HomeMy WebLinkAboutGenerator Wiring and Pad 2014 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: E2014-0261 Date: _�21LQctJ44 Map/Lot:_Q72/043_00A____ Owner ID: 5448000
Project Location: PEQUOT ROAD Unit:
Job Description: Install Gen_erafor_Marla8cPadatF'UmoStation
Owner Nam jwn cif Montville Tenant Name Town_of_M.ontv_ille W.)?C A.
Careof:
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310 Nonw_ich_NJJoke llnrasvilIP
SL O6389-
_Unccisville cL _06382-_ Telephone:
Applicant Name _DavidDeP.asier Telephone: _860)88550681
DBA:_DeRosier Flectric Inc. Lic/Reg Type �1
--.____-- Lic/Reg N 1.215493
138 CraakzerLv__Eond_Roasi -- – Exp Date: 3Q_Sen 1
Norwich
enci• uc_ficn voktp P omit Fees Gor_is nu_chnn n orm_afinn
Building Value: SII,QO_ Building Fee: SO.O�L Use Group: IRC
Plumbing Value: 8_0_00 Plumbing Fee: Code: 2005 State Building Code
Mechanical Valu S0,00 Mechanical Fe
Electrical Value: 55.000,00 Electrical Fee: S�0� Construction Type IRC
Total Value: _— S5.000.00 Penalty Fee: _ S0,00_ Permit Code: C5
C of 0 Fee: 5100_ Comment
Plan Review Fe
State Ed Fee: Sjc
Total Fee Paid: SJ 30�
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
0 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:
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation
Eg Certificate of •c•royal
j-rtifi . - of Occupancy
J3sfficiina Officials_AoDr2v_aL '
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
PERMIT APPLICATION FORM Permit No.: GI y —(:)
Type of Work Occupancy Classification Construction Type Permit Type
❑ New Construction ❑A-1 ❑B 0 H-1 0 I-1 0 R-i ❑S-1 0 Type IA
❑Type 1116 ❑Building❑Addition0 A-2 ❑B,Medical
0 H-2 0 1-2 0 R-2 ❑S-2 0 Type IB 0 Type IV ❑Plumbing
❑Alteration 0 A-3 0 E ❑ H-3
['Change of Use ❑A-4 0 F-1 ❑I-3 0 R-3 ❑ U 0 Type IIA 0 Type VA 0 Mechanical
0 H-4 0 1-4 0 R-4 ❑ Mixed 0 Type IIB ❑Type VB 0 Electrical
❑A-5 ❑F-2 ❑M 0 Type 111A CRS#:
Property Address: 17 Pe�y uor /ad
(Number) (Street)
(Unit)
Job Description: ..Z S / 6 erlc(,g-/a/J f-() ,e. �<< ,+¢t ci j -d 4.—
<,c ./
Owner: /i4 t 4) "T-P Tenant: pucvt _ c,,i-->i ds/
F-3 � 0 ( '�
Address: � �1.1 „._Address:
City/State/Zip: J. 'I, L r fi,j 2 'r
e, cs City/State/Zip:
Telephone( ) - Telephone( )
•f
Applicant: Ail.d —De �B t g___
DBA: K.).S.i C e 100---c.31; L. 377k,
4
Address: 13 8 C A/q")/.3 e f! Po it cL i ci Q i`f O
City: OVt51'i, C7----State: Zip Code: 0 . 6 a Telephone( F66.) S d 1p cF/
Contractors - Complete the Following:
License/Registration Type: '? - / License/Registration No.:A43-17 5-3 Expiration Date: V_ CfS ----
I hereby certify that the proposed work will conform . tile State Building Code and all other codes as adopted by the State of Connecticut and the Town
of Montville and further attest that the propos-d work is a horized by the owner in fee and that lam authorized to make application for a
permit for such work as described above.
Owner/Agent Signature: - --- '- -- - Date: /0// 7./' Y
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: _S—OOC - O e6 Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee: I;3(..)
Total Fee:
Revised Avust 23,2007
Town of Montville
Building Department
File Receipt
Date: 17-Oct-14 9806
ReceiptNo:
Received From: David DiRosier
Job Address: 17 Pequot Road
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: $1.30 State Cash:
Bldg Check: $1.30
$0.00 State Check: $0.00
Bldg Credit: $0.00 State Credit:
Fire Cash: $0.00 $0.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: $5,000.00
Demolition Value: $0.00
CheckNo: 0
Received By: Carmen Kneeland
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No •ermit will be issued until all the re.uired si•natures are obtained.
/ �cc� T' deaf
Property Address
• 5771-'/ 6e 11 r /—C "...-
Job
-Job Description
Required
Department
Approval Permit Issuance Approval
Tax Collector
Signature/date
Comments:
Planning &Zoning l ('?/ &I - - /c)// /y
date t
Comments:
Fire Marshal
Comments:
Signature/date
❑ Health Department
Required for properties with private septic or well
Comments:
❑ WPCA, Administrative
Required for properties on sewer Signature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date
Comments:
(� 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:
❑ State Dept. of Transportation
Re.cited for Structures over 100 000 s..ft or with more than 200 .arkin• s.aces-Official co• of STC Certificate of 0•eration re•uired—.er
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
RevisetWay23,2011