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HomeMy WebLinkAboutSFR 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: E2005-0007 Date: 13-Jan-05 Map/Lot: 028/005-048 Owner ID: 5488000 Project Location: 72 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: 5B 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 rensonsibility 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 ❑d 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: 392315 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate .f Approval _ — —ems �:I �rtif•.te of Occupancy Building Official's Approval: � C. a �— , — 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# �, fin �� O 007 rl'(um6ing iCectricaC 011echanicaC CRS # .?? a -31C 9feating Air Conditioning Gas aping dingk Fami(y fl 'Two-Family ❑ 'Townhouse Job Address 72— Pi-1 e. S,g Ark- ira o (Number) (Street) (Unit) Job Description Ltili ytA, iV£s,.v j��,..tr p �.a,2_e_.� „v/ L.c,o A,n, p 5��2!/1C.�� Attiogie Owner Dit,,r l,� 4 ilvtjS Mailing Address ?D y4, T v we:7/4L SQ,�lt Z�,.�, B City S-ta,(l AJ hs,.J State C _r Zip 06 3 7 9 Tel 86 0 68 S y Contractor L,4„j0 ,5 <J v L-,C.C._ Mailing Address Po 30,E 871 City 67.?rrt, State Zip 06333 Tel / 757 I Z±s< Contractor's License Type&Number 6 /0/9 cZ Exp. Date I / ,3o / 4s� 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 Z / 3 O / Cy Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ $ Plan Review Fee $ State Education $ Total $ $ (Complete reverse side) *visa September 9,2004 I 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 L Pi-it-ASiadvi- /J./4.) wtaA)./vtGL- Property Address u1vv • 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 Tax Collector ` \\,\oS Signatt.e; date + P/ 0' ' idc- WPCA Si gnat ifdate ❑ 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: QtviseiSepum6er9,2004 MEMO DATE: i-3--0C TO: TOWN OF 0/0.4,74-0/c4 iG4 DEPARTMENT: BUILDING DEP. FROM: LANDERS ELECTRIC LLC: DEPARTMENT: MESSAGE: 1, CARLETON H. LANDERS CO OWNER LANDERS ELETRIC LLC, GIVE AUTHORIZATION TO GREG A LANDERS CO OWNER LANDERS ELECTRIC LLC TO MAKE APPLICATION FOR ELECTRICAL PERMITS UNTIL FUTHER NOTICE. SINCERELY, CARLETON H LANDERS CONTRACTORS LICENSE# 101452 0 FOR YOUR RECORDS 0 ROUTE TO: _ REPLY REQUESTED IMMEDIATELY DATE: RENLY: Si'ATIi OF CONI\Ft"11C1:'1' I)I:ptRY'UI \l'!1ll'U\SI WI k /WW1( 1,1(1\ ELECTRICAL UNLIMITEp CQ1VTRACTOR E1 CARLETONIH U;MDERS oBRQCAIIC NIANTIC,E' 063'5'7-2310 t0 Llro.55P° 1674,WA =` 00671665 sr, , SIGNED _L _ _.Y _ -- AHHHAP.AS 12/28/2004 8: @08673962 07 • --.— NORTHEAST F I NANC I AL PAGE 02 ! T,1497Ti •,•,"v.'•Nireiiigt,.:,:v:mi.A..,;p:.I.,..;..;,....roi::,,,,,,- -_ -)., .," .:. ..•;..I''."igunosia''''''''''"'''''''''"lip;ILI•I'.,p,.. ,;::..I. flit,;r:-lirTnr77.1,• ,, ;TTN'T eb, •4.. ,,.,::::,x.,:441.,,,.1:.:.,•,,,kvi:;:• ,:.414t,...,;..,::,p7;,..:!. anis(hi tom) : An ;.i,...I.,,,it• ,o•-' , -,I 1. :6., .'.::,'1 i '.:''',,i':: ; '..' ' '1.,1.: 1:.. ..r.'S. '.?''''