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HomeMy WebLinkAbout2002 - A/C Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike 4 Uncasville, CT 06382 860-848-3030, Ex.t 82 Mechanical`Permit Permit Number: M2002-073 Permit Date: 16-Ma -02 Permit Code R5 Job Location 15 BECKWITH ROAD UNIT: MAP/LOT: 012/001-A00 Job Description: Air Conditioning Owner Contractor SUSAN A + LAURENCE J ROBERGE Standish Heating & A/C 31 Clinton Avenue 15 BECKVATH RD Unit: Norwich, Ct. 06360 OAKDALE CT 06370 Telephone: 887-8999 Lic/Reg Type: S1 Use Group R4 Lic/Reg Number: 388945 Code 1995 CABO Exp Date: 8/31/02 Construction Type 5B Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $5,000.00 Mechanical Fee: $28.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $5,000.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.80 Total Fees: $28.80 It is the owners responsibility to schedule the following reguired inspections (minimum 48 hours notice reguested)• ❑ Footing - Prior to pouring concrete © Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test © Final Inspection ❑ Gas Piping and Pressure Test ❑ Certificate cupancy - rior to use or occupancy Building Official's Signature: Town of Montville Building Department Permit # 6 2-2 310 Norwich-New London Tpke. Tel. 848-7166, Ext 82 Uncasville,%CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form ElPfum&ing O Electrical g9ifechamcaf ~feating ~ it C'onditwning Gas,Piping ❑ other Job Location ec Lu a L`/;~ . Job Description/Materials 40,4, Lic7'~ &_9 Lh~kZdn e y3ZE. Lft t&t t~/~ /Cet`yts~~ e C -A eZ/ . Owner Sus a ce b e j% Mailing Address Sam e- - / :h eac cal, &/ti ~o( City l' a /p State~_ Zip _66.3 7(% Tel /qjj / V(14 Contractor 5 Mailing Address _21 ('/j 0 7-,o n &Ile. City ~14 ty, c.A State Zip Tel R o /_M Contractor's License/Registration Type & Number Exp. Date/5/ O 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 a c Date Construction Value Fee Building $ $ Plumbing $ $ Mechanical Electrical $ $ Other $ $ Certificate of Occupancy $ ----Plan Review Fee $ State Education $ yo Total $ s` Town of Montville Building )Department Receipt Date No. 7 1 i From: k;- Job Address:"> ? - s Amount /-5 Cash f 'C k Check # `l'ircl~glvw~ R Permit # 1-~ - 07 Z- l FJ ~a eceived by ~ 7 A~ ® ■ 31 Clinton Avenue mom STK s ® ~~~o ® Norwich, CT 06360 {860} 887-8999 Fax (860) 887-8890 E D I S HE P IMMUe~Raiie 1-$88 445-9554 0~ HEATING AND Alfi CC)[~DlTlC}NlNG www.standish hvac.com CT LIC.#309114/#388569 DATE:- ~-0 All Subject: My Designee - Donna M. Carter To Whom It May Concern: I hereby designate Donna M. Carter to be: my agent in acquiring the Permit for 7- At mss- u~ al on behalf of Standish Heating & A/C, Inc. of Connecticut. The work to be performed will be to: -a h a r G Thank you. Very truly yours, Standish Heating & Air Conditioning, Inca Y Michael F. Joliocoeur EffikTING, PIPING COOIJNlp';U'NLiNIITEDCONIRACTOR License #388945 (S-1) N1IC1iAEI FJolaco~tm Expiration date: 8-31-02 77$LACKPLkNRD EXETER; RI 02823 TYPE =S1 LIC. i REG NO. EFFECTIVE EXPIRES 385945 J 09/4112Q01 n08/,311/2✓b02 SIGN /f'Pt~ I