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Home My WebLink AboutFinish Basement Electrical 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: E2005-0210 Date: 12-Sep-05 Map/Lot: 028/005-076 Owner ID: 5367000 Project Location: 22 PARTRIDGE HOLLOW Unit: Job Description: wiring for finished basement Owner Name: Angel N and Helen L Cruz Tenant Name: N/A Careof: 22 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: David Mentasti Telephone:p (860)608-4603 DBA: Lic/Reg Type: El Lic/Reg No: 187687 21 Crosby St.second floor Exp Date: 30-Sep-05 West Hartford Ct 06119- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Inc. on Building Permit State Ed Fee: $0.00 Total Fee: $0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers R Electrical ❑ Backfill -Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: C/l Town of Montville r Building Department 310 Norwich-New London Tpke. Tel.848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit#,b (:)0 S --- 00, 2 id ❑Flum6ing ,ECectrica( ❑flechanical C2$ # 7feating Air Conditioning Gas Piping ISIS. Family ❑ Two-Family ❑ Townhouse Job Address 22 3T \ 1JCE 14ttt- j/ (Number) \ (Street) (Unit) Job Description W(iet&I C \ g€Z EPC t ES C.lG14.1'S rN SASQ'✓►4avy 'r1 �(S)-1 Pg OUT j Owner ct.._ E I QN C pQ Z Mailing Address -2_,Z NT 1 f -t OCC [-kb L.u U J City fvi 0 krc U\u-E State Zip Tel / / Contractor 1 `/ i1A 1 S 11 Mailing Address a( C S1?---/ST ZiGo 't,, City `N - f t 5gp State al— Zip Xp/(1 Telg..,0 / c:.aR/ L((003 Contractor's License Type&Number E- j it j 0 )( Exp. Date 9 i 70 / vs 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. . ."--.1)k Owner/Agent Signature Date / (b AS- Construction oSConstruction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ $ Plan Review Fee $ State Education $ Penalty Fee $ Total $ (p0 0 $ 90visallovein er1,2004 State of Connecticut YLL`', , Workers' Compensation Commission 7A • Q, Please TYPE or PRINT IN INK X kzataisfol Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building Permit DIV) ( /1A J 1 S Jr\ Property located at 22 `AMOG,€ LL V Vv in the City/Town of hit 1 61 1Ni LL.E Attest 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 Ap scant )tI am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business E t f_t l-7 t` `c/u"E ct 01\J c Federal Employer ID#(FEIN) D \ _ 30 is 1A Signature of SOLE PROPRIETOR Applicant STATE OF CONNECTICUT. DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UN .140. TED CQ1 TRADTOR y it s DAVID L TI MIDDtET ` T 6457' LIC./REG NO E IVEr EXPIRES 187687 -449 i 2 i. --09/30/2005 SIGNED I/, • fi.. • Town of Montville CONSTRUCTION PERMIT APPROVAL 2.2 Pfta- C'E Property Address Ki [S44 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 Collectorft SYi ce/G 'vignattir date: WPCA ra g IIL1OS chtc ❑ Planning &Zoning Signature./date ❑ Health Department Signature`date ❑ Fire Marshal Signature/date Comments/Conditions: QtFvised.Novew6er 1,2004 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CERTIFICATE OF OCCUPANCY APPROVAL Aotz(o(.,z Acc-c A/R Property Address /�/lt S/f/ECS / 1 ` Job Description No Certificate of Occupancy will be issued until all of the required signatures have been obtained. Required Department Certificate of Occupancy Approval Approval WPCA q (61- Sign ture!date Comments: ❑ Planning &Zoning Signature/date Comments: n Health Department Signature/ date Comments: n Department of Public Works Signature/date Comments: fl State Dept. of Transportation Signature/ date Comments: Police Department Signature/date Comments: n Fire Marshal Signature/date Comments: uedAugust 5,2005