HomeMy WebLinkAboutElectric Service 2004 Town of Montville
Building Department la ,
Date: y f L44,1 Field Inspection Notice Permit#:
Address: // .j 06
7—
Not Comments/Corrections Required—re-inspection required:
Inspection Approved Approved P
❑ Footing 0
❑ Backfill 0 0
❑ Concrete Slab 0 0
❑ Framing 0 0
Rough Elec 0 0
Elec Service 0
Rough HVAC U' 0
❑ Rough Plumbing 0
❑ Gas Line 0 0
❑ Fireplace Throat 0 0
❑ Chimney 0 0
❑ Fire/Draftstopping 0
❑ Insulation 0 0
❑ Final Inspection 0
❑ Cof0 0 0
❑ ❑ ,.
/ .s. rs Signature
L.
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t :ax ._..�. Town of Montville4
Building Department
Date:,L'/j 9A"-K Field Inspection Notice Permit#:
Address: // Pun-r
Not Comments/Corrections Required—re-inspection required:
Inspection Approved Approved
I ❑ Footing ❑ ❑ i,,,,Fi tisLelT,
)i
❑ Backfill ❑ ❑
I ❑ Concrete Slab 0 0
❑ Framing
0 ❑
❑ Rough Elec
0 0
❑ Elec Service 0 0
❑ Rough HVAC 0 0
❑ Rough Plumbing 0 0
❑ Gas Line 0 0
❑ Fireplace Throat 0 0
❑ Chimney 0 0
❑ Fire/Draftstopping 0 0
❑ Insulation 0 0
❑ Final Inspection 0 0
❑ C of O 0 0
, ,101—t. ( 71...,?______ _________
17-ON{ N (y_st, ❑
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or's Signature
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Electrical Permit
Permit Number: E2004-0106 Date: 26-Apr-04 Map/Lot: 072/043-T01 Owner ID
116035
Job Location: 11 PEOUOT ROAD
Unit
Job Description: Electric Service
Owner:
Contractor:
David Waddington
Patrick Maurice
Route 85
33 Pequot Road Salem
Uncasville CT 06382 Ct. 06415
Telephone:
Lic/Reg Type/No. El 104082 Exp Date: 30-Sep-04
Tenant:
Self
Telephone:
Construction Values Permit Fees
Construction Information
Building Value: $0.00 Building Fee: i —
$0.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee:
$0.00 Code: 1995 CABG
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
It 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
❑ Rough Electrical ❑ Insulation
Electrical Service CRS#: 333730
❑ Final Inspection
❑ Rough plumbing and leak test
❑ Certificate of Occupany
❑Gas piping and test
Building Official's Signature*
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit# O/
Tfum6ing I]Electrical Lj ilechanical
OR # .7feating
Air Conditioning
Gas Ptping
Single Eami y fl Two-Family D Townhouse
Job Address / / Pe q(„07
(Number) / (Street)
(Unit)
Job Description . c.c.G( �/2� /(1)d A(41/
Owner ��•`� � Mailing Address rS '(?
City V" `,' State Zip Tel
Contractor Mailing Address
City State Zip Tel
Contractor's License Type&Number ( (0 Exp.Date 7 /30 /0/
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 PV Date y / of ,
d t,
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ l C7 app o $
Plan Review Fee $
State Education $
Total $ $
(Complete reverse side)
Town of Montville Building Department Receipt
Date
/ / o y No. 0371
From: CIA 4U:L Scot), SSI
Job Address: /7 Pey { ' 4
Amount $ �0 /p Cash Chec Check # /__.✓
,Circ e ne)
Received by (letentsr) Permit #
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