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Town of Montvilie
Building Department
310 Norwich New London Tpke Fax: 848-7231
Phone: 848-7166
Building ! Trades Permit
Permit Code R4
Permit Number BP2000-432 Permit Date 917/00 Permit Type Buiidinq
Job Street # 35 Job Location Cedar Lane Map/Block-Lot 1061049-000
Job Description New windows . ~
Owner David Courville Mailing Address 35 Cedar Lane
City Uncasville ~ State CT ~ Zip 06382 _ Telephone 860-848-0594
Contractor David Courville *Mailing Address 35 Cedar Lane
•City Uncasville "State CTN _ "Zip 06382 "Telephone 860-848-0594
LiclReg Number ~ Lic/Reg Type Expiration Date
Size Type Construction 5B----
Uae Group
Building Value $7,000.00 Building Fee ~ $40.00
Plumbing Value $0.00 Plumbing Fee $0.00-
Heating Value $0.00 Heating Fee $0.00-
Electrical Value $0.00 Electrical Fee _ $0.00
A1C Value $0.00 A/C Fee $0.00
Other Value $0.00 Other Fee $0.00 _
Total Values $0.00 State Ed Fee $1• 12
~ C/O Fee $10.00
Plan Revlew Fee $0.00
Total Fees $51.12
Date~l
Building Official's Signature
V/ W -
Required Inapection
❑ Footings - Prior to pouring concrete ❑ Rough Weating and Air Conditioning
❑ Footing Drains / Waterproofing - Prior to backfill Chimney - One flue above thimble
❑ Framing ❑ Fireplace - Throat
L~ Rough Electrical ❑ Fireplace - Final
❑ Electrical Service ❑ Firestopping / Draftstopping
❑ Rough Plumbing - Leak test required ❑ Insulation
❑ Pool Bonding and Electric
Vi Final tnspection for Certificate of Occupancy - PRIOR to Use or Occupancy
Town of Montville
Building Deparrmeat
310 Norwich-NeW London Tpke.
Uncasville, Ct. 06382
Tel. 848-7166 Fax 848-7231
A.pplication for Bnilding or Trades Permit
- Mailing Addre.ss ~ 5 Ce ~ a ~ ~--aA e -
pwner ~:1 r G-
State_~_~P 0~3 Z Tel.~',, D(,~- 6y0 - o s 9
City e
Block Lot /o 46 0 y ~5`' ° OC)
Job Location .s/'~ Wr- - Map
Mailing Address ~
Contractor
State Zip Tel. - -
City
Type of Permit Addition ❑ Commercial ❑ ~d~~
❑ Isew Single Family ❑ New Two Family ❑~Port ❑ Shed ❑ Roofing
~ Alteratiou ❑ G~ge
E] Air Coaditioning ❑ Plumbing ❑ Heating ❑ Elcctrical ❑ Gas
Porah
n Rctaining Wall ❑ Deck ❑ Pool ❑ Patio
❑ Demolition ❑ Siding ~ Wimdows ❑ Fireplace ❑ CbiimeY
,
~ ~ ~ oT ~~'P~~'~~~~~~N~ A~,~ /z~' Oti
JobDcscription/Materials '
LC
US6 a _
siu Type of xeat
I hcreby certifY that the proposed work will conform to the Basic Building Code and all othe.r codes as adopted horized by thc Statc of Conaxticut and thc Towa of Montville and furth ftest for such workwas~dcscn~C1 aUove.
by the owncr m feo and that I am authorized to naake apph for a Permit
New Hame Construction Contractors: Have you entered into a contract with the consumer for the proposed
work ? ❑ Yes ❑ HO
Date~_~.~_~ ~ e?
pwner /A.gent Signatare
Exp.Date
Contractors LicenselRegistration Type & Number
Construction Value Ree
Building
Plumbing $ $
Heating $ $
Electrical $ $
Air Conditioaing $ $
Other $
Certificate of Occupancy $
Plan Review Fee $
State Education Fee
Total $
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Town of '~'[ontville Bu►lding Departm,-it Rcceip
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Job Address:
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