HomeMy WebLinkAboutElectrical Repair from Fire Damage 2010 Field Inspection Notice
Town of Montville
Building Department
Address: 3 Polly's Lane
Job Description: Electrical Repair from Fire Damage
Permit Number(s) E2010-0026 Permit Date: February 25,2010
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
• • One nail plate
Rough electric needed in the 3/12/10 DJ
ceiling of the
stairwell.
Insulation •
4/14/10 DJ
••
•
Final inspection and • •
certificate of approval 11/4/10 DJ
}
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: E2010-0026 Date: 25-Feb-10 Map/Lot: 103/064-000 Owner ID: 5598000
Project Location: 3 POLLYS LANE Unit:
Job Description: Rewire Basement Rec Room where Needed due to Fire Damage
Owner Name: Elizabeth A Markham Tenant Name: N/A
Ca reof:
3 Pollys Lane
Uncasville CT 06382- Telephone: (860)892-8252
Contractor Name: David Winkler Telephone: (860)367-4858
DBA: Winklers Warehouse&Services Lic/Reg Type: El
Lic/Reg No: 187533
24 Doyle Road Exp Date: 30-Sep-10
Oakdale CT 06370-
Construction Value 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: $4,000.00 Electrical Fee: $32.00 Construction Type: IRC
Total Value: $4,000.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.88
Total Fee Paid: $32.88
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
E Deck Piers
R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
E 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
-rtificate of Appr•.al
❑ •fica • • occupancy
•
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.: E Duo—cX (p
Type of Work Occupancy Type Permit Type
[' New Construction Single Family El Building
0 Addition 0 Two-Family ❑ Plumbing
❑Alteration
El Townhouse 0 Mechanical N�
0 Accessory Structure Electrical CRS#: ft
Property Address: 3 P OLt. y LA/,/ vNL4.S (y` c E.
(Number) (Street) /
(Unit)
Job Description: f ("/ 1 E i3/A Y P1 L'i/ r 4 F c /Z_(::3 Q
Cr/Jj-tEl-- e_ ivcF--,72 .c_ , \Jz__- T-Q3 foe-- E— i Am it E
Owner: /=C f -r__-71-6 - /t PI /tic ! itetrh
Address:
` 3 f Q L L 7 / L A// . .
City: V/v C/I 3—V �E State:lll Zip Code:OG 5 O )^ p {
Telephone( d ���.- d�-S� a
i
Applicant: Pity/ .....P (Ai 1/k / L�A--
DBA: VJ l t‘l -- ---E l r,/ u"i l/�-- E H O 0l l - �' _J E V t C. rAddress//: 51 )) v Y6- O ft - `ter
City: 0 /1-- . )?4( E State: C O
( Zip Code: (o 3? Telephone p ( TOO o) 30_ (1.gs-b'
Contractors - Complete the Following: Q �j 3
License Type: &-- / License No.:1,g-7c-33
Expiration Date: i
I hereby certify that the proposed work wit 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 l am authorized to make application for a
permit for such work as described above.
?St 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: �/ (/,./ > _
Date: ,)--"(-71-"-- /, o ir,,
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: Lt-/ 0 0O .. O O Electrical Fee:
Total Value:
Penalty Fee: `
CofOFee:
Plan Review Fee:
State Ed Fee:
Total Fee:
*visa August 2007
d
Town of Montville
Building Department
File Receipt
Date: 24-Feb-10
Receipt No: 5229
Received From: David Winkler
Job Address: 3 Polly's Lane
Fees Collected State Educational Training Fee
Cash: $0.00
Check/Card Cash: $0.00
$32.88 Check/Card
Check No: 1090 $0.88
Short/Over: $0.00
Construction Value:
$4,000.00
Demolition Value:
$0.00
Received By Carmen Kneeland
C�a II0t . .l
Address: 3 Pollys Lane
ITEM QTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 113.03 $
Basement,Finished SF $ 22.96 $ - $
Basement,Unfinished SF $ 12.40 $ $
Crawl Sapce SF $ 9.30 $ - $
Interior Renovations SF $ 35.09 $ - $
MANUFACTURED HOMES
Ground Anchors
SF $ 6.45 $ $ $
-
Basement -
Crawl Space SF $$ 19.31 $ - $ - $
AMENITIES
Kitchen EA _
Full Bathroom EA $ _ $ $ -
Half-Bathroom $ $ -
EA $ $
GARAGE
Attached
Detached SF $ 69.53 $ $ _
Under SF $ 10.03 $ - $
$
Carport SF $ 19.89 $ --
MECHANICAL
Warm-Air Y/N $
Hot Water y Y/N _
Electric n Y/N $
Air Conditioning n Y/N $
$
ELECTRICAL SERVICE
Upgrade Amps $
Overhead,new Amps $
Underground,new Amps
Subpanel EA $ 599.50 $
Gen Set EA $ 3,850.00 $
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 6,497.70 $ .
