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Home My WebLink AboutLP Tank & Lines Field Inspection Notice Town of Montville Building Department October 12, 2007 Address: 9 Azalea Lane Job Description: Set 1420 Run Line to Furnace, Test New Line Permit Number(s): M2007-0151 Permit Date: October 4, 2007 Not A roved Approval INSPECTION Date: Deficiencies Special Date Conditions Pressure test 10/12/07 DJ • e • • Final inspection for 10113/07 DJ certificate occupancy Notice: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and returned to the Building Department. Signoff sheet are available in the Building Department. Rev. Daft: 1/18/06 Page 1 aF 7 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE _ U_NCASVILLE, CT 06382_-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2007-0151 Date: 04-Oct-07 Map/Lot: 030/076-000 Owner ID: 107000 Project Location: 9 AZALEA LANE Unit: Job Description: Set 1120 LP Tank Owner Name: Barry M. & Nadean E. Rudolph Tenant Name: N/A Careof: 9 Azalea Lane Uncasville CT 06382- Telephone: Contractor Name: Hendel's Telephone: (860)443-5337 DBA: Lic/Reg Type: G1 _ Lic/Reg No: _ _ 308397 35 Great Neck Road Exp Date: _ 31-Aug-08 Waterford CT 06385- ______Construcb n Valup.__,.,_,_... .,.,-,w.. 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: $550.00 Mechanical Fee: Electrical Value: _ $0.00 Electrical Fee: RO $0.00 Construction Type: IRC Total Value: $550.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: _ $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.09 Total Fee Paid: $8.09 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 R HVAC Framing Masonry Fireplace Throat or Chimney Thimble Gas Piping and leak test Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION Insulation Certificate of Approval r icate of Occupancy Building Official's Approval: . Towrt of Montville, Buildlng Department .310 Norwich-New London Tpke. Tel. 860-848=3030, Ext 382 Uncasville, CT 06382. Fax. 860=848-7231. PERMIT APPLICATION FORM Permit No.: (Y1dprS7- DISI Type of Work Occupancy Classification Construction Type ..Per . mit Type ❑ New Construction ❑ A-1 ❑ B • . ❑ H-1 ❑ 1-1 ❑:R-1 ❑ S-1' ❑ Type IA ❑ 1B. 0 Building: , ❑ Addition ❑ A-2 ❑ B, Medical ❑.H-2 ❑ 1-2 ❑ R-2 ' ❑ S-2 ❑ Type IB ❑ Type IV ❑ Plumbing ❑ Alteration ❑ A-3 ❑ E ❑ H-3 ❑ 1-3 ❑ R-3 ❑ U ❑ Type IIA ❑ Type VA , ❑ Mechanical ❑Change of Use ❑ A-4 ❑ F-1 ❑ H-4 14 ❑ R-4 ❑ Mixed ❑ Type JIB ❑ Type VB ❑ Electrical ❑ A-5 ❑ 17-2 ~~11 ❑ M ❑ -Type IIIA CRS#: Job Address: !T ~L- el4 (Number-) n(Street) (Unit) Job Description: s~ ~ f :Y'.ui~e_GT~5) 1t~~I Owner: 6'9 Tenant: Address: Address: City/State/Zip: LI /0 C(it. City/State/Zip: Telephone: l ~eLL = GIZIC)J . Telephone: Contractor:` `7. DBA: Address: ,5- Gl { City: State, . CiC A) r,.). Zip Code: S Telephone: tA3- License Type: Cg License No.: 86Y1 f Expiration Dater 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. Owner /Agent Signature: Date: a Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: _C5~C3 Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee State Ed Fee: Total Fee: (wised Decem6er31, 2005 Town of Montville Building Department File Receipt Date: 03-Oct-07 Receipt No: 2846 Received From: Hendels Job Address: 9 Azalea Fees Collected State Educational Training Fee Cash: $8.09 Cash: $0.09 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $550.00 Demolition Value: $0.00 Received By Carmen Roberts D Address: 9 Azalea Lane TOTAL ITEM QTY $/UNIT Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement, Finished SF $ 20.87 $ - $ - Basement, Unfinished SF $ 11.28 $ - $ - Crawl Sapce 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 t'...'s. Y/N $ - $ Hot Water '.'t`I YIN Electric 'N Y/N $ - Air Conditioning ''..'.t'!' Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Overhead, new ? Amps $ - Underground, new Amps $ - Subpanel EA $ 545.00 - $ - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/ifireplace EA $ 6,451.50 $ - Masonry w/2 fireplaces EA $ 10,087.00 $ - Wood Stove, free standing 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 Hot Tub EA $ 7,287.50 $ - $ - Inground Pool EA $ 19,430.40 $ - $ - Above Ground Round EA $ 4,635.88 $ - $ - Above Ground Oval PA $ 5,472.50 $ - $ - Pool Heater FA $ 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, Strip & reroof SF $ 3.76 $ - Roof Sheathing SF $ 1.19 $ - Siding SF $ 2.30 $ - Windows EA $ 423.50 $ - Skylights EA $ 955.54 $ - Doors, Exterior EA $ 401.50 $ - Oil Tank, 275 Gallon EA $ - Oil Tank, 550 Gallon EA $ - MISCELLANEOUS CALCULATIONS t$5$0100 TOTALS $ - $ - $ 350.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing Y $ - $ - Mechanical Y $ 550.00 $ 8.00 Electrical Y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.09 TOTALS $ 550.00 $ 8.09 Figures are based on the 2006 RS Means Residential Cost Data HEATING, PIPING & COOI,IN~ WinLIh~I~"EDCO IE NXRACTOR ROBERT IX, I _r. 168 WEST;. MAIN ST° NIA.NTI C CT 06357 4 LIC. / REG NQ 4TG.0308397-G1 E FE rlvE t EXPIRES 09/01/20OT 08/31/2008, 05/03/2007 2:24:26 PM FAXCOM PAGE 2 OF 3 r Client#:11763 HEND CORD,~ CERTIFICATE OF LIABILITY INSURANCE ~DATOE3(IMMI DD" A 107 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webster Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 530 Preston Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1040 Meriden, CT 06450 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Stonington Insurance Company Hendel's, Inc. INSURERB: National Union Fire of Pittsburgh, P P.O. Box 201 INSURER C; Commerce and Industry Insurance Comp 35 WGreat aterfordNeck Road INSURER D: American Home Assurance Co. W, CT 06385 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 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM S. POLICY EFFECTIVE POLICY EXPIRATION LIMITS NSRE TYPE OF INSURANCE POLICY NUMBER pp DATE IMMIDONY1 L A GENERAL LIABILITY SPJ000000407 04111/07 04/11/08 EACH OCCURRENCE S1,000,000 DAMAGE TO RENTED SZOO OOO X COMMERCIAL GENERAL LIABILITY nm) CLAIMS MADE OCCUR MED EXF (Any one peisan) S5,000 PERSONAL 8 AUV INJURY 51 0D0 000 GENERAL AGGREGATE 52 DOO 0,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCrs-coMPft]P AGG 52,000,000 POLICY %R I- D AUTOMOBILE LIABILITY CA5488241 04111/07 04111108 COMBINED SINGLE LIMIT 51,000,000 (Ea acdde,t) X ANY AUTO ALL OWNED AUTOS BODILY INJURY S (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY S (Per accdent) X NON-OWNED AUTOS X Drive Other Car PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S EA ACC S ANY AUTO OTHER THAN AUTO ONLY. AGG 5 B EXCESSIUMBRELLA LIABILITY BE3836361 04111107 04/11/08 EACH OCCURRENCE 59,000,000 X OCCUR ❑ CLAIMS MADE AGGREGATE S9,000,000 hX EDUCTIBLE S RETENTION S10,000 S C WORKERS COMPENSATION AND WC7206709 04111107 04111108 X we sTATU oTH- oRY EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 51,000,000 ANY PRCPRIETOFUPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S1,000,000 If yes, descote antler SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 0,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Supplemental Name M. Hendel, S. Hendel, L. Greenberg As Trustees, The Hendel Petroleum Co. Job: Best way rood Store CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TIC ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION Town of Preston DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 389 Route 2 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Preston, CT 06365 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN SURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M87595 NPJ o ACORD CORPORATION 1988 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 T Property Address Gtr L~ Pitf-/14 C le- 1"- Li A".1 .P__ Job Description The appl;i..cant 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 /_3 6 y . Comments: ❑ WPCA, Administrative Comments: ❑ WPCA, Operations ~t rjt Comments` ❑.Planning & Zoning Comments: ❑ Health Department Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation Comments: V .1 Fire Marsha 2k) (OL 'I \Lt . Comments:. Psg ed,4ugust S, 2005