HomeMy WebLinkAboutElectrical Upgrade to 200 AMP 2005 Field Inspection Notice
Town of Montville
Building Department
November 23, 2005
Address: 6 Pheasant Run
Job Description: Electric Service
Permit Number(s). E2005-0263 Permit Date: 11/18/05
INSPECTION Not Approved Approval
Date: Deficiencies Special Conditions Date
ELECTRIC 11/23/05 DJ
SERVICE
CERTIFICATE •
OF 11/23/05 DJ
COMPLETION
Rev.Date: 10/18/05 Page 1 of I
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: E2005-0263 Date: 18-Nov-05 Map/Lot: 028/005-064 Owner ID: 5456000
Project Location: 6 PHEASANT RUN Unit:
Job Description: Electric Service Upgrade 200A
Owner Name: Rodney M and Mollie Weekly Tenant Name: N/A
Careof:
6 Pheasant Run
Oakdale CT 06370- Telephone:
Contractor Name: William Robarge Telephone: (860)715-5995
DBA: Lic/Reg Type: El
94 Cow Hill Road Lic/Reg No: 123489
Exp Date: 30-Sep-06
Mystic Ct 06355-
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $1,809.00 Electrical Fee: $16.00 Construction Type: 5B
Total Value: $1,809.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $1.60
State Ed Fee: $0.29
Total Fee: $17.89
It shall be the owners repsonsibilitv to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS
❑ Footing -Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill -Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab- Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor framing 0 Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation / ❑ Certificat--of Approval
I) ate of Occupancy
iilding Official's Approval: Ai
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit#,e�e,c)
Plumbing F ctricaf � �,�, a - ❑Mechanical
CRS # Ifeating
Air Conditioning
Gas 1Tiping
FiSinA Family Ej Two-Family ❑ Townhouse
Job Address Co ? JA¶ A* b bak,Ate..
(Number) (Street) (Unit)
Job Description sey- \LE ZOv A
Owner YlkAlk' Mailing Address s
City oq.Gato.d(et_ State C Zip 61,376 Telt /qq ( / 6GG
Contractor U.;-\\\N.h- t o l Mailing Address ctL4 e.111.0 4,4 4,
City VVA-iC_ State AZip e(i -c Tel UO /1lS / j ?9$
Contractor's License Type&Number E 1 1 7,3 4 J Q, Exp. Date 7 /3 O / 6 (1
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.
11111M0111 411111111°
Owner/Agent Signature AMMIPDate 6 t / / QS-
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ a OO , oo $
Work commencing before the issuance of a permit $
Plan Review $
State Education $
Total $ $
44,viseiNovember 1,2004
Town of Montville
Building Department
File Receipt
Date: 14-Nov-05 Receipt No: 839
Received From: William Robarge
Job Address: 6 Pheasant Run
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $17.89 Check: $0.89
Check No: 995
Construction Value: $1,808.00
Demolition Value: $0.00
Received By David M Jensen &.,..,:/// 1/2 / L_
Address: 6 Pheasant Run
ITEM QTY S/UNIT TOTAL
Building Plumbing Mechanical Electrical
SQUARE FOOTAGE OF LIVING AREA
Living Area SF $ 114.17 $ - $ -
Finished Basement SF $ 20.87 $ - $ -
Unfinished Basement SF $ 11.28 $ - $ -
Finished Attic SF $ 31.90 $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom EA $ - $ -
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ -
Detached SF $ 63.21 $ - $ -
Under SF $ 9.12 $ - $
-
Carport SF $ 18.08 $ -
MECHANICAL
Warm-Air N Y/N $ -
Hot Water N Y/N $ -
Heat Pump N Y/N $ -
Electric N Y/N $ -
ELECTRICAL SERVICE
Upgrade 200 Amps $ 1,808.40
Overhead,new Amps $ -
Underground,new Amps $ -
Subpanel EA $ 545.00 $ -
Gen Set EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry w/lfireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
-
Inground Pool EA $ 19,430.40 $ - $ -
Above Ground Round EA $ 5,472.50 $ - $ -
Above Ground Oval E4 $ 4,635.88 $ - $ -
Pool Heater EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical SF $ 18.50 $ - $ -
RENOVATIONS
Roofing,Oveday SF $ 3.38 $ -
Roofing,Strip&reroof SF $ 3.76 $ -
Roof Sheathing SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors,Exterior EA $ 401.50 $ -
TOTALS S - $ - S - S 1,808.40
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ -
Plumbing $ - $ -
Mechanical $ - $ -
Electrical $ 1,809.00 $ 16.00
Working before Permit Issuance $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ 1.60
State Education Fee $ 0.29
TOTALS $ 1,809.00 $ 17.89
Figures are based on the 2006 RS Means Residential Cost Data
t
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
building permit will be issued until all of the required signatures have been obtained.
Required Department Permit Issuance Approval
Approval
111 Tax Collector �� us
S aturel date
Comments:
❑ WPCA,Administrative
Signature!date
Comments:
❑ WPCA,Technical
Signature/date
Comments:
❑ Planning& Zoning
Signature!date
Comments:
❑ Health Department
Signature/date
Comments:
❑ Department of Public Works
Signature/date
Comments:
❑ State Dept.of Transportation
Signature/date
Comments:
❑ Fire Marshal
Signature/date
Comments:
24vrseiAugust 5,2005
7A - 7B - 7C
, State of Connecticut N
Workers' Compensation Commission
L:• {'* :) DIRECTIONS
DIRECTIONS for FILING FORMS 7A, 7B and 7C x
Building Permit Requirements for Workers' Compensation
Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first
submit"proof of workers' compensation coverage for all of the employees who are engaged to perform
services on the site of the construction project for which the permit was issued."
The only exceptions to this law are the sole proprietor or property owner who will not be acting as general
contractor or principal employer.
What to give to the Building Official to obtain a Building Permit:
1. The General Contractor or Principal Employer must provide a written certificate of workers'
compensation insurance for all of the employees on their project. This certificate may not be for liability,
disability or any other type of insurance.
2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal
employer is not required to have workers'compensation coverage. In order to obtain the building
permit, a FORM 7A should be completed and given to the building official.
3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal
employer must provide a written certificate of workers'compensation insurance for all of the
employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn
notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance
for all those employed on the job site.
4. The General Contractor or Principal Employer who has properly excluded himself from
coverage using the appropriate WCC form (see NOTE below) must file the FORM 7C with the building
official. This form certifies that they have properly excluded themselves, and attests that they will
require proof of workers' compensation insurance from every employee that works on the designated
job site.
NOTE: The general contractor or principal employer may exclude himself from workers'compensation
coverage by filing one of the following forms with the appropriate Workers' Compensation
Commission district office:
Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC
Form 6B-1 for employees who are Members of a Partnership
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
ELECTRICAL1.114,1L4pitIII OTfRACTOR
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