HomeMy WebLinkAbout2003 - Air Conditioning
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Mechanical Permit
Permit Number: M2003-0048 Date: 15-Apr-03 Map/Lot: 030/054-000 Owner ID 5500
Job Location: Unit
Job Description: Air Conditioning
Owner: Contractor:
Robert W and Elizabeth P Henseler Standish Heating & A/C
31 Clinton Avenue
5 Bayberry Ln Norwich Ct. 06360
Uncasville CT 06382 Telephone: (860) 887-8999
Lic/Reg Type/No.S1 388945 Exp Date: 31-Aug-03
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: $7,999.00 Mechanical Fee: $40.00 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: $7,000.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $1.12
Total Fees: $41.12
It is the ownerL responsibility to schedule the following inspections (minimum 48 hours notice required):
❑ Footing - Prior to pouring concrete W~ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
Building Department Permit # 00
310 Norwich-New London Tpke.
Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
Tfum6ing Q Efectricaf [&Wecfianicaf
-5featirw
1I/Air Conditioning
Gas Piping
Other
Job Location . U C ✓ o l 1
Job Description/Materials c2 /l I~hiy l v y~~rtC d K + h e S A` t c-
C' rv~ w- 7"X ~jD CGh de a e;- lLl )(I r ri e ✓ f~ ~1 l~ U-, w - 9 - ,
Owner Mailing Address j8 rr 4t
city U caSU i Ile- Statq-(: Zip 3 F Tel e) / FVF1
Contractor S a► id,,S4 Mailing Address ~ % Cl yt m~ !6 6~
City y- 0r i c, State Zip 6~3 ~ 0 Tel FO / FFa I F- S 5
Contractor's License(Registration Type & Number Exp. Date/_aL_/ 03
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 Date c / 6 1,03
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ 7 tJ''Dt~ - $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $ IRS Z
Total $ 700& $ ~f/1 2
Town of_l'-`*ontville Building Departtr- --t Receipt
No.
Date
From:
4
5 Job Address: i Amount $ ~ ~ f
Cash -('C~heck Check # /1
(circle one)
# rte
Permit l
Received by
I
s 31 Clinton Avenue
M L Norwich, CT 063W
iiiii (860) 887-8999 Fax (860) 887-8890
HEATING AND AIR CONDITIONING 1-888-445-9554
200 www.standish hvac.com
CT LIC.#309114/#388569
DATE: TO : Z e~L
SUBJECT: MY DESIGNEE - Donna M. Carter
TO WHOM IT MAY CONCERN:
I hereby designate Donna M. Carter to be my agent in cquiring the
Permit for
on behalf of Standish Heating & A/C, Inc. of Connecticut.
The work to be performed wi be to:
Thank you. STATE OF CONNECTICUT
J / / PROTECD
Very truly yours, HEATING, PIPING &.000U ,3JA1I. WTM 00NMACr0R
Standish Heating & A/C, Inc. MIS W F1WCOEUR
nB_ KPtyRD
-tX IV i{
'ifY~18:~ ' S1 '
PIRES
REG NQ EXPIRES
4` CLIC.
388945Oi0 X8/31/2003
icha
License #388945 (S-1) `.SIGNED loeo
T
Expiration date: 8-31-03