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HomeMy WebLinkAbout2014 - Electrical Transformer and Two Panels Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 42 Pink Row - — Job Description: Install one 480/277 Panel, One 112KVA Transformer& One 208/120V Panel Permit Number(s) E2014-0215 Permit Date: August 28,2014 Not Approved Approval INSPECTION Date: Comments Special Date :iitions • This panel has a flexible cord tied into this panel. Panel 80 and others This is a code violation.All circuits must be permanently marked/labeled in the panels. 6/15/15 DJ Final inspection and certificate of approval 6/15/15 DJ **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy $50.00 Rev.Date: 1/18/06 Page 1 of 1 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: E2014-0215 Date: 28-Alta-14 Map/Lot:074/113_8-000 Owner ID: 5496000 Project Location: 42 PINK ROW Unit: Job Description: Ir_slalLQne 480j27 yan_e1_O,Ze 1121CVA Traoskrn]er&Owe 208/1_21iV Panel Owner Nam _T o_iias G.Fatia Corn Tenant Name N/A Careof: PC)Box 983 Uncasvil e CT 06382- Telephone: Applicant Name Raymond C.7elek Telephone: (8601434-9726 DBA: 7PIPk Flectric C'.o. Lic/Reg Type F1 Lic/Reg N 103314 P.O Box 897 Exp Date: 30 e_oz14 Old I vme CT 1163371- Constuotion Permit_-ege rarictn'ctinoinformnti_nn Building Value: $0.00 Building Fee: SOLO_ Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: 50.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: Sia 00 00 Electrical Fee: $450 00 Construction Type IRC Total Value: S30 000_OQ Penally Fee: $0.00 Permit Code: C5 C of 0 Fee: S0.00 Comment Plan Review Fe $45 nn Fire Marshal Fee of$157.50 Paid State Ed Fee: $7 80 Total Fee Paid: S502.80 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 I 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: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certifice • Appr• • ❑ � - • !ccupancy -.Sliildina_Offici irs Approval: _ _' Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM PermitNo.: eaG1'4-OpI;G Type of Work Occupancy Classification Construction Type Permit Type El New Construction ❑A-1 ❑ B ❑H-1 ❑ I-1 ❑R-1 ❑S-1 ❑Type IA 0 Type IIIB ❑ Building❑Addition ❑A-2 ❑ B,Medical ❑H-2 El 1-2 ❑R-2 ❑S-2 ❑Type IB ❑Type IV ❑ Plumbing Alteration ❑A-3 ❑ E ❑ H-30 1-3 ❑ R-3 ❑ U ❑Type IIA ❑Type VA ❑ Mechanical al['Change of Use ❑A-4 ❑F-1 ❑H-4 ❑A-5 ❑ F-2 ❑ R-4 ❑ Mixed ElType IIB ❑Type VB ❑ Electrical ❑M ❑Type IIIA CRS#: Property Address: 1/41. /iti, /20 EA) (Number) (Street) S").(./1017 �7 (Unit) Job Description: ,6-4.b ..L-AIS1)1/�i ©,t,g 9o/O77 /44 w 1 O,v1 /12.1.c V rde rk�S f--(1.4011:-:-/ �� e if a CIA/()-0 V (ide 2 Owner: �,ATenant: v----0,0...k/- Address: o,&('/- Address: Address: City/State/Zip: City/State/Zip: Telephone( ) - Telephone( ) - Applicant: C 'Kk DBA: 047----/-n:/<- N( T C v Address: A ✓'37c s City: C� Lod/if State: cf ' Zip Code: Q C 37( Telephone(d 0 Co ) i? ' 9 72_ 1) 1) Contractors - Complete the Following: C 8-E b 6 (31--- / 05 License/Registration Type: License/Registration No.: ( 0 33 f y Expiration Date: p ..) (c 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 