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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: M2004-0265 Date: 09-Dec-04 Map/Lot: 043/009-017 Owner ID: 52000
Project Location: 5 ALLISON'S WAY Unit:
Job Description: Heating & Air Conditioning
Owner Name: RTT Development Tenant Name: N/A
Careof:
35 Blais Road
Uncasville CT 06382- Telephone:
Contractor Name: William Rheaume Telephone: (860)848-2647
DBA: Lic/Reg Type: S1
Lic/Reg No: 303676
1295 Route 32 Exp Date: 31-Aug-05
Uncasville Ct 06382-
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
wJ2004 Amendment
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee: $0.00
It shall be the owners reusonsibility 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: 0
❑ Framing d❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation Certificate of Approval
❑ Certificate of Occupancy
Building Official's Approval:
r '
r- Town of Montville
r Building Department
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit # L
❑(Plum6ing ❑E'lectncal ®9dechanical
.-(eating
-,X- ~ir Conditioning
-Gas 'Piping
Single Family ❑ Two-T'amily ❑ Townhouse
Job Address
(Number) (Street) (Unit)
Job Description J k a V' t- Qr01) L WL 4C
Owner ~C 7T l Mailing Address 35 1 ~ a i 1`--~` ~
City QAe",-) ` State C,7 Zip Tel
Contractor ) kr tGc,6L Mailing Address (,),9j rC;6_-
City State Zip ()(-13 ~ Z._ Tel
Contractor's License Type & Number Exp. Date _C/3_/ a S7
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 & jl ` Date_ 0-
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ $
Plan Review Fee $
State Education $
Total $ $
(Complete reverse side)
VvisedSeptem6er9, 2004
a
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
A !
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 (o4
s=.
❑ WPCA
4.
❑ Planning & Zoning
Signature/ date
❑ Health Department
Signatui-ef date
❑ Department of Public Works
date
State Dept. of Transportation
SignaLLIrw'/ date
❑ Fire Marshal
Sigilsiture/ date
Comments/Conditions :
lZovisedSeptember9, 2004