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Fuel Tank
Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building ! Trades Permit Permit Number PL2001-108 Permit Date 12/10/01 Permit Type Plumbing Permit Code C5 Job Street # 49-/Y- Job Location AVERY ROAD Map/Lot 104/036-000 Job Description Fuel Tank Owner Contractor WPCA/Town of Montville Pasqualini Construction Address 51 Pink Row Address 38 Hatchetts Hill Road City Uncasville State Ct. City Old Lyme State Ct. ZIP 06382 Telephone 848-3830 Zip 06371 Telephone 434-0811 LiclReg Number 205302 LiclReg Type P3 Exp Date: 10/31/02 Use Croup U Code 1996 BOCA Type Construction 2C Building Value $0.00 Building Fee $0.00 Plumbing Value $3,950.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $3,950.00 C/O Fee $0.00 Comments: Plan Review Fee $0.00 Fee waived as per Ordinance State Ed Fee $0.63 152.001 Call Fire Marshal 24 hrs. prior to removal at 848-1175 Total Fees $0.63 Building Official's Signature Date 12-4 /1../ It is the owners res ons' ' o schedule the followin re uired inspections minimum 48 hours notice requested): ❑ Footings - prior to po nn concrete ❑ Backfill - footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service ❑ Insulation ❑Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping - pressure test and installation © Final Inspection ❑ Rough HVAC ❑ Certificate of Occupancy - PRIOR to use or occupanc a > r Town of Montville Permit Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, OT 06382 Fax 848-7231 Application for Building or Trades Permit Building Permit Trades Permit O New Construction OAccessoryStructure ❑P&m6ing ❑9Kecfiiamcar O .Adaru*n O(Demaktion n Efectricaf Jfeating ,Afteration OOther ----Air Conditwmng 1 Gas T47ing Job Location Job Description/Materials Owner Mailing Address city. State ZipO Con tractor ailing Address ity C StateZip_ Tel Contractor's License/Re tration Type & Number-_1,:5 69_ Exp. Date New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home? ❑ Yes O No 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. P Owner /Agent Signature" Date Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education y f Total $ -r - Town. of Montville Building Department Receipt Date No. 01 5 f From: r. Y` Job Address: Amount Cash Check Check ircle onc) , l ~ Ydr ~ ~j 0 Rcccivcd b~ Town of Montville Building Department 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Map/Lot Job Description: The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until ail signatures below have been obtained. - HEALTH DISTRICT 823-1189 - ❑ Permit ❑ Not Applicable Septic System Date Plans for Food Service Establishment Date El Approved E] Not Applicable ❑ Permit ❑ Not Applicable Private Well Date WPC,A DEPARTMENT 848-7094 ❑ Permit ❑ Not Applicable Municipal Sewer Date ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Director ❑ Permit ❑ Not Applicable Date POLICE DEPARTMENT 848-7510 ❑ Offi cer in Charge Dat e Plan Reviewed E] Not Applicable PLANNING & ZONING DEPARTMENT 848-8549 /G Z6, 0 El Permit ~of Applicable ~ r Inland- ~ ❑ Permit Not Applicable Wetlands ate FIRE MARSHAL'S OFFICE 848-1175 ze~54_ L__ Plan Review / 1 Fire Marshal ~ !I E] Approved Not Applicable Date