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HomeMy WebLinkAboutPropane Heater - Fireplace Field Inspection Notice Town of Montville Building Department December 16, 2005 Address: 12 Avery Road Job Description: Propane heater (fireplace) Permit Number(s): M2005-0143 Permit Date: 30-Sep-05 ved A roval Date: Deficiencies S ecial Conditions Date GAS LINE TEST .1 PSI Per installer's test, 12/16/05 DJ 77 see paper work in fill Not Approved A roval Date: Deficiencies :::Special Conditions Date Rev. Date: 8/4/05 Page 1 of t TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE _UNCASVILLE_, CT 06382-2599 _ TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2005-0143 mm_Date: m µ30-Sep 05 Map/Lot: 104/034 000 _ Owner ID: _ 98000„ Project Location: 12 AVERY ROAD Unit: Job Description: Vent free propane heater (fire place) , ..WT.. .M _ ._,T.m... Mm:_. ._..M._.... Owner Name: Michael Jr and Marv E Brycki_ Tenant Name: N/A Careof: 122 Uncasville CT 06382- Telephone: (860)848-3449 Contractor Name: Property Owner Telephone: DBA: Lic/Reg Type: __.k_.._._.._..._ Lic/Reg No: _ m. 0 Exp Date: Construction Value _ Permit Fees Construction Information Building Value: $200 00 Building Fee: Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code w/2004 Amendment _ Mechanical Value: $0.00 Mechanical Fee: w.. , r $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B ...w Total Value: M _ $200.00 Penalty Fee: $0.00, Permit Code: R5mm C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.07 Total Fee: $8.07 It shall be the owners reg_sonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL ELECTRICAL PERMIT INSPECTIONS ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill - Footing drains and waterproofing ❑ Elec Trench - with conduit installed ❑ Concrete Slab - Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts - with sill plate and prior to floor framing ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑d Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certificate of Approval Certificate of Occupancy Building Official's Approval: mm _ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form ❑ Singre Eamiry Two-Tamify Townhouse Permit # i c 6 Job Address / (Number) (Street) (Unit) Job Description / AG~ Z° -,f 47 Owner Mailing Address City &~41'1 ! Statey Contractor % Mailing Address City~~ State Zip G~ Te~I~T~I ~7 Contractor's License Type & Number 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. Separate applications are required for electrical. Owner /Agent Signature Date / / Construction Value Fee Mechanical $ 2 ,6,0, 00 $ , n7 Electrical $ $ Plan Review Fee $ State Education $ Q -7. Total $ 2 00. v 0 ftvUedSepam6er9, 2004 Town of Montville Building Department File Receipt 692 Receipt No: Date: 30-Sep-05 Received From: Mary Bryck~ Job Address: Two re lacemnent Windows and Fired fire lace State Educational Training lee Fees Collected Cash: $0.00 $0.00 Cash: $0.08 $16.14 Check: Check: 0 Check No: Construction Value: $640.00 $0.00 Demolition Value: Received By David M Jensen :y n Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector w `date WPCA Signiaturel date ❑ Planning & Zoning Signature/ date. ❑ Health Department Slgn.ature/ date ❑ Fire Marshal Siartawre date Comments/Conditions: ftvisedS"mCvr9, 2004