HomeMy WebLinkAboutElectrical - External Feed Replacement 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: E2017-0199 Date: 10-Aug-17 Map/Lot: 038/034-T07 Owner ID: 4387000
Project Location: 126 MEETINGHOUSE LANE Unit:
Job Description: Replace Feed to Trailer
Owner Nam Andrea R Giguere Tenant Name N/A
Careof:
126 Meetinghouse Lane
Oakdale CT 06370- Telephone: (860)848-8504
Applicant Name Bonner Electric Inc. Telephone: (860)848-8539
DBA: Lic/Reg Type El
Lic/Reg N 181768
1865 Route 32 Exp Date: 30-Sep-17
Uncasville CT 06382-
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: 2016 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
Electrical Value: $4,700.00 Electrical Fee: $75.00 Construction Type IRC
Total Value: $4,700.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $7.50
State Ed Fee: $1.22
Total Fee Paid: $83.72
It shall be the owners repsonsibilitv 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 frami 0 Electrical Service CRS No: 2966042
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation Cerfificato • Approval
-r' tate of Occupancy
Building Official's Approval: t
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 _ Fax. 860-848-7231
PERMIT APPLICATION FORM Permit No.:
Type of Work Occupancy Classification Construction Type Permit Type
0 New Construction 0 A-1 0 B 0 H-i 01-1 [3 R-i 0 s--i laFyiTe-iA 0 Type 111B u Building
liAddition 0 A-2 0 B,Medical 0 H-2 [3 1-2 D R-2 0 S-2 0 Type IB 0 Type IV 0 Plumbing
Alteration 0 A-3 0 E 0 H-3 0 1-3 0 R-3 0 U 0 Type HA 0 Type VA Opechanical
Change of Use 0 A-4 0 F-1 D H-4 0 1-4 0 R-4 0 Mixed 0 Type 11B 0 Type VBlivrElectrical
0 A-5 0 F-2 0 M 0 Type 111A CRS#: 2966242
Property Address: 126 Meeting House Ln.Oakdale,CT 06370
(Number) (Street) (Unit)
Job Description: Replace feed to trailer.
Owner: Honeyworks,LLC Tenant:
64 Pires Dr.
Address: „Address:
i
City/State/Zip: Oakdale CT 06370 I City/State/Zip:
Telephone( 860 1 848 _ 8504 Telephone( ) -
. . .... . ' .... . . .. . .. . _... .__ . --
,..,
Bonner Electric, INC.
Applicant: -
DBA:
Address: 1865 Norwich-New London Tpke.
Uncasville CT 06382 860 ) 848 8539
City: State: Zip Code: Telephone( -
,........._,,
Contractors - Complete the Following:
I ,. . ..
E1 . ....
License/Registration Type: License/Registration No.: 0181768 Expiration Date: 09/30/2017
I hereby certify that the proposed work will conform to the State Building Code and all other codes as a'dopted 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 1 am authorized to make application for a
permit for such work as described above.
..,_
'-
_ . • • - —
Owner/Agent Signature: - _ _/ • Date: 8/8/2017
Construction Val - Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: 4,700.00Electrical Fee: 1 5 0 )
Total Value: 4,700.00Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee: ...j3 —II
riew ti Dct,<)s
g.....6 91:Fist 23,2007
Town of Montville
Building Department
File Receipt
Date: 09-Aua-17 ReceiptNo: 12544
Received From: Bonner Flectrir
Job Address: 126 Meeting House Lane
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $0.00 State Cash: 10.00
Bldg Check: 163.77 State Check: $1.72
Bldg Credit: 10 00 State Credit: $0.00
Fire Cash: X0.00
Fire Check: 126.75
Fire Credit: $0.00 Construction Value: 14.700.00
Demolition Value: $0.00
CheckNo: 47243
Received By: Carmen Kneeland crontui rn • i t.g�ilJW l6/
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August 8, 2017
This letter serves to authorize my employee, Brendan Marquis, to act as my agent to sign an
electrical permit for the following addresses:
126 Meeting House Ln.
Oakdale, CT 06370
The work is scheduled to begin August, 2017.
