HomeMy WebLinkAboutElectrical Work 2007 Field Inspection Notice
Town of Montville
Building Department
September 14, 2007
Address: 145 Park Avenue Ext.
Job Description: Electric Service
Permit Number(s): E2007-0192 Permit Date: September 10,2007
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
Grounding • CRs#986062 9/14/07 DJ
•
Bonding • 9/14/07 DJ
Main panel
9/14/07 DJ
Final inspection and • 9/14/07 DJ
certificate approval
Rev.Date: 1/18/06 page 1 ar t
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: E2007-0192 Date: 10-Sep-07 Map/Lot: 096/014-000 Owner ID: 5334000
Project Location: 145 PARK AVENUE EXTENSION Unit:
Job Description: Change of Electrical Service
Owner Name: Francis J Jr and Judith Kirchner Tenant Name: N/A
Careof:
145 Park Ave Ext
Uncasville CT 06382- Telephone: (860)848-8120
Contractor Name: D.B. Lunt Electric Telephone: (860)213-4661
DBA: Ed Lunt Lic/Reg Type: El
Lic/Reg No: 193866
134 Laura Blvd. Exp Date: 30-Sep-07 •
Norwich CT 06360-
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC_
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $1,600.00 Electrical Fee: $16.00 Construction Type: IRC
Total Value: $1,600.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.26
Total Fee Paid: $16.26
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
Footing- Prior to pouring concrete R Plumbing and leak test
Deck Piers 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 d Electrical Service CRS No: 986062
Framing R HVAC
Masonry Fireplace Throat or Chimney Thimble Gas Piping and leak test
Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
Insulation ifica - of Api
'cat, - Occupancy
Building Official's Approval: _ ' ��
Thum i)f Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: ;,9o01-0C9r7
Type of Work Occupancy Type Permit Type
❑ New Construction ❑ Single Family ❑Building
a-Addition ❑Two-Family ❑ Plumbing
(]Alteration ❑Townhouse ❑Mechanical
❑Accessory Structure Iflectrical CRS#: �f C� (-)6 I
Job Address: / `l'f3 ,P�ck 4y'e__ EA+,
(Number) (Street) (Unit)
Job Description: G f^%,�,r\ q;,��� (.2 r SOr ti)c
Owner: f—rr L
�y�
Address: /7arlr. Avz fK
City Mort t,tt/!'t'J State: I % Zip Code: 06- 1 2-'2—
Telephone:
ZTelephone: O 0 -ce/ zo
Contractor: Dia (�,�rti� /1/4: (e-,c2f r-;c
DBA: r�
Address: /3 K t.r.�U r-e� gf c
City: /Ynr .i�/ State: I T Zip Code: c>>S'. e.6
Telephone: i.l ,3 L16 K/ License Type: i1. License No.: / ?j%.66 3 c) o 7
Expiration Date: / /
I hereby certify that the proposed work will conform to the State 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.
9r By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature: C4 Date: ?/7/67
/
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: /t<OC) Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
Rjrvised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 06-Sep-07 Receipt No: 2735
Received From: D.B. Lunt Electric
Job Address: 145 Park Avenue Ext.
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $16.26 Check: $0.26
Check No: 157
Short/Over: $0.00
Construction Value: $1,600.00
Demolition Value: $0.00
�Received By Carmen Roberts CLA �11 WI' , led/Oat)
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
—
Property Address
Cr'^(,n jc ,n,) n-r /er 1-1 cc:, 1 Sc;rviGe__ 44,-1-t°r r,p, 1.
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
Tax Collector 9 /c, /o 7
Required for all permits
Comments:
® WPCA, Administrative �� q l �, 10 1
Required for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
`/ Planning &Zoning /, �tel,i 1 �ct1 1g.i�, v&k7
Required for all permits y
Health Department
Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical, Roofing,Siding,Windows&Doors
Comments:
�I Department of Public Works
Required when project includes driveway work or certain drainage requirements
Comments:
State Dept. of Transportation
Required for Structures over 100,000 sq. ft. or with more than 200 parking s'aces-Official copy of STC Certificate of Operation required—per
CGS 14-311
Comments: � 1 0
111 Fire Marsha �
Required for all permits
Comments: , HAP-11 1 A All
44.visedAugust 5,2005
•
.� C State of Connecticut ii
`` ,,- i Workers' Compensation Commission ,;' 7A .
