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2011 - SFR Electrical
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: E2011-0021 Date: 18-Feb-11 Map/Lot: 096/036-000 Owner ID: 5301000 Project Location: 47 PARK AVENUE EXTENSION Unit: Job Description: Electrical for New SFR Owner Nam Guy F and Karen J O'Brien Tenant Name N/A Careof: 47 Park Ave Extension Uncasville CT 06382- Telephone: Contractor Nam Beaver Electric LLC Telephone: (860)367-9157 DBA: Uc/Reg Type El Lic/Reg No 181770 8 Fielding Terrace Exp Date: 30-Sep-11 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: S0.00 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: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe S0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 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 framin ❑ 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 e •te of •,•proval - if of Occupancy Buildin. Official's ••roval: Town of Montville CoQ l F )- -_ 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.: o(:)Ii Type of Work Ociapancy Type Permit Type [ Jew Constructioningle Family 0 Building 0 Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure at lectrical CRS#: Property Address: U 1 Ptch2 k_ ON I_ 17 (Number) (Street) (Unit) Job Description: (A..) klE, c)c. 'E k._--. 1-1-01..k f Owner: NR_ (Dk_,,1 o zR I c +.) Address: tAt�E. City: V n.)(-ASS I‘ 1 V State:C j Zip Code: OE,3EQ Telephone( ) - Applicant: RFAWE. f tFc:1+2_,c U. .0 DBA: Address: c--k f tel . r' ;2' A! _ — _ City: IjM -,,,,I i t State: CLI Zip Code: C7(3$5 Telephone(g .O ) - Ii S 7 Contractors - Complete the Following: License Type: 1 License No.:03 177C) Expiration Date: — 30 ,9C 1 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 I am authorized to make application for a — permit for such work as described above. iL By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapte 33 through 42 of the Residential Code. Owner/Agent Signature: ri-li Date: ,-9 — / 7 —c9C Construction Value Permit Fees }�ji Building Value: Building Fee: �.` Plumbing Value: Plumbing Fee: /` �L Mechanical Value: Mechanical Fee: I Electrical Value: Electrical Fee: `� Total Value: Penalty Fee: <gie, (� C of O Fee: 7. 9 � Plan Review Fee: ` / / ��� State Ed Fee: v Total Fee: Devised 91ugust 23,2,007 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UNLIMITEDCONTRACTOR ROBERT M TR 8 FIEDING T I t E UN *r ,"a"0682 • LIC./REG NQ; ECTIVE �' EXPIRES ELC.0181770 I O l/20�O ti t� -> -09/30/2011 • • • • • SIGNED Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. LA Pte ( Ivy_ Property Address er±ri<�`� i �t��: JF Job Description Required Department Permit Issuance Approval Approval Tax Collector © 1 'DJ V- t Signature/date Comments: J • Planning & Zoning -7)/l / Signature/date Comments: /"/// / Fire Marshal (^( �� -� (L, Signature/date (� I l Comments: < til �\1� `t 1 Health Department Required for all permits except Plumbing, Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative ‘---Ore Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date 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 Signature/date Building Department Review Complete Signature/date Revised'March Iv,2010