HomeMy WebLinkAboutFurnace Replacement 2004 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Mechanical Permit
Permit Number: M2004-0158 Date: 23-Jun-04 Map/Lot: 084/117-000 Owner ID 115005
Job Location: 20 PEA Hvei F 11RTVF Unit
Job Description: furnace replacement
Owner: Contractor:
Kenneth C Atkins Russell Rice Cont. LLC
P. 0. Box 198
114 Cook Hill Rd Montville Ct. 06353-
Voluntown CT 06384 Telephone: (860)848-4448
Lic/Reg Type/No. S1 302808 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: $2,800.00 Mechanical Fee: $16.00 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: $2,800.00 CO Fee:
$0.00
Plan Review Fee: $0.00
State Ed Fee: $0.45
Total Fees: $16.45
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required):
❑ Footing -Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab -Prior to pouring concrete ❑ Chimney-One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service CRS#: 0 0 Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncas Y ille, CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit# //10700 4/—O /S$r
❑Prum6ing EElectrical j3lechanical
CR # eating
Air Conditioning
Gas Wiping
❑Single Eami(y 0 Two-Family 0 Townhouse
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(Number) (Street)
(Unit)
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Contractor's License Type&Number ,S—/ Q 2 �t7 _Exp.Date �' / 37 /
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 Signaturej�j/ "/G, �%%� Date_/ 7 /_o__
Construction Value Fee
Plumbing $ $
Mechanical $ gr0
Electrical $ $
Plan Review Fee $
State Education $ /�
Total $ � E---el0 $ i r2"
(Complete reverse side)
. * Town of Montville Building Department Receipt
Date (� / -1 / r) '7 • No. 03892
From: . 19/1
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Job Address: ( .2 ..2' /
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Amount $ /6. ,5 Cash CheckCheck # ___/
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Received by ` <, __ Permit # ,(49C/' 0 /5
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING&COOLING UNLIMITED CONTRACTOR
RUSSELL W RICE
PO BOX 162
MONTVILLE,CT 06353
TYPE: SI
LIC./REG NO. EFFECTIVE EXPIRES
302808 09/01/2003 0:131/2004
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