Loading...
HomeMy WebLinkAboutExternal Electrical Work 2003 0.. ,, Town of Montville0). � � � Building Department Date: /d/1:2Field Inspection Notice Permit#: Address: D2 7 //yZa/t) s Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved O Footing 0 0 Backfill 0 0 ❑ Concrete Slab 0 0 ❑ Framing 0 0 ❑ Rough Elec 0 0 kl, Elec Service ❑ ❑ Rough HVAC 0 0 ❑ Rough Plumbing 0 0 ❑ Gas Line 0 0 ❑ Fireplace Throat 0 0 ❑ Chimney 0 0 ❑ Fire/Draftstopping 0 0 0 Insulation 0 0 0 Final Inspection 0 0 C of 0 ❑ ❑ ...---- fi ❑ ❑ /.I 0.' Signature 1 Contractor- Service Request Detail Page 1 of 1 gyp l CULP COURedirift Online Services Service Request Detail - Contractor CRS Home JOSEPH P BONNEF Pont a Customer Service Request No: 293679 Date Created: Sep 30, 2003 Contractor Information: Contractor Contractor Name: JOSEPH P BONNER Business Name: BONNER ELECTRIC Create a Request License Number: 0000102976 CT Create from Template Address: NORWICH NEW LONDON TPKE Create/Modify Template UNCASVILLE, CT 06382 List Open Request Phone: (860)848-8539 Completed Request Customer Information: Browse Request 4 Customer Name: FRANK JUTKIEWICZ Edit Password/Profile Business Name: Address: 127 POLLYS LANE FAQ's UNCASVILLE,CT 06382 I n s pe cto r Phone: (860)848-7870 Job Description -Location: Building Number: 127Lot Number: Logoff Street: POLLYS LANE Cross Street: UNCASVILLE,CT 06382 Job Status/Pre-Requisites: Currently no pre-requisites exist for this job. Job Description-Service: Service Type: CHANGE/UPGRADE Type Of Building: EXISTING Customer Type: RESIDENTIAL Amps/Switch Size: 200 Requested Service: OVERHEAD Meters Required: 1 Job Schedule: ContacLisCompleted Date: Not Available. Job Assignments: This job has not been assigned yet. Area Work Center(AWC): Not Available. Contractor th Online Services Home I For Home I For Business I For Contractors I For Inspectors http://www.cl-p.com/CRS/Contractor/Secure/CRS_RegDetail.asp?reqCRSID=293679 9/30/03 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2003-0308 Date: 30-Sep-03 Map/Lot: 102/016-000 Owner ID 120046 Job Location: 127 POLLYS LANE Unit Job Description: Electric Service Owner: i Contractor: Francis W and Diana S Jutkiewicz Bonner Electric _P.0. Box 366 127 Pollys Lane Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-8539 Lic/Reg Type/No. El 181768 Exp Date: 30-Sep-04 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: $1,960.00 Electrical Fee: $10.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $1,960.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.31 Total Fees: $10.31 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ 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 d❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: t a`-rSco\- / Town of Montville • Building Department Permit# 9 310 Norwich-New London Tpke. Tel. 848-3030,Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form EJPtumding AElectricaf D91-echanicat 5feating Air Conditioning Gas PiPing ['Other Job Location I).1 Potty 5 L4 el.( r tJ rl C G S v i 1-1 c Job Description/Materials U P(gION D ' DA 5Q 62 U t C L. v ?-00 A SeA(h c°P Owner rain/4_ T,1 g_i r W r c 2_ Mailing Address 0-7 7 Po LL yS L 4n Z.. City vPAL kSUALlt State CI- Zip OG 3f )' Tel cS6O /Cr/P/)C70 Contractor Be✓t tAck e t.-C L T alt C_ Mailing Address T.0 icy- 3 G City /y.C LC, vi CC -L C State L/ Zip 0 6 7)c - Tel 4r(0/ P W F 53 Contractor's License/Registration Type&Number 1 - ( 7 C r Exp. Date 0, / 3e/ U / 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 ,!/ " Date a f / 29 t e 3 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ /960°-5--- $ (0 ef- Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ - 3 r Total $ $ *(v . 3/ E �Uo wimi►�®�uU69v.,, ®�i� y.omoU��UuUuUilUilmomom_�1).01/�,9®)►►12iimo ®�����omom�lUuUuUe STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that JOSEPH B BONNER .7- x.... ilk C 774 OLD COLCHES 1 ER ROAD UNCASVILLE, CT 06382 ..41114 lhas been certified by the Department of Consumer Protection as a licensed ELECTRICAL UNLIMITED CONTRACTOR TYPE:E1 1 License # 181768 . lk Effective: 10/01/2003 .••... Ilk Expires: 09/30 2004 Jam s T. Fleming, Commissioner ni►n►►n►►n►41► „4,;�o „4it�„ „�1, ,ice„ „ i\14\147\,;�„4„4il ,►iii „iti411�iln ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 04/03/2003 'RODUCER (860)848-2201 FAX (860)848-2207 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Curtin Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 620 Route #32, Box 387 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Uncasville, CT 06382-0387 INSURERS AFFORDING COVERAGE NAIC# NSURED Bonner Electric Inc. INSURER A: General Casualty P 0 Box 366 INSURERB General Casualty Uncasville, CT 06382 INSURERC Hartford 29424 INSURER D INSURER E :OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDI( ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCI POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION -TR INSRC DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERALLIABIL(TY CCI0358372 12/31/2002 12/31/2003 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 00,000 1 PREMISES(Fa sccurencel 100 000 CLAIMS MADE X OCCUR MED EXP(My one person) $ 5,000 A PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY pi-- -I LOC — AUTOMOBILE LIABILITY BA0035 77 12/31/2002 12/31/2003 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) n 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) B HIRED AUTOS — BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY CCU03 58 3 72 12/31/2002 12/31/2003 EACH OCCURRENCE $ 5,000,000 OCCUR CLAIMS MADE AGGREGATE B 5,000,000 5 5,000,000 DEDUCTIBLE RETENTION $ • WORKERSCOMPENSATION ANO CWC0358372 12/31/2002 12/31/2003 WCSTATU- 0TH- EMPLOYERS'LIABILITY TORY LIMITS ER _ B ANY PROPRI ETOR/PARTNER/EXECUTI VE E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? If yes,describe under E .DISEASE-EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 OTHER 02MSUE1660 12/31 Installation floater /2002 12/31/2003 1, 750,000 IESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS VERIFICATION OF INSURANCE FOR 127 POLLYS LANE, UNCASVILLE, CT :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. TO WHOM IT MAY CONCERN AUTHORIZED REPRESENTATIVE /�� Carlos Cook/GT � /4 C - \CORD 25(2001/08) ©ACORD CORPORATION 1988