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Home My WebLink AboutGas Tank/Line/Log in Fireplace Field Inspection Notice Town of Montville Building Department January 17, 2007 Address: 32 Andersen Lane Job Description: 1-120 Gal. tank and gas log in fire place Permit Number(s): M2006-0183 Permit Date: 11/15/06 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Gas log 11114106 DJ . No accessible shutoff in site 11/21106VV . Pressure test 11/14106 DJ . Test required when shut off valve has been installed. 11121106VV Certificate of 11/21/06VV approval Rev. Date: 1/18/06 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: M2006-0183 Date: 16-Nov-06 Map/Lot: 131/039-000 Owner ID: 85000 Project Location: 32 ANDERSEN LANE Unit: Job Description: install gas tank and run as line for fireplace logs Owner Name: William T and Constance M Herrmann Tenant Name: N/A Careof: 32 Andersen Lane Oakdale CT 06370- Telephone: Contractor Name: Samuel Sugawara _ Telephone: (860)447-0341 DBA: E. Osterman Pro ane Lic/Reg Type: G1 Lic/Reg No: 394019 7 Enterprise Lane Exp Date: 31-Aug-07 Oakdale Ct 06370 .g1~4!4[LV~I~ 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: $450.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRCmm Total Value: $450.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.07 Total Fee Paid: $8.07 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 rtificate of Ap al rtifica Occupancy Building Official's Approval: Town of Montville Buildinct Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: M 2-0,06- 0/83 T e of Work Oc u anc Type Permit Type New Construction ingle Family ❑ Building Addition L_j Two-Family k'Electrical lumbing ❑ Alteration ❑ Townhouse echanical ❑ Accessory Structure lCR,S~#: Job Address: a A A --;►SC~ l V (Number) (Street) T` (Unit) Job Description: aP/A IT2P CA,S (dY F' Owner: j;1 j'L [I Address: j~ Cit)F° State: 67' Zip Code: '6 37 Telephone: _ 7 /A Contractor: rq(V1 i,/ _ s d /0 O 7rr-5 AN F-O QAAE: DBA: r ~-f Address: L~ y Q 6L p City: State: Zip Code: 06 Telephone: License Type: License No.: v Expiration Date: /&~-7 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 1 am authorized to make application for a permit for such work as described above. ❑ By checking this box, l will follow the require s the 2 EC as the alternative compliance per section E33012.1 of the Residential Code, instead of quirements in ch rs ro 2 of the Residential Code. Ow Agent Signatur Date: Cons ction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: 44vUed- Decem6er31, 2005 i Town of Montville Building Department File Receipt Date: 13-Nov-06 Receipt No: 1849 Received From: Osterman Propane Job ,address: 32 Andersen Ln Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $8.07 Check: $0.07 Check No: 1668 Short/Over: $0.00 Construction Value: $45 t Demolition Value: $0.00 Received By Vernon D Vese II , Address: REM QTY $/UNR TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement, Finished SF $ 20.87 $ - $ Basement, Unfinished SF $ 11.28 $ - $ - Crawl Sapce b SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - $ MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ $ Basement SF $ 11.28 $ - $ $ Crawl Space SF $ 8.46 $ - $ $ - AMENITIES Kitchen EA $ - $ $ Full Bathroom : EA $ - $ Half-Bathroom EA $ - $ GARAGE Attached SF $ 49.41 $ - $ - Detached SF $ 63.21 $ - $ Under SF $ 9.12 $ - $ Carport SF $ 18.08 $ - MECHANICAL Warm-Air Y > Y/N $ Hot Water GI > YIN $ Electric I` Y/N $ Air Conditioning f N YM $ ELECTRICAL SERVICE Upgrade Amps $ Overhead, new Amps $ Underground, new 'a Amps $ Subpanel EA $ 545.00 $ Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/l fireplace EA $ 6,451.50 $ - Masonry w/2 fireplaces FA $ 10,087.00 $ - Wood Stove, free standing S EA $ 2,447.50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS, PORCHES, SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ - Sunroom SF $ 160.82 $ - $ POOLS & HOT TUBS HolTub :i EA $ 7,287.50 $ - $ Inground Pool EA $ 19,430.40 $ - $ Above Ground Round EA $ 4,635.88 $ - $ Above Ground Oval EA $ 5,472.50 $ - $ Pool Heater EA $ 8,167.50 $ - Inflatable Type Pool EA $ 1,542.42 $ SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing, Overlay SF $ 3.38 $ - Roofing, Ship & reroof SF $ 3.76 $ RoofSheathing SF $ 1.19 $ - Siding SF $ 2.30 $ - Windom EA $ 423.50 $ Skylights EA $ 955.54 $ - Doors, Exterior EA $ 401.50 $ Oil Tank, 275 Gallon EA $ Oil Tank, 550 Gallon EA $ - . MISCELLANEOUS CALCULATIONS i;i, . ' -'450 00 TOTALS $ $ - $ 450.00 $ PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing Y $ - $ - Mechanical Y $ 450.00 $ 8.00 Electrical Y_r $ - $ - Working before Permit Issuance N J.I $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.07 TOTALS $ 450.00 $ 8.07 Figures are based on the 2006 RS Means Residential Cost Data Nov. 9. 2006 9; 56AM IVo. 222J Y. 112 Client: 25489 EOSTE ACORD. CERTIFICATE OF LIABILITY INSURANCE 10123106°"' ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF I WORMATION Conifer Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Centennial Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody , MA 01860 978 532-5445 INSURERS AFFORDING COVERAGE NAIC 9 INSURED IN$URERA- Liberty Mutual Insurance Company 23043 E. Osterman Gas Service Inc. INSURER a. Lexington Insurance Co P. O. Box 29 INSURER o. Arch Speciality Insurance Company One Memorial Square INSURER D: Whltinsvllle, MA 01588 INSURER E: COVERAGES 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEE=N REDUCED BY PAID CLAIMS, [NOR ADD-L P'O ICYMMPECTNE POLICY EXPIRATIO LIMITS LTR N LTR SR TYPE OF INSURANCE POLICY NUMBER A GENERAL LIABILITY TBI64CAM284055 11101106 11101107 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 360 000 CLAIMS MADE F-10CCUR MED EXP (Any One 0e1e0n) $3000 PERSONAL b ADV INJURY $1000 000 GENERAL AGGREGATE $2.000.000 GEN'L AGGREGATE LINT APPLIES PER: PRODUCTS. COMPIOP AGG $Z000,000 POLICY a LOO A AUTOMOBILE LIABILITY A81640435284045 11101106 11101107 COMBINED SINGLE: LIMIT X ANY AUTO (EaaccidenD $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEOUL50AUTOS (Per Demon) _ X HIRED AUTOS BODILY INJURY $ X NON-0WNEOAUTOS (Peramideno X Drive Other Car PROPERTY DAMAGE $ (Par aociden0 GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC S AUTOONLY: AGO $ B EXCESS/UMBRELLA LIABILITY 67608$8 10101106 11101/07 EACH OCCURRENCE $6.000.000 C X OCCUR CLAIMS MADE UXPODI 5093 10101/06 11/11107 AGGREGATE $5 000 000 S DEDUCTIBLE $ X RETENTION $1 000 $ A WORKERS COMPENSATION AND WC164Ca435284065 11101106 11101107 WCSTATU- OTI~ EMPLOYEPB' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $1.,000,000 OFFICER/MEMBEREXCLUDED? E.L. DISEASE-EA EMPLOYEE $1,000,000 SP CIAAL PROVISIONS bebw E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONSI VEHICLES 1 EXCLUSIONS ADDED BY 9NDOMMENT/ SPECIAL PROVISIONS 8130-848-7231 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION Town of Montville DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrTTEH 310 Norwich - Now London NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Turnpike IMPOSE NO OBU"TNON OR LIABILITY OF ANY KIND UPON THE INSURER, IT8 AOFNTS OR Llncasville, CT 06382 REPRESENTATIVES. THOA=b REPRESENTATIVE ACORD 25 (2001108) 1 at 2 #52455 BDO 0 ACORD CORPORATION 19BB Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 4-)E:v - 1& 4 L _C- Property Address ~ ;!~Wt 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 ~aarn~ 1~ ~ "-A o co Signature=] date Comments: ❑ WPCA, Administrative Comments: ❑ WPCA, Operations Sianaturei date Comments: ❑ Planning & Zoning Signature/ date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation Comments: Signature/ date EE r ❑ Fire Marshal t I Comments: Signature/ date ftwedAVust 5, 2005