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HomeMy WebLinkAboutGas Line to Generator viimamaimmi TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2017-0086 Date: 15-Aug-17 Map/Lot: 030/043-085 Owner ID: Project Location: 4823000 799 OLD COLCHESTER ROAD Unit: Job Description: Install Underground Gas Piping to New Generator Owner Nam Southeastern Conn Water Authority Tenant Name N/A Careof: Po Box 415 Ferry Gales _�_ 06335- Telephone: Applicant Name Mega Mechanical Services LLC DBA: Telephone: (860)430-1567 Lic/Reg Type P1 Lic/Reg N 280167 I 98 Commerce Street Exp Date: 31-Oct-17 Glastonbury CT 06033- Construction Value Permit FeesConstruction Information Building Value: __ $000 Building Fee: $0.00 Use Group: u Plumbing Value: $8,830.00 Plumbing Fee: $35.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: Total Value: $0.00 Construction Type 5B $8,830.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $13.50_ State Ed Fee: $2.34 Total Fee Paid: $150.84 It shall be the owners re.sonsibil' to schedule the followin. ins.ections a minimum of 2 business da s 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 ❑ Concrete Slab-Prior to pouring concrete ❑ Pool 11 PTrench-with conduit installed Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical CRS No: ❑ Framing ServiceQ_ ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test ❑ Fireblocking Draftstopping ❑ Insulation INSPECTION REQUIRED UPON COMPLETION CI Certificate of Approval ❑ Certificate of Occupancy C • 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 PERMIT APPLICATION FORM Permit No.: Pabi1 -00b(' Type of Work Occupancy Classification Construction Type Permit Type 0 New Construction 0 A-1 ❑ H-1 ❑ I-1 0 R-1 0 Addition 0 A_2 ❑B ❑S-1 ❑Type IA Type IIIB ❑B,Medical 0 H-2 0 1-20 Building �Alteration ❑H 30 R-2 ❑S-2 Type IB Type IV Plumbing® ❑A-3 ❑E 01-3 0 R-3 ❑U ❑Change of Use ❑A-4 0 F-1 0 H-4 0 1-4 0 R-4 ❑ ❑Type IIB ❑Type VAB 0 Mechanical Mixed ❑Type IIB ❑T e ❑A-5 ❑F-2 ❑ M ❑Type IIIA yp VB ❑ Slectrical CRS#: Property Address: 79 9 47 L-47 Got-Gl-i v? v--,p/,_c7 (Number) (Street) (Unit) Job Description: I NS' — Llh-tDt0R--<fvr-1Ip 4 b7 pipr--44 ► tY942 'i?s 'M N�u--p lc 4 tcaz.p•7atz_. Owner: SOL' T Vit b L)f (Lt T Tenant: raZ- Address: 79'9 a-D 1247 Address: City/State/Zip: M'c4--endlt-4. r Com' City/State/Zip: Telephone( ) - Telephone( ) - Applicant: tic t>. fid-!Det -- $rc!¢ulcg�� LL-C- DBA: G1 Address:/ `62 //LL G� ��nw1t l�t� r City: �"�-'-4 -- ` State: Zip Code: (174°c" Telephone(1>44:3') 43o- /514'1 Contractors - Complete the Following: License/Registration Type: Pt License/Registration No.'d °)`1 Expiration Date: I 0-Si 'l7 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/am authorized to make application for a permit for such work as described above. Owner/Agent Signature: Date: �—� lb-fit' Construction Value Permit Fees Building Value: Building Fee: CIT e-meC) Plumbing Value: 1�ft Plumbing Fee: iggGE4 I,3.5 Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: 13- State Ed Fee: a_34-1 Total Fee: 130,.4 cm. y1,as Revised!August 23,2007 Town of Montville Building Department File Receipt Date: 1-Aua-17 ReceiptNo: 12553 Received From: Sean A.Bronson Job Address: 799 Old Colchester Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10 00 State Cash: $0.00 Bldg Check: SO 84 State Check: 12.34 Bldg Credit: 10.00 State Credit: $0.00 Fire Cash: 40 00 Fire Check: X47 75 Fire Credit: a0 00 Construction Value: 19.000 00 CheckNo: Demolition Value: �sg� 10.00 Received By: Carmen Kneeland .4 4A ' 0 0 tt M) ml• LO co •• I • i to M N 1 1 1 1 i i l l NI M 10 1 r N Q) 404040404049404040404040 40404040 40 4040404! i Z O 0 0 0 w to I- 0 C 0 LL LL O Q C J co a j w O E > I m'' g J o C E 2 < o ` a! 