HomeMy WebLinkAboutElectrical Changeover 2007 Field Inspection Notice
Town of Montville
Building Department
September 11, 2017
Address: 15 Pollys Lane
Job Description: Electric Service
Permit Number(s): E2007-0235 Permit Date: October 25,2007
Not Approved Approval
INSPECTION Date: Deficiencies Special Date
Conditions
Ground Rods 11/30/07 DJ
Main Panels •
•
11/30/07 DJ
Final inspection for
certificate approval 11/30/07 DJ
Notice: Before a certificate of occupancy can be issued, a C/O signoff sheet must be completed and
returned to the Building Department. Signoff sheet are available in the Building Department.
Rev.Date: 1/18/06
Page 1 of 1
Dave Jensen
From: dpsvc@nu.com
Sent: Thursday, January 10, 2008 11:03 PM
To: djensen@montville-ct.org
Subject: Verification of Electrical Inspection
This email is being sent to you to confirm that the work requests listed below have been
updated (approved / unapproved / failed) by your login ID from the web site.
1020840 - 15 POLLYS in MONTVILLE was APPROVED on 01/10/2008
If any of this information does not match your records please contact the CL&P Clearing
Desk at 1-888-544-4826, Monday through Friday 7:00 AM - 4:30 PM.
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: E2007-0235 Date: 25-Oct-07 Map/Lot: 103/061-000 Owner ID: 5603000
Project Location: 15 POLLYS LANE Unit:
Job Description: Electric Service
Owner Name: Joseph E and Nancy A Slota Tenant Name: N/A
Careof:
15 Pollys Lane
Uncasville CT 06382- Telephone: (860)848-8895
Contractor Name: Shawn Kelly Telephone: (860)376-5689
DBA: Kelly Contracting&Electrical LLC Lic/Reg Type: El
Lic/Reg No: 185297
79 Popple Bridge Road Exp Date: 30-Sep-08
Griswold CT 06351-
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: $1,575.00 Electrical Fee: $16.00 Construction Type: IRC
Total Value: $1,575.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.25
Total Fee Paid: $16.25
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: 1020840
❑ Framing ❑I R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
❑ Cerci - ill •, cy
Building Official's Approval: �L2!z C/ —t-�
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.: eat)7--c03 S
Type of Work Oc9upancy Type Permit Type
❑ New Construction Ig Single Family ❑Building
❑Addition 0 Two-Family ❑ Plumbing
❑Alteration 0 Townhouse 0 Mechanical / t� I
0 Accessory Structure Electrical CRS#: / G I D
Job Address: 1,S ROC&7 S L.
(Number)
(Street) (Unit)
Job Description: ,S W,,{i C� C jv�eiv1? ld�e0y4- 7.0 0400 r9 ,
Owner: . )O�'f A' C7
Address: /5 PQL L y 5 l 7fl,E-
i
City: 61/VC/.c li,ilL State: C i Zip Code: 389-
Telephone:
89-Telephone: 'O 15` 8 a / 5
Contractor: Shlvr✓ Xe12-
DBA: /eel t 1 -roe jC/7_ G C
Address: 7 ,c• •/!;6- /Cc(
City: / r`/� State: G/ Zip Code: /�r 7�'357Telephone: OU `7)Fs-J G1• License Type: (-7 License No.:/ O G S T) Expiration Date: ‘7/3!-1'`3
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/am authorized to make application for a
permit for such work as described above.
0 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 requiremen in hapters 33 through 42 of the Residential Code.
Owner/Agent Signature: /�-� Date: /06*A.)
Construction Value Permit Fees •
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
•
Mechanical Value: Mechanical Fee:
Electrical Value: /S 7 S • Ci�' Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
•
Wrvised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 24-Oct-07 Receipt No: 2927
Received From: Kelly Contracting
Job Address: 15 Pollys Lane
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $16.25 Check: $0.25
Check No: 0
Short/Over: $0.00
Construction Value: $1,575.00
Demolition Value: $0.00
Received By Carmen Roberts
Address: 15 Pollys Lane
ITEM CITY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $ -
Basement,Finished SF $ 20.87 $ - $ -
Basement,Unfinished - SF $ 11.28 $ - $ -
-
Crawl Sapce SF $ 8.46 $ -
Interior Renovations SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - $ - $ -
Basement - SF $ 11.28 $ - $ - $ -
Crawl Space SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom - EA $ - $ -
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ -
Detached - SF $ 6321 $ - $ -
Under SF $ 9.12 $ - $ -
Carport - SF $ 1808 $ -
MECHANICAL
Warm-Air Y Y/N $ -
Hot Water N Y/N $ -
Electric N Y/N $ -
Air Conditioning N Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Overhead,new -Amps $ -
Underground,new Amps $ -
Subpanel EA $ 545.00 $ -
Gen Set - EA $ 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry w/lfireplace - EA $ 6,451.50 $ -
Masonry w12 fireplaces - EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39 16 $ -
Porch - SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
Inground Pool - EA $ 19,430.40 $ - $ -
Above Ground Round - EA $ 4,635.88 $ - $ -
Above Ground Oval EA $ 5,472.50 $ - $ -
Pool Heater EA $ 8,167.50 $ -
Infatable Type Pool - EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical - SF $ 18.50 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.38 $ -
Roofing,Strip&reroof - SF $ 3.76 $ -
Roof Sheathing - SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights - EA $ 955.54 $ -
Doors,Exterior - EA $ 401.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS $ 1,575.00
TOTALS $ - $ - $ - $ 1,575.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ $ -
Plumbing Y $ - $ -
Mechanical Y $ - $ -
Electrical Y $ 1,575.00 $ 16.00
Working before Permit Issuance $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.25
TOTALS $ 1,575.00 $ 16.25
Figures are based on the 2006 RS Means Residential Cost Data
.,� 7A
State of Connecticut
Workers' Compensation Commission
" sf41r- Please TYPE or PRINT IN INK
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 S� "/ `�� /47?-2-L1
located at �LL &'' / K- "A' " ' S
in the City/Town of lit/L,�// .S U7/6--
Attest `/CAttest
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
Ul I 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
/eC5'2I C-. 7,7"--?e,y-e72.1.- L ✓ " " `C 0 L- Z( C2
Federal Employer ID#(FEIN) oy 9-56K-5 -7
Signature of SOLE PROPRIETOR Applicant ,_ 4
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
t 4 c)0.t 's
roperty Address
Job Description
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 Department Permit Issuance Approval
Approval
Tax Collector —, /1 �-- i c/l'f/ 0 7
Required for all permits
Comments:
WPCA, Administrative � k6\D `1 161
Required for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
Cyeee÷f • Planning &Zoning /yam y- 16'43`1/0
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
� ^ 1
Comments:
J
• Fire Marsh L'L(i1 L
Required for all permits
Comments_ I
&visafAugust 5,2005