HomeMy WebLinkAbout500 gal underground propane tank, anode system, gas main & regulators
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Tpke.
Uncasville, Ct. 06382
Tel. 860-848-7166 Fax 860-848-7231
Owner: Dennis Kass Mailing Address: 55D Laurel Point Road
City: Oakdale State: Ct. Zip Code: 06370 Tel:
Job Location: 55D Laurel Point Drive Map/Block/Lot: 105/022-000
Contractor: Bemers Mailing Address: 210 Commerce Street
City: Glastonbury State: Ct. Zip Code: 06033 Tel: 659-3515
Stick Built: Modular: Manufactured Home: Commercial/Industrial:
Addition: Garage: Car Port: Shed: Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas: x
Patio: Porch: Deck: Retaining Wall: New: x Repair/Replacement:
Job Description/Materials Used: 1 - 500 gallon underground propane tank, anode
system, gas main and regulators
Size: Type of Heat: Fireplace:
No. of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use: residential
Permit M99-19 CONSTRUCTION VALUES FEES
Date: 9/23/99 Building: Fee:
Code: 06 Plumbing: Fee:
Heating: Fee:
Electric: Fee:
Mechanical: 800.00 Fee: 10.00
C.O.: Fee:
Plan Review: Fee:
State Education: Fee:
Total: 800.00 Fee: 10.00 paid by check
cash/check: pai on 11/30/98 no permit issued
Building qWal s ignature Date
Required Inspections:
footings prior to pouring concrete footing drains
damp proofing prior to backfill framing
electrical service rough electrical
rough plumbing-leak tests required heating system
fireplace-throat inspection and final chimney-above thimble and final
gas line test pool bonding
Final Inspection for Certificate of Occupancy
JJ'BEf4ERS'1
I III
Distributors of Propane, Petroleum Products, & Industrial Gases
Date:
Gentlemen:
This is to advise that David DeTuccio is authorized to sign
the building permit for Bemer Petroleum. The license
holder is Bruce J. Bemer. The License number is 307280.
The job is at:
S-- D LEI u)2c:~ L A'/U7 ,1D
M0 r7"r/l I lt- i r~ C~6 3 S 3
VYce uly yours,
B . Be mer
President
BJB/eic
BEMER PETROLEUM CORPORATION
210 Commerce Street, Glastonbury, CT 06033 • Tel (860) .659-3515 • Fax (860) 659-4326
- .
DATE (MM/DDfYY)
ACORD
-
PPODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Smith Brothers Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1209 John Fitch Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
South Windsor CT 06074 COMPANIES AFFORDING COVERAGE
Dave Soule COMPANY
A
rhone Nn 8G0-5"P-?l,1'7 ra "Nn. 860-528-7568 Hartford Insurance Group
INiUREO COMPANY
B
COMPANY
Demer Gas k Welding Supply C _
210 Commerce Street COMPANY
Glastonbury CT 06033 D
- - - -
TI11; IS 10 CERTIFY THAT THE rOLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, N0T1t11TII.STANDIN(7 ANY PEOUIPEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATF MAY ny I SUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
F.YCLUSIONS ANrl C-!DITIONS Or SUCH P LILIES LIMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO T)'PE or INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
I
GENERAL LIABILITY I GENERAL AGGREGATE S
COF.IFAFPG'AL FFNFPAL I.IAI!ILITY I PRODUCTS - COMP/OP AGG S
CI AIL! F!AOF I OCCUR PERSONAL & ADV INJURY S
Ot"'NEB's . (nrITRACTnR'S PROT I EACH OCCURRENCE S ,
I -
! FIRE DAMAGE (Anyone fire) S
I
MED EXP (Any one person) S
ANTOMOnILF LIABILITY
COMBINED SINGLE LIMIT S
ANY AI ITO
ALLOt^.NED, AIITn
! BODILY INJURY S
I $l;HEDI11-D:D MITL' (Per person)
I
HIRLD AUTOS
_I BODILY INJURY S
NON.0'.7NCD AUTOS (Per accident)
I
I I
! - ! I PROPERTY DAMAGE f
GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT S
ANV A7I rl OTHER THAN AUTO ONLY.
EACH ACCIDENT I _S
AGGREGATE. I S
EXCESS JjAnILITY EACH OCCURRENCE S
IR,1nRfil.l_AF17R!! AC_;GREGATE S
nTl it I` II IA0.'1 rl-I.l A rORt.!
I WC STATU- OTERFI-~
tVORKFRS COMrEHSATIOH AND UR11T$
TORY
E'V!PLOY[ RS' LIABILITY
EL EACH ACCIDENT s 100 , 000
.
'THE PROrHIETOR!
J1 viCL 02WDCIE1101 10/01/98 10101199 EL DISEASE - POLICY LIMIT I $500,000.
PAP,TNE!T S'r xl:C.t I T 11'V
r)rrnrFR ARC FYCI. EL DISEASE - EA EMPLOYEE -100,000.
OTHER
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DE ~CRIrT10N Or O^E RAT 10•NS/LOCATIONSIVEHIC LES/SPECIAL ITEMS
r,1rr,Ti1"1i~J~~~:F{OL-6T_'lz-==_~
CARGILL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Cargill Energy, div of
BUT FAILURE TO MAIN SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
CarcTi l l , Inc.
72 Cherry Hill Drive OF ANY KIND UPON THE COMPANY, ITS AG S OR REPRESENTATIVES.
Dever.ly, 74A 01915 RUTH -I. FD REF SENTATI E
SEP.22.1999 3:43PM BEMERS NO.944 P.2/2
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TOWN OF MONTVILLE
Building Department
Telephone 860-848-7166 Fax 860-848-7231
APPLICATION FOR BUILDING PERMIT OR TRADES PERMIT
FILL IN THIS SECTION COMPLETELY.
Owner: ~(J~Nv~S f f 14SS Mailing Address: City: 11220IU rV) L~ State: Zip Code t?6=_ Tel:
~(~10• ~i- 3~
Job Location: ~ S n LAORI Z Map/Block/Lot:
Contractor: Fyreyt~ Mailing Address: 2 J40 r,.>Mi f6YLQG `7h_&-- 7-
City: r caq State: (7- Zip CodeLrX;a33 Tel:
Stick Built: Modular Home: Manufactured Home: Commercial:
Addition: Garage: Car Port: Shed: Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas:
Patio: Porch: Deck: Retaining Wall: New: Repair/Replacement:
Job Discription/Materials used: I -SOV 6)Q4J_,0Aj (1~VOC~Y1 /Z,~,~LD ~?,~pA,tJ L~
Size: Type of Heat: Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use:
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. Q J
Owner/Agent Signature: Date:
If signed by Contractor, type of license/registration & No: (--;,-3
Building Department Use Only
0 FEE
Permit # Estimated Cost Qy Building
Plan Review
C.O.
t~ Total
y Cash/Check
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