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Home My WebLink About2009 - Garage Conversion - 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: E2009-0244 Date: 24-Nov-09 Map/Lot: 028/005-073 Owner ID: 5372000 Project Location: 34 PARTRIDGE HOLLOW Unit: Job Description: Electrical for Garage Conversion Owner Name: David and Michele Palmer Tenant Name: N/A Careof: 34 Partridge Hollow Oakdale CT 06370- Telephone: (860)334-2133 Contractor Name: Home Owner Telephone: DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: 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: $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 Fees Included with 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 ❑ R Plumbing and leak test ❑ Deck Piers IJ 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 _ Ce. cate pproval Ce e of Occupancy Building Official's Approval: 4�>� 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.:f10-44 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure 541ectrical CRS#: Property Address: Poor-fir i tinto. D (Number) (Street) (Unit) Job Description: C IPr-IYi c -4-f' OnS Owner: £ AVS d .f m rc1 t m er Address: �� x}34 05-/-h-I� '.G""" City:lrt k&&.IO _ State. Zip Code: Cko3 ]Ci Telephone(NCO )33(+ -c)I Applicant: }bmC DBA: Address: City: State: Zip Code: Telephone( ) 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. ❑ 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- • .ugh 42 of the Residential Code. Owner/Agent Signature: / - Date:)c I\ J C_ IC ct Construction Value 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: '$Purse_August 23,2007 - v' State of Connecticut 471 Workers' Compensation Commission7A ��4221:4141,�� Please TYPE or PRINT IN INK 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 14 - I a7 _- 1I) I ' Property located at f T"t 1 t L in the City/Town of CDPVO,t '_ 4 ` C) C 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: ,4 I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. � 1 Signature of OWNER Applicant J r ❑ 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 all the required signatures are obtained. 3 -Pco--+,r-,'dam. 1-46I I�,L3 Prop y Address -onve-r+ Ori' iort9_ Ex rc <jiLd -IZv—Ini .X Job Description .:1 - ,f-y)I r Rim 1-b Crec ‘y 1 Qp � rn - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Approval Permit Issuance Approval ® Tax Collector C)qcY,\JYTLA\-.5 Signature/date Comments: Planning & Zoning 9 /1/4C/0 Si nature/date _ Comments: V / i _L- ® Fire Marshalb (0). Signature/date Comments: a K61 .i l.i.l L"( Health Department Required for properties with septic systems-Not required for Plumbing, Electrical, Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: \r ® WPCA, Administrative 6 'vC3 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 R. 'cd9rovcm6cr5,2008