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HomeMy WebLinkAboutKitchen Remodel 2004 Town of Montville Building Department Field Inspection Notice Address: 24 Pennsylvania Ave. Job Description: Electric - Kitchen Permit Numbers:E2004-0116 Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1. Certificate of Not Approved: Approved: - 9i>'tl4 ,l'�; Occupancy Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Comments: 1. Approved: Not Approved: Approved: Comments: 1. Comments: Page 1 of 1 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext.382 Electrical Permit Permit Number: E2004-0116 Date: 03-May-04 Map/Lot: 093/009-000 Owner ID 115507 Job Location: 24 PENNSYLVANIA AVENUE Unit Job Description: Kitchen Remodel-Electrical Owner: Contractor: Jeffrey J and Anita M Dugan Quality Electric Serviice,Inc. P.0. Box 712 24 Penn Ave Niantic Ct. 06357- Oakdale CT 06370 Telephone: (860)739-9981 Lic/Reg Type/No. El 125069 Exp Date: 30-Sep-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $1,000.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $1,000.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.16 Total Fees: $10.16 Jt is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping 0 Rough Electrical ❑ Insulation Cl Electrical Service CRS#: 0 7 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑Gas piping and test Building Official's Signature. • Town of Montville rJ Building Department Permit# 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form DPlumding 4Electr►cal D9'fechanica.0 Heating Air Conditioning Gas Piping ❑fir Job Location a`-f P /Lui —4-€ Job Description/Materials D L OwnerPh`T, [ lL&1J Mailing Address o1/ PE-Avisy4-wbom- City (Q,q- State G Zip 0'6?-50 Tel /1.57/ ?. / Contractor()UA LCT/ Mailing Address rias / City /(>-/i State C.--7--Zip c910357 Tel( /-73q I `}7Y/ Contractor's License/Registration Type&Number E—/ Exp.Date / /3 ) / © Y 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 / 7 / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ /o ' $ /O Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Educationot" $ 1 Total $ 6 CM $ /4 Town of Montville Building Department Receipt Date / No. 03752 I _ � From: kerftr-e, ,p c IT/c 1� �- l • � y Job Address: dt ?E-00.i'yL vAt) /A 40Z- Amount $ /0 Cash Check Check # (Circle one) o)Received by Vet svin vim- Permit # rf