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HomeMy WebLinkAbout10x16 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: E2017-0210 Date: 28-Aug-17 Map/Lot: 103/067-000 Owner ID: 2277000 Project Location: 80 GALLIVAN LANE Unit: Job Description: Electrical for Sunroom Owner Nam Christine Krzemien Tenant Name N/A Careof: 80 Gallivan Lane Uncasville CT 06382- Telephone: (860)848-3138 Applicant Name Ben Hull Telephone: (860)376-0774 DBA: Creative Enclosures LLC Lic/Reg Type HIC Lic/Reg N 557461 56 Stockhouse Road Exp Date: 30-Nov-17 Bozrah CT 06334- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.00 Total Fee Paid: $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 ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: p ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d Certificate of Ap. oval i - ''ficat• .i Occupancy Building Official's Approval ��� 0 F(Ll__ 0 tAV FO ft G-- ON- Ir=L se eNv rc Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:fcol 7-©c)(0 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure ,]Electrical CRS#: Property Address: 'fid C-A-LLA U1 LA(- Litiq C v t Li (Number) (Street) (Unit) Job Description: (0 )c l6, SuU Ro©it kbb 1.l0 f4 Owner: e-Ak IZ kS rt.1 .E 1 -- k... iik'l l Aki Address: go G A-t_t_N M - E- City: (.l.I\C..f V 1 LL( ....... State: C .• Zip Code: OG 3 2_Telephone('816'0 ) 893_ 3138 Applicant: Be -1 -tkiL DBA: �1� Ah\( Y-Y fCLOS /��' IC S LLC , Address: !�.C6 _s'ro 1� d U 1b , City: -- 0 ..RA State: C-3-: Zip Code:'6'3 34 Telephone(gab ) 376_ 07 7 q Contractors - Complete the Following: License Type: � License NO.�741 61 Expiration Date: I(./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 l am authorized to make application for a permit for such work as described above. if)' 3y checking this box, I will follow the requirements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements in chapters 34 through 43 of the Residential Code. Owner/Agent Signature: ) - / Date: -S/2-2--h 7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: ,j` Mechanical Fee: Electrical Value: 4 Z, Q00, CO Electrical Fee: Total Value: 0 21 000, O!) Penalty Fee: C of 0 Fee: Plan Revie -ee: State . Fee: T. al Fee: Revised August 23,2007 Sep.23.2016 05:08 PM Chabot Electric LLC 8608897356 PAGE. 1 Chabot Electric LLC 32 North 3rd Ave. Taftville,CT 06380 860-889-7355 chabotelecticcyahoo.com CT E-1: 0190516 RI A:004653 Building Department, A representative of Creative Enclosures LLC has my permission to apply for an electrical permit, on my behalf; for their projects until 9/30/1.7. Any questions feel free to contact me. Timothy Chabot (owner) • STATE Of CONNECTICUT ELECTRICAL UNLIMITED CO RACTOR TIM P CHABOT 32 NORTH 3RD AVE TAFTVILLE,CT 06380 LIC./REG NO. EFFECTIVE EXPIRES ELC.0190516-E1 10/01/2016 09/30/2017 SIGNED State of Rhode Island and Providence Plantations Rhode Island Department of Labor and Training ELECTRICAL CO —004653 JOURNEY ELEQ,' ?313305 TIM P CHABOT 32 NORTH 3RD TAFTVILLE CT 7,1";-- SORE SAW QJ I31./1,g17 Administrator xp�ratton ate Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL ev GA? L\ v C,LCE � u(LLE Property Address 1OX � � �u QO(ivt Oki Job Description Required Department Approval ' Permit Issuance Approval Tax Collector . ,�� ,�-,. 4 7 Comments: Signature/date — Fire Marshal y � Comments: (/ / "tel Signature/date Planning & Zoning Required for al/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 March 23,2015