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HomeMy WebLinkAboutElectric Service 2017 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: E2017-0225 Date: 13-Sep-17 Map/Lot: 095/041-000 Owner ID: 2891000 Project Location: 16 HOSCOTT DRIVE Unit: Job Description: Replace Service Riser,Meter Socket and SEU into the Panel.Install GFCI Outlets in Kitchen&Bathrooms Owner Nam Debra J. Deschenes Tenant Name N/A Careof: 16 Hoscott Drive Uncasville CT 06382- Telephone: (860)625-2276 Applicant Name Bonner Electric Inc. Telephone: (860)848-8539 DBA: Lic/Reg Type El Lic/Reg N 181768 1865 Route 32 Exp Date: 30-Sep-17 Uncasville CT 06832- 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: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $000 Electrical Value: $2,000.00 Electrical Fee: $30.00 Construction Type IRC Total Value: $2,000.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.52 Total Fee Paid: $30.52 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 EJ 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 frami 0 Electrical Service CRS No: 2986776 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate . •ppro . Cert'' ate o, cupancy Building Official's Approval: �� _d Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.:E.,a 00,Q_, 9_rj Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 ❑B ❑H-1 E11-1 ❑R-i ❑S-1 ❑Type IA ID Type 1118 ❑ ddition 0 A-2 0 B,Medical ❑H-2 ❑1-2 0 R-2 0 S-20 PlumbingBuilding Alteration -3 0 ❑Type{B 0Type IV 0 Change of Use 0 A-4 0 F-i El H-4 0 1-4 0 R-4 0 Mixed El Type IIB 0R-3 El U 0 Type HA TyTyppe VB Electre VA arncal 0 A-5 0 F-2 0 M ❑Type 1I1A CRS#: 1� �776 Property Address: 16 Hoscott Dr.Uncasville CT,06382 (Number) (Street) (Unit) Job Description: Replace Service Riser,Meter Socket,and Seu into the Panel. Install GFCI outlets on the kitchen counter and in the bathrooms. Owner: Debra Deshenes Tenant: Address: 16 Hoscott Dr. Address: i City/State/Zip: Uncasville,CT 06382 Cityisiateizip: Telephone( 860 ) 625 _ 2276 Telephone( ) Applicant: Bonner Electric, INC. DBA: Address: 1865 Norwich-New London Tpke. . CI Uncasville CT 06382 860 848 8539 tY State: Zip Code: Telephone( i - Contractors -Complete the Following: • License/Registration Type: E1 License/Registration No.: 0181768 Eviration Date: 09/30/2017 1 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 furtlrer attest that the proposed wank is authorized the owner in fee and that I are authorized to make application for a permit for such work as described above. Owner/Agent Signature: ��//- r a/2e�ei 72 - �... y ` Date: � 72/-70 / Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: $2,000.00 Electrical Fee: 36-C Total Value: $2,000.00 Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: . 5. Total Fee: ,30 .Sa_ Tvcrtsed August 23,2O?7 Town of Montville Building Department File Receipt Date: 12-Seo-17 ReceiptNo: 12643 Received From: Bonner Flert Job Address: 16 Hoscott Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: Bldg Check: $0.00 $30.52 State Check: $0.52 Bldg Credit: $0.00 State Credit: Fire Cash: $0.00 $0,00 Fire Check: 10.00 Construction Value: 2 000 00 Fire Credit: t0.00 Demolition Value: CheckNo: 47333 Received By: Vernon D Vese II / i Court 16 Hoscott ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ _ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ GARAGE Detached SF $ 71.53 $ - $ _ MECHANICAL Warm-Air n Y/N Hot Water n Y/N $ - Electric n Y/N Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps Subpanel EA $ 699.00 $ 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 $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ _ Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ _ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 2,000.00 Solar Install n TOTALS $ - $ - $ - $ 2,000.00 ,. PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ - $ Electrical y $ 2,000.00 $ 30.00 Plan Review Fee y $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.52 TOTALS $ 2,000.00 $ 30.52 Figures are based on the 2006 RS Means Residential Cost Data O N Ar ,k „ ,..,„ , _-- : c) , TRIC , September 7, 2017 This letter serves to authorize my employee, Brendan Marquis,to act as my agent to sign an electrical permit for the following addresses: 16 Hoscott Dr.. Uncasville, CT The work is scheduled to begin September, 2017. Attached is a copy of my Connecticut license, along with our Certificate of Insurance. Thank you, lfraA /2.. ._. Joseph . Bonner, President Connecticut License No. 181768 E-1 1865 NORWICH-NEW LONDON TURNPIKE • P.O. BOX 366 UNCASVILLE, CT 06382 (860) 848-8539 • (860) 848-4279 FAX CT. LIC. 102976 RI LIC. A000228 www.bon nerelectric.corn p��, ,,f;��wvry "'� x �" � � of .p.