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2011 - SFR Heating and AC
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: M2011-0021 Date: 16-Feb-11 Map/Lot: 096/036-000 Owner ID: 5301000 Project Location: 47 PARK AVENUE EXTENSION Unit: Job Description: Install Heat&A/C for New SFR Owner Nam Guy F and Karen J O'Brien Tenant Name N/A Careof: 47 Park Ave Extension Uncasville CT 06382- Telephone: Contractor Nam AA Affordable Air LLC Telephone: (860)564-5909 DBA: Lic/Reg Type Dl Lic/Reg No 393495 441 Main Street Exp Date: 31-Aug-11 Baltic CT 06330- Construction 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 Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: 30.00 Comment Plan Review Fe $0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing © R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certificate of Ap• •val ■ �cat<<-, Occupancy Buildin• Official's �•.royal: �� � / Town of Montville Building 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.: '(\ceI) - 00-I Type of Work Occupancy Type Permit Type ❑ New Construction 0 Single Family 0 Building 0 Addition ❑Two-Family 0 Plumbing 0 Alteration ❑Townhouse f21 Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: ( j P f k U Q EY`C2- (4„, (Nu ber) (Street) /� (Unit) Job Description: —1-ks- ,--6 �t Owner: :� � -�( �'�-h Q� Address: L 1 Pcick cL J Q C Y 2i..SiH City: L)AC ctSvj 1C2 State:LY Zip Code: Telephone( ) Applicant: 4 4, A c-i-of,),,L A I--1 DBA: t ' �} Address: `c 1L( 1AAC. tr Cr �1 City: I l�L State: (. Zip Code: c' 3 Telephone(SSS )�� - S to Contractors - Complete the Following: (_ License Type: )4 License No.:3 ?j`f%c Expiration Date: 0 - 31 {/ 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. ❑ By checking this box, I will follow - :.uirements of th- 2005 \ as the altemativ compliance per section E3301.2.1 of the Residential Code, instead of the electrical require • is i- chapt- 33 thro .h 42 of th- -esidential e. Owner/Agent Signature: -,\ Date: Construction 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 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised-August 23,2007 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&COOLING LIMITED CONTRACTOR FRANCIS M DAVIS JR 441 HANOVER MAIN ST BALTIC,CT 06330 . LIC./REG NO. EFFECTIVE EXPIRES HTG.0393495-D1 09/01/2010 08/31/2011 SIGNED gante;11.. �_ Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. X4'1 Pcr k Ave L,J . Property Address ns� ec - Ket,:_) S F t2 Job Description Required Department Permit Issuance Approval Approval Tax Collector wtw� ��is t I Signature/date Comments: �. J • Planning & Zoning S�l Signature/date /// /z� _ >.0 ,► Comments: YIN Fire Mars I A id t \/ t �`� �� L✓ Signature/date Comments: w Health Department Required for a!!permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: JWPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised Mmch 19,2010