I am authorized to make application for a permit for such work as described above. Owner/Agent Signature: j 6 , / _ / Date: U 1 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Ncvised August 23,2007 Town of Montville Building Department File Receipt Date: 27-Aug-14 ReceiptNo: 9658 Received From: Zelek Elecric Co. Job Address: 42 Pink Row Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $660.30 State Check: Bldg Credit: $7.80 $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $30,000.00 Demolition Value: $0.00 CheckNo: 393317 Received By: David Jensen - ✓" ��� - 11111 rgt!I: Q ii. v110111111, lDS 1II lII : -_..11©,,,,11 cn -0Om0ao�vv O O m Jj o 0 Q ,S s -n m. cQ II 3 0 0 n CD ml N3 O O FDI 0 �t n � � � m = ds in 73 C7 o 3 1 ca n) g; F,= < 3 r 7 i CD fD — fl1 .. fD NfQD W � � � O � n m Q y G `<=2 O I A�Si CCD o c -m m N N O O Z .01 EA EA EA EA EA EA Ep bg EA EA ER EA EA Efl - II 0) 0) O V N (11 • i 1 i i I I 1 I V V O 0 0 O O - _ 08/261'2014 10: 18: 44 AM 507-455-5200 Page 4 ACC6IR EP DATE(MM YY) CERTIFICATE OF LIABILITY INSURANCE 06262014 r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS, UPON THE CERTIFICATE HOLDER. THIS ii CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. THIS E CEFRTI:`ICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR L-rPRC:71t?CER,AND Luc CERTIFICATE HOLDER I IMPORTANT If the certificate holder is ar.ADDITIONAL INSURED,the policy(ies):Trost be endorsed,If SUBROGATION IS WAIVED,subterms 1 and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to in lieu of St1Cte entbrsernent(s}. Ngh the certl#iaai, holder 3 PRODUCER - CONTACT ","��.'�„"'"®"""' .e""'®"":A.. j` FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTERPHONE _,_._ HOME CF iC P.O.BOX 328 (A/C, (A/C,No)Ert):888-333-4949 i ac,No Sp?-44fi-4ah�+..._.v ..' OWATONNA. MN 55060 E-MAIL ADDRESS:CUENTCONTACTCENTEr2(�FEDiNS.CCN�i INSURER(S)AFFORDING COVERAGE `f1•ILti_...- INSURER A:FEDERATED MUTUAL(NSUNAIJ'.:c COMPANY' — .'SUREC 246-715_7 INSURER B:FEDERATES SERVICE INSURANCE COMPANY I 2'3,'-'. REL_'ELECTRIC CO PO BOX$97 INSURER c: --. __-_ ..�., _.._.._._..._.—e...,._,.._....�.,...__ OLD I.YhiE,CT D5371 INSURER D: i INSURER E: _---- - INSURER F: -J-- COVERAGES CERTIFICATE NUMBER: 134 C REVISION lIUMBEii:0 `T 1 THIS !S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN! ISSUED TO THE INSURED NAMED ABOVE THE ^{;;_ R ,,.!y s r,; INDICATED. 1OTWITHSTANDING AN" REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CR 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 DF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1liSR I ADD,SU R r LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MJ'!AA EXP LIMITS INSRR WVD ., /•p GENERAL LIABILIT`� `j .I. ..EACH OCC. RE?ICE .71,Q ,V'.I;. i.OMMECCIALGENERAL LIABILITY I I DAMAGE TO RENTED __L {—•� ?REMISES(yx aw cc r - ST00,00C iC'.AIMS MAJ£ t X�OCCURI MEED EXP(Amy ore person) • A X 1 EWSINESS OWNER'S LIABILITY N N 9258410 01/01/2014 01/01/2015 PER7ONAt a Am/•NJIIPY 51,00 .000 i $1+�00.0tui I-_J __ .a GENE m..AtiCiREkl.AT£ y 1 ENYL AGGREGATE UNIT APPLIES PER: l/ ` j ` PRO- I I PRODUCTS-r t 1 G 7 f' ,..,,�,���C 1pQ(J Y i i L-DC I I COMP/OP A!: _! AUTOMOBILE LIABIL:YY - , —' COMB'NED SII:GLE IHIT .moi X iMYAUTC CDT _ + 'K ,;,,c,„:.cJlh• t FILL 'i-c[. i�18Ch-RULED BCCI N� RY,Per oersrn) . AuTO+` AUTOS N N 9258411 01/01/2014 i C1/01/2016 E OvILY;h-i11?