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Home My WebLink AboutElectrical 100 AMP Service Replacement 2005 Town of Montville Building Department Field Inspection Notice Address: 51 Park Ave. Ext. Job Description: Electric Service Permit Numbers: E2005-0156 Date permit issued: 7/13/05 Not Approved Deficiencies Approved ELECTRICAL Special Conditions TRENCH • • Not Approved Deficiencies Approved 7/18/05 DJ ELECTRICAL Special Conditions SERVICE Not Approved Deficiencies Approved GAS LINE • Special Conditions • Not Approved Deficiencies Approved BOILER/FURNACE • Special Conditions REPLACEMENT • Not Approved Deficiencies Approved WOOD STOVE • Special Conditions Not Approved Deficiencies Approved ROOFING Special Conditions Page 1 of 1 Revised 3/17/05 Sheet Printed:7/19/2005 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: E2005-0156 Date: 28-Jul-05 Map/Lot: 096/035 000 Project Location: Owner ID: 5303000 51 PARK AVENUE EXTENSION ________Unit: Job Description: Replace 100A Electric Service Owner Name: Robert C Sr and C Evelyn Fletcher Careof: Tenant Name: N/A 51 Park Ave Ext Uncase CT 06382- Contractor Name: Beaver Electric Telephone: ®` vill 67 Telephone: (860)39157 DBA: Lic/Reg Type: E1 Lic/Reg No: 181770 P. 0. Box 184 Exp Date: __________p____30-Se -05 Uncasville Ct 06382 Construction Value Permit FeesConstruction Information Building Value: $0.00 Building Fee: $0.00 Plumbing Value: — Use Group: R 4 $0.00 Plumbing Fee: Mechanical Value: $0.00 Code: 1999 State Building Code $0 Mechanical Fee: w/2004 Amendment Electrical Value: — $0.00 $1,500.00 Electrical Fee: $16.00 Total Value: Construction Type: 5B $1,500.00 Penalty Fee: _ $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.24 Total Fee: $16.24_ It h.11 be th- .wne re.s•nsibili to schedule the followi • ins.•ction a minimum .f 2 •usiness .a s in a•van e: Field set of approved construction documents shall be available onsite during all inspections. BUILDING P RMIT INSPE ONS PLUMBING MECHANICAL ELECTRICAL PER ❑ Footing-Prior to pouring concrete MIT INSPECTIONS ❑ Deck Piers ❑ R Plumbing and leak test ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing Electrical Service 445970 ❑ Framing CRS No: ❑ R HVAC ___.-------..__.__.__e.__. ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping ❑ Insulation INSPECTION REQUIRED UPON COMPLETION ❑ Certificate of Approval / ❑ Certificate of Occupancy Building Official's Approval:All ir Town of Montville • Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# .4___ M,-- ,` 1-----6 0 Plumbing jctrical f Mechanical CRS # V9 5 9 70 .7feating Air Conditioning Gas Piping M Single Family D Two-cFamily 0 Townhouse Job Address 5/ Vi lZk iWi- £.,c.. (mots vi'(/4Cr 0b3s-'2- (Number) (Street) 1 (Unit) Job Description 1 ? !vice... 1_1( is I-,"J7 SE tv c_s.... ADO 4-04 1) Owner 41 1?e kiRl c`LG4--Lt,£ Mailing Address 5/ ?,14..r._ avi, Ly, f• City UvuG ti-Si t'tic . State ( T Zip 0(938Z. Tel bio / X87 3430 / Contractor `J44vLe- C.... CL,L Mailing Address .?O. '30)1. !kg City UNG45 V ,'I 1 c State Gr Zip 0(63$_ Tel $loO / 367/ q17-7 Contractor's License Type&Number £ I " I i'/ /7 O Exp. Date ? / 30 / 200 S - 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. Z1Owner/Agent Signature Date 7 //3/ 0706 r Construction Value Fee Plumbing $ $ Mechanical $ /re,b. r" $ /7 Electrical $ $ Plan Review Fee $ State Education $ w2 tf Total $ $ /l` Cf (Complete reverse side) ?NyviseISeptem6er9,2004 Town of Montville Building Department File Receipt Date: 14-Jul-05 Receipt No: 423 Received From: Beaver Electric Job Address: 8 Idaho and 51 Park Avenue Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $32.48 Check: $0.48 Check No: 404 Construction Value: $3,000.00 Demolition Value: $0.00 Received By Sandra Pandora • • . r � ?;:...