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HomeMy WebLinkAboutAir Conditioning 2003 S Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860)848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0055 Date: 08-May-03 Map/Lot: 102/035-000 Owner ID 120036 Job Location: Unit Job Description: Air Conditioning Owner: Contractor: Brenda K and Scott A Schneeberg Broad Brook Heating&Cooling 405 Old Jewett City Road 96 Pollys Lane Preston Ct. 06365- Uncasville CT 06382 Telephone: (860)887-0147 Lic/Reg Type/No. Si 388799 Exp Date: 31-Aug-03 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: $4,700.00 Mechanical Fee: $28.00 Construction Type: 56 Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $4,700.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.75 Total Fees: $28.75 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reouired); ❑ Footing-Prior to pouring concrete ❑d 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 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: �S/ Tow:hof Montville „► Building Deportment Permit#/7o?00 3 05,5- 310 5310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form Plumbing OEfectricaf gi91'feckanica! 5-feating 0< Air Conditioning Gas piping Other Job Location 9 ( Prkk,, A L Job Description/Materials S/1 S}-k ( 1 A C_ -Q Y Ci J,>� Cr H ere ., Owner Src. S'C-L n c c tri Mailing Address qta PO \ y S 60,-7 ' City af') C SGS /I( State C7 7— Zip 1363 Ed Tel S31,11/ ("fit/ $ r-? p Contractor &roo J kc,k ea-h.ng eod if"^4 Mailing Address 4105 04-6s Q ��+ e 2J City YS e v— State Zip 2,C9 3 6 S Tel g'6v/FP? / O /Y 7 Contractor's License/Registration Type&Number S A 3fr 79T Exp. Date ? 3i/ v 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 permi . such work as described above. Owner/Agent Signa : • r= Date V / t /0 3 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ Y 7ov_ cC $ f54- Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ • 7 Total $ G/ 7& $ 025-. 75 Town of kliontville Building De artm-n . p t Receipt Date _____ ____/___ ___L I I I 0 ;3 No. 02648 From: .,.� ;�, i Job Address: °• '...% r Amount $ ---0W-7-5— Cash lap Check # (Circle one Received by . � Or Permit # Jf. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HEA TING,PIPING&COOLING UNLIMITED CONTRACTOR DENNIS D GIRARDIN 405 OLD JEWETT CITY RD PRESTON,CT 06365 TYPE: S1 LIC./REG NO. EFFECTIVE 388799 EXPIRES 09/01/2002 08/31/2003 1A,AN5 SIGNED