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HomeMy WebLinkAboutGas Line/Tank for Fireplace 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: M2004-0270 Date: 09-Dec-04 Map/Lot: 043/009-022 Owner ID: 61000 Project Location: 18 ALLISON'S WAY Unit: Job Description: Gas Line & Tank Owner Name: Janine R and Scott W Swartz Tenant Name: N/A Careof: 18 Allison's Way Oadale CT 06370- Telephone: Contractor Name: Superior Energy LLC Telephone: (860)875-6221 DBA: Lic/Reg Type: G1 P. 0. Box 60 Lic/Reg No: 392785 994 Hartford Tpke. Exp Date: 31-Aug-05 Vernon Ct 06066- 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: $200.00 Mechanical Fee: $8.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $200.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.03 Total Fee: $8.03 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: 0 ❑ 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: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit # F-IPlum6ing ❑Efectricaf ~~Wechanical cuu # Meating _---4ir Conditioning Gas Piping Single Tamily Two-Family Townhouse? Job Address ~~i` s©n ~-3 & (//N/umber) (Street) (Unit) / Job Description /d q S Ai h 1 c" r as 7` ` `sic Cv 7~~ a/ OwnetSQ f I~ V 4 h h 2 SG(iG~ h tL Mailing Address r- City State Zip Tel Contractor S614or,,O h Mailing Address Ti',- ,-i° V City Il er /-Ob State C Zip OG o "Tel Contractor's License Type & Number Exp. Date 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 Construction Value Fee Plumbing $ d~ $ Mechanical $ $ Electrical $ $ Plan Review Fee $ State Education $ 010, Total (Complete reverse side) ftvisedSeptem6eo, 2004 - _ t Receipt g Pa r' n of ontville Buildin De Tow No. 4 ,F . Date !l f --I-- From: ~j Job Address: Check Check Cash Amount ~ (c~«~►~ Permit # Received by - 11/30/ 2004 12:30 8605754457 SUPERIOR ENERGY LLO PAGE 01/02 SUPERIOR ENERGY-7.LLC 11. BOX 60- 994 14AR'1 FORD 'C'Mr- - VERNON. CT (16066 FACSIMILI MANSMISS1ON t-OVI-itM1lr-T.t' !•1{:nN: dilxr~v d~~ fiiflx*xrsut {+sxa,:e:a to CJ U. rv 1 "1»P=C"~} t~.1 is tJE-'i►°l NAME FAX NUMBER '1~1xi.tt0tti5s»iti~Mt it l~ca~f NAME' cs2 ~~c#- $.c MR FAX NUMBER IS (W) 975-4457 SPECIAL INMUCTIONS -1 Z3 T- ~"'C , + ic"' ' ~`~'~-+G ~'t1.+J~ a'`m--"' ~:.+~""*~y e r~S ~`~+~L.~`.--'1 +.~s--.~ 9ti.:s"7 ~~,,C~. '~t-v'~ 7#.~... ~ TOTAL NUMBER PAGES INCLUDING THIS COVER. LETTER: O.j 0-1,1 ff~w do.euat mreivc ajl of rmacmges. plonc Kamm our tvrfrt v ($60) $75-6221 GA, m< 4xm as post;bfx:, OPERATOR' 0AIT.: TIM 51'FtINCrF1El_I) vI:RNON WINDSOR LOCKS MA.NCIIr[,5"t'I R (413) 713-8839 (860) 875-6221 {840} 623-5014 ;R(>0) 643-?277 TOLL. 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X i,~,!r!^M~'~r4~"J ' r,,°,'1~f'I 4' . "„r,.~y ~.b.J C ~Y~H r'~ R• ~ r \ ~ " ..k , :.f F - - 11RT*~~YrYII~**J„'1YY s"f x ^ ~ ~ r e+ 6 „p, .R+'lA., •4:%~ty~•'1.Y~: ~ _ ~r`F ..a" rx1 qr:1 '~T. , ~;F~x.' ,a s: >:.rY•,;r ,.xrn r.ar ~•/(v , R: 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 Property Address Job Descriptio 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~ltiaall,el/ date Planning & Zoning Sigh ature. date F] Health Department Sigr3atur(e/ date F-1 Department of Public Works Sig=iiatt?rc date State Dept. of Transportation wre/ (late Sign, Fire Marshal ;Sigiiawrc/ date; Comments/Conditions: 4§visedSeptem6er9, 2004