HomeMy WebLinkAboutHot Water Heater 2004 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860)848-3030, Ext. 382
Plumbing Permit
Permit Number: P2004-0061 Date: 28-May-04 Map/Lot: 096/017-000 Owner ID 113549
Job Location: X33 PARK AV NI IF FYTFNCTl1N Unit
Job Description: replacement hot water heater -
Owner: Contractor:
Emily J Wilson 'Paul LaJeunesse
20 susie Ave.
133 Park Ave Ext Moosup Ct. 06354-
Uncasville CT 06382 Telephone: (860)564-3840
Lic/Reg Type/No. P1 279715 Exp Date: 31-Oct-04
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
Plumbing Value: $461.00 Plumbing Fee: $10.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee:
$0.00 Comments:
Total Value: $461.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.08
Total Fees: $10.08
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired):
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney-One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service CRS#: 0 ID Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑Gas piping and test
Building Official's Signature:
, Town of Montville
Building Department
310 Norwich-New London Tpke.
F TeL 848-3030,Ext 382 Uncasville, CT 06382
Fax. 848-7231
Residential Trades Permit Application Form
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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 /
-"', / Date 4 1.24 /
Construction Value Fee
Plumbing $ 7,�/6 I' 0e--)0e--) $
Mechanical $ $ /
Electrical $ $
Plan Review Fee $
State Education
Total $ $ - 0 r _
$ /O ,Oir
(Complete reverse side
• Town of Montville Building Department Receipt
Date ..5 / zy / oJ No. 03848
From: G FLO 'ri
Job Address: / 33 12A/2-/z- Av'-6. al "
l Check # c�37
Amount $ �o . o� Cash Check
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Received by J�+-. e/f Permit #
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STATE OF CONNECTICUT T j.
DEPARTMENT OF CONSUMER PROTECTION
I PLUMBING&PU'INGTBD CONTRACTOR
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