HomeMy WebLinkAboutSFR Electrical 2001 Town of Montville
Building Department
Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231
Building / Trades Permit
Permit Number EL2001-171 Permit Date 8/27/01 Permit Type Electrical Permit Code R5
Job Street# 10 Job Location PHEASANT RUN Map/Lot 028/005-063
Job Description Electrical
Owner Contractor
Richard Tree Richard Tree
Address 10 Pheasant Run Address 10 Pheasant Run
City Oakdale State Ct. City Oakdale State Ct.
Zip 06370 Telephone 367-0233 Zip 06370 Telephone 367-0233
Lic/Reg Number
Lic/Reg Type Exp Date:
Use Group R4 Code 1995 CABO Type Construction 5B
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 $300.00 Electrical Fee $10.00
Other Value $0.00 Other Fee $0.00
Total Values $300.00 C/O Fee $0.00
Comments: Plan Review Fee $0.00
State Ed Fee $0.05
Total Fees $10.05
Building Official's Signature Date 7 / / 0 )
It is the owners respons`'• i/o schedule the following required inspections (minimum 24 hours notice required):
Footings -prior to p•,r i concrete
Backfill -footing drains and waterproofing Li Fireplace Throat
Concrete Slab, prior to pouring E Fireplace Final
Rough Framing ❑ Chimney -one flue above thimble
Rough Electrical ❑ Firestopping/draftstopping
❑Electrical Service ❑ Insulation
[Rough Plumbing and leak test ❑ Pool bonding
❑ Gas piping -pressure test and installation ❑ Final Inspection
❑ Rough HVAC ❑ Certificate of Occupancy - PRIOR to use or occupanc
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Town of Montville Permit # S-LavU/-/7
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231
Application for Building or Trades Permit
Building Permit Trades Permit
❑ New Construction ❑Accessory Structure ❑crCumbing ❑9tecfianica(
❑Action ❑}Demolition glEctricaf
❑Alteration ,�,Ot(ier Xfeating
Air Conditioning
Gas'Piping
Job Location 10 * - Q,Ct,5 0/114- W
Job Description/Materials (JO[V'( ( V'} --IN AA ay-
Owner ��(,( 1 I Mailing Address ,n rkcilC1M' aii
-
City State (_ ` ( Zip (36 Tel / -7 /C11 33
Contractor S Mailing Address
City State Zip Tel / /
Contractor's License/Registration Type&Number Exp. Date / /
New Home Construction Contractors:
Have you entered into a contract with a consumer for the proposed new home? ❑ Yes E No
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 /ea---- Date / c /
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ 3 6 ] ' $
Other $ /
Certificate of Occupancy $
Plan Review Fee $
State Education
Total $ 3 6 .-- $ 'V, 5 .6.--
Town of *Montville Building Departm it Receipt
1 IlL
Date Xe• / 67 o / i No. 01003
From: _ �-_,._, i
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Job Address: / 4_,/ `'
IlkAmount $ /e) , v:57 Cash Check Check # S„? 075/
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