�_ J.:,
� Please TYPE or PRINT IN INK IX
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Pr
operty Owner
who WILL NOT act as General Contractor or Principal Employer
p p yer
Applicant for Building Permit
Name of Applicant for Building Permi /✓ L
Property located a y f /°7 r-k- A ii. /x L,
In the City/Town ofX /yl vnr'v,-lie
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE (1) BOX ONLY and complete the following:
UI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER A..licant
Nsigi
I am the SOLE PROPRIETOR of a business doingwork at the above-named roe I WILL NOT act as the general property.�� g I contractor or principal employer.
Name of Business 0/3— G b,r1± ele.G1r,G
Federal Employer ID#(FEIN) 0`e‘ao 1(.0%-it
Signature of SOLE PROPRIETOR Applicant
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Client#: 21023 LUNTELECTR
ACORD... CERTIFICATE OF LIABILITY INSURANCE DATE(M I D/YYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Smith Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
15 Liberty Way HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Niantic,CT 06357
860 739-3322 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A. Selective Ins. Co of South Carolina
Lunt Electric
INSURER B:
David Lunt,dba
INSURER C:
134 Laura Blvd
INSURER D:
Norwich, CT 06360
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY S1826196 08/15/07 08/15/08 EACH OCCURRENCE S1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000
PREMISES(Ea occurrence) _
CLAIMS MADE X OCCUR MED EXP(Any one person) s10 000 _
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $3,000,000
GEN'L AGGREGATE LIMIT APPLIES^ PER: PRODUCTS-COMP/OP AGG s3,000,000
7 POLICY PRO II LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG S
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ S
WC STATU- OTH-
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate is issued for the purpose of general coverage verification
only. A new certificate with the certificate holders name must be issued
to verify that coverage is in force at the time any job is contracted.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
See Coverage Description Section DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYS WRITTEN
Above NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED
i 1072444—.
ACORD 25(2001/08) 1 of 2 #M8752 BDK1 S ACORD CORPORATION 1988
• Address: 145 Park Avenue Ext.
ITEM CITY S/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $ _
-
Basement,Finished s SF $ 20.87 $ - $ _
Basement,Unfinished SF $ 11.28 $ - $ _
Crawl Sapce SF $ 8.46 $ -
Interior Renovations SF $ 31.90 $ - $ - $ _
MANUFACTURED HOMES
Ground Anchors S SF S 5.86 $ - $ - $ -
Basement SF $ 11.28 5 - 5 - $ -
Crawl Space > SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - S -
FuY Bathroom EA $ - S _
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ _
Detached SF $ 63.21 $ - $ _
Under < SF $ 9.12 $ - $ _
Carport SF $ 18.08 $ -
MECHANICAL
Warm-Ar Y WN $ -
Hot Water N Y/N $ -
Electric N Y/N $ _
Ar Conditioning N Y/N $ -
ELECTRICAL SERVICE
Upgrade '<'''I Amps S -
Overhead,new Amps $ _
Underground,new Amps $ _
-
Subpanel EA $ 545.00 $ _
Gen Set FA $ 3,500.00 $ _
-
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace - EA $ 5,907.00 S -
Masonry w/lfireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood stove insert FA 5 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39 16 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 7,287 50 $ - $ _
Inground Pool EA $ 19,430.40 $ - $ _
Above Ground Round FA $ 4,635.88 5 - $ -
Above Ground Oval S FA $ 5,472.50 5 - S -
Pool Heater EA $ 8,167.50 $ -
Infatable Type Pool s EA $ 1,542.42 $ -
-
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical - SF 5 18.50 $ - $ _
RENOVATIONS
Roofing,Overlay SF $ 3.38 $ -
Roofng,Strip&reroof s SF $ 3.76 $ -
-
Roof Sheathing S SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Wiindows FA 5 423.50 $ -
Skylights EA 5 955.54 $ -
Doors,Exterior FA 5 401.50 $ -
-
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS $ 1,600.00
TOTALS $ - $ - S - $ 1,600.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ _ $ _
Plumbing Y $ - $ _
Mechanical Y $ - $ _
Electrical Y $ 1,600.00 $ 16.00
Working before Permit Issuance . $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.26
TOTALS $ 1,600.00 $ 16.26
Figures are based on the 2006 RS Means Residential Cost Data