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Home My WebLink About2002 - Boiler Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 66382 860-848-3030, Ex.t 82 Mechanical Permit Permit Number: M2002-077 Permit Date: 16-May-02 Permit Code R5 Job Location 28 BALDWIN COURT UNIT: MAP/LOT: 096/101-000 Job Description: replace boiler Owner Contractor LINDA M SPOSATO DDLC Energy/James T. Hickey 410 Bank Street 303 MOHEGAN PARK ROAD, LOT #20 Unit: New London, Ct. 06320 NORWICH CT 06360 Telephone: 271-2020 Hc/Reg Type: S1 Use Group R4 Lic/Reg Number: 303545 Code 1995 CABO Exp Date: 8/31/02 Construction Type 56 Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $4,100.00 Mechanical Fee: $28.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $4,100.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.66 Total Fees: $28.66 It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice reguested): ❑ 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 ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test EI zerrttifi I Inspection ❑ Gas Piping and Pressure Test of Occu cy - P ' to use or occupancy Building Official's Signature: Town of Montville Building Department Permit # M,?oog, -®`2? 310 Norwich-New London Tpke. Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form F 4Y tubing []Efectncaf WRechanicaf _Meating __Air Conditiorring Gas q;ing r-l other Job Location 2 9- r~~i~/ f- Job Description/Materials . Owner w c-,6~ ~Q z Mailing Address city- cc_ e State L-r- Zip C~4 -Z-Tel C ' / ~5~~7 Contractor J L lr;7~2~ Mailing Address City-AA~7~ State G Zip ev „3 2-0 Tel ",0 /,i2_1 -711 z e; 2.- c~ Contractor's License/Registration Type & Number aS / 3~ 3'f~ Exp. Date S-_ ICI cs -z 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. Owner /Agent Signature . Date S 1 / Z-- Construction Value Fee 4- < Building $ $ Plumbing $ $ Mechanical $ca®,5 2 - $ Electrical $ - Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education Total $ - i P Town of Montville Building Department Receipt Date , -tom-/ No. ~r 'From:. , t° TJob Address: ,.z 1-) o - K to ~ Check # Amount Cash k (Ordc onc) 13 DD C National Environmental ENERGY / PerformanceTrack Your 4-Season Comfort Company U.S. Environmental Protection Agency lam I, JAMES T.HICKEY GIVE MY REPRESENTATIVE SCOTT H. KNEELAND PERMISSION ON THIS DAY OF TO SIGN AND RECIEVE THE MECHANICAL PERMIT FOR THE JOB LISTED BELOW . FOR JOBS IN THE NAME OF DALH, DANIELSON, LEHIGH CITY COAL. DDLC HEATING, PIPING 3 COOUNG UNUMITED CONTRACTOR Type: S1 JAMES T HICKEY 68 MELODY LANE MERIDEN, CT 06450 JAMES T. HICKEY LICJREG. NO. EFFECTIVE EXPIRES SERVICE MANAGER 303545 1 09/ 1 ~O8/31 /2002 SIGNED:. .i HEATING, PIPING 3 COOUNG UNUMITED JOURNEYPERSON Type: S2 SCOTT H. KNEELAND SCOTT H KNEELAND 72 CISAR RD WILLINGTON, CT 06279 LIC/REG NO EFFECTIVE EXPIRES EQUIPMENT SPECIALIST 387663,0(9/0{1,//2001 08/31/2002 SIGNEO..~c..G,~ ~V U J`lc...CvCC.