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HomeMy WebLinkAbout120 Gal. LP Tank and Line for Hot Water and Heat 2006 Field Inspection Notice Town of Montville Building Department July 6, 2006 Address: 260 Raymond Hill Road, Lot 3 Job Description: LP Gas Tank Permit Number(s): M2006-0088 Permit Date: 6/26/06 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Gas line test 7/06/06 DJ Rev.Date:10/18/05 Page 1 of 1 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: M2006-0088 Date: 26-Jun-2006 Map/Lot: 087/002-T03 Owner ID: 5813000 Project Location: 260 RAYMOND HILL ROAD Unit: 3 Job Description: 120 Gallon LP tank and line to trailer stub out Owner Name: Eldridge Luther Tenant Name: N/A Careof: 26 Marquardt Lane Groton CT06340- Telephone: Contractor Name: Spicer Gas Telephone: (860)445-2436 DBA: Lic/Reg Type: G1 36 Thames Street Lic/Reg No: 388986 Exp Date: 31-Aug-2006 Groton CT 06340- __CorlstrUction 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: 2005 State Building Code Mechanical Value: $999.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $999.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.16 Total Fee Paid: $8.16 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding • Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑d Gas Piping and leak test ❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval Certificate of Occupancy Building Official's Approval: , 4 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form Sino Eanzdy 0 Two-EamiCy 0 Townhouse Permit# filo2a5Z _ ©0 F Job Address ;-c,o h� ff,d `� ztt.I lac� 46 3(Number` ) 6 Street (Street) (Unit) r Job Description l(,t.,$ Vt.l tA.4 ,lr ()0 ,c a (oi.., L�f * t r 1."-e...- 1 p 4 v .,. (Q,l, �6 : , G—e.. ; k. 4 tO j.. Owner RI 1(;del e- t e / Mailing Address d-G' i T-Ourell J_a-c. e City l'‘)'11131^- State U. Zip 06-3 zeQ Tel la 0/ 4q 7 7)4O Contractor cep( LS Mailing Address 36, r ,54.. City 0 (9 424, State . Zip OL3e69 Tel 160 ///4/5/D-11 3 Contractor's License Type & Number- Ct./ — 3"G p c' Exp. Date ct / 3 ( / 0 4, 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. Separate applications are required for electrical.Owner/Agent Signature 9��� 4.4.1e Date 6, /.2o / 042 Construction Value Fee Mechanical $ 9q,1®s $ Q' --- Electrical $ $ `) Plan Review Fee $ State Education $ !/b Total $ $ RiviseISeptem6er 9,2004 Town of Montville Building Department File Receipt Date: 22-Jun-06 Receipt No: 1428 Received From: Spicer Gas Job Address: // ' Fees Collected State Educational Training Fee Cash: $8.16 Cash: $0.16 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $999.00 / Demolition Value: $0.00 Received By Sandra Pandora 4'//�j OF //, it Town of Montville Building Deparfment 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL z(co Reci o (tcc , , a *( 3tC,L.ceisvC(� Property Address ( ws -ta-Z(41; o� o� ()o �4. ��� .1� � � � �- L04 wa - 9 Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector �LGc_.�- /Y�-.A Co/a /D C ❑ WPCA JO ❑ Planning&Zoning iL',li1Ut c" „hilt.' ❑ Health Department Fire Marshal 142.f2_10(p 1\114-St AL L', iV bi Comments/Conditions: &viseaSeptember 9,2004 PICER 4,45 36 Thames Street, Groton, CT 06340 (860) 445-2436 • 800-448-2028 Fax (860) 445-2313 Date: (43.72-VO4. City/Town/Borough: M-004- 6 /1 e / / i, Job Site Address: -(04 w.,0Q 'a;1( , i 401 3 Cte"62 v 4 Gki -( e . 4638' --- Project to start on or about the following date: 75 06. This letter authorizes Robert Mitchell to obtain a permit on my behalf for the following customer/project: Property Owner: E(Le c. 4 A 1 ' Li e Mailing Address: MaAi C�c.ta- it t-ett,%..c, e /(4040A", c, ©c J qo 1 7,„..