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HomeMy WebLinkAboutElectrical Upgrade from 100 to 200 AMP 2002 Town of Montville Building Depment Date ?719 oa Field Inspection Notice Permit # Job Location pc! /--'k'Q//1 GAL (! Approved Type of Inspection .f Ec7. ae!//cr R"c,deiV i Not Approved - Please call for re-inspection when the following corrections have been completed: A af-iX /41414- — ,ene( /Lor ....77v s/),Cr' A ti/i A"flJic- 4 --C/firOC,t Lir Ns oX/7-67-1 7/ rze_e_e_e_,,, /Ti Building •fficial • Town of Montville Building Department Date / 02— Field Inspection Notice Permit # Job Location 2I4 I& c /E-L- L-AlQ1.; MApproved Type of Inspection 97211)CI5 Not Approved - Please call for re-inspection when the following corrections have been completed: L Building Official • „ ,1.***” Av.* , Page 1 of 1 Subj: CRS Approval Confirmation: Request No. 219609 Date: Thu, 29 Aug 2002 8:51:00 AM Eastern Standard Time From: <clpsyc@nu.com> To: <JJ1289@AOL.COM> Sent from the Internet(Details) Your approval of the following CRS Request has been successfully processed. CRS Work Request #: 219609 House No: 24 Lot No: Street Name: PODURGIEL LN Town Name: UNCASVILLE, CT Inspector: JOSEPH SUMMERS Approval Date: Aug 29, 2002 http://webmail.aol.com/msgview.adp?folder=SU5CT1g=&uid=4091540 8/29/02 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 j 860-848-3030, Ext. 82 Electrical Permit Permit Number: E2002-216 Permit Date: 09-Aug-02 Permit Code R5 Job Location: 24 PODURGIEL LANE UNIT: MAP/LOT: 103/003-000 Job Description: Electrical service upgrade Owner Contractor STACEY L REICHARD KDS electric 1 Ayers Drive 24 PODURGIEL LN Unit: Canterbury,CT 06331 UNCASVILLE CT 06382 Telephone: 860-546-6658 Lic/Reg Type: E-1 Use Group R-4 Lic/Reg Number: 125397 Code 1995 CABO Exp Date: 9/30/02 Construction Type 58 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: $1,000.00 Electrical Fee: $10.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $1,000.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.16 Total Fees: $10.16 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 ❑ Rough Electrical ❑ Firestopping/draftstopping Electrical Service ❑ Insulation Rough Plumbing and Leak Test ❑ Final Inspection _ . Gas Piping and Pressure Test . occupancy- Prior to use or occupancy 200. Building Official's Signature: Toot=of Montville 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 jcP(um6ing L ctrica( Dllecfianica1 .7-I-eating Air Conditioning Gas aging OOtfier Job Location ) 4 PO `' , +'-3 t L ` LAtue 11.1.Cc 5 v, t 1 -e_ Job Description/Materials C e.,-\S _k_ too A-wt p ro 2UU Av./P p vc.02 /It1) LAS Owner 3 T I4C o '( R.6/ C,t.4 A str Mailing Address -2(4 Po d L.,r f r cam( C-a rA.-r City U 4 r4 5 v L.- LLQ State C'1 Zip Tel %S6b / 36 7 / 0X65 Contractor ( .0,5 (-6,0-0-61 t Mailing Address i 14 -e.� S b r City CO.,v4--(f-10‘.j VI State Cl Zip O&3 3 t Tel 8-60 /14 6 / 6 6 S r Contractor's License/Registration Type&Number I-106-- 3 '7 Lc-7- Exp. Date ? / 3o / O is 3 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. F. Owner/Agent Signature -,---4- Date 6 1 o Construction Value Fee Building $ $ Plumbing $ $ y Mechanical $ Electrical $ 1,0©0. $ /6 Other $ $ Certificate of Occupancy $ ----, Plan Review Fee $ State Education $ a /4 Total $ /, Doe, $ /O 76 PI: STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Buildin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn. Gen. Stat §31-286b) Property located at In the town of Name of building permit applicant: Please check one: I. I am the owner of the above property. 2. I am the sole proprietor of a business. -2A.Name of business 2B.Federal Employer Identification Number(FEIN) -"'--'....................... Property owner or sole proprietor ....... _t•- ...... Pursuant to eral contractor or principal em 1 er"may [who]intends to act as a g� P°Y provide either a certificate of workers'CompeIIsatin insurance or a"sworn notarized affidavit... stating compensation insurance for all those employed on the job site��in proof of workersc' accordance with this chapter" Please check one:c 1. __/i do not intend to act as a general contractor or principal employer. [Sign and stop here] 1 / ) 'I 4 Signature o applicant 2. I intend to act as a general contractor orrinci provide a certificate of workers'compensation P �employer.Applicant mast either below. insurance or sign the affidavit ............... .......................... Affidavit ..... I hereby swear and attest that I will require proof of workers'cora contractor,subcontractor,or other worker before he/she engagesnensakon insurance for perry accordance with the Workers'Compensation Act(Chapter 568). in work on the above property in I understand that pursuant to§31-275 C.G.S., officers of a corporation partnership may elect to be excluded from coverage by filing waiverand partners in a District Office;and that a sole proprietor of a business is not d to witha the appropriate files his intent to accept coverage. have coverage unless he s -� ignature of applicant Subscribed and sworn to before me this day of 200_. (Notary Public/Commissioner of the Superior Court) Town of Montville Building Department Receipt Date / 4 /a z No. 02009- 1111 From: Job Address: 47-1/ FO DUTLC )L!_ �Nl� Amount $ /p aft Check Check (circle one) Received by ' /,r.ryw� Permit # . WiVJ.. I i 00Z/1010 4 L6C5Z ZOOZ14E160 )N C3ar)1-1 E9O `Mir 3H31.NVO AI�1Q SU JAV 1 11OI5 a H113N 4 3:odA j 11oiJ14d114O0 aL UWrtN"'W3141-3313 Nr?l.l/./.0gd 'i'j,¢cnSA'(.)_) i vI r`,1\�1..`1 is�",JJ(-jji! • de x} `+ctala0u45 a�{2a2kat.mOiC QuKLc3 1.0315 ssar�pe aa aq�is tnras dru 17'atllns auil 'ate laiB.mpod d00 of a lnias dus�r ooi a a las of xruuad 1e0rr230i0 us lar tioi• uit3i OAt MOH usaatmi'C to is 1.110ti 1 d L root`t'o cnr .o.aNri,i..- W.— *.• ,..��.. $1599145-0%old w°1.rauryda 9471)1.palwIn t££90.L3 Augawo3 anuq saa.CV