.'I. ''''':' :.:,..i'.4.r7';'':;..,.'''''''''','.'IM:liX•&A....,...i.:',..:W.941:1! 12,10/0,4. ;: N:•. 111M-PP.M3.,..,14Ii#W4I :I.I ,:!:]!.:1,.'4,:i);I:;':',61;Ati::::14,7,n;:,:i.ii0a,:.N:!ilii.ti:01: !Iici4i..1:..,!,4:ci:I.I.,•.1F.v•.'..:4!.'z•':.,.:!,;,*':.:,!i.,,:.i•P.::,.;i. .,;:,:'•;-,,i,t,':::::.:..';'.,',':',.', h:'F",t,':,::`:::.0;:,e.t:'.',-,:;,,,'iit ,: THIS GERTIFICA'TE IS I•,,,z •AS A MATTER OF INFORMATI A 1 Northeast Financial Group * ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ANEW:),EXTEND OR 314 Flander Rapid ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Lymc — ---. COMPANIES AFFORDING COVERAGE CT CT 06333 1-- - ----- — COMPANY 0611322 00 A ZURICH INEEASIS et:NOWT LANDMS ELECTRIC LLC El P 0 BOX I_____—_------- cpmpam ,379 i y C EAST LYNEL. CT 06333 I COWART 0 -"'-t!•::,,!•;.'%:1,,e•';.',:i:ii:!3A..,,,•R,.i:1:1.'..:. '0100M...,,..,r'..::!'2.):44:14.). .i .VPINi±ViiiOttki.4,..ilr.004844-#4..#04.1g.:10.10,taagAliOngliNgii.a0igaitAiddiegtainnOgaiAgiii*Aliiiiibili';:.'iii:,:::. .'-THI:s.s'.•ro CERTIFY THAT THE POAFES OF.INSURANCE USTEO BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIM INDicArlo,NOTWITHSTANDIN0/WY REOUIREMENT,TERM OR CONDITON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI-8 CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED EY THE POLICIES DEPZRisec HEREIN IS SUBJECT TO A.I.THE TERMS, EXCWSONSAND CONDITIONS OF sucH POLICIES.Liai —rra SHOWN NAY HAVE BEEN REDUCED EY PNO CLAMS — 1--- TYPE CM INC RAKE POUCT MAIDEN INDUCT EPPECTIVE PauCT ERMRATIosi , CATE(131MCON” WC AMUOWTO I.DETS L. 111 1 . - - OE.NERAL AMMEGATE 1.... S 2pao,000 OLIIERAL IJASCUTT SCP33833816 10/10/04 10/10/05 1—...-- miopum-compros.ant:, $2.000.000 —1 A IX I coNNERtIAL ceNanati.taatmy — '777;n ! cumais NAPE 1 1 occUR i oensoNni.a ow MLR, S 1,00y00 _.1 CPAINEWS 1!,cONTRACTORI PROT 1 RA NA OCCURRENCE I 1,000,000 _ I ---1— — i 300,000 i FIRE DANASE p=:L MED.EX14NSE !...Ws.) S 10,000 — -1•-• _.--------------_ AUTOMBILE IJADIUTY H SCP33833816 10;10/04 10/10/05 COMBED stoma war s 1.000,000 A •ANT AUTO 1---i _______.___h__- Au.O110 AUTOS I CIODILY NJU _iSIT olor mewl) 1 1 scMCDuLE0 AUTOS — --7i ----1 MIRED AUT CO 11001V'NJ:pry I' Dir taleFFA _....1 NOR.OWnit0 AUTOS - 1---"I ...--- ••••-•-•• .....-•• PROPERTY DAMADE 3 -----1 ,AUTO ONLY•EA AcCICENT GARAGE moan, OTHER T1441,1 ANT AC-0 H--------- ----. —, EACI4 ACCIDENT -..- -.--- - ___ AGORESATE • ..---.. .--••••• ....., • 1 EACH OCCURRENCE 1 *ES ---- LLIC.iile LimMLITY —_. PODREDATE 1 VMERELLA FLAY ______I- -- - OTHER riAN asAGREL_A Fem.! ------ • 1 . - :.d.::klifiiip,;:•;•:{7.: roils'Laws ,..i ER ,:ia!•;..:,:.,,:21.41.,.:e... ....•:—.4„1,... WORRISAS counii$Krom AND EMPLOTERE.UMMITY EL EACH ACCIDENT $ 100,000 ----. — €1.1313easa-pouev Likirr I 500,000 A THF PRCP2'21.°PiINCL WC39937280 PAFtTNEasiExer-urnit — D0 EL DISCASS4A EMPLOYEE S 100,00D ofFtEm•ARE. 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