HomeMy WebLinkAbout18ft Above 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: E2002-091 Permit Date: 16-Apr-02 Permit Code R5
Job Location: 142 PARK AVENUE EXTENSION UNIT: - MAP/LOT: 096/086-000
Job Description: Electrical Service and wiring for pool
Owner Contractor
WILLIAM E J +CYNTHIA L MAHN Ed Wawczynowski
55 Jan Drive
142 PARK AVE EXT Unit: - Colchester,Ct.06415
UNCASVILLE CT 06382 Telephone: 537-6548
Lic/Reg Type: El
Use Group R4
Lic/Reg Number: 123691
Code 1995 CABO
Exp Date: 9/30/02
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: $1,600.00 Electrical Fee: $10.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $1,600.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $0.26
Total Fees: $10.26
It is the owners responsibility to schedule the following required 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
❑d Rough Electrical ❑ Firestopping/draftstopping
El Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ Final Inspe .•n
❑ Gas Piping and Pressure Test ■ erti e of*,-•pancy-Prior to use or occupancy
Building Official's Signature: 72
111.7
V
Town of Montville
Building Department Permit e)C rQ p
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
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Air Conditioning
—Gas Wiping
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Contractor .& cL 1'i//L4- -,k,'II Mailing Address ,54:5.y (.276% P i.j ,..
City C Ic_4-E' eK State c-i Zip O ii,s— Tel 'COS /....<37/ /g :
Contractor's License/Registration Type&Number EZ 17.3 6 V Exp. Date 9 iJO / eiz--
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 ....P. / lC1,-'� e...j Date //. /
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ 76 5"C> $ ,,.....r.40'Other $ $ ''''..—
Certificate of Occupancy $
Plan Review Fee $
State Education $ ` a-5'
Total $
Town of Montville Building Department Receipt
.� Date 7 / /5---/ O No. 01626
From:
Job Address: , .i &../Ae C5-l-ci�
Amount $ l �'"'��
/ Cash Check Check # ,.,�a F�'
(Circle one)
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