HomeMy WebLinkAboutGas Stove 2000 Town of Montville
Building DQpartment
Phone: 848-7166 - 310 Norwich New London Tpke Fax: 848-7231
Building / Trades Permit
Permit Number PL2000-15 Permit Date 2/16/00 Permit Type Plumbing Permit Code R5
Job Street# 120 Job Location Polly's Lane Map/Block-Lot 102/041-000
Job Description replacement gas stove
Owner Shelley Dennis Mailing Address 120 Polly's Lane
City Uncasville State Ct. Zip 06382 Telephone 848-2707
Contractor Currie's P& H *Mailing Address P.O.Box 63
*City Oakdale *State Ct. *Zip 06370 *Telephone 859-3533
Lic/Reg Number 204570 Lic/Reg Type P-1 Expiration Date
Use Group R4 Size Type Construction 5B
Building Value $0.00 Building Fee $0.00
Plumbing Value $500.00 Plumbing Fee $10.00
Heating Value $0.00 Heating Fee $0.00
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 $500.00 State Ed Fee $0.08
pd.ck. CIO Fee $0.00
Plan Review Fee $0.00
T. .1 Fees $10.08
Building Official's Signature -erg 2( r _ f Date / 6/ Od
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 ❑ Firestopping/Draftstopping
❑ Rough Plumbing-Leak test required ❑ Insulation
❑ Pool Bonding and Electric
❑ Final Inspection for Certificate of Occupancy -PRIOR to Use or Occupancy
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310 Norwich-New London Tpke. , UncasvillemeCt . 06382 Tel .
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APPLICATION FOR BUILDING PERMIT OR TRADES PERMIT, Please fill out completely
Owner : S h o I t+t y 042-A A S ,T, Mailing Address : /4.0 0l ;/t 04 Ai
City: _ (414C- .te/ii -Q State: roil,/ Zip Code6•- Tel : -L0-Pi�-t)7.
Job Location: /d-j.) ,0 4.5 LA! Map/Block/Lot : 7 d 27 0 of/—dc
Contractor : Cccrrvv2s ( IdI4-4.0 ,t,.i . Mailing Address : if? G./ _(p3
City : atr //dei 4_ State: (len Zip Code: 06.97a Tel : S-tio-1 S`!- 3 3
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Stick Built : / Modular Home: Manufactured Home: Commercial :
Addition: Garage : Car Port : Shed: Remodeling : Rooting :
Siding : Fireplace:p Chimney: Windows : Pool : Demolition:
Plumbing: heating : Electrical : Air Conditioning: Gas :
Patio: Porch: Deck : Retaining Wall : New: Repair/Replacement : L.--.
Job Description/Materials used: Es 1c. c o (�,` L
$ize: Type of Heat :
Fireplace :
No. of Stories : No. Rooms: Breezeway :
No. Baths : Garage: _ Use:
I hereby certify that the proposed work wi l l 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 13), 74 — Date I/ 4/0-0
If signed by Contractor , type of license/registration 20.2.O y TO
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Building Department Use Only
Construction Value Fee
Building
Plumbing 5-00
Heating
Electrical
Air Cond.
Other —
Certificate of Occupancy
Plan Review 'WI((/
Total MD
Cash/Check 11,