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HomeMy WebLinkAbout40x100 Metal Building Gas Lines Nit" Town of Montville • Building Department Date I Z / /0 /a\ Field Inspection Notice Permit # Job Location 265-C7 f2-�4'/`1W-/Q 1--1/(.l 12-9 p<Approved Type of Inspection J- P/p/N 6< 4 1 9is 1 Not Approved - Please call for re-inspection when the following corrections have been completed: 2a Pc/ G -- 0 (LGraev/ n /U Psi - /hi o% a_ z►-'. gu2�Al� - 9 Ta Ve0-i F-r i--r+1 1=1 /10r S Building Official Town of Montville Buildingiepartment Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building /Trades Permit Permit Number M2001-219 Permit Date 1/2/02 Permit Type Mechanical Permit Code C5 Job Street# 265-26 Job Location RAYMOND HILL ROAD Map/Lot 087/024-000 Job Description Gas Piping Owner Contractor Bob Chabot Hendel's Inc. Address 15 Occum Lane Address 35 Great Neck Road City Uncasville State Ct. City Waterford State Ct. Zip 06382 Telephone Zip 06385 Telephone 443-5337 Lic/Reg Number 308397 Lic/Reg Type G1 Exp Date: 8/31/02 Use Group B Code 1996 BOCA Type Construction 5B Building Value $0.00 Building Fee $0.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $100.00 Mechanical Fee $10.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $100.00 C/O Fee $0.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.02 Total Fees $10.02 II Building Official's Signatur= Date It is the owners respon:i./,oto schedule the following required inspections(minimum 48 hours notice requested): ❑Footings-prior to • • g concrete • Backfill -footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing H Chimney-one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service ❑ Insulation [Rough Plumbing and leak test ❑ Pool bonding El Gas piping-pressure test and installation ❑ Final Inspection • Rough HVAC ❑ Certificate of Occupancy-PRIOR to use or occupanc 1111111116. Town of Montville Permit # 4024201.. 0 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit 0 New Construction ❑Accessory Structure El(Pfum6ing []Mec(anicaf 0 Addition ❑Demolition 04iectricat xea g 0 ACteration OOther _Air conditioning 62.6 : X67 asTil4. ling Job Location U el) C.,CL S U/GL L karhi 0 lv 0 1-1/Z Job Description/Materials /G^N S -e-0,72. /,---(A., pi) ,L 4 /d✓P Owner] 'V Olksr 7 L �/I/c ffv e-cekMailing Address City () A"CG-5 v/ 4/ State Cir Zip Tel / / Contractor A`eAlb Mailing Address 35"6 4 1 _ `lie c7C /` City t h pot-0 state c)T- Zip 6.43Fr— Tel V-73/ S' /337 Contractor's License/Registration Type&Number C 1 3.0 ?3q 7 Exp. Date g— / .3 J1 C Z New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?0 Yes 0 No 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(28-1W- `./kilti. Date?Z / /e-- / Q l Construction Value Fee IBuilding $ l/(J° `V Plumbing $ $/ r0 Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ � D t Town oontville Building Departnt Receipt I Date /a /_,ig' le, No. 0 13 7 2 9 IV I From: _ E � E; , 1 lie Job Address: �_ ...., 10. i —ii. �`I i , i. _4, 4 r' C remount $ f ` Cash heck Check # i (Circlecic o ; I Received by 40,..,, ,/; i,....