HomeMy WebLinkAboutElectrical 2003 0 Town of Montville 0
Building Department
Date 7 / / / 03 Field Inspection Notice Permit #
Job Location G 7 P4/ Pt A y2 X-T-
Approved Type of Inspection i LFL: 40-42_1i/co. _ D v_57 j iNL�
Not Approved - Please call for re-inspection when the following corrections have been completed:
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Building Official
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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0185 Date: 26-Jun-03 Map/Lot: 096/032-000 Owner ID 113530
Job Location: S7 PARK AVENUE E . ENSW Unit
Job Description: Electric Service-Entrance Cable Only
Owner: Contractor:
Virgil D and Loraine Rinbolt D/E/F Wiring Service
863 Voluntown Road
67 Park Ave Ext Griswold Ct. 06351-
Uncasville CT 06382 Telephone: (860)376-4896
Lic/Reg Type/No. El 183107 Exp Date: 30-Sep-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: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $200.00 Electrical Fee: $10.00 Permit Code: R5
Other Value: $0.00 Other Fee:
$0.00 Comments:
Total Value: $200.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.03
Total Fees: $10.03
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required);
❑ Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill- Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
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Town of Montville
' r.► Building Department NIG Permit# 3r_7 5
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231
One &Two Family Trades Permit Application Form
1:Plumbing electrical Dafeckanical
5featug
Air Comfitioning
Gas Piping
[]Other
Job Location 7. P,3g . /4c.,6-- --.3c--7-
Job
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Job Description/Materials a►cc..11.le- 'D.e��1c_. - 7-c-9 iUCc" ado c_To 7-
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Owner /R'&/G , c9 -T Mailing Address 67 7.9,e-x- .57.->e.... 7--
City 117G/77 //l1 c State 07 Zip463Sz Tel / a Z-b
Contracto _ /` alE/1/6 Y// Mailing Address 8�� aa...,„-/ J� i
City 4.1 7 StateTZip 4135-7 Tel &mss / <37 / yg,g
Contractor's License/Registration Type &Number (2 e`/ 18&/C) Exp. Date 9 / 36'/9c295
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 Sip': or_ L _ ,- _ Date /0� 'a / e'
Cons ction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ �� 06 $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education ' $
Total $ c CO $ ) / O\,
Town of contville Building Departm,st Receipt
Date , / c2 57 No. 0 2 8 9 4
From: o 4 �}
Job Address: 6. •
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Amount $ /&. Cash heck Check # /A-7 7
Cir on•
�Received by `►�/ ' ` r 4a Permit # --
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To Whom It May Concern:
This letter is intended to present to you the following person who will be representing D/E/F
Wiring Services, Ltd. and myself Jason Jacaruso in order to conduct the business of obtaining
electrical /telecommunications permits in the town in which this Iter has •- -n su itted.
Acting Agent/ Representative: cnePF1 -v6 e •.5---in= ,
Thankyou for v
your cooperation.
deSincere,
Jason .caruso
CEO
D/E/F Wiring Services, Ltd,
863 Voluntown Road
Griswold,CT 06351
Office # (860) 376-4896
Cell # (860) 213-0027
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STATE OF COiNNEC ICUT + DEPARTMENT OF CONSUMER PROTECTION ,�
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Be it known that to
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863 VOLUNTOWN Rb
GRISWOLD,CT 0635#. iii
has b n certified by the Department of Consunier Protection as a licensed de
E , ECTRICAL UNLIMITED CONTRACTORis
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License # 183107 .4
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Effective: 10/01/2002 f ''os
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As'Expires: 09/30
2003 ' '
Jam T. Fleming,Commissioner
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PRODuCEA THIS C: A E iS 186iii:D ABA\MITTER�OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NC L41QI4 UPON THE CERTIFICATE
I11.3Lt7aR, THIS CERTIFiIA;E, DIRT,►°• NV( J lVii i+,40, 'EXTEND OR
ALTER ME COVERAGE ApFpRT]gn RV rue: or"r1ES BELOW.
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NORWICH CT 06360 COMPANY
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GRISWOLD CT 06351 t;amPaw
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THIS IS TO CERTIFY THAT TH2 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDINB ANY REQUIREMENT,TERM OR CONIIIIION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
G'GRTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AI FORDED DY me POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN IAAY HAVE BEEN REDUCED by PAID CLAIMS.
CO TYDC OP JNSAIRANO$ ..__ POLICY NUMBER PCL,IO`!EFFI OTIVa POLIO EXPIRATION .+-LIMPS.
L1111 DATE(WMMDATj OATS.0i6^fDDITTI
S, IGENERAL UAR1LwTY MPFO7828 12/22/02 12T22/03 SENEALAGIGFELIATE 184, 000, 000
X COArfAERCAALDENERAL LIABILITY 1 i PRODUCTS-OOMPJOP A00 I$4 , 0 0 0, 0 0 0
.; I CLAIMS MADE DE OCCUR PERSONAL&ADY INJURY $2 , 0 0 0, 0 0 0
PAYNCKO'9 l 00NTRA:TOP t'PROT EACH OCCURRENCE k2 , 000, 000
FIRE DAMAGE(A,y crm fire) S 500,000
--- _ I ME-.� re dxP'Any opewm) i s 10,000
AUTSMOBILC LABILITY
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ALL OWf'D AUTOS BOCILY INJURY
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PROPERTY DAMAGE S
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SMCU.t1 ANT C=int a13QYE REFORMED?OIXIP4 RE CANOE..RO 66FORE THE
TOWN OF MONTVI LL y EXP;FtARON ".,AT? TFmEFEOF, 1141 66SUw a cur NY WILL. ENDEAVOR TO MAIL
1_z. DAYB WRITTEN FIOTTCE 1Y:TME CERTiFICA'E HOLDER NAMED TO THE LIFT,
RUT JAILURE TG MAIL SUCH N011OE SMALL IMPO.4k NO OBJGATIDH 011 LLABE.TTY
CF ANY 'QM) UFON THE COMPANY, t$ ALZNTS OR REPRESENTATIVES.
AUTHO?er#iiD REPRESENTATIVE r,
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