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HomeMy WebLinkAbout2006 - 1,200 AMP Underground Service Field Inspection Notice Town of Montville Building Department May 23, 20. 06 Address: 42 Pink Row Job Description: Electric Service Permit Number(s): E2006-0049 Permit Date: 4/5/06 INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Trench 4/20/06 JS • • Service to switch • gear only— Elect Service NO DISTRIBUTION 5/23/06 VV • No permit for distribution wiring • • Rev.Date:1/18/06 Page 1 of 1 0 0, Town of Montville Building Department Date: 1—'/zc, c ✓ Field Inspection Notice Permit#: Address: Gf rii,J , ' i 7 c> Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved ❑ Footing 00 ❑ Backfill ❑ Concrete Slab 0 0 ❑ Framing 0 0 ❑ Rough Elec 0 0 ❑ Elec Service 0 0 ❑ Rough HVAC 0 0 o Rough Plumbing 0 o Gas Line 0 0 o Fireplace Throat 0 0 o Chimney 0 0 ❑ Fire/Draftstopping 0 0 ❑ Insulation 0 0 ❑ Final Inspection 0 0 ❑ CofO 0 0 t t —')-'c- . El 0 Inspector's Signature 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: E2006-0049 Date: 05-Apr-06 Map/Lot: 074/038-000 Owner ID: 5496000 Project Location: 42 PINK ROW Unit: Job Description: Install new 480/277 Volt,1200 amp underground service Owner Name: Martin Gottesdiener Tenant Name: N/A Careof: C/O Kostin Ruffkess and Co 400 Bayonet St Ste 306 New London CT 06320- Telephone: Contractor Name: Raymond Zelek Telephone: (860)434-9726 DBA: Zelek Electric Co. Lic/Reg Type: El Lic/Reg No: 103314 187A Boston Post Rd. Exp Date: 30-Sep-06 Old Lyme Ct 06371- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: F-2 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $62,500.00 Electrical Fee: $500.00 Construction Type: 2C Total Value: $62,500.00 Penalty Fee: $500.00 Permit Code: C5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $10.00 Total Fee Paid: $1,010.00 It shall be the owners repsonsibilitv 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 ❑d Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑d 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 ❑ Certificate of Approval Certific. a;of'cc.-.ncy Building Official's Approval: --�— . 03/28/06 04:31 FAX 8487231 BUILDING DEPT , ]01 . . Town of Montville Building Department • • 31.0 Norwicly-NewLondon Tpke. • Tel. 860-848-3030, Ext 382 . •.Uncasville,CT 06382 Fax.e60-848q231 " - PERMIT APPLICATION FORM Perrtait No.: ,��6p —0 ' q • Type of Work • Occupancy Classification Construction Type • _ Permit Type; d.NewiConstruction ❑A-1 [l B" " - ❑H-1• 01-1' • -b R-1• ❑S-1'. .- [-Type IA •0i T ElAddition ❑A-2 ❑ B,-Medical ❑H-2 ❑1-2 ID R-2 0 5-2 0 Type IB 0 Type I Ype � ❑Plumbinng ❑Alteration - Q A-3 . ❑E • 0 H-3 . .0 1-3 , 0 R-3 • 0 U 0 Type IIA ❑Type VA ID Mechanical ❑Change of Use ❑A-4 ❑ F-1 " - ❑H-4 0 1-4 ❑R-4 0 Mixed! 0 Type IIB ❑Type VB AiElectrical ❑A-5 ❑F-2 - - 0 M ❑Type 111A S# • Job Address:`+items.........aliu►,lufirilitiff/,It� I,1 ntV re� •• o '� �" /� ..,_....,A,( umber) .. A. (Street) . (Unit) Job Description' +1 inctir66,nd 3eAri 6 ,.. , n 'T00 c • e1 1a� C�.YYI' Owner (114c (Q :�' I/14 Corp Aa • Tenant: • - Address_ 3 �( 1(1') 1.k1Ai � l��e Address:• - City/State/Zip;..1)f ' if_03 - 3 r•. City/Stale/Zip: . Telepficne: -Bo- -BIN�1tJl• -101 I - ' . • Telephone: • . . . Contractor: k a iA I) el C .Ze ' L / 2 , 1 , • Ele, --tii . Co, •• • • - . DBA , • Address:l$.7A 6664-� PSSi- . 