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Home My WebLink AboutGas Lines to Fireplace & Dryer 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: M2005-0203 Date: 08-Dec-05 Map/Lot: 035/009-024 Owner ID: 58000 Project Location: 12 ALLISON'S WAY Unit: Job Description: Gas piping for fireplace & dryer Owner Name: David Carlson & Heidi Buchholtz Tenant Name: N/A Careof: 15 Forsyth Road Oakdale CT 06370- Telephone: Contractor Name: PlumFire Mechanical Telephone: (860)848-0022 DBA: Lic/Reg Type: P1 Lic/Reg No: 204088 P. 0. Box 536 Exp Date: 31-Oct-06 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 w/2004 Amendment Mechanical Value:. $1,000.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.16 Total Fee: $8.16 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. 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: ❑ Framing ❑ 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: Pk d Town of Montville Buflding Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form Single Family ❑ Two-(Family ❑ Townhouse Permit # 02 Job Address ,Z AN-170,41 IJ4 i 1 ~1(Number) (Street) (Unit) Job Description a+c7 P ; A~ Owner bA v 7 6444,,, Mailing Address City State Zip Tel Contractor Mailing Address _E-y" City U"L4'CA,;,1 State Zip Ce=7,C~Z Tel 002.2 Contractor's License Type & Number y 1~; Exp. Dated/_~r L/_ 0~, 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. Separate applications are re fired for electri Owner /Agent Signature Date Z. / Z Construction Value Fee Mechanical $ otpa $ Electrical $ $ Plan Review Fee $ State Education $ f /CEO Total $ , ftvhad8eptem6er9, 2004 C Town'of Montville Building Department Tile Receipt Receipt No: 898 Date: 02-Dec-05 Received From: Plumfire Mechanical Job address: 12 Allison's Wa Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 $0.16 $8.16 Check: Check: Check No: 2166 Construction Value: $1,000.00 Demolition Value: $0.00 Received By Sandra Pandora i PLUMBING & PIPING UNLIMITRD CONTRACTOR Pi JAMES E DRISCOLL 360 RAYMOND .HILL ROAD UNCASVILLE, CT 06382 -!Z/ REG ND EFFECTIVE EXPIRES 204088 11/01/ 005 10/31/2006 SIGNED~~f Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL 12- A I Property Address C2.4 P IYL 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 ❑ WPCA Si i,a1Ri:re date ❑ Planning & Zoning Signatuire/ date ❑ Health Department ignati, I; d, ❑ Fire Marshal Comments/Conditions: AFv&edS"m6er9, 2004