~ Member Heating Oil Partners, L.P. 410 Bank Street • New London, CT 06320 • (860) 271-2020 or 1-888-225-5540 Fax: (860) 271-2050 • CT Lic# S1-303545 RI PM 3386 Q1002 10/26/01 FRI 14:40 FAX 203 655 ba83 H. 0., P. LP cEkTIFI~TE NuMaER 0101 it NYC-000507538 00 PRODUCER TNIS cERTFICATE IS ISSUED As A MATTER OF INFORMATION ONLY SAO CONFERS Marsh NO RIONTS UPON THE CERTIFICATE MOLDER OTHER WAR THose ►RoM&D N THE 1166 Avenue of the Arredcas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE ConRAOE 77 New Yak, NY 10036 r:c COMPANIES AFFORDINO COVERAGE CCMPANY A STEADFAST INSURANCE COMPANY NsURED CcMPANT HEATING OIL PARTNERS. LP 6 AMERICAN ZURICH INSURANCE CO. 1120 POST ROAD DARIEN. CT 06820 COMPANY C ZURICH AMERICAN INS.CO CCUPANY . O NATIONAL UNION FIRE INS. Co. OF PITTSBURG, PA TW$ IS TO CERTIFY T><AT PC,ICtES OF iN3IRr<IVCE D6a IBEO HER9N HAVE BEEN =eD TO THE IN4IRED RMAGO MCTEIN FOR THE POLICY PGWOO INOICATBO. NOYwTH4CANDN6 ANY REOLIIREMFNT. TERM OR CONOITIOt OF ANY CONTRACT OR OTHER DOCUMENTYMTX RESaFCTTO WMG THE CcRTiFICAT6 MAT BE IS9JE0 OR MAY PERTAIN T1(61NSJRANCE AFFcOlmo BY THE POUOE&DE&QII2E0 HERGN IS Ill TO ALL THE TERMS, CCTIDITIOMS AND EXCLUS DNS 012- all POLICIES L!"l WOWN UAYNAVP BEEN REDUCGO BY PAID CLAIMS CO TOE OF W3URANCE POLICYMuMBER POLICYEFFECT1vE POLICYEXPIRATIC14 LWrfi LTR DATE ~AMNDIYY) BATE @AMIDDIYY) A GENERAL wIHp.ITY BOG Q298168-02 10/27/01 101271W O NERAL AGM94ATE $ 2.0001000 CCMMEItoAL GENERAL LIA841Tv 'GENERAL AGGREGATE IS A' PROOUCT$-COMPAOPAOC i 2.000.000 gNMSA<IOE OCCUR 'PER LOCATION AGGREGATE PER90~IIC LADVINJXIRY S 1,000,000 OA*(ER'Si COVTRACrCIR%PROT EACH OCCURRENCE S 1,000.000 FIRE DAMAGE Anate Aral S 500,000 I<EpEXP M me ~a4t S 5,000 B AUTOMOBaE LIABILITY SAP 92816S-02: 10127/01 1 C 27102 CCM819W $NGLE LIMIT S 1,000,000 X ANY ALTO 'PHYS. DAMAGE DEDUCTIBLES:' ALL Ol AUTOS 'Private Passen6er Vehldes:' BO~LYINJJRY S S04EDULEDAUTOS 'S1.0W Comprehensive MIRED AUTOS _ S1,000 Collision BODILYINJJRY S NOV-ONMED AUTOS 'TlUdcs b AA other YeNdes•' lPrar-Odonq 'SS.000 Comprehensive PROPERTY DAMAGE S '$5,000 CoIWon' QARAGE LIABILITY NJTOONLT -EA ACCIOENT S i ANV AUTO c7ll THAN AUTO ONLY zly . 1 EACH ACCIOENT $ AGGRGGATE S D EXCESSUA9IUTY SE8713689 10/27101 10127!02 llOCCIJRRENCE S 00.000 •X ;UM84£tLAGOR+I AGtt,YZFGATF S 5.000,000 ""!I Cl THAN UTABF:ELLA FORM S C oIl Rs sA VAC 9298167-02 10/27/01 10/27102 X Y IL AQTS Ftt ENP toTERS Ltaea tIY ELEACH ACaoeJr S 1,000,000 T+tE PRavwETau R WCL EL DI CAW-f a ICY LIA IT 5 EzcL ; sARTIVER9EX8CifTIVE EL OISEASEFACH EMPLOYEE S 61=tCFRSARE' DESCRIPTION OF WERATW S(LOCAMCOUIIENICLES(SPECIAL ITEMS,LIMITS MAY W SUBJECT TO DEDUCTIBLES OR RETENTIONS) CONTRACTUAL UABIUTY COVERAGE INCLUDED AS PER THE GENERAL LIABILITY POLICY TERMS AND CONDITIONS. HEATING OIL PARTNERS D/B/A DDLC, DAHL OIL, BRINKER/SWARTLEY FUELS, MAJOR Oll.l DIAMOND DELCHESTER. AUTOMATIC TLC, CONNECTICUT REFINING CO., ALLIANCE EXPRESS VALLEY OIL, ALTEMOS ATLANTIC O4OIA O j%w QF THE P4L1c CS PEYCnttIED IEAEM YQ o+NCtiLED affaAe Yrt tiA -WLAMON DAT! Wcall 1 Tt•E NflAfA w WCKOWG CCdEAAaC wLl EMEAMat tb awl DAVO WWMN NOTICE TO TW 02"Ift(ATE 61abEA N-Me* WREIK stir Pwa•tfr<E To UAL Am" #-mug 0-ou arow 00 cv.1o noQ at t"86." OF 40% w*O ~PE tet3AER AFFORDIM 004hwCf.IfiM/EMCOA AEMtfaEMwTNEs I ARSN USA MC. 1 r. BadlO~Calnor %"Att,01