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Home My WebLink About27ft Above Ground Pool 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: E20J4-Ojp6 Date: Map/Lot: 0280.05-(l75 Owner ID: 5368000 Project Location: 26 PARTRIDGE HOLLOW Unit: Job Description: _Elect4oal_for_Above_G ou[rd�ool Owner Nam .13onaldCaviness III Tenant Name N/A Careof: 26 Partridnr Hollow _.akdalP. CT -06.370- Telephone:18601221-8384 Applicant Name .2ron&rtv C)wner Telephone: DBA: Lic/Reg Type Lic/Reg N 0_ Exp Date: Cone±�refior�ll o Ee a it ees Conon tction_tnfarnpntinn Building Value: S0.00 Building Fee: Use Group: IRC Plumbing Value: $Q.On Plumbing Fee: gf_0.0 Code: 2005 State Building Code Mechanical Valu 50.00 Mechanical Fe S0.00 Electrical Value: S0f _ Electrical Fee: SQ,00 Construction Type IRC Total Value: SQ00 Penalty Fee: sun Permit Code: R5 C of 0 Fee: snob Comment Plan Review Fe 50.00 Fees Included with Pool Permit State Ed Fee: 50.00 Total Fee Paid: 0_00 It shall be the owners repsonsibility to schedule the followinq 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 LI Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation -rtificat= if Approval C ate of Occupancy £tiildina_0 ficiats_Aaarova• = ,' ^_� Town of Montville Building Department 310 Norwich-New London Tpke. Tel.860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL POOL PERMIT APPLICATION FORM Permit No.: a...)1 LI-o IcX.v Type of Work Permit Type ,;QAbove Ground Pool ❑ Pool Heater 0 Building ❑In-ground Pool ❑ Deck ❑Plumbing ❑Hot Tub/Spa ❑Accessory Structure 0 Mechanical ,..Electrical '/ , Property Address: c Par t ric cc. (Ow f Oa lam(.ale, CT (Number) (Street) (Unit) Job Description: ' t Cc -F1''1 L c( Pc c 1 Owner: Ron COtV I J'i_ Address: PO C.Je_. Rot t( City: 0 1( State: CT Zip Code:c(D3 10 Telephone(f(.0) LZ) _ 8-3p Applicant: 1 and •B r C&< J- Ca i nQcs DBA: Address: ct r- ie__ t t V t 0 City: 0 State: 0 Zip Code:(1o3 I l.} Telephone( k) )22-i - S.-01--1 Contractors -Complete the Following: License Type: License No.: 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. Owner/Agent Signature:b � c � �� Date: 61 Ili \ 1 Li- Construction Valu Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Igvised August 23,2007 v"" 7A v State of Connecticut N V, Workers' Compensation Commission tom.^�� ,..,1-.._ Please TYPE or PRINT IN INK ci 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 f ric,C.{ CV` f K-n SS Property located at �Y V O ffin Cie` H0\ l ,o in the City/Town of a �--(1(-) . - 1(- I.l ,i C I 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: 14/I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant.^•! t - 0 U I 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 Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until ail the required signatures are obtained. Property Adds 14=30Ve-671101x)nd Rct kna POn 1 -i (per g V: y Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval Tax Collector � /44°'�^-R--- ,��"`A `f Signature/date Comments: I El Planning & Zoning /. tea Signature/date Comments: _ I1 Fire Marsha /L j� Signature/date Comments: I ' I V" , boi Health Department Re.uired for.ro.erties with septics stems—Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: J g WPCA, Administrative 55 I I) Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date RrviredNovemfier5,2008