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Home My WebLink AboutDeck and Sunroom Electrical 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: E2004-0344 Date: 08-Dec-04 Map/Lot: 028/005-046 Owner ID: 5485000 Project Location: 67 PHEASANT RUN Unit: Job Description: electric for sunroom Owner Name: Eldon R and Alice B Perkins Tenant Name: N/A Careof: 67 Pheasant Run Oakdale CT 06370- Telephone: Contractor Name: Tim forget electric Telephone: (860)537-6084 DBA: Lic/Reg Type: El Lic/Reg No: 184498 510 Parum Road Exp Date: 30-Sep-05 Colchester Ct 06415- 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: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fee: $0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing -Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers R Electrical ❑ Backfill- Footing drains and waterproofing ❑ Elec Trench -with conduit installed El Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation El Certificate of Approval P : e .f 9 cupancy Building Official's Approval: .rP/ _ t ITown of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# L: • iQ V '�-� 3 l 0Pfum6ing ]Electrical Li Mechanical ' # 9feating Air Coiufitioning Gas(Piping Single'Family [J Two-Family ❑ Townhouse Job Address 67 PA,,,,_*,,T n tvv\ (Number) (Street) (Unit) Job Description (Ai t'N('It t{ o-4 we(A) S Vu tr-VOA-1 4 CId i`1.7'INA Owner hi)c`Cr, Ped-kc' (it$ Mailing Address G 7 P/'eu stcvtT n v vk 074(-<+>u /e City I,A (--1tx ie State (7- Zip 063 70 Tel / / r / Contractor, l 3 j tit C-Tts' C Mailing Address 570 �6trv,•✓t rc t5 £l C h z'S 7`t0�' CityCa'IChtdIV `J State Z 7 Zip 7 /1 S Te1/6(9 /X37 / ‘.p SI'9- Contractor's License Type&Numbered 111-117f4.k Exp. Date 9 / .70/ O-S— 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 - /71----- Date /z /D 6 /Q G/ Construction Value Fee Plumbing $ $ Mechanical $ $ rAi- Electrical $ / `� 0.O OrC Plan Review Fee 4 �� State Education , Jar Total $ $ ,4/ (Complete reverse side) IZcvi setSeptem6er 9,2004 4 • Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 j CONSTRUCTION PERMIT APPROVAL A eesa0 T /T 1/ Property Address Z" 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 Approval Department Permit Issuance Approval Tax Collector �''.\\� \6 o 4- Sitnai i /date WPCA � G. • 12 t9 Signature/ d` ❑ Planning& Zoning Signature/date ❑ Health Department Signature/date ❑ Department of Public Works Si:mat use/date ❑ State Dept.of Transportation Signature/date ❑ Fire Marshal Signature/date Comments/Conditions: ReviseISeptem6er9,2004 State of Connecticut N 7A - 7B - 7C Y� } ' ". Workers' Compensation Commission DIRECTIONS tZfre, /�`M�� DIRECTIONS for FILING FORMS 7A,7B and 7C sus 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