�,1'e acciuentl _. ''T HIRED WK.'S t� i;3N-7`NNED ,.� t IAUTOS [PROPERTY DAMAGE'Per accideret DS'UMBRELLA,IAB X OCCUR EACH OCCURRENCE ..�. ;OOc, Cli f A EXGE53 UAB CLAIMS-MADE N N 9258413 01/01/2014 01/01/2015 AGGREGATE $5000000 OW 1 RETENTION ------- ....__ __._.., H/ORI.ERS Cf AIPENSATION :_.....�... .,..,» �,..,� AND EMPLOYERS'LIABILITY WC s'`MI ' Y/N I X I TORY LIMITS.I LER ANY PROPRIETOR/PARTNER/EXECUTIVE F LEACH ACCIDENT S.l(ir3 0wt A OFFICER/MEMBER EXCLUDED? NIA N I 925$412 01/01/2014 01,/01/2015 M wade ,r:NI-II L-D SEASE ER EMPLOYEE -.... 4:Gd ^_. It yes eascrite Laster I n4? '?^ DESCRIPTION OF OPERATIONS aciow 6.'_ L:!5EA3E-P^,,ICY LlS.fl? 111 -'- _-_.,.._._._.._ _.__....-,___..,_.__.._._.-_.._....._.._...__._.._....,............._......_... OEsCRIPTION OF OPERATION,'LOCATIONS?VEHICLES(Attlee ACORD Ent,Addition&Remarks Schedule;if mors some is squired) g i t w I E CI 3{1II KATE HOWE CANCELLATION 2a6 715 134 0 .... .. s. d_ � . _.,a... .... t 7•a DP1AS G FARIA CORPORATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES F:E D)C&- t EL:DNr-i FO BOX 983 THE EXPIRATION DATE THEREOF, NOTICE WILL BE I:LiVEICtit0 ,;t. .;fa_. SV LLE C1 106382-0983 ACCORDANCE W Ttl 1HE POLICY PROVISIONS. 3 • Ai'.THORIYEC RFFRESENTATiVE �-_, i, -- ej.o, mi;_—_,_ I _ Q 1988-2010 ACORD CORPORATION.All rights reser',se. ACC.FID 25 11,0giA,S) The ACORO(tame atet!No are rajisteted,sans of ACORD , ,,,,,.. v:: .. . STATE OF CONNECTICUT ma,,ittntillauFcaysvinit PROTECTION ELECTRICAL UNI,IMITI..:D I.:()N lit AL 11 i!! ItAYNIOND C ZEI.V.Ii. IR7A IMSTON I't)ST n I OLD !AMP., CI' 11637 I-1.1 t•I • . —1:1E77riEt3lIt3:- --------urrEi.";I NV I xi,1111 ;; 131..C.0103l.3 -I.7, ID/01/2pI.S 1 09/.10/4*'AII•1 / SIGNED kri4/---(-7.,eC. k(1_1P--X_ 1 • . . .• „ . ........-. ZELEK ELECTRIC CO. JOB rt9/` 1 E1 C1103314, NY31886-ME SHEET NO.3 'NOkw I Ct OF • • 187A Boston Post Road t�� �� OLD LYME, CT 06371 CALCULATED BYOV7r v" I-l��lM I Tip 8/02 1A • (860) 434-9726 CHECKED BY UNC�S V ‘41 Cr DATE SCALE ...................................... 1.1 LA O C.Q S, • M `J) flEMUC lO I(Slob SI MA Town of Montville Building Department ._.. fMikigmeNEG.Y APPROVAL Property Address Job Description Required Department ApprovalPermit Issuance Approval Planning & Zoning2//-"1-14A , - Six// Signature/date Comments: U Health Department Required for all permits except Signature/date Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: WPCA, Administrative ` Y, gIDL01114 Required for properties on sewer Signture/da Comments: WPCA, Operations hen Required by WPCA Signature/da Comments: Fire Marshal ' l f� f9 Required for all properties EXCEPT one and two family Signatu e/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: I-I 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 • ce,PC' Building Department Final Inspection 4tvised May 23,2011