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HomeMy WebLinkAbout500 Gal. LP Tank and Lines 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: M2017-0174 Date: 18-Sep-17 Map/Lot: 044/003-007 Owner ID: 4928000 Project Location: 1368 OLD COLCHESTER ROAD Unit: Job Description: Install 500 Gallon Underground LP Tank&Run New Line to Generator. Reconnect Pool Heater&New Line to Grill Owner Nam Homer F and Susan I Waters Tenant Name N/A Careof: 1368 Old Colchester Road Oakdale CI 06370- Telephone: (860)886-2232 Applicant Name David Rodriguez Telephone: (860)522-5197 DBA: All Gass&Equipment Co. Lic/Reg Type G1 Lic/Reg N 395387 3150 Main Street Exp Date: 31-Aug-17 Hartford CT 06120- 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 $2,000.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $2,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fire Marshal Tank Set Fee of$20 Paid State Ed Fee: $0.52 Total Fee Paid: $30.52 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 CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑.r Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 5 Certificate of Approval P ertificate of 0. cupan, 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.:mc ..j17-- 01714 Type of Work Occ ncy Type Permit Type ❑[jaw Construction Single Family ❑ Building Addition 0 Two-Family ❑ PI bing ❑Alteration 0 Townhouse echanical t��❑Accessory Structure 0 ElectricalCRSi#: `3 Property Address: 1 D CS)C� �e�?�ci� 19d-- (Number) (Street) (Unit) Job Description: _•_ 101_' TI II / / Ctel generingur, ree_ionteev' Pr) healer) nem L rte Owner: Fv o . Address: l �('� 1� (�� • City: 0(14>HO—)C., State: 07 Zip Code: Telephone( j -2 -92.5C9 Applicant: r� l Ga DBA: �j� Y Address: `JSCJ� V {a,(/Y) City: • o kfoal, State:0/7 Zip Code: (MI(9Telephone RSO ) ^5I l 7 Contractors - Complete� / the Following: y �--� License Type: T7 /e, License 0753 / Expiration Date: 7 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. 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: ;t--e2..c.� %�R/� Date: q AL+ Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: ��yy/�� Plumbing Fee: Mechanical Value: C13 r." Cif% / Mechanical Fee: 36 Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: .,;a era,..:.rai DO .() State Ed Fee: Total Fee: 5t Revised August 23,2007 Town of Montville Building Department File Receipt Date: 14-Sen-17 ReceiptNo: 12650 Received From: All Gas Job Address: 1368 Old Colchester Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: 10.00 Bldg Check: $30 52 State Check: $0.52 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $20.00 Fire Credit: 10.00 Construction Value: 12.000.00 Demolition Value: 10.00 CheckNo: 13787 '/ Received By: Carmen Kneeland rco� �M rn 6 iA 1 LQ[Q,AlO Court 1368 Old Colchester Road ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Detached SF $ 71.53 $ - $ _ MECHANICAL Warm-Air n Y/N Hot Water n Y/N Electric n Y/N $ Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ _ Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfreplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ _ Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ Pool Heater EA $ 8,984.25 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip 8 reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 2,000.00 Solar Install n TOTALS $ - $ - $ 2,000.00 $ PERMIT FEE CALCULATIONS Construction Value Fee Building $ _ $ _ Plumbing y $ _ $ Mechanical y $ 2,000.00 $ 30.00 Electrical y $ _ $ Plan Review Fee y $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.52 TOTALS $ 2,000.00 $ 30.52 Figures are based on the 2006 RS Means Residential Cost Data • TheALL.G4s u men • Municipality: /36 G/c/ Cc4cie f /ed 0;5//c//0% CT Job Name: P' 4fvk /.4ki(j Starting Date: Job Description: S�r /- c5—co it/u i I i•vc� i erve c.,4 ro.G Qe Cu✓uveCX1O&riL //C.,�t-re.c ,v 1,.+ve %U y21//AeecSctL e !rr 76tt- 12u' ,,vac cT/Or✓ Per Public Act 91-95 This letter authorizes! ( 41i11 ( J_. to sign the permit as an agent of The ALL-GAS & Equipment Company, for theta ove mentioned job and municipality. STATE OF CONNECTICUT Application License: DEP4RI'1IINT OF(O\SL;III R PROTECTION HEATING,PIPING&COOLING LIMITED CONTRACTOR MICHAEL J PROUTY 25 Broad Brook Road Ellington,CT 06029 Mich el J. Prouty LIC./REG N0. License #: HTG.0395387-G1 EFFECTIVE EXPIRES HTG.0395387-G1 09/01/2017 08/31/2018 Expiration: 08/31/18 sIGNED___�� � 41* 3150 MAIN ST, HARTFORD, CONNECTICUT 06120 PHONE (860) 522-5197 • FAX (860)527-2376 VISIT US AT: WWW.aeroallgas.com /.....1 AEROALL-CL KBORDONARO AWRC DATE(MMIDD/YYYY) 4.......--- CERTIFICATE OF LIABILITY INSURANCE 03/23/2017 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 have ADDITIONAL INSURED provisions or 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 C NTACT Smith Brothers Insurance,LLC. PHONE 68 National Drive (A/C,No,Ext):(860)652-3235 1 j,vc,No):(860)652-3236 Glastonbury,CT 06033 linss:GeneralMailbox a@SmithBrothersUSA.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Illinois Union Insurance Co _27960 INSURED INSURER B:ACE American Insurance Co. 22667 The All-Gas&Equipment Company,Inc. INSURER C:RSUI Indemnity Co. 22314 3150 Main Street INSURER D:Hartford Underwriters Ins.Co. 30104 Hartford,CT 06120 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POUCY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR OGL21747385 03/26/2017 03/26/2018 PREMISES Eaoccurrence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 100,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABIUTY $ COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO CAL H08273935 03/26/2017 03/26/2018 BODILY INJURY(Per person) $ _ OWNED EONS ONLY _ SCHEDULED AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNED ONLY (Peri accideent)AMAGE $ $ C X UMBRELLA UAB X OCCUR 000 , , 10000 EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE NHA078881 03/26/2017 03/26/2018 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 $ D AND EMPLOYERS'LIABILITY N X STATUTE ETH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 02WECP2890 12/31/2016 12/31/2017 E.L.EACH ACCIDENT $ 1,000,000 QFFICERMIEMBER EXCLUDED? N/A 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Building Department Town of Montville CONSTRUCTION PERMIT APPROVAL 13(ods CSI (1-Ac.heO er Property Address --r )r i ICafb0 - -• u 6-1 LP - Ez h -- r c yin n ei (L ev e gen eras -4- .r ,UI r lefe - p I hoer: Required Department Approval Permit Issuance Approval Tax Collector -� �(c �-.�Q 9/r+(r 7 Signature/date Comments: Fire Marshal / ' 11/1 —�� ?"-PAA_ �"/ ^ Signature/date l arz.eComments: TTT 111 l''V L ��Planning &Zoning �/ r c: -/j-,1/l� Required for all permits except,.L/e' Signature/date Plumbing,Electrical,Mechanical,Roofing,S'.ing,Window- 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 Revised March 23,2015' . __ ____ _ 3. i' d o I./ V X w .. 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