HomeMy WebLinkAbout2003 - Garage - Electrical
Town of Montville
Field Inspection Notice
Permit #
Location: Type of Inspection:
Issued to: Delivered to:~~ 0 i f
PROVED NOT APPROVED
The following orders are ereFvy ued for their correction:
R9,Ari LA i t4C;
Please call for inspection when corrections have been oMf)t r8~-848-7166
Date:
Building Official
' Town of Montville
Building Department
Field Inspection Notice
Address: 14 Beach Lane
Job Description: Garage
Permit Numbers: B2003-0651 - E2003-0361
Footing Not Approved: Approved:
Comments: i
Backfill Not Approved: Approved:
Comments: 1
Framing Not Approved: Approved:
Comments: i_
Rough Electric Not Approved: Approved:
Comments: 1
Electrical Service;,. Not Approved: Approved: 11/24/03
Comments: 1.
Rough HVAC Not Approved: Approved:
Comments: 1
Rough Plumbing Not Approved: Approved:
Comments: 1
Gas Line Not Approved: Approved:
Comments: 1.
Fireplace Throat / Not Approved: Approved:
Chimney Comments: 1
Fire/Draftstopping Not Approved: Approved:
Comments: 1
Insulation Not Approved: Approved:
Comments: 1
Certificate of Not Approved: Approved:
Occupancy Comments: 1
Not Approved: Approved:
Comments: 1
Not Approved: Approved:
Comments: 1
Not Approved: Approved:
Comments: 1
Comments:
Pagel of l.
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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0361 Date: 06-Nov-03 Map/Lot: 108/112-000 Owner ID 6001
Job Location: 14 BEA j LANE Unit
Job Description: Electric Service & wiring for garage
Owner: Contractor:
Brian H and Anne M Laing Gary Ryan
15 Bog Meadow Road.
14 Beach Lane Norwich Ct. 06360-
Oakdale CT 06370 Telephone: (860) 886-9329
Lic/Reg Type/No.E1 103487 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: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $0.00 CO Fee: $0.00 Included on Building Permit
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fees: $0.00
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
7 Rough Electrical ❑ Insulation
d Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
Building Department Permit # r>-)- 6,0 -G✓~`
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
❑Pf=&V fectrfcal nMecharaicaf
Heafhw
Air Conditioning
(]Other Gas OPing
Job Location Ou I-<- Q4 3~7 Q
Job Description/Maiterii als e w I UU u a f(A)V)A ( \I I C4
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Owner 1.~. f 1 O-VA L&'% Jl Mailing Address l S e CCk x
City__ _ Qt1 IC Act State L1" Zip bb 3 Tel %o 14l o-7
Contractor 65 L r Mailing Address 60 I / t 0 u'5
City. ► i7 { vt-~ i c% 0'1 . State -C- 'F Zip 0(v 3(,0 Tel N00
/ I
Contractor's License/Registration Type & Number 251 / C 36/°7 Exp. Date / P
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 c Date-) 47 J-J / V7,
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total $ $ .
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ELECTRICAL UNUPATTER CONTRACTOR
I
GARI
15 BOG N I I \-f)0NN' RD
110R VI( J I CT 063 60
TYPE: E1
LIC. / REG NO - EFFECTIVE EXPIRES
103487 10%01/2003 _D9/30/2004
SIGNED
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APR-23-2003 15:13 FROM:BYRNES-lQCENCY NORICH 860-823-1555 /--~T0:98877262 P:1"2
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PRODtIDEA1 04/23/03
THIS ERTIFlCATE EIED AS A MATTER OF INFORMATION
BXRNES AGENCY INC ONLY AND CONPERS NO RIMITS UPON THE CERTIFICATE
tiOLdEA. THIS CUMP1CAT£ DOES NOT AMEND, EXTEND OR
AL?ER THE COVERAGE AFFORDED BY THE POL)CIES BELOW.
108 aA.CHE+M STREET COMPANIES AFFORDINQ COVERAGE
NORM: CH. CT 0 6 3 6 0 COMPANY _
A NATIONAL GRANGE MUTUAL INS CO
IN1911RED _ COMPANY - ,
HIGH ETAMARD ELECTRIC INC
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NORWICH CT 0 6 3 6 0 COMPANY
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THIS IS TO OERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BELN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR (71T9ER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY OE 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 SY PAID'CLAIMS.
CO PCnJOY EFFECTIVE POLICY EXPIRATION
7YPS OP tNgURA1YC6 POLICY NUMD@R DATA ~rypgryY) DATC (MWDWYY) LIMITS
.Irm . CWK%MAL LSADI ITY MP 1 8 5 8 5 3 1/29/0'S 1/29/04 ocmEmAL memeATe m 2, O O 0~ C O O .
X COI, wnct U, QGNSRAL LIAOILmr PRt]DUCTS - COMPt,OP Aao s2 , 0 0 0, 0 0 0
CLAIMS MADE [X I OCCUR PERSONAL A ADV INJRY $1
1~la - . -,0 0 0, 0 0 0
CNOMMS IL CONTRACTOMS PROT EACH OCCURREN_ $1,000,000
_ FIRE DAMAGE (Any pn# llrc) $ 500,000
MIRD 6XP (Any one person) 5 To 0 go
AUTOMO UADKAY E7 285853 1/29 03 -Y/-29/04 1,000,000
coMOSeEo smlcaLC LIMIT S
ANY AUTO
ALL OWNED AUTW BODILY INJURY
X OCHROMI013 AUTOS (Per 1eft6n) B
IIIRw AUTOS BODILY INJURY
NON-OWN19DAVrOq (Pwrncetdunt)
PROPERTY DAMAGE S
C44"ACK UA8KJr Y AUTO ONLY - FA ACCIDENT
ANY AVM (7THHRTHANAUTOONLY:
EACH ACCIDENT 5 -
AQOMLOAT6 s
ljX= 3 LL101LnV EACH OCCURRENCE
UMMRLtA FORM AGGP&CATE ti
01WER THAN LMADnELLA FORM ~
WORKS1600YPEN911TM AND WCI 8 5 8 5 3 1/29/03 1/29/ 09, X
EL w0" ACCINNT S • L O 0 r 00 0
Tw PROMRIFTorv INCL a, 91 F-rajoy LIMIT $ S00"000
PAMTNCIRS= S P"I FXCt lii DIsA:ASA:-eA EMP 100,000,
OTHIER
MSCM"CN OP OPORATIONSA.OCR►"MKIVEHICL.ESISPECtAL ITEMS
FAX 887--7262
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SNOULV ANY OIr THN ABOVE 1>E3ORI5E0 pOU008 BE CANCELLED BEFORE THE
TOWN OF MONWILLE EMMATIgH PAT'll THGARM THE 138tANO COMPANY WILL ENDEAVOR TO MAIL
DAYS WIIITTEN NOTWE TO Tm corm'1OATE HOLDER NAMED TO T"ll. LEFT.
BUT NAILURE TO tNAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION On WA81LITY
OC• AN: KIND UrON T14R COMPANY ITS AQENTS OR REPRH9 ATIVES.
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04/23/03 16:39 TX/RX N0.4388 P.001