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Home My WebLink About2002 - Electric Service Town of Montville ` Building Department Date O~ L Q Field Inspection Notice Permit # Job Location SUPT ApprOVed Type of Inspection ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: 1 Building O cal t Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Electrical Permit Permit Number: E2002-384 Permit Date: 11-Dec-02 Permit Code R5 Job Location: 8 BASEVIEW COURT UNIT: MAP/LOT: 094/011-000 Job Description: Electric Service Owner Contractor JOHN + CYGON JOSEPHINE ANN TASIOR Beaudreau Electric 23 Industrial Drive 8 BASEVIEW COURT Unit: Waterford, Ct. 06385 UNCASVILLE CT 06382 Telephone: 443-6570 Lic/Reg Type: E1 Use Group R4 Lic/Reg Number: 102855 Code 1995 CABO Exp Date: 9/30/03 Construction Type 5B Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $1,500.00 Electrical Fee: $10.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $1,500.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.24 Total Fees: $10.24 It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice renuested): ❑ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping d❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test ❑ Fi al Inspection ❑ Gas Piping and Pressure Test Certifi o up - Prior to use or occupancy Building Official's Signature: ra• . 1 own of Montville - Building Department Permit # 402,--O'a ~ u 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form oq 3 -~Yy RPfumbing fectricaf RMechanicaf Heating Air Conditioning Gas Piping ROther Job Location S ~,TM 1 e- k.3 C Job Description/Materials ade Se j € ) 1I S Owner CJ o~~ N I I Mailing Address City U h cp, S j ►11 e-, State CT Zip © ro qe 1 JW Contractor Mailing Address ~~VP ' DoP ' City 1, la ~er ` State~7 Zip 0 0,§--j~- Tel / 91~3 Contractor's License/Registration Type & Number Exp. Date/ 3,1 /_o3 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 V cy~ Date 9O~ / / cs Z Construction Value Fee Building $ Asa $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ C Total $ ~~3 a r $ 14 Town of' 3ntville Building Departnic-A Receipt No. Date From: Job Address: - - t Amount Cash C }lcck Check # i f:j nrc~,- Pcrmit 9 ~ Reccived by i > `f ELECTRIC, INC. 23 INDUSTRIAL DRIVE. WATERFORD, CT 06385-4097 (860) 443-6570 December 2, 2002 Town of Montville Building Official Please accept this as authorization for Michael Gero to obtain an electrical permit on behalf of Beaudreau Electric, Inc. to upgrade service and panel at the home of Josepnie Cygon, 8 Baseview Ct., Uncasville, CT 06382. Thank you, David L. Goodman President STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION Be it known that DAVID L GOODMAN 96 LYNCH HILL RD OAKDALE, CT 06370 has been certified by the Department of Consumer Protection as a licensed ELECTRICAL UNLIMITED CONTRACTOR µ TYPE: E1 - License # 102855 Effective:' 10/01/2002 Expires: 09/30 2003 Jam s T. Fleming, Commissioner _ _ £ = 3 = £ £ MW £ WWI W. i 08/27/02 08:05 FAX 860'669 6754 SHORELINE 10002 CSR CF DOTE{MMroDIYY) ACURD_ CERl'lFICA` OF LIABILITY tNSUR~'1CFu_o1 osr27rQ2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATSON Shoreline Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D DrOViII HOLAER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Debra HE COVERAGE AFFORDED BY THE POLICIES BELOW. ALTER T 239 East maim street Clinton CT 06413 INSURERS AFFORDING COVERAGE phone: 800-762-7462 Fax:860-669-6754 INSURED ENSURER ERA FZO 1 & SunAlli.ance B: ER C: Seaudreau Electric Inc 23 Incl?=trial Drive ER-: Waterford CT 06385-9715 INSURER F. COVERAGES 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. AGGREGATE L3mrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. ILTR TYPE OF 1N;rURANCE POLICY NUMBER DATE MMlDDlYY DATE MM1D0 LIMITS EACH-ccURRENCE s 1,000, 000 GENERAL LIABILITY A X COMMERCIAL GENERALLLA5ILfTY RSP221126 02/01/02 02/01/03 FIRE DAMACE(Anyoneree) - s 300,000 cwMS MADE ® OCCUR MED EXP (Any one yolsm) ~ S 10,0q0 PERSONAL&ADVINJURY S1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COAIPIOPAGG $ 2, bQO, 000 L~A GATE LJ~r APF LIES PER LOC AUTOMOsLEuAm rrY COMBINED SINGLELIMIT $1,000,000 R29T130668 02/01/02 02/01/03 {Eead-0 A R RNY AUTO ALL OWNED AUTOS BODILY INJURY $ ( person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ {poracdtleM) NON-OWNED AUTOS PROPERTY DAMAGE 5 (Per aeadefti) AUTO ONLY-EA ACCIDENT S GARAGE LABILITY ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG 2 EACH OCCURRENCE $1,000,000 EXCESS LV1BILrTY A 1I occuR El CLAIMS MADE 22LA3816920002 02/01/02 02/01/03 AGGREGATE $1,000,000 s s DEDUCTIBLE S X RETENTION 3 10 , 000 WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERTWABAJrY 03P2CS338006 02/01/02 02/01/03 E.L EACH ACCIDENT s500,000 E.LOISEASE-EAEMPLOY 2500,000 EL DISEASE • POLICY LIMIT S 500 , 000 OTHER DESCR(P►ION of OPERATIONSMWAnONSr4fE ES/EI(CLUSIONS ADDED BY ENDORSEMENTISPECIAL PRO%n=NS. Proof of Insurance - k On Ville NT'O"Y'F~ga L 1. l z t G e i>. ~ a>.i n, >\T r n c~ r, m U ~f1l;~ 4- CERTIFICATE HOLDER N ADDITIONAL WSURM INSURER LETTER: - CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED FOUCIES BE CANCELLED BEFORE THE EXPIRATION T*wn of xoatville DATETHEREOF,THEISSUMM$Ur&RVRL{.ENDFAVORTOWUL 10 DAYSWRI TEN FAX: 860-849-7231 NOTICE TO THE CERTMCATE BOLDER KAMM TO THE LEFT. BUT FAILURE TD 00 30 SHALL $ulldlag Inspector IMPOSE NOOSU"UM OR LIAW ITY OF ANY IONO UPON THE INSURER. ITS AGENTS OR Montville CT 06353 SENTAnV a i ®AGORD CORFORATION 1988 ACORD 2" (2197)