HomeMy WebLinkAboutUpgrade 100 AMP Service 2006 Field Inspection Notice
Town of Montville
Building Department
May 5, 2006
Address: 24 Peachvale Dr.
Job Description: Electric Service Upgrade
Permit Number(s): E2006-0089 Permit Date: 5/2/06
INSPECTION Not Approved Approval
Date: Deficiencies Special Date
Conditions
ELECTRIC SERVICE 5/04/06 DJ
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Rev.Date:1/18/06
Page 1 of 1
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: E2006-0089 Date: 02-May-06 Map/Lot: 084/118-000 Owner ID: 5384000
Project Location: 24 PEACHVALE DRIVE Unit:
Job Description: Electric Service upgrade 100A
Owner Name: Robert S. Maurice&Arnis Bubucis Tenant Name: N/A
Ca reof:
51 Branch Hill Rd.
Preston CT 06365- Telephone:
Contractor Name: NESC Inc. Telephone: (860)887-6685
DBA: Lic/Reg Type: El
Lic/Reg No: 192792
607 Norwich Ave. Exp Date: 30-Sep-06
Taftville Ct 06380-
_ .___..Construction ValugPermit 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: $998.00Electrical Fee:
- - $8.00 Construction Type: IRC
Total Value: $998.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.16
Total Fee Paid: $8.16
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: 712140
❑ Framing (� R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation / i__ Certificate of Approval
Ce ca e 0 upancy
Building Official's Approval:
Tovvn 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.: E(20ab 6198°9
Type of Work Occupancy Type Permit Type
❑ New Construction 0 Single Family 0 Building
0 Addition ❑Two-Family 0 Plumbing
0 Alteration 0 Townhouse 0 Mechanical ���
0 Accessory Structure Electrical CRS#:
Job Address: P-Ec4C-1') Vq iK
(Number) (Street) (Unit)
Job Description: /00 /4 cera;t'ce UpC6{o,c
Owner: 9c). b fnP,V r)"
Address:
City: State:
Zip Code:
Telephone:
Contractor: NES( . AVc_
DBA: r�
Address: Com..) (Vol-' V.�
City: 1-'01 V'1 �---�
State: (7 Zip Code: 063
Telephone: 43 .-43 .--2 66 License Type: 4 (/ License No.: 7 c)-• Expiration Date: � OO
Q 1' p f E
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.
X 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 throug 42 ,! the Residential Code.
Owner/Agent Signature: Uol S ;r , slo Date: D-7/C)4:
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:
R wised December 31,2005
Town of Montville
Building Department
File Receipt
Date: 27-Apr-06 Receipt No: 1215
Received From: NESC
Job Address: 24 Peachvale Drive
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $8.16 Check: $8.16
Check No: 2573
Short/Over: $0.00
Construction Value: $998.00
Demolition Value: $0.00
Received By Sandra Pandora
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STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
ELECTRICAL UNT.IMXTED CONTRACTOR
jOi j gi
TAF;fivnia4ii 06301
LIC./REG NO. IVk?' EXPIRES
192792 j ?„)),44111,200k:,„,,, ,'-j.`09/30/2006
SIGNED d
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� 1 �
9/27/2006 12:21 PM FROM: SAVA Insurance Group TO: 848-7231 PAGE: 002 OF 002
ACORa, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
4/27/2006
PRODUCER (860)437-7282 FAX (860)447-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Sava Insurance Group Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
750 Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Waterford CT 06385 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A HARTFORD CASUALTY 29424
NESC CORPORATION INSURER B HARTFORD UNDERWRITERS INS 30104
607 NORWICH AVE INSURER CTWIN CITY FIRE INSURANCE 29459
INSURER D.
TAFTVILLE CT 06380 INSURERE
COVERAGES
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE 5 2,000,00
X COMMERCIAL GENERAL LIABILITY DAMAGE TOEa RENTEDorrence) $ 300,000
PREMISES(
A CLAIMS MADE []OCCUR 02SBMPF1908 2/6/2006 2/6/2007 MED EXP(Any one person) 5 10,000
PERSONAL&ADV INJURY $ 2,000,000
GENERAL AGGREGATE S 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 5 4,000,000
POLICY[].R,ERCT n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) s 300,000
B ALLOWNEDAUTOS 02UECUF1878 6/10/2005 6/10/2006 BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Per accident)
$
PROPERTY DAMAGE
(Per accident) 5
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC S _
AUTO ONLY
AGG 5
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR CIp.a,l,I,,A-,,,= AGGREGATE $
S
DEDUCTIBLE
5 _
RETENTION $ 5
C WORKERS COMPENSATION AND X TORY LIMITS O R
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E .EACH ACCIDENT S 100,000
OFFICER/MEMBER EXCLUDED? 02WECPB2398 2/6/2006 2/6/2007 E .DISEASE-EA EMPLOYEES 100,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Electrical wiring
Re: 24 Peachvale road
Montville CT
CERTIFICATE HOLDER CANCELLATION
848-7231 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Montville Town Hall EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Building Department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
CT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ,n ,/�
Diana Buscetto/DLB f.0 � -X3-4+°64ha'
ACORD 25(2001/08) c ACORD CORPORATION 1988
IN5025,-ILH I ii AMS VMP Mortgage Solutions,Inc(800)327-0545 par o 1,.;
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
Property Address
OO A .re c tp c cc of/
_ V 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
Approval Permit Issuance Approval
Tax Collector C
Comments:
WPCA, Administrative -N'\% so tdcl bc.
Comments:
❑ WPCA, Operations
Comments:
Signat .�.r,1 atL
❑ Planning &Zoning
Signature/date
Comments:
❑ Health Department
Signature/date
Comments:
❑ Department of Public Works
Signature/ date
Comments:
❑ State Dept. of Transportation
Signature/date
Comments:
IP Fire Marshal I
Signatur- date
Comments:
levisecfAugust 5,2005