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Home My WebLink AboutTwo 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: M2017-0180 Date: 27-Sep-17 Map/Lot: 067/019-000 Owner ID: 3141000 Project Location: 7 KILLEEN ROAD Unit: Job Description: Install Two 120 Gallon Propane Tanks- Hook to Stub Only-Piping by Others Owner Nam Habitat for Humanity of Eastern Connecticut Tenant Name N/A Careof: 377 Broad Street New London CT 06320- Telephone: (860)446-7890 _ Applicant Name Samuel Sugawara Telephone: (800)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 $80.00 Mechanical Fe $30.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $80.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Fire Marshal Tank Set Fee of$20 Plan Review Fe $0.00 Paid State Ed Fee: $0.02 Total Fee Paid: $30.02 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 El Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of A.- .val ❑ Ce•ific. - .f Occupancy Building Official's Approval: -..,41/00011i Town of Montville Building Department CCovvi 9 jnY1 4 J. 310 Norwich-New London Tpke. p Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (n j17-Old Type of Work Occupancy Type Permit Type ❑New Construction [i]'Single Family ❑ Building ❑Addition ❑Two-Family ❑ P ing El Alteration ❑Townhouse Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: 7 kILL.crti/ J i /i7 O/r 7P/LLE-' (Number) (Street) (Unit) Job Description: .7-A./SiALA-41/o v or 2 -/2O (,n. A2o we -T, 4€y . )-/t3Uk 70 �U3 ,M.-'1 • 3 'NA 4.1 0-ritp2S Owner: 14/B/7f F2_ U/VII ITL Address: ` {L l LLE r\J M(7nr jL L� City: V r{/JL.L. State: C7- Zip Code: ie,6 3S-3 Telephone( ) y .. iSgo Applicant: ... /4/11 (/EC- Sc/ ,At 4 DBA: 0 Z4, „w p i4 t& L(_G Address: 0" 6eZ/Jr � 0 pp r City: ��I.)Q[� State: CT- 637c7 Zip Code: Telephone(C7oo ) 6eo �' 9 3 3 Contractors - Complete the Following: License Type: / License No 351/0/9 Expiration Date:414,W- 08 "3 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 requiir: the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements in c ... er 4 through 43 of the Residential Code. Owner Agen ignature: Date: /T- 09 -74 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: 4 Mechanical Fee: .CL Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Roviow-Faa: State Ed Fee: ,00 Total Fee: a),O 9(eviged August 23,2007 Town of Montville Building Department File Receipt Date: 26-Seo-17 ReceiptNo: 12678 Received From: Osterman Propane Job Address: 7 Killeen Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 50.00 State Cash: Bldg Check: $0.00 X30.02 State Check: $0.02 Bldg Credit: 50.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: 520.00 Construction Value: 580.00 Fire Credit: X0.00 Demolition Value: $0 00 CheckNo: 3764 Received By: Carmen Kneeland r M iJX STATE OF nE/'1RT,l/ENTOT , HEATING PIP �'CONNECTICUTIt R p PIPING&CO UTEC'T/pN SLUE COOLING LaIITED CONTRACTOR • i SAMUEL 35 CLUB HOUSE LISBON SE RD LIC /REG No. 06351-3119 1-17.G.0394019_ /0 .201] EFFECTIVE I.SIGNED 0 EXPIRES - � 08/31/2018 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL /2 , /nawz. -- Property Address 2 -i zz per, S Job Description Required Department Approval ' Permit Issuance Approval Tax Collector //z G71-7Comments: Signature/d e e6( Fire Marshal _ ( (-1Comments: Signature/date ❑ 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: 1111 WPCA, Administrative (Pe.c °lane_ (Vo LI l.7 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 700,000 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 . .evisedWfarc.623,2015