06,. , • . • . ... -. , City:. • / • . AI - -. . Slate:• CT - - QQ- )7 • _ '7 l�/ ,/ 0331 !,, 'zip Code:q/30/ } �S 'Telephone:� I/• 6-.4. . .g� /05b License Type: ei -License No.; /Q3 3 i'' Expiration Dale: `1�3 /) - I• hereby certify that the proposed work will conform to the State Building Code and a1 other codes as adopted by the State of Connecticut and the Town of Montville and further attest mat the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work a;desc-ibed above. / owner/Agent Signature'. �� ��I. . Date: 3'.23OG Construction Value - • - - . Permit Fees. - Building Value;• • - - Building Fee: - Plumbing Value: Plumbing Fee: Mechanical Value; . - • Mechanical Fee; - Electrical Value: -/-� -1° - Electrical Fee: = — 6-'00 Total Value: . — — (;,y1 ) v Penalty Fee: 3. tJG C 8f O Fee: • Plan Review Fee; L.. ,'_p� State Ed Fee:• ____1(211 u c,) Total Fee: rkrvaref d]ecrLa6ur31,2W! Town of Montville Building Department File Receipt Date: 29-Mar-06 Receipt No: 1118 Received From: Zelek Electric Co. /i ' # / i�%Q�'v () t .e 4 G' _i Job Address: 42 Pink Row Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $1,020.00 Check: $10.00 Check No: 26985 Short/Over: $0.00 Construction Value: $62,500.00 Demolition Value: $0.00 Received By Sandra Pandora . , .. ' l`` A TR ti .w..:.er<-a.¢>,-.�p _,...Ai YS:„....,,,, o �..ny,T.,:,,, n,,,:t�t Yri 11.t r%;inh'5 M1�'i .. ... .. ..,..... ..... ........,..�.�, .{.r,: :IIS ..... <CS :}�'i^;i`2'? sF:- o: '°'' ,i�.e.. U3IGt3/Ub PRODUQ R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL'f AND VcitiFERS tit) A1GKTS UPON ME OERTLFICA'S. FECErS'r4TE�'`i d rTlL1r41.AISVRAA4rt=nONY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Home Office: P.O. Box 32B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE Phone: 1-6138.33`3 48413 COMPANY FEDERA I LLJ IV(UT JAI:INSUHANU COTWANY Orr ¢• FF.IDERA'CE'Q SERu1� INSURANCE COMPANY INSURED �245.715-7 I L'LTMPA:NY ZELEK ELECTRIC CO B 167A BOSTON POST RD OLD LYME CT 06371 CO MPAM' C COMPANI' I _ 0 •:::.<;......:y:..::. .rn,..Ji�cr:•;1s.',{>,:�: .,9>' rTn .»-' r•r �1j,,n' f,S L4,''`i {. i4%yy ��: p -:k. rF r7ti•... Y7::r.:.. .Z; `M• `-iii •a:S, ? rs :,y. !ir(5 '{r::i'�•. .e.:•:: •S •{.... •r. s, . :..•7k%>;:,.r.'r.. • �, „ .•3..: r; ,a� ..eF;"i;: ys,rs�;�.;. �,... t..,��. „�.».v..:...,a . �s..e.r....:.c,.., ,i'�<..:r. .�.. rt >.t. o.at4r�:;;I'. .;..�:�a:a rs'}$i� E�.£•'.'£i i•e.<,,# .. ';>?:C:ii�a:i';,;?' r�..1Lr: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS1.YEu+TO THE'AbBURED'VANED ASYCSA FOR17-1E POtIC''l 4EillOD dv'DICA;145,, NOT)OCCCI,STAM IQIG ANY.RFDUIREJ>11PNT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCII T'OLICIES,'LIMITS$rY WN MIL>`f HAVE a2Eoa REOUCM9 BY PA' CLAIMS. __________„__________T....._ LI_ POLICY EFi TIVE I FOLIO EAIRVDtifor,' II 'TYPE DP INSURANCE POLICY NUMBER DATE IMM/DD,'YY) DATE IMM/DONY) ,I LIMITS I r1 n GENERAL LIABILITY ' GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PROOUCTS•COMP/OP AOG X 2 000,000 A CLAIMS MADE OCU 925$410 01/01/06 01/01/07 11~PERSONAL&ADY INJURY I' 1,000,000 X OWNER'S&CCNTRACTOR`5 POT I EACH OCCURRENCE I$ 1,000,900 DUSINESSOWYER B POLICY FIRE DAMAGE(Any one fire) I`I rt 51 , l MED EXP IAJy One person) ) AUTOMOBILE LIABILITY I I ANY AUTO II COMBINED SINGLE LIMIT 1,000,000 d1 .,+owEv roS tiS.1F dLLll'Y ae!,t,P ' �i4D1LFaI A J?ras 9258411 01/01/06 1 01/01/07 (Per a9' r•1 0 Q, e� ,f X HIRED AUTOS BODILY INJURY s EllNON-OWNED AUYOS (PU (Per s cidcn PRO.ERTY DAMAGE 1 0 .GARAGE LIABILITY I II AUTO ONLY-IA ACCIDENT e ANY AUTO OT$'ER TI.4N AUTO OAA'Y: I ( I F41:MACC:IL:ENT, I11 _ ASGM:ATE $ EJfS,Gf.F.I•L4•D111TY I EACH OCCURRENCE $ 2,00%000 QlME LLA=^R1 rI9258413 01/01106 I 01/01/07 AGGREGATE $ 2000,000 IOTHER THAN UMBRELLA FORM ' $ !WORKERS COMPENSATION AND X TQ STMIT5i IOER EMPLOYERS'LIABILITY '�'�� JfI I ! .1 EL EACH ACCIDENT 8 6U"L?,17aa (I' A THE PROPRIETOR/ I I INCL O✓�5841 2, 01/CAM I 01/0t(1 1 EL DISEASE-PULICY LuMIT }$ 50%000 _I FEXECUTIV2 is 5� 'OFFFICERSCERS ARE: I EXCL ez ITse-,45--64 atre.6 -e s n000 OTVPEN I ISI DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLESISPECIAL ITEMS PROJECT: THOMAS O. ARIA COAPUHATION e„t ,f„r rrY+'u?9d-?Y:� .K T::i:;” .. - :S5'r:Si.�, .:fi i,. - v,..., e;'7- 1 •'l:•'5.2:: :217°•r;Y>qr :k' ••7,w' i>i •rL. iR'l•; r>f��ii5' r $c<,`v`;' i•►>Ut. yrr r,;,... s •. e•3 zr.:' .,4;T:i' ,�iiv:.+. .-# ... .. bs z,: ii'e"s�'•t:�`.. ��+.. p� `:fir > ..{`... s.�i•..•.:::,. :.:: :r ... ... ��r;:•..r'v r..,s`i?�....r.,1�.,r,,,., 'i�R,cG`>.;ire..,.r,,,,,,•,sr;: ....,.,..,r,.r,.. ,. ,3:iEii .. ?S.°ti,� ;,.• :...»::. :,:<5..,. �r;,? �„ 24fL7>F_T +: :.:..II..” SYRAYLTI ATI' Ort 141E MA�E DESCAINS POAICLF.S SE CPEI.0 LLSB BVQPE THE TOWN OF MONTViLLE BUILDING DE1�ARTME cJ'i r SYARLA IOJI sL-07F TMRRFLIF, THF -LNSLUNO COMPANY WILL ENDEAVOR TO MAIL X10 PV^.I lC4hi,HZEEW I` D0 1.TIJRNPV,T, I 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LINC45�/ILL F 1 0 3_' 7 1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ORUGATION OR LIABILITY ilOF ANY KIND UPON THE COMP ITS AG TS OR REPRESENTATIVES. AUTHORIZED REPRESENYATIV / , _ :�... ..�i�e7,7fRc�.�.:s. .se ,�,3,F#ot-. n f k' �.:� ,r.,r;3 f<.`.��' c:i>� �s•'t;!?;�•o-.:S'cie:`:. � �'-�t� �'6;"�'. �.�.,, �.,<:,_',,,;�r.:,r7�.c.2 :,...:..; ..r„a><>L:,.�..�.[•z:..o t�f��.-.: �':r. .3, 'i>.,.s, �r,::. :.w���i:: .�'�4 . !I�t����: :,. �'>!,I�,' <. 03/28/06 09:31 FAX 8487231 BUILDING DEPT lit102 • . • . . . . . • . . , . , • ' • - • . . . • . .Tomof Montville' . .• . - ' . •• Building Department , • • - . • . ' . • . - - - • 310.Norwich-New London Tpke. ,- • - . . - • _ Tel. 860-848-3030, Ext 382 -- • - - ..t.i.ncasville, CT 06382 • • - Fax. 860-848-7731 A ONST ,, CTION PERMIT APPROVAL • • . . : 7;_._I ... • • - . 6 . p. / ii - A_.:;Irafr. • i . • i' F i I ; • 7 .01 SW - 0) (if I L, . - - .' - (.-W.1•-N ) . • • • • . - . Property Address , . . • . . . .. . It)nS-ozi ra •486/0).