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HomeMy WebLinkAbout2010 - Electrical - temporary Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 47 Park Avenue Ext. Job Description: Temp. Electric Service Permit Number(s) E2010-0179 Permit Date: September 14,2010 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions • • • Final inspection and 1112110 DJ certificate of approval nz 2'. `y. Ff k'. Rev.Date: 1/18/06 page 1 of 1 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2010-0179 Date: 14-Sep-10 Map/Lot: 096/036-000 Owner ID: 5301000 Project Location: 47 PARK AVENUE EXTENSION Unit: Job Description: Temp.Electric Service Owner Nam Guy F and Karen J O'Brien Tenant Name N/A Careof: 47 Park Ave Extension Uncasville CT 06382- Telephone: (860)319-7225 Contractor Nam Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg No 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $1,000.00 Electrical Fee: $10.00 Construction Type IRC Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.26 Total Fee Paid: $10.26 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 ❑ Fooling-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Fooling 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 framin © Electrical Service CRS No: 1545294 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTI•N REQUIRED UPON COMPLETION ❑ Insulation / J ' •te . •.proval // .i• a of Occupancy Buildin_ Official's ••royal: _ _ _ Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: a10—bn9 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration ❑Townhouse ❑Me nical f1 i. 0 Accessory Structure ectrical CRS#:_I L y / I Job Address: H 1 POW ' AJ t l (Number) (Street) (Unit) Job Description: 1t'. '� r 5tr V ) Owner: y c 6 r /� _ Address: ` Li -1 Doli k A C e /` City: V 'n C e< v ► t State: C.- Zip Code: 66 �1 Telephone: (4(t 1) — 3 I c� — ! Z 2 S Contractor: DBA: Address: City: State: Zip Code: Telephone: License Type: License No.: Expiration Date: I hereby certify that the proposed work will conform to the State 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/am authorized to make application for a permit for such work as described above. 0 By checking this box, I will follow the requirements of the 2005 N • =s the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requiremen chapt 3 ugh of th= Residential Code. Owner/Agent Signature: Date: / 7e7 Col truction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: /004a Electrical Fee: � J, O v Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: `c, Total Fee: /C) 9 C.. 4 rvised August 23,2007 Town of Montville Building Department File Receipt Date: 13-Sep-10 Receipt No: 5749 Received From: Guy O'Brien Job Address: 47 Park Ave Ext. Fees Collected State Educational Training Fee Cash: $10.26 Cash: $0.26 Check/Card $0.00 Check/Card $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $1, 0.00 Demolition Val . $0.00 iT. Received By Vernon D Vesey II 6..zei '?-1v�,vr State of Connecticut N 7A 4Workers' Compensation Commission ( ` ..:Jre _�'s� � Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Alicant for Building Permit 6/--74 /f/7 'Gic � X ` Property located at in the City!Town of 1Y/1/[^ S U I/ L7- 1 // ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: USI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applican ,&__r___. UI am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 1-1 PG, Property Address Elf c---tYloc...„„ e ry-11.9 Ce v 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 — / °''-_�'�- y i 3 l/ Required for all permits Comments: n WPCA, Administrative .Y� n h� 9 `i T \ l V Required for properties on sewer V Comments: ❑ WPCA, Operations When Required by WPCA Comments: Planning 8 Zoning 7L 0 7//3 /�--' Required for all permits Health Department l Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq. ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Comments: Fire Marshal C1 r_ t_c Required for all permits i Comments: S I l\C L ` -Prt\ A lL 1 Revised_August 5,2005