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2009 - Electrical Work
• 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: E2009-0128 Date: 30-Jun-09 Map/Lot: 111/019-000 Owner ID: 5727000 Project Location: 175 PRUETT PLACE Unit: Job Description: Electric work Owner Name: John 3 and Judy L Knowles Tenant Name: N/A Careof: 175 Pruett PI Oakdale CT 06370- Telephone: (860)625-8773 Contractor Name: Glenn A. Landers Telephone: DBA: Landers Bros. Inc. Lic/Reg Type: ELC Lic/Reg No: 123459 9 Summit Ave. Exp Date: 30-Sep-09 East Lyme CT 06333- 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: $500.00 Electrical Fee: $8.00 Construction Type: IRC Total Value: $500.00 Penalty Fee: $8.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.09 Total Fee Paid: $16.09 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 ❑d Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking_Draftstopping INSPECTION RE.UIRED UPON COMPLETION ❑ Insulation Certif e of Approval ertificate of Occupancy Building Official's Ap.roval: ��9-derma 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.: 06 CI 0I ceP Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing 0 Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure 0 Electrical CRS#: Property Address: 17/471 (Number) // (Street) (Unit) Job Description: Owner: Jri ,e>76-i, ✓. Address: /� r� City: G'��C /7�7K State: L 7 Zip Code:�6-3/6 Telephone(1 )v2c -e31'22 3 Applicant: c DBA: Address: 9..,..c:-4-'071/1.,:f/ City:/SJL �`�-t T State: (7 Zip Code: — Telephone( ) Contractors -Complete the Following: License Type: License No.:(-_--.1/22 Expiration Date: 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 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. O 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: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Arvisuf August 23,2007 Online Lookup Detail Page 1 of 1 DEPARTMENT OF CONSUMER PROTECTION :%;.:41 Online Lookup Detail [back] GLENN A LANDERS Information as of 6/29/2009 Name and Address Name Address GLENN A LANDERS 9 SUMMIT AVE EAST LYME, CT 06333-1722 Credential Information Credential Credential Type Effective Date Expiration Date Status ELC.0123459- ELECTRICAL UNLIMITED 10/01/2008 09/30/2009 ACTIVE El CONTRACTOR For information on any consumer complaints or agency discipline,if applicable,for this credential holder,please e-mail a request to occprotrades@ct.gov. Copyright© 1997-2009 CAVU Corporation All Rights Reserved https://www.ask-dcp.ct.gov/lookup/searchdetail.asp?idnt=166014&divisionidnt=34&crede... 6/29/2009 Town of Montville Building Department File Receipt Date: 26-Jun-09 Receipt No: 4649 Received From: John Knowles Job Address: 175 Pruett Place Fees Collected State Educational Training Fee Cash: $16.09 Cash: $0.09 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $500.00 Demolition Value: $0.00 Received By Carmen Roberts erAn wt.`kyi m �, Address: 175 Pruett Place ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ _ Basement,Finished SF $ 22 96 $ S _ Basement,Unfinished SF $ 12.40 $ - $ Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 35.09 $ - 5 - $ _ MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ _ Basement SF $ 12.41 $ - $ _ $ Crawl Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen EA $ $ Full Bathroom EA $ $ Half-Bathroom EA $ $ GARAGE Attached SF $ 54.35 $ - $ Detached SF $ 69.53 $ - $ Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n 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 $ 599.50 $ Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 2096.65 $ - Masonry w12fireplaces 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 8 HOT TUBS Hot Tub EA $ 8,01625 $ - $ - 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 $ - InflatableTypePool EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Strip 8 reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding SF $ 3.50 $ - 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 $ 500.00 TOTALS S - $ - $ - $ 500.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ - $ Electrical y $ 500.00 $ 8.00 Working before Permit Issuance y $ 8.00 Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.09 TOTALS $ 500.00 $ 16.09 Figures are based on the 2006 RS Means Residential Cost Data 7A State of Connecticut , iv Workers' Compensation Commission a•••--601Per- Please TYPE or PRINT IN INK IX 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 /li/Xe6e42'✓` .-1j* Property located at ( _Y. in the City IT of 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: l/I am the OWNER of the above-named property.I WILL NOT act 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 general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant �.• , LANDERS BROS. ELECTRIC, INC. O© D3 I17©I©IE 9 Summit Avenue I/ EAST LYME, CT 06333 0 01204 i✓ .r Lic. #EI-123459 PHONE DATE O�RDER /a37F ORDER TAKEN BY CUSTOMER'S ORDER NUMBER ❑ DAY WORK 0 CONTRACT 0 EXTRA TO 'WO fOYOCCI I 44— JOB NAME/NUMBER /7 7�,PL' -kr-/r ,X4 Cz / j�77`' c .�A-C JOB LOCATIONON TERMS: JOB PHONE I STARTING DATE QTY. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK 7 ,,W4 -7- 5-/ /4/G' R ©U /Q G'AL/QAG CMC< 4-0 - 4 Lv/RAol/c .Edi'/ / G' effeViDE,I) f cue 4) WO. ,DlRv K1 LY OTHER CHARGES TOTAL OTHER LABOR HRS. RATE AMOUNT I , WAid I1AII IiIi1L TOTAL LABOR DATE COMPLETED I TOTAL MATERIALS TOTAL MATERIALS Signature TOTAL OTHER TAX Work ordered by I hereby acknowledge the satisfactory completion of the above described work. TOTAL a '111110 JWOCC-862-3 PRINTED IN U.S.A. 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. ' I I -15 Prue.TT R(C Property Address E I Cc_+r-lc? -Zr +-OO --r1t ILAci 1%) rrS Job Description R - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval `�■ Tax Collector A Lclam i c Signature/date Comments: ® Planning & Zoning /I_ — Z c,, —7 c/c e� Signature/date Comments: v ® Fire Marsh 7 Signature/date Comments: b, lti>!U t Health Department Required for properties with septic systems—Not required for Plumbing, Electrical,Mechanical,Roofing,Siding,Windows& Doors Signature/date Comments: WPCA, Administrative 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 drainaoe requirements Signature/date Comments: ❑ State Dept of Transportation Required for Structures over 100,000 sq.ft. or with more than 200parkinq maces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date 4pvi r9vovcmb r5,200S