-71 Vol+ /010•0&trio . .utafr.361,r4 • - . -. . Job Description • • . The applicant is.responsible for obtaining all.of.the required approvals.thecked-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 - - . ' . --e_. cL_,,A__ - - • Comments: - • • \ 1 . . , . . , • 1 WPCA, Administrative• .• ' .- . - . 11°4 ' . .oll =Y-, -• ---- \-- - k5A., . . .v • . . . - . .. ...L .i .c.,c1v.: . • . . . Comments: . • . • . • • . • . - . D wpcit, Operations • . • • . - — : .. . • . . • • •Signature:1 date Comments: • — . • 11 . . •Planning 4 Zoning .. - •• • ••• • . - . - . • - • _--• • • • • • • - Comments: 0 Health Department . . . Comments: E Department of Public Works 1._•,.,: • ..:, . I , .-1:.. . . . . • - Comm : . .ents — .------= . . • . . 0 •State Dept. of Transportation _AP . . • Comments: • • 1111 Fire Marshal . :141WegArIAISI -.'• " 2 . .. . . Ar- C''''ifiPT-illirr, C';•1 -1 : . • . . - -. - - Comments: - . ,• • • • . • • • ... • • • • • • . . . - - . . • ... witindAug..,,,T,2005 Client#: 14909 STANSPR ACORD«, CERTIFICATE OF LIABILITY INSURANCE DATE(M/DNYYY) 11/14/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webster Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 530 Preston Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1040 Meriden,CT 06450 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE USA Standard Sprinkler Corp INSURER B: Granite State Insurance Company P.O. Box 430 New London,CT 06320 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSR❑ TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE IMM/DD/YY) LIMITS A GENERAL LIABILITY D35559425 11/13/06 11/13/07 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $300,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $5000 , PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $214:00,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY n PRO- JECT LOC A AUTOMOBILE LIABILITY H08151738 11/13/06 11/13/07 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC7464801 11/01/06 11/01/07 X O ORYLIMITS ER EMPLOYERS'LIABILITY — ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Thomas G. Faria Corp,42 Pink Row CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The Town of Montville DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 310 Norwich-New London Turnpike IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Uncasville, CT 06382 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #M82414 NPS © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER --_ The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #M82414 Town of Montville Building Department • 310 Norwich-New London.Tpke. . Tel. 860-848-3030, Ext.382 Uncasville, CT 06382 'Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 2_ %N ... /20 GJ Property Address Jr7-C--Al a-5 7rL /7�-e.-- 4, ,, i t 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 II Tax Collector { ,,` , /1\64.-,,_42_.- v'/d.1C (, Comments: ` WPCA, Administrative , t �a1 ® ` � t;, Comments: ❑ WPCA, Operations ' fit!i- -“, Comments: EN Planning &Zoning •� ,.- -2- �: . • . . Comments: 1-1 1 Health Department Comments: Department of Public Works Comments: ❑ State Dept. of Transportation Comments: li Fire Marshal : ii,„, Q� J . , 3--/Y Comments: ' 2f0isefAugu,rt 5,2005