HomeMy WebLinkAboutGas Lines for Grill/Range
C:
m
/71
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Mechanical Permit
Permit Number: M2003-0044 Date: 02-Apr-03 Map/Lot: 131/045-000 Owner ID 2503
Job Location: 8^___ _ ANDERSEN L,~dF Unit
Job Description: gas lines for grill & range
Owner: Contractor:
Cyr Construction Inc Advanced Gas
183 East Haddam Road
135 Providence Street Salem Ct. 06420-
Taftville jCCTrj06380 Telephone: (860) 859-9070
Lic/Reg Type/No. G1 386875 Exp Date: 31-Aug-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.06 Code: 1995 CABO
Mechanical Value: $825.00 Mechanical Fee: $10.001 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $825.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.13
Total Fees: $10.13
~s the owners responsibility to schedule the follo~ Dina inspections (minimum 48 hours notice requored)m
❑ Footing - Prior to pouring concrete ❑ Rough HVAC i
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
i
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
W] Gas piping and test
Building Official's Signature:
i
Town of Montville
Building Department Permit #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family LP-Gas Permit Application Form
Job Location
Job Description/Materials
r I
Owner Mailing Address K_ Q cjewlln; c
City l Stated Zip Tell/_ 1
Contractorv Vv"~-. Mailing Address .~n
City T State Zip Tel Z/1"1 c
Contractor's License/Registration Type & Numbed Exp. Date/ 1 /
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' ;tM//- y Date
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $
of .iontville Building Department Receipt
Town o No. s.a
.
fwv `m MF
Date
From
Job Address: -
iChcck Check #
Amount Cash
Permit #
Received by
s { a lAt IN 3
STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION
Be it known that
MARK A 1WIARTIN
617. FORSYTH RD
~ SALEM, CT 06420
has been certified by the Department of Consumer Protection ais a licensed
HEATING, PIPING & COOLING LIMITED CONTRACTOR
APE: G1.
License # .386875
Effective: 09/01/2002
Expires: 08/31
200 3 jam T. Flemfig, Corr~m over
-
i