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100 Gal. LP Tank and Line for Heater
Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860)848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0201 Date: 22-Oct-03 Map/Lot: 028/005-071 Owner ID 114518 Job Location: 42 PARTRIDGE HOLLOW Unit Job Description: gas heater,gas line&set tank Owner: Contractor: William P Jr and Maureen E Heuer Advanced Gas 183 East Haddam Road 42 Partridge Hollow Salem Ct. 06420- Oakdale CT 06370 Telephone: (860)859-9070 Lic/Reg Type/No. G1 386875 Exp Date: 31-Aug-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $450.00 Mechanical Fee: $10.00 Construction Type: SB Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $450.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.07 Total Fees: $10.07 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service [I Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany 0 Gas piping and test Building Official's Signature: vr. aVi yr rVrvv ana v9Vlivi DVILD111V u .rl WJVl Town of Montville Building Department Permit# 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One&Two Family LP-Gas Permit Application Form Job Location 401 t'Q*i L \IQ()(/'14 Job Description/Materials I Y\SI CLS 'f.GI.GW 1OD QCi„W i Gut I J Owner 193.I L n IV LV Mailing Address ' '1. ,j I /_ �.. / C/l•L) Ciry Q CIC a Li State C..( Zip 0[P31DTel DIfU/ L3', 9, q qU Contractor AGWayarj Gl S Mailing Address I' 3 E AccadCc4/vv_ 1 J _ City C ILvv State OT Zip 0 tD a b_Tel,RLiO /O;Tf 19010 Contractor's License/Registration Type&Number 1-k v/10 ,S(Q$ Exp.Date / / 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. Y1CV � M& ,r Owner/Agent Signature _ G-01f 1'L /t-`, Date I © /_ I Ll / o3 Construction Value Fee Building $ $ LI) Plumbing $ c)C. $ Mechanical $ $ Electrical $ $ Other $ $" Certificate of Occupancy $ Plan Review Fee $ State Education 1� $ Total $ -I c (i —