HomeMy WebLinkAboutBoiler 2004 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Mechanical Permit
Permit Number: M2004-0117 Date: 28-May-04 Map/Lot: 004/004-0OD Owner ID 121519
Job Location: 110 PRUETT PLacF Unit
Job Description: boiler replacement .
Owner: Contractor:
Canseco Jesus and Karen Diez 'Ken Hendrix
943 Ocean Avenue
110 Pruett PI New London Ct. 06320-
Oakdale CT 06370 Telephone: (860)908-1056
Lic/Reg Type/No. S1 390124 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: $2,900.00 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: $2,900.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.46
Total Fees: $16.46
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
E 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: A,111:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel.848-3030,Ext 382 Uncasville, CT 06382
Fax.848-7231
Residential Trades Permit Application Form
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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 Signature - ��/ 0 c/
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Date T
Construction Value Fee
Plumbing
Mechanical $ a..
$ ?CO.- _ $ /b
Electrical $ $
Plan Review Fee $
State Education $ �
Total $
(Complete reverse side)
Town of Montville Building Department Receipt
Date _ /&T6.--- /-GL-/ No. U 3 L <,
From: or „/
Job Address: ,e,e7O ., ,o1X-Ett..0....$4----
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Amount $ _ Cash Check Check #/ , 55
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Received by\b„,c6,- ,; ,,, /�,,%`j`// Permit 1/74:2404.:_i- 1/7
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING&COOLING UNLIMITED CONTRACTOR
KENNETH R HENDRIX
943 OCEAN AVENUE
NEW LONDON,CT 06320
TYPE: S1
LIC./REG NO. EFFECTIVE EXPIRES
390124 09/01/2003 08/31/2004
SIGNED "I'n
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