HomeMy WebLinkAboutGas Tank/Lines for Fireplace
Town of Montville
Building Department
Field Inspection Notice
Address: 4 Allison's Way
Job Description Gas
Permit Numbers:
Footing Not Approved: Approved:
Comments: 1•
Backfill Not Approved: Approved:
Comments: 1•
Framing Not Approved: Approved:
Comments: 1•
Rough Electric Not Approved: Approved:
Comments: 1•
Electrical Service Not Approved: Approved:
Comments: 1•
Rough HVAC Not Approved: Approved:
Comments: 1•
Rough Plumbing Not Approved: Approved:
Comments: 1•
Gas Line Not Approved: Approved: 8/12/04 VV
Comments: 1•
Fireplace Throat / Not Approved: Approved:
Chimney Comments: 1•
Fire/Draftstopping Not Approved: Approved:
Comments: t•
Insulation Not Approved: Approved:
Comments: I•
Certificate of Not Approved: Approved:
Occupancy Comments: 1•
Not Approved: Approved:
Comments: 1•
Not Approved: Approved:
Comments: 1•
Not Approved: Approved:
Comments: 1•
Comments:
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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: M2004-0164 Date: 09-Aug-04 Map/Lot: 043/009-026 Owner ID: 51000
Project Location: 4 ALLISON'S WAY Unit:
Job Description: Gas tank & Line for fireplace logs
Owner Name: Richard and Joyce Erpenbeck Tenant Name: N/A
Careof:
4 Allison's Way
Oakdale CT 06370- Telephone:
Contractor Name: Mark Martin Telephone: (860)859-9070
DBA: Advanced Gas Lic/Reg Type: G1
Lic/Reg No: 386875
183 East Haddam Rd. Exp Date: 31-Aug-04
Salem Ct 06420-
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
w/2000 Amendment
Mechanical Value: $450.00 Mechanical Fee: $8.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $450.00 Penalty Fee: $0.00 Permit Code: R5
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 repsonsibility 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.
❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test
❑ Backfill - Footing drains and waterproofing ❑ R Electrical
❑ Concrete Slab - Prior to pouring concrete ❑ Elec Trench - with conduit installed
❑ Framing ❑ Electrical Service CRS No: 0
❑ Fireplace Throat - One flue above throat ❑ R HVAC
❑ Chimney - One flue above thimble Gas Piping and leak test
❑ Firestop Draftstopping ❑ Final Inspection
❑ Insulation ❑ Certificate of Occupancy
Building Official's Approval:
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Town of 1MontvWe
Buildinj Department Permit # '
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
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Job Location
Job De cri tion/Materials
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Owner Mailutg Address / t(S`~1V W"~
Ci State zip Tel
Contractor ) Mailirt Address I ?"S" &if f PAddfoN a-P~)
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Contractor's License/'Registration Type & Number, t f T8&2295_ Exp. Date ®U 1.
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 C- Date/ L /
Construction Value Fee
Building $ $
Plumbing $ S
Mechanical $ S
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ -
i State Education 0 $
Total $ 1~. ~vl~ $
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Amount $ -
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HEATING, I?IPTNG COCA' )Ep COMIRACTOIt
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