„,_,. i 1 L: ,..., James L. Sap ita - LP Gas Technician CT Lic. # 388986 Division of Spicer Plus, Inc. • CT Lic. # 00308503 • RI Lic. # 00006311 . Jun 22 06 02: 20p SPICER PLUS 8604452313 p. 1 P1 BAs 36 Thames Street Groton, Ct. 06340 (860)4456-2436 - (800)448-2028 Fax -(860) 445-2313 Fax Cover Sheet To - Building Dept. Company - Town of Montville Fax Number - (860) 848-7231 From - Rob Mitchell Regarding -260 Raymond Hill Rd., Lot 3, Uncasville, Ct. Date of Transmission - 6/22/06 Number of pages including cover page - 2 Message - The insurance form you required with the permit application I filed with you this morning. Thank You! RJM If there are any questions regarding this transmission, please contact us at the numbers listed at the top of the page. F Jun 22 06 02: 21p SPICER PLUS 8604452313 p. 2 UtU-LL-e UUn mu u3 i !U rn CPIC.KU T I NJuririnun DRV AGR) r nA IYIJ, 0104!X71 C J I I , Lb.)/UJ ACORD. CERTIFICATE OF LIABILITY INSURANCE 7 DATElMSNDDIYY11Yi .32,a,/20„C rhosucw 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JpYsscY SASOJRJ/CX =OWL 1lPC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE GOES NOT AMEND. EXTEND OR P 0 BOX 272P ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW. ATl&PY, NY 12202-2723 INSURERS AFFORDING COVERAGE NAIC S rauldo SPress PLDs, ric. Mi. INsuRER A: BT PA= nits A MARISI iss Co P.D. BOX 903 IftSvREP 5: LAW:WA= YMsa1iNCS CO. _ GROTOS, CT 06340 INRURIIR C CONNIXRCX A ZNDO5TRTTM CO INSURER D: _ — BPICO2 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NANO)ABOVE FOR THE POUCY 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 ?DUCKS,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCE)BY PAID CLAIMS. 1TR MEM WSLINIERTE POLICY finnan DYp__yDm Ygmar wars A ^PFAL UAEIMTY ciao/Miro 04/30/2005 04/30/2006 EAccus k s 1,D00,000 ANI—IATREHM X COMMNRCUL WOW.LWANTY Pss s s IS.Serun.e.t . 50.000 —„J CLAMSLIAOE [�OCCUR MED EXP oP.i I 5,000 PERSONAL.)ADT MAY E 1.000,000 _ GENERAL AOOREGATE I 1,000,000, GEN'L AOGRISATE WAIT APPLIES PEN: PSODuCTS•COMP/OP AGO f 2,00 0,000 1 POLICY Till J ]LOC _ A �aMOSILEuafuTY �cr00234244 04/30/2005,04/30/2001 COMIINIDANGLE LNA1T X ANYAUTo tell NNW,* , 1,000,000 ALL OWNED AUTOS SODILYINJURY .— SCHEDULED AUTOS IP.I PM.onl : HMSO AUTOS BODILY O I Y NON•OWNSD WTOS - -_ X XCB-S0 . PMOPEATY DAMAGE E X ZJRDo IOSJfzNJ' IPr...i0M11 SARAN Immure AUTO ONLY-EA ACCIDENT . H ANY AUTO OTHER THAN LA ACC / AUTOONLYI AGO E B EXawuwRau LIA61UTY rxao2sss0 04/40/2005 04/30/2008 EACH occunnwcs s 5,000,000 occuR H CLAIMSEAADE At2GREGATE , I 5,000,000 • , PSDVGTJSLE / - --RETENTION I • C woRLL[ILSI.OMFRMATIONANO JIICI,317111 01/11/2006 01/21/2007f WEVAAT I✓ DT . IIMPLOYIR$'VA$I.WY 1SQ�YI wrs ANY MOHUflORIPART,4MIfIECurnEtL.EACHACCIDENT I 100;000 OPPPICERIMEMNR EXCLUDED, ' ' '. E.L.DRSEASI •EA EEAKOVEE a 100„ODD SPDC P 0VISIONs SlEw El.DISEASE•POLICY UNIT I 500,000 A ono CI0O22f2t0 04/30/2005 00/30/2006 DID PPTIB S L1GRTS $500 PHYBZCAL DAUAGX COV. DED ALL OTRIBB/ACV $1,000 DEICNIPfIQFLOF OPWTIONS I LOCATIONS f VSW CUPS I EXCWS OND ADOBE SY ERDORKYINT I SPECIAL PROVISIONS TOR01 07iN li ` ,if IB LAMED AS ADDZTZOJFAL UMW=. CERTIFICATE HOLDER CANCELLATION SHOUlD ANY OF THE MOVE DEsciolill PouCI$II cNSOELl 0ISPORI THE EXPAATION yj,t/ OATS THNIEOP.The'LINING INSURER WIL ENDEAVOR TO MAE 30 DAYS YrIMTTEM TOW. O4 Ai . {J,• V.I('e' NDTIC/TO TNI olIffificATS HOLDER NAMRD TO THE LER,WT FAILURE TO 00 50 SHALL 3'0 klorLzDz /1V L ',J I Won NO V iT flow Os LASSourY Of ANY MO U�PJON TUBE INSURER ITS AWMZ OR U .K.e.at V/ ILLI CA L 063�� - -UTwD1IEfD RVRiA/TAIJ�t[ 4 _/J / i e. / xJ ACORD2612001/OBI �1'( A(' f//j/ 0ACORD CORPORATION 1988