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Home My WebLink AboutUnderground Electrical Service 2003 • Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2003-0172 Date: 17-Jun-03 Map/Lot: 039/092-000 Owner ID 118028 Job Location: • • I : Unit Job Description: Rework&Re-Locate Underground Service Owner: Contractor: Scott G and Stacia S Miner Bonner Electric Inc. P.0. Box 366 93 Pires Drive Uncasville Ct. 06382- Oakdale CT 06370 Telephone: (860)848-8539 Lic/Reg Type/No. El 181768 Exp Date: 30-Sep-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $2,000.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2,000.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.32 Total Fees: $10.32 It is the owners responsibility to schedule the followina inspections(minimum 48 hours notice required); ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑� Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Cl� yl� .1if 1 ► Town of lr.)ntville cow Building Department led Permit# 0c33 —/7...7 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One &Two Family Trades Permit Application Form DPCumbing ®Efectrica! ['Mechanical 5I ating lir Conditioning —Gas Ti ['Other Job Location 9 3 ?1 QS �2.v Job Description/Materials rc�.JDrc,�c l fecLoc TE a ODA UJUO� J•�a 7b cc0,44ao*TE A©D1' 70 J . Owner C.© TV M• e=,2 Mailing Address 9 3 P rte S D t.c City L.L.CatSQ,macs State Cr- Zip do 3 Z Tel PY 0 / dk'9/ Contractor e--ebN1,4..e>2_ a. c 24.LC Mailing Address Th oOK- C l /eLsr ,Q 7-3 2 City ti to 4-Sv, c LC Stateel Zip D6 3EZ Tel /S':e9 / fr2, Contractor's License/Registration Type&Number C7 €/ /SY 74 2 Exp. Date D 7 / 3 o / 63 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 94.27.12 Date O 4 / r6 / O Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ 2- o $ /D: 3 2 Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ Total $ Sforpc, $ ?' RIC , Date: June 16, 2003 I, Joseph B. Bonner, Vice-President, authorize Robert P Poirier to pull a permit for Rework/relocate 200a Underground Service to accommodate addition (a� Scott Miner residence 93 Pires Dr. Uncasville, CT 06382 Sincerely, BONNER ELECTRIC, INC. • seph B. Bonner Vice-President CT Lic. 181768 E-1 JBB/bp 1865 NORWICH-NEW LONDON TURNPIKE • P.O. BOX 366 • UNCASVILLE, CT 06382 (860) 848-8539 • (860) 848-4279 FAX CT. LIC. 102976 RI LIC. A000228 STATE CERTIFIED WOMAN OWNED SMALL BUSINESS Town of .,,,flntville Building Departma.rt Receipt Date 6 / /6 / Zj..-S No. 02862 From: .4g / ,. � L 1.e...-' Job Address: i M / iif.. - . Amount $ /4 . _5— Cash eek Check #6-)V,5733(> , 33( 1 (circle Received ea /! ...," CVC, Nip 2..,S4z Permit # �,9 06/16/2003 15:32 9608484279 PAGE 01/02 BONNER ELECTRIC,INC. 1865 NORWICH-NEW LONDON TPKE. F.O.BOX 366 UNCASVILL3E,CT 46382 TEL. 016P 348-8539 FAX,1260)80-4279 CT Lie.. 102916 RI Lie. A0228 FACSIMILE TRANSMISSION TO; BUILDING DEPT. FAX NO.: (860) 848-7231 TOWN OF MONTVILLE FROM: Carole Joslin, Contract Admin. DATE: June 16,2003 PAGES SENT: 2 RE: VERIFICATION OF INSURANCE As requested, enclosed is a verification of insurance form for 93 Pires Drive, Uncasville. AP./16/2003 15: 32 8608484279 PAGE 02/02 --Q- k CERTWFICAT -- F LIABILITY JNSURAIco:E QAT£MI WCER (86034,8-2201 FAX (860)848-2207 THIS CERTIFICATE 1$ ISSUED 04/03,12003 rt in Insurance Agency, Inc. CA4LY Ad YJ CONFERS) 1 'RIGHTS AS CERTIFICATE 0 lFaute `3Z, &3x 38: HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND.0.R Casuille, CT 115.382-Q387 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC A aED Bonrier Electric Inc. - - INSuRERA. General Casualty 1- ._1 P 0 Box 366 INsuRERa General Casualty Uncasville, CT 06382 INSURERc Hartford " 129424 INSLJRFR D: —__ INSURER E /ERAGES _ {E POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THF-INSURE°NANIET.1 ABOVE FDR TF1fc 40LICY Ii, .1RIOD I91MAT !Y RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED O IT AY PERTAIN.71-JE INSURANCE AFFOROED 9Y THE P6L1CIES L- SCRIB HERE'N is Sus,1cT TO AtL THE TEWS,EKCWUSIONS'AND CONDITIONS OF SJJCI 3LICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$, ADD! TYPE OF If POLICY EFFEO 1VE POOLIC IMMIbOh�YI LIMITS INSRC POLICY NUMBER. GENERP,LLIABRIF CCI 0358372 12/31/2002 12/31/2003 EACH Drr_LA?oE E z x E.L,MMERCIAI GENERAL Lrngr_• i 1 000 01 1 _ t N Af O LttNTEO �1 CLAI,MS�WADE �x r_r.,-r �p , -REintsz Icy,n ,mcce.)._ 4 100,010 �1 '� �' Mtn rxP(Any or,e person! R, 5,00.- E 3�fiL 8 NE)o Iv.JLIA'1 i .1 000 II f .•.••� GE,IFRN.ASL GATE ; 2,00#, tii rJL AGGREGATE LIMIT 4fiPLIES¢ER: PROM urs_COMP/Do,4,t - 'g 7,,OLICY —7,78T n LOC I .,. {1 t AUTOMOBILE LIABILITY 64003577 12/31/2002 12/31/2003 X ANY AUTO ALL StN xE par' (EFT accIierx) RLL asNON-OWNED AUTOS 1,000, 161 9�'I'E4U.E^..4LSCpS ,I 4ODILYIN,AIRY IP,^,wac+ny 9 H RED ALCM; I BODILY INJURY I rt I Por OC,aent) 1111 : !Pr1r:tcndarrt) GARAGE LIABILRY 1 ANY AUTOAUTO ONLY-EA.nr_ccw— I OTHER THAN EA ACC I _ Au•c env y. AG G I EXCESS/UMBRELLA LIABAI Y CCU0358372 12/31/2002 12/31/2003 E.',CMCCCL/I ENCK 7 OCV E n CLAIMS MAnE - .. r?,ODU,UO 1 i A r.RELG,e.1F 111 s mow:nal? f- 5,000,000 ' .-....___Is C,00a,L ti, RETENTION E S c WORKERS COMPENSATION AND C'Z'IC0358372 12/31/2002 12/31/2003 slA11J. 1 011-I- EMPLOYERS'LIABILITY . 1'Of?4'L!M1q TS _eR ANY PROPRIETORtPARTNERIEKECuT VE E L EACH ACC rr_IJr O-FICER/.MEACBE.R E)CLUDED? ,OOO (y 1 1 I�fJ es,6oscrrbn UNHr E L.01.�E�3E-EA EMPLOYEE, T 'F'EG�W.PRrSA�J,^Jtst.k, I �_ �.,OQO,-QI i� Installation floater 02MSUE1660 12/31/2002i lz {3I/20D3�EL S��EASE_Pr IyYuMI 2, 750, 1,UZ1U 011 01 90 I RIPTION OF OPERATIONS J LOCATIONS!VEHICLES f EXCLUSIONS ADDED BY ENOORSEMF,NT J SPECIAL PROVISIONS VERIFIGATION OF INSURANCE FOR 93 FIRES DRIVE, UNCASV'[T,,J,E. ;TIFICATE HOLDER CAx10E IATiON ------ SHOULD ANY CE THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORt;THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 ,DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TIE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAPILIT! OF ANYKINC UPON THE INSURER,rTS AGENTS OR REPRESENTATIVES. TO WHOM IT tI.AY CONCERN. ALITHORI7,1•JJ REPRF_4FJITATIVE �` --�-- Carlos Cook GT CI 4 4 )R0 25 (2001108) (t)ACOFtD CO4R9ORA'T40Rd 1988 l kbOUSe col. fit, Ot. M GOrlofn1cilce, c v —7=3 =3/ ArCt,Ovsvtil O 1- Z S � Y �o J l .( ti° 1yV J / _ 45 . _7 v N. / et It -c .—i.... �p J , S 42 e -0 ‘4c `� v Q o ' 6e Id a� ._ ' ? 1 3 i Ic�1 JV I `7 -- d a -o C t ' -� 0 U 0 'a d CJ ^ M o g _ ,y 7x 3 3 .\-- w � o J a ® wC 3 g > k r