} .'�• t j1"" , ' �j �.' € I1, ,' Iry " g1,,,,,,,,f 7,,,,..,,,,,,,,,7,,-,:i. O tt p i ei' c { p �x ati ] N .. 101 /0� j //� /\ VJ T .. t., , „_. ,,, )., ,„ ,,,,.., , ,,,... 4 s,. !,„,., . OFti- > 3l • F�I til f,13t`sz7ytfi,. W r 1-4 o oam.€ y o � CO b N ! ' 8 ill ' p § �; �� e ?. 41 pa Cs1 AD i .a a . € 0 Xii,-: d 4 , ,..,..,..., .,5,,,,,, P le/ ga- n i O. < . , � ? '' 4-i, V. ' .tcvv$_ 3Z.:: t''+" �}4>, t <+X ,t .ti k .. ,,, Client#: 610353 BONNEELEI ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,theolio p y(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'CONTACT USI Insurance Services LLC NAME: PHONE __-- —- 530 Preston Avenue (A/C,No,Ext):855 874-0123 FAX No): 203 634-5701 E-MAIL Meriden, CT 06450 ADDRESS: 855 874-0123 INSURER(S)AFFORDING COVERAGE NAIC# —_ INSURER A:Continental Western Insurance C 10804 INSURED INSURER B:Travelers Property Cas.Co.of 25674 Bonner Electric,Inc. INSURER c:Evanston Insurance Company 35378 1865 Norwich-New London Tpke. P.O.Box 366 INSURER D: Uncasville,CT 06382 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLiSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MIVUD YD/YYYY)i(MM/DOIIYYYYYYY), LIMITS A X COMMERCIAL GENERAL LIABILITY CPA027910318 12/31/2016 I 12/31/2017 EACH OCCURRENCE $1,000,000 CLAIMS MADE j X OCCUR 1 1 PREMISES(EaEo aE ence) $250,000 X X,C,U Inlcuded I MED EXP(Any one person) $5 000 • • 1 PERSONAL&ADV INJURY $1,000,000 GENII AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000,000 PRO- POLICY XI JECT LOC PRODUCTS-COMP/OP AGG x2,000,000 OTHER: I $ — A AUTOMOBILE LIABILITY CAA027910518 12/31/2016,12/31/201 COMBINED SINGLE LIMIT (Eaacddent) $1,000,000 _ X ANY AUTO I BODILY INJURY(Per person) $ ALL OWNED —I SCHEDULED _ �_ AUTOS _ AUTOS !BODILY INJURY(Per accident) $ X HIRED AUTOS X , NAUTONOS -OWNED ! 'PROPERTY DAMAGE i(Per accdent) $ 1 ; $ i. B X UMBRELLA UAB !I OCCUR ZUP91M2089316NF 12/31/201612/31/2017 EACH OCCURRENCE $10,000,000 EXCESS UAB L CLAIMS-MADE I AGGREGATE $10,000,_000 O __.....G ._.._. DED X RETENTION$10,000 A ;WORKERS COMPENSATION _$ WCA027910718 12/31/2016112/31/2017 X PER oTH- ANDEMPLOYERS'LIABILITY Y/N STATUTE I.ER !OFFICER/MEMBEREXCLUDEEDD?XECUTIVEI Ni NIA E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under � DESCRIPTION OF OPERATIONS below • I I E.L.DISEASE-POLICY LIMIT $1,000,000 C 1Contr Polution 16CPLONE60290 12/31/2016;12/31/20171 $5M each incident/agg Professional $1M each incident/agg ;Deductible ! $5,000 each incident DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SAMPLE Certificate of Insurance CERTIFICATE HOLDER CANCELLATION SAMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SAMPLE,ZZ AUTHORIZED REPRESENTATIVE fe ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S19429448/M19420353 MDKZP Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 16 Hoscott Dr. Uncasville, CT 06382 Property Address Replace Service Riser, Meter Socket,and Seu into the Panel.Install GFCI outlets on the kitchen counter and in the bathrooms. Job Description Required Department Approval Permit Issuance Approval • Tax Collector Signature/date Comments: Fire Marshal (-1 ( LU \ I� V � Comments: �� '""" � l �_1���� Signature!date ❑1 Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Health Department Required for properties with private septic or well Signature/date Comments: WPCA, Administrative "/j/,7 1 . (_ 4 i ) Required for properties on sewer lure!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: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature!date Comments: ❑ Copy of State Dept. of Transportation Certificate Re.uired for Structures over 100 000 s..ft.or with more than 200.arkin.s.aces-Official co. of STC Certificate of O.eration re:ufred—.er CGS 14-311 Signature/date Building Department Final Inspection Revised Mareh23,2015