„...,' ..-- Permit #/4,?0©/"ra,/ ' 01, 23.01 15: 12 FAS 360 1 119 — LES IAF. I%F.EISTER [NS _ �.---]002 OOJ _ — �iFNt)1NC _______-- DATE u 0 -_. I ,MIU wn ClLent. ll"__"3_— INSURANCE � _� 04�23�0� LIABILITY _ CERTIFICATE OF ATION _ NO RIGHTS UPON THE CERTIFICATE _�� �� THIS CERTIFICATE IS ISSUED AS A MATTER OF 4/2 3 0 —"�� ONLY AND CONFERS NOTT AMENO, EXTEND OR Levine ��E—R Insurance UOLDTHIS CERTIFICATE DOES Levine / Webster Iris ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 914 Hartford Turnpike INSURERS AFFORDING COVERAGE Waterford, CT 06385 — ---- ---- 850 447-1735 _ — - -- INSURERA:Old Republic Insurance —_--____ INSURED NsDRER a:Comme rce ----- P.O. _--— -- — Hendel' s Inc . •INSDRERa ------ -- F?-O. Box 201 NSURERD: — _ -_—_----- ----__35 Great Neck Road ,INSURER E. Waterford, COVERAGES V IOD INDICATED. NOTT/VITF(STANONG ANE G S E T. TER CE LISAEWITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR p BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ANY REW.ENE TERM AF(OROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF MAY PERTAIN, THE W� — P0UCIES. AGGREGATE UMTS`SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS EEFECTNE>�Ucr E o, uMlYs — POLICY NUMBER o., 4..,/o.W D , L.• Is1 000,000 r INSR TYPE LIABIU INSURANCE I ;04/11/01 .04/11/02 1 EACH O=CURRENCE—ill_,_ A �GE^1NERAL LIABILITY I HML 2 5 8 9 6 FRE DAMAGE(�Y«'s Ire 53 O O_�O O I COMMER GENERALLIABILITY 1, I �I MEG EV(Any one person) 16,000 - -1 �OCCURi rtPERSONAL&Au,'INJURY 51,000,000 1_.r J:L AIMS MAOEL I L— —� I _ `GENERALAGGREGATE $2_,L2100, 000 `� !PRODUCTS•COMI 9 ADGI 11 L000 I0 O GENT_ADORE LIMIT APPLIES PER:i - LOC I —��r-� POLICY, I PRO- I COMBINED SINGLE LIMIT !s �tITOMOBILE LIABILITY I(Ea acclaenq l �—— r j ANY AUTO BODILY, INJURY 1 f , 4(Per L ) _ `ALL OWNED AUTOS +— SCHEDULEOAUTOS I BODILY INJURY I S Y^ (per ecotoent) _ !HIRED AUTOS I •--— --- -- — 'NON-OWNED AUTOS I PROPERTY DAMAGE ;S I----; �(PeraccldcnI) ' — ___ _-----t ---- —lAuTO ONLY-EA ACCIOENTIii — i GARAGE LIABILITYOTHER THAN EA ACC !S 'S I pNY AUTO __�_�1 SACH OCOURR2NCE AUTO ONLY' AGO S _ EXCESS11A01UTY l ' AGGREGATE �f — -- I OCCUR 1 CLAIMS MADE , S IS I I DEDUCTIBLE I ! -f , RETENTION SS �O4/11�01 �04�11/O2 X TnpT11AARSl OYH — $ WORITBRSCOMPENSATION AND WC7206/09 EL EACH ACCIDENT S500, 000 . EMPLOYERLIABILITY I f0 O 0 I i E.L.pISEASE-EAEMPLOYE5 500/ i i E.L.OISEASE-POLICY um' 5500 000 I i OTHER i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED E iIPIIONOFOPERATIONS/LOCATIONS/VEHICLES/EKCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of insurance CERTIFICATE HOLDER 1 AoOrtIONALINa/REO INSURER Lk-TIER CANCELLATION 6fgULD ANYOP THE ABOVE pE6cfiBED POUCES BE GIHCELLEO BEFORE THE E]Q'FiATON D ATE THEREOF.THE ISSUING INSURER W ILL ENDEAVOR TO MAIL.LO—DAYS VhifTTEN NOTICE TO THE C RTFICATE HOLDERNAS DTOTIELEFT.BUT FAILURE To00SOW-IML IMPOSE NOOOUGATION OR LIABILITY OF ANY KING UPON THE INSURER.R'SAGENTS OR REPRESENTATIVES. JCH O AQORO pDRPORATION 1988 ACORD 25-3(II97)1 of 2 #M8184