•.•.•.' '.>: >> ' DATE(MMDDYY)� l Cr EL j L p •� :TMii > : i 07/14/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6 CONSUMERS AVE COMPANIES AFFORDING COVERAGE NORWICH CT 06360-7521 COMPANY A NATIONAL GRANGE MUTUAL INS CO INSURED COMPANY BEAVER ELECTRIC LLC B COMPANY PO BOX 184 C UNCASVILLE CT 06382 COMPANY I D COV :>:::>:::::»: :':'M::>:c::::::::::s::>::::;:::>::;::; :.ii:':.;::.;;::::.:.::::::::.:::::: : : ............:.::*i.............. GES............::.:.:.::::::..................::::::::::::::............. ..::::.::::::.:::........... ....::::.::::::::................:::::::..:::: :::................::::::::::::::.:::..................::. ::.:.. :....................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR I TYPE OF INSURANCE POLICY NUMBER I CO POLICY EFFECTIVE (POLICY EXPIRATION DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY MPF 9 3 718 08/24/04 8/24/05 GENERAL AGGREGATE $4, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $4 , 000, 000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $2 , 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE _ $2 ,0 00, 000 FIRE DAMAGE(Any one fire) $ 500, 000 MED EXP(Any one person) $ 10, 000 A AUTOMOBILE LIABILITY B1F93718 08/24/04 8/24/05 300, 000 ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS — BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) • PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND I WCF 9 3 718 08/24/04 8/24/05 X ORY LIM TS ER $ EMPLOYERS'LIABILITY THE PROPRIETOR/ EL EACH ACCIDENT $ 10121, 000 PARTNERS/EXECUTIVE — INCL EL DISEASE-POLICY LIMIT $ 500, 000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: FLETCHER RESIDENCE, 51 PARK AVE EXT, UNCASVILLE, CT 06382 FAX 848-7231 CCRTI: <itiO :. :>;::::*::':: ::::*: <;::: ::>;;:::»>:<::::*K:::<:>:>::>Kii:i*i:.::.:,;:.:_ . . ::._:.: ANC ;.;;;>:.;:.; :.; .;:.;:.;:.;;:;:.;;;:.;;:.;:.;:::;.:<:;;;;.;.;:.;:.;:.;::::.;:.;:.;:;;:.;:.;>:.:_:.;;;:.;:;;:>;:.;:. .;:.;.;:.;:::: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BUILDING DEPT. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 310 NORWICH NEW LONDON TPKE. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY UNCAS V I LLE, CT 06382 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .....1........... Sheri Kin f SK D .ACA ;.:. ;: :.:; >::;::,::;::: :::::::;:,.::: <;:. :.;:.:.:: : . :.;:::_::>:::M: i.??:::::: ::>::>,:.;;:.;::.;.i.:..??i'i: n'.: n'.'i:i' ..:;:..R. k.'.i... ...... • Town of Montville Bulkling Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Si -PA-te t A.v 1 4- Property Address S£✓Z,► . 7-Q--9 I e 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 .7 Tax Collector �� x``10-�-.-a.� I if/ o,6-- Signature/ date ❑ WP CA Sizznature/date ❑ Planning & Zoning • Signature/date ❑ Health Department Signature!date ❑ Department of Public Works Signature/date ❑ State Dept. of Transportation • Signature!date ❑ Fire Marshal Signature!date Comments/Conditions: RCviseiSeptem6er 9,2004