The URL can be used to link to this page

Home My WebLink AboutRewire Fire Damaged Service 2002 11, Town of Montville Building Department Date / // / Q o2 Field Inspection Notice Permit#z470,2001.57- 681 Job Location AfiA).5-y CL_ 1Z<Approved Type of Inspection /fp A �Pc Not Approved - Please call for re-inspection when the following corrections have been completed: i Building Official ' MAR-25-02 MON 03: 19 PM CLP FAX: 18772854448 PAGE 1 til iI .. N..I b. 41 1 N I:VI() `J I Oi Gfl J• W I " I ( I � g l i villJ { a I I IZ n �, I I ' I I �`, I I� 1 1 — IINI i I i r set t I I � � I • I � ." to I I I I I I ( i I 1� � 1r I vl NI � II Ili II II ) II I 8 I , Q II `„ I1 II i" 11� � 1 I ISI � Io �I! � Il f .41 ( I..„ I ck p 1 1 Irct- iI ! I I\ r\i II - I I s -1. ch i itI I I ° I I i c [4. 4ir — II i L-- = { 4. _, a I 1 I 1i m I f II Icy I I! I! I „ IIv. r ( II I 1 [ Ia I I I 14 r I I I rII I I I , II 1 . . I II ( I 1 II I i, I 'I , 041 ° i o II I it ti ' II I 11 I .II R II ° ra I I II r 1 I I I � � I I � II F. j � I II t -i I % I I I 1IC I ) - III I I II a); 1. l_ li IIII 1 �i li 11 . J 4• Cr "1.€10/14 S /cf/90.2 tir To7cv7 /72oi tte__ Bizacbio6, n4_ pdcafve____ 4410, /Le 54-rilik-e_01 71-79 boa4 /7,51e14-7-P/1 e/J-ec2 17,2- geitycypz6_ 40, C( rCtbtf_S 13e a-iv\ ceA--k /6-0-L_ te/72417,--e-e,fr c_c_ QiiJ 6,4s cega42,ti z?") : rite t(ible-71_ /di 1 )^1-1•1 eY1- ‘41w 0-6 kf nAtcri Fdt-t)EL. /71-4-v-e AgAi' (ar, Qw t tivi `&1,4x ikT Ntiv 0111° 4 tv Town of Montville BUILDING DEPARTMENT / / 310 Norwich-New London Turnpike /J Uncasville,CT 06382 860-848-3030,Ex.t 82 Electrical Permit Permit Number: E2002-087 Permit Date: 12-Apr-02 Permit Code R5 Job Location: 64 PENNSYLVANIA AVENUE UNIT: - MAP/LOT: 092/182-000 Job Description: rewire fire damaged areas Owner Contractor RALPH E+ NANCY E JACKSON A.E.S./Dion P. Doyle 38 Oak Ridge Street 64 PENNSYLVIA AVE Unit: - Norwich,Ct.06360 OAKDALE CT 06370 Telephone: 859-9844 Lic/Reg Type: El Use Group R4 Lic/Reg Number: 181926 Code 1995 CABO Exp Date: 9/30/02 Construction Type 5B Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $0.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 Included with Building Permit State Ed Fee: $0.00 Total Fees: $0.00 It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice reauested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑d Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test U Final Inspection ❑ Gas Piping and Pressure Test ■ ertificat: of• :. cy-Prior to use or occupancy Building Official's Signature: ' i �` i = Town of Montville Building Department Permit# E7-criz--o72 310 Norwich-New London Tpke. Tel. 848-7166,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form ❑'Plumbing [ E1 ctricaf ❑Weclranica( ?feating Air Conditioning Gas Piping D Other Job Location ee'i /0oU d/s' L/6-A)//9 4 (1-e Job Description/Materials )Z.P 40/r -e j r d 5 /y¢vr S �ec/2 irk -c 7/0 A (77-e__ Owner /7-41-1-10 H r- J✓ - ay—Wailing Address $/911"-e..._ City O ta./e State CAI Zip 660 7 QTeI FG'd/ S'5 7/ 09 a S/ Contractor A-F, S Mailing Address d 0 Al/'/Z'l,Or— Si7 City \ U- State CA- Zip G516..37e1 &-00) Contractor's License/Registration Type&Number E/ /67 ) �o Exp. Date f / D /c.) 2O2 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. 4 as Owner/Agent Signature Date / / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ /is 0 0 - $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Buildin: Permit Affidavit for Pro ie Owners or Sole Pro s rietors (Conn. Gen. Stat. §31-286b) Property located at / 1 w OV�l/��- V/91VI, 1� In the town of 14L 9. Name of building permit applicant: D Please check one: 1. I am the owner of the above property. 2. t---ram the sole proprietor of a business. _2A.Name of business J 2B.Federal Employer Identification Number(FEIN) C'/ > 597 Pursuant to §31-286b,"a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will compensation insurance for all those employed on the job site iniac require nce with chapter."f of Please check one:\ 1. do not intend to act as a general contractor or principal employer. [Si. . . , top h. Ae IA Signature of applicant 2. I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he/she engages in work on the above accordance accordance with the Workers'Compensation Act(Chapter 568). p Icy in I understand that pursuant to §31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 9 200 (Notary Public!Commissioner of the Superior Court) STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UNLIMXTED CONTRACTOR DION P DOYLE 38 OAK RIDGE ST NORWICH,CT 06330 TYPE. El EXPIRES EFFECTIVE I 09/30/2002 LIC./REG NO. 181926 10/01/2001 SIGNE4-=------- -61) ---- \! A 111 jv Ip • )‘, e d4