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HomeMy WebLinkAboutElectrical Upgrade from 100 to 200 AMP 2003 Town of Montville Building Department Date C) /11] /03 Field Inspection Notice Permit # Job Location ) j2 J- / V.a 2 T', NApproved Type of Inspection p„. c- . r Not Approved - Please call for re-inspection when the following corrections have been completed: V7Building Official Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2003-0309 Date: 30-Sep-03 Map/Lot: 096/024-000 Owner ID 113538 Job Location: 99 PARK AVENUE EXTENSION Unit Job Description: Electric Service Owner: Contractor: Sharon M Mortimer Bonner Electric _P. 0. Box 366 99 Park Ave Ext Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-8539 Lic/Reg Type/No. El 181768 Exp Date: 30-Sep-04 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: 58 Electrical Value: $1,960.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $1,960.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.31 Total Fees: $10.31 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ 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 d❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: -4, Town of Montville Building Department Receipt Date '% / 30 Q- No. 0320 4 From: �ri�r✓......:,Ar _ .. '_ .L.... ... ��... I ,0 ' .i.?'1/4-71-- i Job Address: ._ i._ _ (....1e / i --2Amount $ Cash (Ce-k Check# ____„2„T_69/ r � / �Circic one) 4---0712°3 �l X Received by , � -�• Permit # e,.---;967 Q 3 - � I , - _ / Town of Montville yO c,� Building Department 1 . Permit# 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form DPfumding ,Eiectricai ONfechanica( 5ieating Air Conditioning Gas Piping OOther n Job Location 19 !-�A k Aon E2>J. Job Description/Materials UP 6,CZA r r /L (2 A S c aU ( P . .=:)0,f}- S rG2 Ur C e Owner wtLkt.c.v \Tht a.S 1441)-, Mailing Address 9 t PAA A-0e_ Xt City 0 in C 4S c) .. LI_c State (A Zip OC30— Tel 66 / --yG/ 1.71,Kss/ Contractor I JOUn v .e a E(ejtftcC Mailing Address P.O. ( Ij)C �j 6,6,(,:‘ City U fl C c—c, 0 c LL-e State GI- Zip 6635.7., Tel____/ g` i S13,3 7 Contractor's License/Registration Type&Number )Cs 11 £ 3 Exp. Date ©cl / 30 / U y 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 /,./2---- Date q / aI—/ 03 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ l q£ 0 °° $ Other $ $ 10.00 Certificate of Occupancy $ Plan Review Fee $ State Education $ - ?j‘ Total $ $ 1/0. 3/ �THTI,TuUuU0To it,T.1. 1).fi ily.1 ).toTliTil).1)9P.1, ®101/1. ®J0UuUuUuUi1Ui1Ui1UuU111/. U� lik STATE OF CONNECTICUT f DEPARTMENT OF CONSUMER PROTECTION ii Be it known that JOSEPH B BONNER C 774 OLD COLCHES 1 ER ROAD UNCASVILLE,CT 06382 ihas been certified by the Department of Consumer Protection as a licensed 4 ELECTRICAL UNLIMITED CONTRACTOR lik 7- TYPE:El C License # 181768 I Effective: 10/01/2003 Expires: 09/30 2004 cAskAA,IiitiA4A7 .7- Jam s T. Fleming, Commissioner ®moi► ,►n„n�►n�►n iailumil��,nipn+4iiiil niliawai►n+�n+►n+�n�►n�►ni►nitn+tn�►n�►n�,n� Contractor- Service Request Detail Page 1 of 1 iectic�rt i CUP H COlel i. to yr Online Services Service Request Detail - Contractor . ...... __. JOSEPH P BONNEF CRS Home it �-- Print Customer Service Request No: 292741 Date Created: Sep 25, 2003 Contractor Information: Contractor Contractor Name: JOSEPH P BONNER Business Name: BONNER ELECTRIC Create a Request License Number: 0000102976 CT Create from Template Address: NORWICH NEW LONDON TPKE Create/Modify Template UNCASVILLE,CT 06382 List Open Request Phone: (860)848-8539 Completed Request Customer Information: Browse Request i Customer Name: WILLIAM DERSHAM Edit Password/ProfileCustomer Business Name: Address: 99 PARK AVE EXT FAQ's UNCASVILLE,CT 06382 Inspeetar Phone: (860)848-4851 Job Description -Location: Building Number: 99 t_o of( Lot Number: 9 Street: PARK AVE EXT Cross Street: UNCASVILLE,CT 06382 lob Status/Pre-Requisites: Currently no pre-requisites exist for this job. lob Description-Service: Service Type: CHANGE/UPGRADE Type Of Building: EXISTING Customer Type: RESIDENTIAL Amps/Switch Size: 200 Requested Service: OVERHEAD Meters Required: 1 Job Schedule: Completed Date: Not Available. Contact Us Job Assignments: This job has not been assigned yet. Area Work Center(AWC): Not Available. Contractor Online Services Home I For Home I For Business I For Contractors I For Inspectors http://www.cl-p.com/CRS/Contractor/Secure/CRS_RegDetail.asp?regCRSID=292741 9/25/03 ACORQ, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) 04/03/2003 PRODUCER (860)848-2201 FAX (860)848-2207 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Curt in Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 620 Route #32, Box 387 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Uncasville, CT 06382-0387 INSURERS AFFORDING COVERAGE NAIC# NSURED Bonner Electric Inc. INSURER A: General Casualty P 0 Box 366 INSURER B General Casualty Uncasville, CT 06382 INSURERC Hartford 29424 INSURER D - INSURER E OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIP 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 SUCI POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION .TR AOD'L DATE(MM/DDIYY} PATE(MM/DDM') LIMITS GENERAL LIABILITY CCI0358372 12/31/2002 12/31/2003 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED — 1,000,000 PREMISES(Fe occurencel $ 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY _ $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 n POLICY n jEa LOC AUTOMOBILE LIABILITY BA003 5 7 7 12/31/2002 12/31/2003 COMBINED SINGLE LIMIT X ANY AlJTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY B (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLALIABILITY CCU0358372 12/31/2002 12/31/2003 EACH OCCURRENCE $ 5,000,000 OCCUR CLAIMS MADE AGGREGATE $ B -5,000,000 $ 5,000,000 DEDUCTIBLE - - RETENTION $ - WORKERSCOMPENSATIONAND CWC0358372 12/31/2002 12/31/2003 WC STATU- 0TH- EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PR OP RI ETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E L DISEASE-EA EMPLOYEE $ 1 000 000 If yes,describe under , , SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 OTHER 31 02MSUE1660 12 Installation floater / /2002 12/31/2003 1, 750,000 IESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS VERIFICATION OF INSURANCE FOR 99 PARK AVENUE EXTENSION, UNCASVILLE, CT ;ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. TO WHOM IT MAY CONCERN AUTHORIZED REPRESENTATIVE / /�� Carlos Cook/GT � 4 C - kCORD 25(2001/08) ©ACORD CORPORATION 1988