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It T1 w w '1W •.,1/4,...,,,,.....,..,r ;Ili ^ x p4 k..-4-,i; ie.1.4._-14., ,-„,..._, ..,.,. ..hiii., _ _, ,_ _, ., ... ,--, g p ,k• . 1„.„,....7,,it,: hal .t.Com, ;r. ` '�'",-, �« : [� I 44 i � K,. 00 \ L N 0.4 a 01 a" WI TM - AdMEGA MECHANICAL SERVICES, LLC 293 Oakwood Drive-Glastonbury,CT 06033-Phone: 877.430.6342-Fax: 860.430.1463 Date: August 10, 2017 Town of Montville Building Department 310 Norwich-New London Turnpike Montville, CT 06382 ATTN: Plumbing Division RE: Application For: Plumbing Building Official: In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above referenced permit application. 1. Project Name: Cold Water Service Renovation 2. Location: Southern Connecticut Water Authority Chesterfield Division 799 Old Colchester Road 3. Starting Date: 8-14-17 4. Licensed Contractor's Name: Kurt Hallenbeck 5. Licensed Contractor's Trade License No: PLM.0280167-P1 6. Name of Agent: Sean A Bronson 7. License numbers of all contractors involved in the work if applicable: Sincerely, Signature of Company Agent if applicable 40 Signature of Licensed Contractor quir-d by Public Act 91-95 /i/.1,-//1 / Al .. 24HR SERVICE 1.1c#'s HTG.0303307-SI, PLM.02799914+1 Mega Mechanical Services,LLC is an AA/EEO employer Client#: 67581 MEGME ACORD,.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/10/2017 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(les)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 CONTACT People's United Ins.Agency CT FHpMNENo, Diane R. Donofrio One Financial Plaza (AIC Ext):860 524-7640 (A/C,No): 844-648-7611 E-MAIL Didonofrio 755 Main Street IMS, ane. @peoples.com Hartford,CT 06103 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Comp 25615 INSURED INSURER B:North River Insurance Company 21105 Mega Mechanical Services,LLC 98 Commerce Street INSURER C:Travelers Indemnity Co.of Amer 25666 Glastonbury,CT 06033 INSURER D: 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 ADDL SUBR L TYPE OF INSURANCE INSR III/VD POLICY NUMBER (MMIDD/YYFYY) (MMIDCD//TYYYY) LIMITS A X COMMERCIAL GENERALLIABILITY CO2826P99A 12/31/2016 12/31/2017 EACH OCCURR ENCE $1,000,000 CLAIMS-MADE X OCCUR EpRMaSpEoccrr e) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 _ POLICY X JECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 8102826P99A 12/31/2016 12/31/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS $ (Per accident) $ B x UMBRELLA UAB X OCCUR 5811076674 12/31/2016 12/31/2017 EACH OCCURRENCE $10,000,000 EXCESS UAB CLAIMS MADE AGGREGATE $20,000,000 DED X RETENTION$O $ C AND S LIABION ILITY I UB9H132259 12/31/2016112/31/2017 X STATUTE °R" AND EMPLOYERS'LIABILITY OAFFICER/MEMBER$EXCLUDED?ECUTIVEIYN I N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 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) Evidence of Insurance If a formal certificate is needed, please contact People's United Insurance Agency. CERTIFICATE HOLDER CANCELLATION "SAMPLE CERTIFICATE" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0-4ditS C/(J 'L/!Uw ,IAA A enty ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S865185/M774059 DRDCT Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL '7 99 c2-0 c-4..41s _ 12-eo.o Property Address ti►Ca4-1 Vim,Ame-cteoufy0 4i VIpt►-tG 'TZ-1 1. .i G' e0t2o.Tt'2. Job Description Required Approval Department Permit Issuance Approval Tax Collector ,� / Comments: Signature/date / ▪v Fire Marshal iSet°t1e's:g° ?lft /�I (Comments: nature/date ❑ Planning & Zoning Required for all permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date ❑ 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 Comments: Signature/date ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: Signature/date ❑ 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 gtevisedMarch 23,2015