HomeMy WebLinkAbout22x36 Garage 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: E2008-0073 Date: 02-May-08 Map/Lot: 080/011-000 Owner ID: 5.58.0000_
Project Location: 9 POINT BREEZE ROAD Unit:
Job Description: Electrical for New Garage
Owner Name: Thomas D and Tina M Grove Tenant Name: N/A
Careof:
9 Point Breeze Road
Uncasville CT 06382- Telephone: (175)777-7550
Contractor Name: John J.Jones Telephone: (860)942-3967
DBA: JEC Electrical LLC Lic/Reg Type: El
Lic/Reg No: 191035
20 Finch Road Exp Date: 30-Sep-08
Stafford Springs CT 06076-
ConstEKtion Vd_lue - Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $0.00 Penalty Fee:
--- $000_ Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Fees Included with Building Permit
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 framing ❑ 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 Approva
Ce o •- upancy
Building Official's Approval __
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.: j`,DoOS -007_?j
Type of Work Occupancy Type Permit Type
101 New Construction '®Single Family ❑ Building
Ne Addition ❑Two-Family ❑Plumbing
❑Alteration 0 Townhouse110 Mechanical
0 Accessory
Structure 1191 Electrical CRS#:
di` J �j .9eZt_
Job Address: � ,f'
(Number)er (Street) (Unit)
Job Description: /!� t."✓ C, irgq e- / 1//YIN 7-6,- 1��9l‘z ,e(3,.‘,',. e=
i /
9-a/ /,.." ''''' '(...---:''.711cAi /ZQ'7e/
Owner: 7---/:),4,7oar 6 .d-e
Address: / 74,2',,/-7/ P/t c'1 t?
i
City: State: 7 Zip Code:
Telephone: /7Z( 7) 77 7 v �.o 2
Contractor: ( 0161 31. (JJh&.I`
DBA: (Tee-- 6,/ , L
Address: S'— J A;f?L/ /4'V
City: cJ"J'-"nXV;Pc •-,hf✓ Z--/
State: Zip Code: 4y7 Zr
Telephone/ 6%fY 2 '`-l7(7 License Type:G- / License No.: /9/OJS Expiration Date: tJG-Of
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.
By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature: (2,-�� Date:
Construction Value Permit Fees ,c
Building Value: Building Fee: r l
Plumbing Value: Plumbing Fee: \V k.e)k .
Mechanical Value: J �y Mechanical Fee: 4,,,
Electrical Value: W '2 6 c5 Electrical Fee: V.,e `
Total Value: Penalty Fee: t, pL
C of O Fee: _v
Plan Review Fee:
sY
State Ed Fee:
Total Fee:
Arviseif August 23,2007
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
ELECTRICAL UNLIMITED CONTRACTOR
JOHN J JONES
20 FINCH RD
STAFFORD SPRING, CT 06076
LIC./REG Na EFFECTIVE i 1 EXPIRES
ELC.0191035-E1
0,;./.10/01/2007 09/30/2008
--..>-'7
SIGNED G� iY-er j 4y
v"-v
State of Connecticut N
*Y,, r Workers' Compensation Commission o 7A
L:.."-� ;)
..,
:�_�/ � Please TYPE or PRINT IN INK Ix
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
Applicant for Building Permit
2 A.,...,„_
Name of Applicant for Building Permit
J
Property located at . 41. h /i€ e ,
0570/
in the City/To of ..,>47 c=Q`-'-r/ //f'/'
Attest
If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE (1) BOX ONLY and complete the following:
❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNER Applicant
4iI am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business .) .� �� ��
Federal Employer ID#(FEIN) �` . ,* (.57>e :C// fect
Signature of SOLE PROPRIETOR Applicant77‘
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
Ido i -t
Property Address
C ‘i(9 -r-DrNteL)
Job Description Q
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
Approval Department Permit Issuance Approval
Tax Collector - -`� �! / y �` �Slf /o g
Required for all permits
Comments:
WPCA, Administrative
Required for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
Planning &Zoning
Required for all permits
Health Department
Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical, Roofing,Siding,Windows&Doors
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements
Comments:
❑ State Dept. of Transportation
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
Comments:
Fire Marshal,--) �Lvr�
Required for all permits ' 1\‘ , l� L
Comments: )',[ �/
iflugutt s,2005