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HomeMy WebLinkAboutBathroom Remodel 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: E2006-0193 Date: 18-Sep-06 Map/Lot: 028/005-076 Owner ID: 5367000 Project Location: 22 PARTRIDGE HOLLOW Unit: Job Description: wiring for remodel Owner Name: Laura Pringle Tenant Name: N/A Careof: 22 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: Leon Laroux Telephone: (860)376-0111 DBA: Gren Electric LLC Lic/Reg Type: El Lic/Reg No: 125115 166 Strawberry St. Exp Date: 30-Sep-07 Lisbon Ct 06351- ______, 6351-____._..___, Cormstr40pn 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: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee Paid: $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 ❑I R Plumbing and leak test ❑ Deck Piers j 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 • -rtificat- : Appro ❑ Ceti cate of sccupancy Building Official's Approval: _ _ �� �f .....e- l..t �� Town of 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.: �(�a` ^ CV9N7 Type of Work Occupancy Type Permit Type 0 New Construction C&Single Family ❑ Building IlUll Addition ❑Two-Family ❑ Plumbing Alteration ❑Townhouse ❑ Mechanical 0 Accessory Structure ArElectrical CRS#: Job Address: 4 PACT r‘A8,8-- 40a ,l.v (Number) (Street) (Unit) Job Description: IL � .* ' _ d►_ re. 5l. 4J A +lb Le-7- ‘C v.Qtr,ekTi— Owner: &A (� d LCC3,� tie_,— . P2Aro6. ( Address: (, F'l�t rZ $' yr City: em Fes- k, d(...- am L . State: Zip Code:_('143 Telephone: SL` 065 a Contractor: r t c-. L - 'f DBA: Leos, Address: /66 S fro �be/Tv City: $bc'.,`, State: Ci t Zip Code: Qg,,, -z7 Telephone: Woo 37(3-0I ( I License Type: E i License No.: 057/5"5" Expiration Date: 0 ®7 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. Pr By checking this box, I will follow the requirements of e 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in c rs 33 ro'gh 42 of the Residential Code. Owner/Agent Signature: 1 Date: -/ O Construction Value Permit Fees Building Value: 20 LSCDO Building Fee: Plumbing Value: FJ e)C Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: r6 C) G Q Electrical Fee: Total Value: 2 p rj-- ('N Penalty Fee: C of 0 Fee: • Plan Review Fee: State Ed Fee: Total Fee: 4tyviced cDecem6er31,2005 cc (,) at *.• .d.1 &"° g 111 , )---1 • k• o X, r-• I § •••:7;-.‘,., • o - r ,/oc • Nose ' 44,_2, Ill '14 Lit..?'0, Z ZIcn %.) n 4.1 0-4 . 1:4 0 E-1 w " a; d T-1 wi 0, i State of Connecticut g j-, `•, �L, ti Workers' Compensation p n Commission c7, 7A am 14 le 1:2„4,,,..%.„,,e IZZEfizt � Please TYPE or PRINT IN INK Ix Proof of Workers' Compensation Coverage when Applying for a BuildingPermit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer Applicant for Building Permit +1. Name of Applicant for Building Permit ) 1 014:1A c Ns0 ' Property located at 0/ it --rc t 0- 10 in the City o 17o vttI a I( . 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: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant 'C5-1-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 4414 C' .\5 ©1r1 PIU ini a p Federal Employer loft(FEIN) 101 7-3 C."'-3 2 S 7 ji / / 1 Signature of SOLE PROPRIETOR Applicant pr �\ I _2 )u • Tgwn 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 rid HLbL(J Property Address RQ R.cDC::,re-t. - Q(251A.0c1- - 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 EV Tax Collector ' SSM Signature/ date Comments: WPCA, Administrative , t (p ur�� date Comments: 5/C) Ce ❑ WPCA, Operations Signature/ date Comments: ❑ Planning &Zoning Signature/date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation Signature/date Comments: 'IV Fire Marshal 4 I r 24-(461 � Signature/ date \ LOLComments: W A t t cviceiAugust 5,2005