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Home My WebLink AboutThird Floor Electrical 2017 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: E2017-0205 Date: 16-Aug-17 Map/Lot: 077/031-000 Owner ID: 3974000 Project Location: 238 MAPLE AVENUE Unit: Job Description: Install Electrical Outlet for Refrigerator on Third Floor Owner Nam Town Of Montville Tenant Name Palmer School Careof: 238 Maple Avenue 1 310 Norwich N L Tpke Uncasville CT 06382- . Uncasville — CT 06382- Telephone: Applicant Name Robert G.Krawic Telephone: (860)235-6949 DBA: Sacko Electrical Lic/Reg Type El Lic/Reg N 125666 85 S Edgewood Road Exp Date: 30-Sep-18 Niantic CT 06357- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0,00 Use Group: E Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $250.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $250.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.07 Total Fee Paid: $0.07 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: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: ) r/ S'-c-7! ,_ Town of Montville 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.:f�OCI7 - O a9.5 Type of Work Occupancy Classification Construction Type Permit Type El New Construction El A-1 El B El H-1 0 I-1 0 R-1 ❑S-1 ❑Type IIIB ❑Addition 0 A-2 0 B,Medical 0 H-2 El 1-2 ❑Type IA 0 Plumbin ❑Alteration 0 A-3 0 E 0 H-3 ❑ 1-3 0 R 2 0 S 2 El Type IB ❑Type IV ❑ Plumbing 0 R-3 0 U 0 Type IIA 0 Type VA 0 Mechanical ❑Chanae of Use 0 A-4 0 F_1 0 A-5 0 F-2 ❑ H-4 ❑ 1-4 0 R-4 0 Mixed 0 Type IIB 0 Type VB ;,Electrical 0 M ❑Type IIIA CRS#: Property Address: 23(6Map' L Rte_ PAW t oA &Lt' (Number) 111 (Street) (Unit) Job Description: Ips'- k) e1, {c- l� QU-4-Q:4— r Y..e- , r217A-for ON-1 5r —Matt, Owner: ki\- \J(k 2J-- Crc Ed, Tenant: Address: Address: City/State/Zip: City/State/Zip: Telephone( ) - Telephone( ) - Applicant: Po\c,iat4 G. KruwC_ DBA: SCq-Lf-e. E.—Lec4u L Address: S , £cC(e(,�k ci ��r ��p' 8 S City: 'v� LAA--ter„„__ State:CI Zip Code: 06 357 Telephone e60 R-3B _69T9 Contractors - Complete the Following: License/Registration Type: i License/Registration No.:125'666 Expiration Date: 9/3O// 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 permit for such work as described above. Owner/Agent Signature: �JSI jLLc(J-LO. Date: 8) I S ) LO I 7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: aGO Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: �-c-1 State Ed Fee: .v Total Fee: ,7 t 2` Revised.-August 23,2007 Town of Montville Building Department File Receipt Date: 15 Aua 17 ReceiptNo: 12560 Received From: Robert Krawic Job Address: 238 Maple Avenue Town Fees Collected State of Connecticut Fees Collected Bldg Cash: S0 07 State Cash: X0.07 Bldg Check: _0.00 State Check: $0.00 Bldg Credit: 50.00 State Credit: $0.00 Fire Cash: 50.00 Fire Check: 50.00 Fire Credit: S0.00 Construction Value: V50.00 Demolition Value: S0.00 CheckNo: 0 Received By: Carmen Kneeland C_ ,rn �'� , ► I y�g4 Public Act No. 91-95: An act concerning the requirement that licensed contractors as defined in Section 20- 330 of the General Statutes, must personally sign each building permit application. Date: 08-18-17 In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above reference permit application. 1. Project Name: Palmer School - Install electrical outlet for refrigerator 2. Location: 238 Maple Avenue, Montville, CT 06353 3. Starting Date: 08-17-17 4. Licensed Contractor's Name: Sacks Electric 5. Licensed Contractor's Trade License No.: , 125666(E-1) / A Ray Sac 6. Name of Agent: Robert G. Krawic Sincerely, "siarkr..., Ray Sa s Owner, Sacks Electric STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER ------i rt_.�- UMER PROTECTION L� Be it known that tt 1 RAY H SACKS 85 S EDGEWOOD RD �` NIANTIC, CT 06357 _. i i has been certified by the Department of Consumer Protection as a licensed vA_ c` I ' ELECTRICAL UNLIMITED CONTRACTOR ` License #ELC.0125666-E1 _.± 4 i Effective: 10/01/2017 Expiration: 09/30/2018, itill Michelle Seagull,Commissioner I y,� �yuY '�_ ti �' � �. k � i,�[�`�� °$,r ��:�; Wit'" ��"'� ? r�f'� 4� ,*� ,,l' �► 4—* �' v+ 4—ii- ir�►.. 470.---' ':.". i . 7 ti... N t'S - .:;:. \ti q.:4-119- ::� J .' *::-..'.,;,,"4:4. � y 1 $4^''"i{ a'`..i,i�''� +S i 4.ti r S',t,''� 7 .`� ,/ : -'� STATE OF CONNECTICUT l)Lj 4RT1(F.:VT OF('ONS(-lIER I'ROTE('7(0V ELECTRICAL UNLIMITED CONTRACTOR RAY H SACKS 85 S EDGEWOOD RD NIANTIC,CT 06357 LIC./REG NO. EFFECTIVE EXPIRES ELC.0125.„-El 10, 4.--„,,_/01/2017 09/30/2018 .SIGNED -.- _-15 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 023 int �� Ave Proper0 Address 5 (( (t r Ori Cc j Oukid- -Q7( Q i 4j 0{1 - i rd Ra c Job Descript Required Department Approval Permit Issuance Approval Tax Collector Signature/date Comments: CNDFire Marshal Signature/date Comments: ❑ Planning &Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection Revised Marc.h 23,2015