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HomeMy WebLinkAboutElectrical for 2 Classrooms, Kitchen Appliances, Laundry and Panel 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: E2017-0200 Date: 10-Aug-17 Map/Lot: 029/068-000 Owner ID: 4830000 Project Location: 836 OLD COLCHESTER ROAD Unit: Job Description: Wiring Two Classrooms:One for Kitchen Appliances,and One for Laundry Facilities. Replace Existing Panel in Hall Owner Nam Town Of Montville Tenant Name N/A Careof: 310 Norwich-New London Tpke. Uncasville CT 06382- Telephone: 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: E Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $10,400.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $10,400.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $2.70 Total Fee Paid: $Y.70 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 I] 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 ❑ 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 ❑d Certificate if Approval - •i . e of Occupancy Building Official's Approval: Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit Not 62.CDt 7 - Type of Work Occupancy Classification Construction Type Permit Type 0 New Construction D A-1 0 B Li H-1 0 1-1 [1 R-1 D 0 Type IA 0 Type 111B 0 Building 1::eddition 0 A-2 0 B,Medical H-2 1-2 R-2 D S-2 Type 16 D Type IV 0 Plumbing Alteration 0 A-3 0 E 0 H-3 0 1-3 0 R-3 0 U Type I1A Type VA 1111Eplechanical Change of Use 0 A-4 0 F-i D H-4 0 1-4 0 R-4 0 Mixed 0 Type IIB 0 Type VB ur Electrical D A-5 0 F-2 0 M 0 Type 111A CRS#: MM. Property Address: 836 Old Colchester Rd. Oakdale,CT 06370 (Number) (Street) (Unit) Job Description: Wiring 2 classrooms, 1 to have kitchen appliances and 1 to have laundry appliances.Replace existing panel in hall. Owner: Town of Montville Tenant: Address: 310 Rt32 „..Address: City/State/Zip: Uncasville,CT 06382 City/State/Zip: Telephone( 860 848 _ 3030 Telephone( . . Bonner Electric, INC. Applicant: DBA: Address: 1865 Norwich-New London Tpke. Uncasville CT 06382 -) City: State: Zip Code: Telephone 860 848 8539( Contractors - Complete the Following: 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 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. ..a.. - • ' _ Owner/Agent Signature % 8/8/2017 Date: AtraMOIMMINIMI101•401191111111111110MW Construction Val e Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: 10,400.00Electrical Fee: Total Value: 10,400.00 Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: gsvise.16.1usust23,20.77 Town of Montville Building Department File Receipt Date: 04 Aua 17 ReceiptNo: 12543 Received From: Bonner Electric' Job Address: 836 Old Colchester Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: t0 00 State Cash: t0 00 Bldg Check: $2.70 State Check: 82.70 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: 10.00 Fire Credit: 80.00 Construction Value: $]0.400 00 Demolition Value: $0.00 CheckNo: 47243 Received By: Carmen Kneeland 'tol..L.I1 m ,i 0NN � try B E � RC ' 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: 836 Old Colchester Rd. 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. Thank you, seph B. Bonner, President Connecticut 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 4. • � -1711V.•;:. � t,i�y 'th7 ' ' ; 3JFyl "C£ ` - ' S`k�SVJ' 4 , J . p i ,1* ;*.* g [.1:: 4, gk , q /4.: + ".,6 Alii v(f.4a z O, j g '' ff. 4OS r. tri piO o •- r4.'4 ' H R. N l ;, n b7 ,. �"' n3 t./ tv i 4. i i . P ilz, tt td M 1W: ,• 24.3 p r ^h .„ t , O � O , MI 4` `.i s C, n 1 ' ,, oo O b N n `l til z {:s C') w , ' ;. •I , P At. . g. O 13 Pci.1" 0 iZi` f`* E e { , g «» °I 7j �3 i"" ley 7,e.. j O ,' 2 fr . y•e "t " } t1 ' - , `i' V �' ` eTaE c, 4 r ; , , 4.''' E ` Qt Client#: 610353 BONNEELEI ACORD... 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 (A/C NN,Ext):855 874-0123 F 203 634-5701 530 Preston Avenue E-MAIL (ac,No): Meriden, CT 06450 ADDRESS: 855 874-0123 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: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 INSURER E: 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 ADDL SUBRI LIR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDY/YYYY) (MM/DCD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA027910318 12/31/2016 12/31/2017 ppEAAqCCMHHq OCCURRENCEEET $1,000,000 CLAIMS-MADE X OCCUR PREMISES(EaEoNcccurrence) $250,000 X X,C,U Inlcuded MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 _ POLICY X PRO- POLICY LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY CAA027910518 12/31/2016 12/31/2017 (aMBITI SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED —1 AUTOS _ AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-O ED PROPERTY DAMAGE $ (Per accident) $ • B X UMBRELLA LIAB X OCCUR ZUP91M2089316NF 12/31/2016,12/31/2017 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE $10,000,000 DED . X, RETENTION$10,000 $ A WORKERS COMPENSATION WCA027910718 12/31/2016 12/31/2017 X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y N STATUTE ER OFFICER/MEMBER EXCLUDED? 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 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 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD ftC1 Qd9QddR/M1 Qd9f12c4 Mr11(7ID Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 836 Old Colchester Rd. Oakdale, CT 06370 Property Address Wiring 2 classrooms, 1 to have kitchen appliances and 1 to have laundry appliances. Replace existing panel in hall. Job Description Required Department Approval Permit Issuance Approval Tax Collector 4,� /� __- Zo4 Signature/date Comments: ® Fire Marshal 9 Signature/date to Comments: ❑ 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: I WPCA, Operations _ When Required by WPCA _ Signature/date Comments: C Department of Public Works Required when 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.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Final Inspection QevisedMarek23,2015