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. DM -.... .... 01/23/04 01/23/05---,......- -,-...m....................-- -.......--. ---.......-.........- ---.--
...... ..-----
0711ER
OPERATEMS;LocATIONSOMRCLEs'EPECIAL ITRAS
,1„ ,'7,',7.,77:7,7,:',:; ,";,:.;AAilgirktitkigli.00g.gageIkinaNligrAigiiC'i;.7,797.J.-;:,':,„:;i:;•::gifgeiNikUiiitgitiggatatillla,ilig91.
insas.EA*Iry OE THE AsoVP DE8cRIDED POUC1ED ESE GJUIPCIILIMC 13EroNE Type
TOWN OF MONT VILE EiPIRATErit oATI 111mtERW.THEIR.vs c cowman.+NEL ENDISsmOR TO-
MONTVILLE
( CT 06353 30 DATE WRITTEN sionte Ta:THE CEPA !tiOtoras MIND TO THE LEFT,
OF ANT dier FM GESITI MEN
aut torAstramo:Op:4:rnestraf7tEN:41.11117e:ROBLIRIVITAZIARk/Tv
AlMictitgIV REPRff Sep'iiir:r
'',,,
1.1fiLli.,....1.:'...':'" ::