Loading...
HomeMy WebLinkAbout2015 - Electrical for Weigh Station and Construction Trailer 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: E2015_o139 Date: 04-,tun-15 Map/Lot: 074/0,38-000 Owner ID: 5496000 Project Location: 42 PINK ROW Unit: Job Description: Eleciri_cal forienrzoranr Coastructionirailer_8s 111Leigh S?cttiora Owner Nam .Thomas G-10iia_Cnrn. Tenant Name N/A Careof: PO Rax 983 _Uncosville __CT (16389- _ Telephone: Applicant Name Gearae_Bakdwin Telephone:P 12.03)279-9521____ DBA:_GC Flar:tric Inc Lic/Reg Type 51 Lic/Reg N 103088 ..125_Commerce Court Exp Date: 30-Seo Cheshire T _n6.410- t^OQGffilFj�fl!L_Ul711IG PP_._mit FA_P.0 Cansfr ctionJ_nfarrnntinn Building Value: S0.00 Building Fee: SQ.Q(L Use Group: IRC Plumbing Value: S_0.00 Plumbing Fee: SQ00 Code: 2005 State Building Code Mechanical Valu S0.00 Mechanical Fe S0.0.6 Electrical Value: SADO(1Q.Q_ Electrical Fee: �9D.OJZ Construction Type IRC Total Value: $6.000_00 Penalty Fee: SQO.OQ_ Permit Code: C5 C of 0 Fee: Comment Plan Review Fe $9130_ Fire Marshal Fee of$31.50 Paid State Ed Fee: Ski Total Fee Paid: $190:56 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: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation -rti'•ate of Approval 1 , -rtificate of Occupancy �llildJna OfficiakAoamval: 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 Permit No.: Ea015-0.13Cj Type of Work Occupancy Classification Construction Type Permit Type ,le New Construction ❑A-1 �B ❑H-1 0 1-1 0 R-1 0 S-1 El IA ❑Type 111B 0 Building g❑Addition 0 A_2 0 B,Medical 0 H-2 0 1-20 R-2 0 S-2 Type IB 0 Type IV 0 Plumbing Alteration 0 A_3 0 E 0 H-3 0 1-3 0 R-3 0 U 0 Type IIA 0 Mechanical['Change of Use 0 H-4 0 1-4 0 R-4 0 Mixed 0 Type IIB 0 Type VB 0 Electrical❑A-5 0 F-2 0 0 Type IIIA CRS#: Job Address: , . < ?a u, (Number).N, (Street) (Unit) Job Description: re 0 L,--%,- 1 "-t., &i 9--i2 .��-a. 1.0.,•._ Owner: Ar, f r et ) Tenant: Address: s'14'1.9` Address: City/State/Zip: • City/State/Zip: Telephone: Telephone: Contractor: C t c N. c ii ._„7r � DBA: r--P X1-1 ir3 Z ci W t-yV Address: � `� X15 C , at ovx e y -.e 0 — -- C City: ( Le C, ., t. y 'Q State: CO n/ in/y Zip Code: e 6 elle) Telephone: 1.43",!2..,7- i S'l/ License Type: E-/ License No.: /0 3 C 5" Expiration Date: 97k0/A 0 t 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. 6 Owner/Agent Signature: `e �. � .(3-4.-44—e,..._• Date: ( -- ? "' • Construction Value . - • . .Permit Pees - Building Value: Building Fee Plumbing Value: . . Plumbing Fee: • Mechanical Value: i • Mechanical Fee: • Electrical Value: <21 . �J Electrical Fee: Total Value: Penalty Fee: • C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: • ftvlted'Decem6 6.34 200.5 . Town of Montville Building Department File Receipt Date: 03-Jun-15 ReceiptNo: 10410 Received From: G.C. Electric, Inc Job Address: 42 Pink Row Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $190.56 State Check: $1.56 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $31.50 Fire Credit: $0.00 Construction Value: $6,000.00 Demolition Value: $0.00 CheckNo: 90636 Received By: Carmen Kneeland o 0 % % 0 (0 0 q a _ . . . . . . . . g 0) el _ q q liii� � a _ _ ERm _ m mEF) El, _ mmEAm (a Z O ill11111111111 ■ Ii $ c ƒo ) 7 a 0 2 O ƒ > ƒ J . C k ± c .2 2 E 2 I— f k II m \ @ m • .0 cc U 0 ' Tr m ¢ ` Ti0 ■ U 2 2 ' 0 CC % a co • _le 11- W @ 0 2 2 � oCc ©o % 0. c o Cr) E k@ T0 0 0 - c 3 as 2 % ƒ o o c t � E f 2 c ± R w e 5 2 m m O n 2 O = ci2ET: 0J@ mit I- 111 c > > c c c c c c c c c >. c / ƒ t g E.) .5- .. $ c / ƒ 2 e 2 c t E a 1 W lij© (L ONO 44 x xI. 1.1 0GiO Zae - w ax o • z O a X 0 w Q� Q H tv z `000 W C.7 w M a A a W W-- C 0 (j (-) w J a Q3 W Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Property Address Job Description Required Department Permit Issuance Approval Approval Tax Collector Y1`1 b 13/ 16— Signature/ 3/ l$Signature/date Comments: 1111 Planning &Zoning --0/9"0,,, ' Signature/date 't Comments: -® Fire Marshal Signature/date Comments: ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative /3 ) 15 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: ❑ State Dept. of Transportation Re•uired for Structures over 100 000 s..ft or with more than 200 •arkin• s.aces-Official co. of STC Certificate of 0•eration re•uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature!date Revised May 23,2011 \I\Ncv\i /01/4,( /‘ er-* -3C x-557 =- cAr ,, -.4)-Q-cA ky\c‘c,, Vex/Ncin \ikn rb tAcity c5VI2eAt --�` L. tei/ \cam c-Trc ,l-e.► (t\i Urta1rc---5�i