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HomeMy WebLinkAboutElectrical Service 2007 Field Inspection Notice Town of Montville Building Department July 20, 2007 Address: 131 Polly's Lane Job Description: Electric Service Permit Number(s): E2007-0155 Permit Date: June 28,2007 INSPECTION Not Approved Ap.royal Date: Deficiencies Special Date Conditions Grounding 7/13/07 CC . Can't locate two • 7/20/07 DJ Bonding 7/13/07 CC • Can't locate • • 7/20/07 DJ Panel Labeling 7/13/07 CC • Not done • 7/20/07 DJ • Final inspection for • • certificate Of 7/20/07 DJ approval Notice: Before a certificate of occupancy can be issued, a CIO 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 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: E2007-0155 Date: 28-Jun-07 Map/Lot: 102/015-000 Owner ID: 5646000 Project Location: 131 POLLYS LANE Unit: Job Description: Upgrade Existing Electrical Service to 200A Owner Name: Frances M Friedrich Tenant Name: N/A Careof: 131 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: Barber Electric Inc Telephone: (860)887-9889 DBA: Uc/Reg Type: El Uc/Reg No: 121802 P.O. Box 14 Exp Date: 30-Oct-07 Bozrah CT 06334- Construction Value Permit Fees Construction Information Building Value: $1,200.00 Building Fee: $16.00 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: $1,200.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.29 Total Fee Paid: $16.29 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 El 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 [j Certificate of Approval d Ce r ate '-f S upancy Building Official s l Approva `• Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasviile, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:_f_aM2_p�55. Tvpe of Work Occ anc T e ❑New Construction Permit Tvpe Ingle Family ❑Building ❑ dition 0 Two-Family Alteration ❑Pl robing ❑Townhouse ❑ chanical 0 Accessory Structure Electrical CRS#: S] —7 3 Job Address: 13I a1_.(_- 5 1... C (Number) (Street) Job Description: P . ,� (Unit) N . - 3 i /kLl J C.�' a ,� 2c; c> At Owner: --" tra.4A20 7'tZ.CD24 Cf- Address:`` e� 3 P©L L ,‘, City: State: �Z Zip Code: Telephone: Contractor: ..._ z= ELez..pc-4L ING . DBA: p Address: r 1 - c7 . Rj I LI- City: �r otn_644.4 State: r- Zip Code: 433 Telephone: �(10'�7- L" 65 License T e• YP . E'' License No.:_( Li 'OZ Expiration Date: Q 7 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 th re. 'emen of,2005 NEC as the altemative compliance per section E3301.2.1 of the Resid instead of the electrical requireme i the- 3 -dough 42 of the Residential Code. ential Code, Owner/Agent Signature: / /7r., Date: 0 Construction Value Building Value: Permit Fees Plumbing Value: Building Fee: Mechanical Value: Plumbing Fee: Electrical Value: I.Z oc . r"' Mechanical Fee: Total Value: Electrical Fee: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &vsa eeam6er31,200E Nam Town of Montville Building Department File Receipt Date: 27-Jun-07 Receipt No: 2487 Received From: Barber Electric Inc. Job Address: 131 Poly's Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $16.29 Check: $0.29 Check No: 0 Short/Over: $0.00 Construction Value: $0.00 Dem. ion Val =. .0.00 Received By Vernon D Vesey II JW' .27.2007 11:26 660 444 1205 HEL'.LE`: INSURr`:='E AGENCY #5066 P. 001 !001 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR TJ DATE{MMIDDNYYT) PRODUCER BARB-0Q 06/27/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Redden Insurance Agency Inc_ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P• 0. Box uran HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterford CT 06385 Phone: 860-447-3111 Fax:860-443-8253 INSURERS AFFORDING COVERAGE INSURED " II NAIC# INSURER A: General Casualty -. 24503 Barber Electric, Inc_ INSURER e: Scott Barber INSURER a PO Sox 14, 178 Fitchville Road Bozrah CT 06334-0014 INSURER D: 1 INSURER E7 -- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECUIREMENT,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 CONOIIIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCEDFN PAID CLAIMS. I LTR[NSR TYPE Of INSURANCE T POLICY NUMBER PODGY Err)ONCIf)e 1POUCY MM/ TION I DATE(MMJDOIYY) DATE(MM/DD/YY) USS GENERAL LIABILITY EACH OCCURRENCE IS 1 000 000 A X COMMERCIAL GENERAL CGI, 09030600PREMISES(Ea 09/03/06 09/03/07 PREMISES{Eaoccurence) $ 200,000 CLAIMS MADE 'X. OCCUR • MED EXP An one10,000(Any Pcrson) 5 _ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000 L Q O POLICY JCRCLOC- AUTOMOBILE LIABILITY A X ANY AUTO C$A09030600 09/03/06 09/03/07 COMBINED SINGLE LIMIT S 1000000 (Ea accMent) — ALL OWNED AUTOS _.,.. SCHEDULED AUTOS BODILY INJURY-- --- (Per per4on) S HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Pcr acGdeM.). $ --- i PROPERTY DAMAGE F (Per ecc,d_nc) GARAGE LIABILITY I ANY AUTO AUTO ONLY.EA ACCIDENT ' S � O�TFiC-R THAN EA ACC IS AUTO ONLY AGG i 5 IXCFSSAMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 .� A OCCUR CLAIMS MADE CUB 0903060009/03/06 09/03/07 AGGREGATE $ 1000000 DEDUCTIBLE _. .._..._._..__ S X RETENTION $lO,000 j •S -- WORKERS COMPENSATION AND QVC STATU• U( ' I A i EMPLOYERS'LIABILITY TORY LIMITS X ER �— ANYPROPRIETOR,'PAI�TNERrEXECUTC`fE CFTC 09030600 09/03/06 09/03/07 E-L.EACHACCIDENT 5 500000 _ 'OFFICER/MEMBER EXCLUDED? If Yes deeCibe under ' EL.DISEASE-EA EMPLOYEE 5 500000 TEEIAL PROVISIONS below O E.L.DISEASE-POUCYLiMIT 5rJ00Q00 OTHER 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT Re: 131 Pollys Lane, Urtcasville, CT !SPECIAL PROVISIONS • CERTIFICATE HOLDER CANCELLATION MONT002 SHOULD ANY OF THE ABOVE DESCRrBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 :DAYS WRITTEN Town of Montville NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,RUT FAILURE TO DO SU SHALL Building Dept .Fax #848-723I Attn: Vern Vesey IMPOSE NO OBLIGATIONi� OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 310 Norwich-New London Tpke REPREsENT•nvEs!'� 1 t Uncasville CT 06382 AUTHORlzi I'-EPRESEN offi ACORD 25(2001/08) TEE' rAa' �� f '- ■D `;( 1I . cD ACORD CORPORATION 1988 I { 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 1 � 5 Property Address CcEz77z CA S 2thc c) Pc-t34o -, 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 Approval Permit Issuance Approval Tax Collector Gl� vv-c�,` /,L7 107 Signature/date Comments: WPCA, Administrative 10--1 nature/da e Comments: ❑ WPCA, Operations Signature/date Comments: ❑ Planning &Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation (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 Comments: (` Fire Marshal j I� 127 D 1 - Signature/date Comments: ' 1 t cgvisedAugust 5,2005