HomeMy WebLinkAboutAbove Ground Pool Electrical Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ex.t 82
Electrical Permit
Permit Number: E2002-125 Permit Date: 16-May-02 Permit Code R5
Job Location 123 PARK AVENUE EXTENSION UNIT: MAP/LOT: 096/018-000
Job Description: pool electric
Owner Contractor
RUSSELL E.+LISA J DANIELS Russell Daniels
123 Park Avenue Extension
123 PARK AVE Unit: Uncasville,Ct.06382
UNCASVILLE CT 06382 Telephone: 848-2125
Lic/Reg Type:
Use Group R4
Lic/Reg Number: 0
Code 1995 CABO
Exp Date:
Construction Type 5B
Construction Values Permit Fees
Building Value: $0.00 Building Fee: $0.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $0.00 Mechanical Fee: $0.00
.._._..................
Electrical Value: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $0.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
Included on Building Permit State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following reauired inspections(minimum 48 hours notice requested):
❑ Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab-Prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney-One flue above thimble
V Rough Electrical ❑ Firestopping/draftstopping
❑ Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ Final I .- ion
❑ Gas Piping and Pressure Test Certi . .f• .pancy-Prior to use or occupancy
Building Official's Signature:
Town of Montville
7,2 DDS — °Z>
Building Department Permit#
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
0 Plitinding l ctrical 79Kec(ianical
Heating
Air Conditioning
[Other fi&tike G Gas 1c'ipirtg
Job Location 123 cu � )b`{ .6UilkiiSU i I t-e
Job Description/Materials PeOL i A.S SR L L An c 4.— 12 _2 et; �„,,I R c:. O so
w►n+ rtmA,Li ►b G% (jD.toi•�l�
w-►►2L VII Plc el Pi- w In-1 20,4 (r17-CI P1 GWt1h'p w&j}THea.PRoor TwISrLeac gukrtm44.
Owner uicL I )Cti/u efts Mailing Address
satinsatinf lam[1 0� 1
City Ct 56/'1 1 I-Q State �T Zip gd Tel40/ 5.1K.,g_
Contractor .iC PMailing Address
City State Zip Tel / /
Contractor's License/Registration Type&Number Exp. Date / /
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.
((a
21Q C
Owner/Agent SignatureCl4A.,; Date l-j / az, / o
Construction Value Fee
Building $ .5000 o2 $ /G ��
Plumbing $ $
Mechanical $ $
Electrical $ SC) �_- c„,$ lU
Other
$ $
Certificate of Occupancy $
Plan Review Fee $ /c�'
State Education
Total $ 3/CC) $ .,
1 Town of Montvilre Building Department Receipt
' IC
Date y / A2 / oZ No. 0160
From: P (--;---)
A, ,,,,_,u,,, S
i Job Address: 43 3 a‘tc /7 0- cA
r
0 Amount $ 3a- AO Cash dar Check # 3 7 9/
(Circ c one)
Received by _., d f Permit #6164,9_21_1-