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HomeMy WebLinkAboutElectrical Upgrade 2001 ( Town of Montville Field Inspection Notice Permit # Location: 3 'o/N-f-- 1%3iai Type of Inspection: ?L_Gc, 7>zvj� Issued to: Delivered to: APPROVED NOT APPROVED The following orders are hereby issued for their correction: Please call for inspection when corrections have been complet-d 860-848-7166 Date: h,//3/ �,� By: // Building Official Town of Montville co) Field Inspection Notice Permit # Location: 5-3 4/Arr / Type of Inspection: AIX i/5-0 ��e c--r; Issued to: Delivered to: �irE PROVED NOT APPROVED The following orders are ere.y issued for their correction: Please call for in pec ion when corrections have been co a 60-84 66 Date: 6/5/0/ Building clal Page 1 of 1 Subj: CRS Approval Confirmation: Request No. 173012 Date: 6/14/01 7:51:05 AM Eastern Daylight Time From: clpsvc@nu.corn To: JJ1289@AOL.COM CRS Work Request#: 173012 House No: 53 Lot No: Street Name: POINT BREEZE RD Inspector: JOSEPH SUMMERS Approval Date: Jun 14, 2001 Headers Return-Path: <clpsvc@nu.com> Received: from rly-zc03.mx.aol.com (rly-zc03.mail.aol.com [172.31.33.3]) by air-zc05.mail.aol.com (v78_r3.8) with ESMTP; Thu, 14 Jun 2001 07:51:05 -0400 Received: from wfntmtsl.nu.com (wfntmtsl.nu.com [159.108.37.55]) by rly-zc03.mx.aol.com (v78_r3.8) with ESMTP; Thu, 14 Jun 2001 07:50:56 2000 Received: from mail pickup service by wfntmtsl.nu.com with Microsoft SMTPSVC; Thu, 14 Jun 2001 07:50:53 -0400 From: <clpsvc@nu.com> To: <JJ1289@AOL.COM> Subject: CRS Approval Confirmation: Request No. 173012 Date: Thu, 14 Jun 2001 07:50:53 -0400 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2314.1300 Message-ID: <002315350110e61 WFNTMTS1 @wfntmtsl.nu.com> Thursday, June 14, 2001 America Online: JJ1289 Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number EL2001-103 Permit Date 5/23/01 Permit Type Electrical Permit Code R5 Job Street# 53 Job Location POINT BREEZE ROAD Map/Lot 075/021-000 Job Description Electrical Service Owner Contractor Paul E. Japp Paul E. Japp Address 53 Point Breeze Road Address 53 Point Breeze Road City Uncasville State Ct. City Uncasville State Ct. Zip 06382 Telephone 848-1436 Zip 06382 _ Telephone 848-1436 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $0.00 gc- 464' / /20-,<_,Plumbing Value $0.00 Mechanical Value $0.00 ���lf j(/F(C A77-7'O'9L-) Electrical Value $1,500.00 -- Other Value $0.00 /// �/Z/CJS �� S7GZJ� . Total Values $1,500.00 Comments: Building Official's Signatur• l� It is the owners res.o ,,�i�, to schedule the followin• squired): ❑ Footings -prior to you ng concrete ❑ Backfill -footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-one flue above thimble ® Rough Electrical ❑ Firestopping/draftstopping B Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation ❑ Final Inspection O Rough HVAC 0 Certificate of Occupancy - PRIOR to use or occupancy Town of Montville Permit # AL-Z07.0 0//6 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction 0 Accessory Structure [JPlum6ing 094echanical ❑Addition [Demolition Electrical ❑Alteration ❑Other � .?leating Air Conditioning %� Gas Ptpmg Job Location S j 7o , A/1 /��R , , (�a Job Description/Materials "14o I7-e- 5_„, r v, c._-c ..e ti 7'>.a 4, e -Fr-6•-i-- A ou S -e 1440 0/32, lea c-k0/p . ac,_ .le . L:N S fa t/ Gen./0/a?- t,r-ou iv 4/ ` /` iz t c_ . Ss,.. 0:144-,A a CA S Owner a c / k 13-04 c Mailing Address c1 Rs ,A./? 3,-_s2--st Ar--4......Ar--4...... goa ci City (4Je_/2c//: if-Z State C 7 Zip ©�, j 2p) Tel ?KO /cam/ /z{3 6 Contractor 5_e /le Mailing Address City State Zip Tel / / Contractor's License/Registration Type&Number Exp. Date / / New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes ❑ No 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 SignatureTV2.,c_k___, E Date CJ / /F / C , p Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ /<-6° $ //. ------ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ , d u Total $ /.-roc $ /0, ay Town of Montville Building Department p ment Receipt Date No. 00715 , (;) From: I Job Address. '" 41 __------_____________________ t a Ir 0 Amount $________,./a. ` Cash Check Check # i / (Circle one) Received by _14, i tom"... --.•i,.. Permit # tilsof Nod STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at e7",p 1>r R az ? . — 1` £ G CQ/ In the town of C�(A/C--4 S /// /l Name of building permit applicant: o_ tet.. i J C7 Please check one: I. )4--I am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Name of business 2B. Federal Employer Identification Number(FEIN) Pursuant to § 31-286b, "a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1.X I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of appli t17 2. _I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200_. 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