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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: E2011-0203 Date: 13-Oct-11 Map/Lot: 003/001-00B Owner ID: 5555000 Project Location: 16 PODURGIEL LANE Unit: Job Description: Electrical&Electric Service for New Single Family Residence Owner Nam Allied Development LLC Tenant Name N/A Careof: 42 Washington Street Mystic .._r CT 063 __....__._ Telephone:_0_3_60)449:2073 __ Contractor Nam Joseph Giangrasso Telephone: /860)917-6916 DBA: Signature Property Services LLC Lic/Reg Type E1 Uc/Reg No _ 195101 4 Park Avenue Ext. Exp Date: 30-Sep-12 Uncasville CT 06382_ ,__._ _,_Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 1. Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0`00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe 30.00 Fees Included with Building Permit State Ed Fee: _��____..$0.00 Total Fee Paid: $0.00 It shall be the owners reasonsibility 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 © 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 framin © Electrical Service CRS No: 1704882 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Cortificate of Appro al ■ Certif•. - .f c cupancy _Building Official's Approval: Ale -• 1 i Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: C.))1 -0303 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ❑Addition ❑Two-Family Cl Plumbing ❑Alteration ❑Townhouse ❑ chanical 1:1 Accessory Structure ,electrical CRS#: I g e-- Property Address: /C Pc-, bc)rGl --e- t} (--;x:rdsui Ne C--.3'8' a- (Number) (Street) (Unit) Job Description: leer , c•O t-c)trce K /.t—ct 6e-) //-1le Hyl!`; ' /1(1,7-e---e---- Owner: /�////ee>e . cmc ineyf f (-- Address: VZ- MZ /1 a e� �T �City: fz `)/ /C'_ State: Zip Code0 � Telephone( Te") C/YC- . Applicant: K:Th!< 'C rr2e<7".:7-34: DBA: 5<'11e ���• 5i E- ' Address: 'Z/ L _. /4--,___ $.7— City: (/ dee 2j7 - State: �� ZipCode: CSP G/7 �-- g � Telephone(��'�`)! - j� Contractors - Complete the Following: License Type: 6- (/ License No.:eVc /e'/ Expiration Date:��.5/�fJfZ._ I hereby certify that the proposed work will conform to the State 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 per or such work as described above. 7By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 throw 42 of the Residential Code. ` ���Owner/Agent � Date: /fe e' %(_ Aimmar Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: erj/ Mechanical Value: Mechanical Fee: a V Electrical Value: i� , .0e) Electrical Fee: / 1,4famoseme Total Value: Penalty Fee: Ci �� CofOFee: Plan Review Fee: - i I I I I I IP" State Ed Fee: Total Fee: P`evised August 23,2007 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. l6' /7 rio /e-/ L'-ct/t-e Property Address , le /ir4 Jot!Description Required Approval Department Permit Issuance Approval / I Tax Collector Comments: Signature/date • Planning & Zoning .e /6/07/7 Comments: 1jl l4— r Signature/date 1111 Fire Marshal 4j1 /2 /1 Comments: � Signature/date 1 n Health Department Required for properties with private septic or well Comments: H WPCA, Administrative �/ Required for properties on sewer Si ature/date ' 1 Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date n Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: n Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised May 23,2011