HomeMy WebLinkAboutSFR Electric Service 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: E2005-0006 Date: 13-Jan-05 Map/Lot: 028/005-049 Owner ID: 5486000
Project Location: 68 PHEASANT RUN Unit:
Job Description: Electrical&Electric Service
Owner Name: Robin Hill Village LLC Tenant Name: N/A
Careof:
183 Quarry Road
Milford CT 06460- Telephone:
Contractor Name: Landers Electric LLC Telephone: (860)739-2856
DBA: Lic/Reg Type: El
Lic/Reg No: 101452
P. 0. Box 879 Exp Date: 30-Sep-05
East Lyme Ct 06333-
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: 56
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
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
0 R Electrical
❑ Backfill - Footing drains and waterproofing 0 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: 46599
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping
INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
I • ificate of Occupancy
Building Official's Approval: 4f !/
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#L d() 5"
[]Plumbing gf E(zctricar L.11echanica(
CSS # '/ S ';? .?feating
Air Conditioning
Gas Wiping
❑
Sin0 Eami(y fl Two-Family 0 Townhouse
Job Address 60 P1/ vt.til 17
(Number) (Street)
(Unit)
Job Description �EL„, ,,,,,ax_. Pg
Owner 'D,'4,4„i,47z . lior_ey Mailing Address y6' �q� `vv�l�— SPtrt, -2;e-s
City State GT Zip 06'3 28 Tel / 3 /oe S 2
Contractor Lit 666.c.41LJ c, t.( .G - Mailing Address AD. Rix 979 gwf'.ie-Ln
City 644C� State Lt - Zip 03633'3 Tel /7g9 / Zgc
Contractor's License Type&Number g Cp/ Exp.Date 7 / 3p / Gr�
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 Date /L / 3O / 0/
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ $
Plan Review Fee $
State Education $
Total $
S
(Complete reverse side)
cviredSeptem6er9,2004
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
I Property Address
1-/c'�Lc¢� p SGL Gd D
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
Approval Permit Issuance Approval
Tax Collector \
tenature;\cl tto
❑ WPCA j ( 1,( 16c--
signature/
,( I6c--signature-"
❑ Planning& Zoning
Signature.'date
❑ Health Department
Signature!date
❑ Department of Public Works
Signature!date
❑ State Dept. of Transportation
Signature!date
❑ Fire Marshal
Signature/date
Comments/Conditions:
ReviseiSeptem6er9,2004 •