Attached is a copy of my Connecticut license, along with our Certificate of Insurance.
nk you, §,
Jo ph B. Bonner, President
onnecticut License No. 181768 E-1
1865 NORWICH-NEW LONDON TURNPIKE • P.O. BOX 366 UNCASVILLE, CT 06382
(860) 848-8539 • (860) 848-4279 FAX
CT LIC. 102976 RI LIC. A000228
www.bonnerelectric.com
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Client#: 610353 BONNEELEI
ACORDIM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
12/13/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
USI Insurance Services LLC PHONE 855 874-0123 FAX 203 634-5701
(A/C,No,Ext): (A/C,No):
530 Preston Avenue E-MAIL
Meriden,CT 06450 ADDRESS:
855 874-0123 INSURER(S)AFFORDING COVERAGE NAIC I
INSURERA:Continental Western Insurance C 10804
INSURED INSURER B:Travelers Property Cas.Co.of 25674
Bonner Electric, Inc. INSURER C:Evanston Insurance Company 35378
1865 Norwich-New London Tpke.
P.O. Box 366 INSURER D
Uncasville,CT 06382 INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABIUTY CPA027910318 12/31/2016 12/31/2017 EACH OCCURRENCE $1,000,000 _
CLAIMS-MADE X OCCUR 1 PERAEMISES iroNca liTence) $250,000
X X,C,U Inlcuded MED EXP(My one person) $5,000
PERSONAL&ADV INJURY _$1,000,000 _
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY X!JECOT LOC i PRODUCTS-COMP/OP AGG $2,000,000
OTHER: I $
•
A AUTOMOBILE LIABILITY CAA027910518 12/31/2016 12/31/2017 COMBINED SINGLE LIMIT
(Ea accident) $1,000,000
X ANY AUTO 1 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIRED AUTOS XNON-OWNED PROPERTY DAMAGE
_ AUTOS I (Per accident) $
I $
B X' UMBRELLA LIAB X OCCUR i ZUP91 M2089316NF 12/31/2016'12/31/2017 EACH OCCURRENCE $10,000,000
EXCESS LIAB CLAIMS-MADE I AGGREGATE $10,000,000
DED X RETENTION$10,000 $
A WORKERS COMPENSATION WCA027910718 12/31/2016 12/31/2017 X ET-FP-rum OTH-
AND EMPLOYERS'LIABILITY Y/N ER
AFYIPRPROPIEMBE�XCLNER EXECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under
— — — .........._._
I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
C !Contr Polution 16CPLONE60290 12/31/2016 12/31/2017 $5M each incident/agg ,.
Professional
$1M each incident/agg
Deductible
$5,000 each incident
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
SAMPLE Certificate of Insurance
CERTIFICATE HOLDER CANCELLATION
SAMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SAMPLE ACCORDANCE WITH THE POLICY PROVISIONS.
SAMPLE, ZZ
AUTHORIZED REPRESENTATIVE
nttin ,V..
1988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
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Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
126 Meeting House Ln. Oakdale, CT 06370
Property Address
Replace feed to trailer.
Job Description
Required Department Permit Issuance Approval
Approval Pp
Tax Collector �- -•-/,/. ,-�-- C/7
,
Signature/date
Comments:
Fire Marshal Iz47// 9
Signature/date
Comments:
I I Planning &Zoning
Required for all permits except Signature/date
Plumbing,Electrical,Mechanical, Roofing,Siding,Windows& Doors
Health Department
Required for properties with private septic or well Signature/date
Comments:
WPCA, Administrative
Required for properties on sewer Signature/date
Comments:
WPCA, Operations _!
When Required by WPCA Signature/date
Comments:
[ Department of Public Works
Required whe project includes driveway work or certain drainage requirements Signature/date
Comments:
[ Montville Police Department
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
[ Copy of State Dept. of Transportation Certificate
Required for Structures over 100 000 sq.ft,nr with mote than 200 parking spaces-Official copy of STC Certificate of Operation required—per
CGS 14-311
Signature/date
Building Department Final Inspection
Revised March 23,2075