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Home My WebLink AboutElectrical Circuit Work 2005-2007 Field Inspection Notice Town of Montville Building Department April 19, 2007 Address: 17 Peachvale Dr. Job Description: Install 20A circuit for refrigerator, add 20A circuit& GFCI's -Gas Permit Number(s): E2005-0209—M2005-0127 Not Approved Permit Date: 9/12/05 Approval Rough Date. Deficiencies Special Conditions Date electrical _ 9/0/05 DJ Not Approved Approval Gas Test Date: Deficiencies Special Conditions Date • 9/0/05 DJ Rev.Date:8/4/05 Page 1 of 1 ( TOWN 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: E2005-0209 Date: 12-Sep-05 Map/Lot: 084/126-000 Owner ID: 5381000 Project Location: 17 PEACHVALE DRIVE Unit: Job Description: install 20A circuit for refrigerator,and additional 20A circuit&GFCI's Owner Name: Edward Sr and Betty Lou Tracz Tenant Name: N/A Careof: 1482 Route 32 Uncasville CT 06382- Telephone: Contractor Name: Dion Doyle Telephone: (860)859-9844 DBA: Lic/Reg Type: El Lic/Reg No: 181926 435 Route 164 Exp Date: 30-Sep-05 Preston Ct 06365- 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: $500.00 Electrical Fee: $8.00 Construction Type: 56 Total Value: $500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.08 Total Fee: $8.08 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 to Occupancy Building Official's Approval: { i— Town of Montville Building Department 310 Norwich-New London Tpke. Tel.848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# ,a'OQ ❑Plumbing [j*Electricaf D'Mechanicaf CWS # 9feating Air Conditioning Gas Piping Single Family ❑ Two-Family Townhouse Job Address / 7 /- 4-K L"I4 j/ ILE) vYl �'�}j;moi L Le t d. (Number) (Street) (Unit) r _ Job Description i' S f--4- 6 ! l c.�, fes) C ,' e �/e 1 6- ,9-NJ 6 G ` l Owner 1 t''/Q q) .1r4Cavlailing Address City tit\ c,i4 -- 01--- t ' L/ State Zip ie%'6 ? -)/ C 3 , Tel 4 Di Contractor ,. ( 001 Mailing Address /j S .1 6 City T1rY State e9f Zip 2'3 ".4-tel /J 5,-Y fc- Contractor's License Type&Number stc l G / Z—c.„, Exp. Date f /j() 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. Owner/Agent Signature Date 9 / / / O Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $5O 1 0-1) $ Plan Review Fee $ State Education Penalty Fee $ Total $ ItCwttdNovem5nl,2004 Town,of Montville Building Department File Receipt Date: 01-Sep-05 Receipt No: 589 Received From: Dion Doyle Job Address: 17 Peachvale Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $8.08 Check: $0.08 Check No: 1879 Construction Value: $500.00 De (ion Value' $0.00 Received By Joseph Summers ://:°.>"1/711 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL IRsIWTED CONTRACTOR thb It ri D OIL i' PHOSTO 4634 s4'"4"f 4104 •,:,.. , '4'1,1', „ , :f 1264 -At 09/W01)5 Lligfe6No 1 'E, i t (001A - 5001-- $7.; -1 GNED _ ,. . „,:, g :.-c State of Connecticut N 7A '. - Workers' Compensation Commission o CIF”:444.•°#° lotl;' Ix SSPlease TYPE or PRINT IN INK S 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 DL OKI V ay Property located at /7 0..,,,,ti V - (Lip ip in the City/Town of (/Y\ (7 44 6 �i 1A-x- / Attest C 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: LII am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant rlam 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 _...--Y61"------ • Tawn of Montville CONSTRUCTION PERMIT APPROVAL Property Address P7_13--c-Terd c A L 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 —,v. A • \. o • ; itt natulttiJatc WPCA — '1 9 0 Planning&Zoning 2�"s}i ii.3i r,:tate ❑ Health Department Signature/date ❑ Fire Marshal Signature/date Comments/Conditions: 9jpvise1Wovember1,2004