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