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Gas Log Installation 2000
Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number H2000-172 Permit Date 11/20/00 Permit Type Heating Permit Code R5 Job Street# 26 Job Location Partridge Hollow Map/Block-Lot 028/005-075 Job Description install gas logs Owner Rae-Anne Posner Mailing Address 26 Partridge Hollow City Oakdale State Ct. Zip 06370 Telephone 444-0661 Contractor E. Ostermann Gas *Mailing Address 410 Bank Street *City New London *State Ct. *Zip 06320 *Telephone 447-0341 Lic/Reg Number 388985 Lic/Reg Type G1 Expiration Date 8/31/01 Use Group R4 Size Type Construction 5B Building Value $0.00 Building Fee $0.00 Plumbing Value $0.00 Plumbing Fee $0.00 Heating Value $120.00 Heating Fee $10.00 Electrical Value $0.00 Electrical Fee $0.00 A/C Value $0.00 A/C Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $120.00 State Ed Fee $0.02 C/O Fee $0.00 paid check Plan Review Fee $0.00 To I Fees $10.02 Building Official's Signature r��r> Date /l7% Required Inspection ❑ Footings -Prior to pouring concrete Rough Heating and Air Conditioning ❑ Footing Drains/Waterproofing-Prior to backfill ❑ Chimney -One flue above thimble ❑ Framing ❑ Fireplace-Throat ❑ Rough Electrical ❑ Fireplace-Final • Electrical Service 0 Firestopping/ Draftstopping © Rough Plumbing - Leak test required 0 Insulation ❑ Pool Bonding and Electric ® Final Inspection for Certificate of Occupancy-PRIOR to Use or Occupancy Town of Montville Permit # 6/0?6190 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231 Application for Building or Trades Permit Job Location c . b 1.10 I Id uJ Map/Block-Lot (702:e / 00S-1 b 7 Job Description/Materials revs- -A-[f rj S Lo j S Owner tE - ANiqE PON/E/ Mailing Address City ThQ,i,4 j j L' State 11 • Zip Tel.0O - 4/(/t/ C'&4' f Contractor - 0SPMfel Arc.( to 11-S Mailing Address LIJO Si City J 1 L 0/,[•4 o State C4 - Zip 6C,3,20 Tel.,)160- 41417- 0.1q/ Type of Permit ❑New Single Family ❑New Two Family ❑ Addition ❑ Commercial ❑ Industrial ❑ Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing ❑ Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical []-e El Retaining Wall ❑ Deck ❑ Pool ❑ Patio ❑ Porch ❑ Demolition ❑ Siding ❑ Windows ❑ Fireplace ❑ Chimney Size Type of Heat 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 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. New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed work? ❑ Yes ❑ No Owner/Agent Signature ar.dzia,u-9,(5_46, 4-yL.Ct 7 Date // / / 7 / D C) Contractors License/Registration Type &Number 11)2q21,5"- -/ Exp. Date O8 3/ / c200/ Construction Value Fee Building $ $ Plumbing $ $ Heating $ /a0 - 0 c) $ l'U Electrical $ $ Air Conditioning $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education Fee $ Co2 Total S AZO 00 S / °=r Town of Montville Building ding Department Receipt Date // /_/7 / od No. 00294 M From: CS?(ie to ri A) gra pN.e Job Address: ,16 p„,,,ti a (,.,C ge e""cam i 111V Amount $ //7 �0 . 4 Cash Check # / (circle one) Received byci/_.u../ / Permit II DUO /2,Z.