical Permit Permit Number: t42002-029 Permit Date: 28-Feb-02 Permit Code R5 Job Location 50 PRUETT PLACE UNIT: - MAP/LOT: 004/019-000 Job Description: replacement boiler Owner Contractor Richard Bernardo McCarthy Heating Oil Service Inc. P.O.Box 332 50 PRUETT PL Unit: - Quaker Hill,Ct.06375 OAK DALE CT 06370 Telephone: 443-2839 Lic/Reg Type: S1 Use Group R4 Lic/Reg Number: 302650 Code 1995 CABO Exp Date: 8/31/02 Construction Type 58 Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $2,800.00 Mechanical Fee: $16.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $2,800.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.22 Total Fees: $16.22 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Rrestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test n Final Inspection ❑ Gas Piping and Pressure Test ❑ 'ficate o+ I `• -Prior to use or occupancy Building Official's Signature: Town of Montville Permit # U — D,,9 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction 0 Accessory Structure ❑A�tion ��Demorition 1 J�'lum6ing Q�feclianical Alteration 0Othe, ��FCect'7cal ,�7feating Air Conditioning Gas(Piping Job Location 6.1' J7 it v 0-- ? 1 . ' 1.-1,z. Job Description/Materials 1" ,„,S r xo 1 / 1 V G 1------) `6) � (12_ Q M. 0.1",,fI3 ' Owner �, c�, O 1 L 61 v rL N e--ti Ni— ( VV-/G ( J m ti0 -Q.-tt I ii t3 L, Mailing Address S K, , City p JL. n -0 (AZ__ State(' Zip lS G 3? C Tel i ( / / Cf C' Contractor rti�-'�' �1 � 1-1 �r�l)Y{�VlaiIing Address � 62, � -9, 3 � L S�yu i t �-v.. C _ City `oxv )6_,-, 11 j 1 l Stater_) Zip 8 G 3 7 ,; Tel 1-/(1 / '� / --3 , Contractor's License/Registration Type&Number 3 0 "- G 5Z) S / Exp. Dater) 2- / ?/ / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?) Yes ❑ No 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. Agent Signattu ,f^?3, Date 0 /Jc/ P1 Construction Value Fee -�"'-\ Building $ $ Plumbing $ $ Mechanical JG oo Electrical $ � U $/ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total `;2 $ $ /6 .V-it7 (4-- Town of Montville Building Department Receipt 1111109 Date / No. 01499 From: Job Address: /41-U Tr fie_ Amount $ j . :ash (--CTIOER) Check # (Circle one) Received by /_„,pr , >€7-12-7— Permit ilikt,PC-0,2 — C.07 A CORD �"Q, t . :,� Y, CERTIFfTE 'A rfr INSURA DATE(MM/DOiYYI .. PRODUCER 09/20/01 860-739-3322 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION Smith Irisurance,lnc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 15 Liberty Way COMPANIES AFFORDING COVERAGE Niantic, CT 06357 COMPANY A Hil6,Rogai &Hamilton Co INSLIHI U COMPANY McCarthy Heating Oil Service, B Inc., James P. McCarthy COM<AiuY P.O. Box 332 C Quaker Hill CT 06375 COMPANY THIS IS TO CERTIFY THAT TFE POLICES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMEDABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CD TYPE OF INSURANCE. POLICY EFFECTIVE POLICY EXPIRATION LTR POI ICY NUMBER UA IE(MM1DDfYY) DATE IMMlDDIYYI LIMITS GENERAL LIABILI T Y GENERAL AGGREGATE _ S COMMF3ICIAi GENERAL LIABILITY PRODUCTS-COMPIOP AGG• S CLAIMS MADE.f I OC(:IJR PERSONAL&ADV INJURY S OWNER'S&CONTRACTORS PROI EACH OCCURRENCE _ $ FIRE DAMAGE(Any one lira) 3 MED EXP(Any one parson) S _ AIITOMOBLF LIABILITY ANY AUTO COMBINED SINGLE LIMIT 9 ALL OWNED AUTOS SQ-IEDULED AUTOS BODILY INJURY (Per person) _ HHED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT AN AuIO OTHER THAN AUTO ONILY: EACH ACCIDENT 5 AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE g OTHER THAN UMBRELLA FORM -- 3 A WORKERS COMPENSATION AND WC376720902 10/01/00 10/01/01 X i Wvc�7ATu 1 IDTH EMPLOYERS'LIABILITY TORY LIMITS Efl EL EACH AOCIDENT 9 500000 THE PROPRIETOR) X INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT S 500000 OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE 9 600000 OTHER DESCRIPTION OF OPERATIONS,LOCA TIONS/VEHICLES/SPECIAL ITEMS � � v�vv Y 'r vavzv�nt!E :....:.,il44:4.Nfia�DH3 ,.:: . .<..:< ,. . ' ..y: rA.'RL�ili1 <, .y,..:�..«« INSURANCE PURPOSES ONLY SHOULD ANY Of THE ABOVE DESCRIBED POUCIEs BE CANCELLED BEFORE`THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO WUL 10 DAYS WRITTEN NOTICE TO THF CERTIFICATE HCI DER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATIQI OR UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRE ENT LVE