Masonry w/lfireplace EA $ 7,096.65 $ -
Masonry w/2 fireplaces EA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2.692.25 $ -
Wood stove insert EA $ 1,859.77 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 43.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 176.90 $
POOLS&HOT TUBS
Hot Tub EA $ 8,016.25 $ _
Inground Pool EA $ 21.373.44 $ $
$
Above Ground Round EA $ 5,099.46 $
Above Ground Oval EA $ 6,019.75 $ $
$
Pool Heater EA $ 8,984.25 $ -
Inflatable Type Pool EA $ 1.550.00 $ -
SHEDS
w/o electrical SF $ 20.35 $
w/electrical SF $ 20.35 $
RENOVATIONS
Roofing,Overlay SF $ 3.00 $
Roofing,Strip&reroof SF $ 4.00 $Roof Sheathing SF $ 1.31 $
Siding SF $ 5.50 $
Windows EA $ 500.00 $Skylights EA $ 1,051.10 $ -
Doors,Exterior EA $ 601.50 $Oil Tank,275 Gallon EA $
Oil Tank,550 Gallon EA $
MISCELLANEOUS CALCULATIONS
$ 4,000.00
TOTALS $ - S -
$ - S 4,000.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ $
Plumbing y $ $
Mechanical y $ $
Electrical y $ 4,000.00 $ 32.00
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.88
TOTALS $ 4,000.00 $ 3P_88
Figures are based on the 2006 RS Means Residential Cost Data
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
ELECTRICAL IINILI*TED CONTRACTOR
DAVID›,S WINKLER
At 6.071..E RD
0.9021 06379
•
LIC REG NQ. EXPIRES
Vskt
ELC.0187533—EfI 00401012/269?-sit-it,1-1 -09/30/2016
SIGNED
t I
•
•
•
•
vow
,• State of Connecticut
jx ` �f N
Workers' Compensation Commission
h, r ;', 7A
n•
�—��� Please TYPE or PRINT IN INK o:
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
Name of Applicant for Building Permit / V I tl /vi /<— c r /`—
Property located at 3 f tJ L J! // (t t
in the City/Town of `.J rl c S v( LC C T-
J
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 ad as the general contractor or principal employer.
Signature of OWNER Applicant
I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the generalcontractor or principal employer
pa
i (1iL C 1 '7- ( ILE_If O QJ-F
Name of Business --/` ,.,
Federal Employer ID#(FEIN)
Signature of SOLE PROPRIETOR Applicant W
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
Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained.
CO Le 'I � u c_ ft
Property Address
Job Description
■ - Required for all permits ® - At least one required for all permits
❑ -Required as indicated below
Required
Department
Approval Permit Issuance Approval
./ ® Tax Collector ,1��— � �, � /a,f II
Signature/date
Comments:
® Planning & Zoning ?. -z &A �/z `! /C)
Signature/date
Comments: et-1
® Fire Mars _c
t((C)
11�C�( LL sign. ure/date
Comments:
Health Department
Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical, Roofing,Siding,Windows&Doors
Signature/date
Comments:
J . WPCA, Administrative .A)-4
)-4
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:
❑ 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
Signature/date
Building Department Review Complete
Signature/date
4ifvised%rovcmfer5,2008