Loading...
HomeMy WebLinkAbout2005 - Electric Service Town of Montville Building Department Field Inspection Notice Address: $ Beechwood Rd. Job Description: Electric Service Permit Numbers: E2005-0129 Date permit issued: 6121/05 Not Approved Deficiencies Approved 6122106 W ELECTRICAL Special Conditions TRENCH ° Not Approved Deficiencies Approved. ELECTRICAL . Special Conditions SERVICE • Not Approved Deficiencies Approved GAS LINE Special Conditions Not Approved • Deficiencies Approved BOILER/FURNACE Special Conditions REPLACEMENT • Not Approved Deficiencies Approved WOOIJ STOVE Special Conditions s Not Approved Deficiencies Approved ROOFING Special Conditions • Page i of 1 Revised 3/17/05 Sheet Printed: 9116/2005 TOWN OE 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: E2005-0129 Date: 22-Jun-05 Map/Lot: 076/055-000 Owner ID: 161000 Project Location: 8 BEECHWOOD ROAD Unit: Job Description: Replace 100A Electric Service Owner Name: Peter F and Arlene B McCormack Tenant Name: N/A Careof: 8 Beechwood Road Oakdale CT 06370- Telephone: Contractor Name: Richard McGuigan Telephone: (860)367-7187 DBA: Lic/Reg Type: El Lic/Reg No: 122360 184 Fairway Crossing Exp Date: 30-Sep-05 Glastonbury Ct 06032- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $850.00 Electrical Fee: $8.00 Construction Type: 5B Total Value: $850.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.14 Total Fee: $8.14 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 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 Certificate of Approval Certificate of Occupancy Building Official's Approval: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form ~ Permit 0/ ❑ Ptum6ing ] Electrical ❑Yechanical CRS # 91eating _____Air Conditioning -Gas 'Piping Single F'amiy ❑ Two-'Gamily ❑ Townhouse Job Address es G/i CJ ©D e:~ kd (Number) (Street) (Unit) Job Description / Mailing Address 0 C~aj 0 Ca 0O Owner R y e City kw, State Zip ®96520 Tel Contractor ~ rd ~~tu+ cam- Mailing Address /rY IG rz„ C41- s s#I City 4ZY m'h State ('~7_ Zip 6 elt 3 3 Tel jad / 3~ / 7 / d 7 Contractor's License Type & Number Exp. Date ~/?-3,o/v J- 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. 41 Date Owner /Agent Signa Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ Plan Review Fee $ State Education $ ref Penalty Fee $ Total $ $ • q~g edNovem6er1, 2004 Town of Montville Building Department File Receipt Receipt No: 310 Date: 16-Jun-05 Received From: Job Address: $ Beechwood Fees Collected State Educational Training Fee $8.14 Cash: $0.14 Cash: $0.00 $0.00 Check: Check: Check No: 0 Construction Value: $850.00 molition V $0.00 Received By Joseph Summer FIU~L iTNLIDiI3 CONTRACTOR El gICHA" p NICGUIGAN Fay 9710 COL( 1AF-G I EJ~' of K1 ALV4, (='1' 06370 LI 1~4FN~ 1I~~ 09,V311~/ i M State of Connecticut = Workers' Compensation Commission - Please TYPE or PRINT IN INK Obi \154ME1 >NANSt~~S l 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 G b-~~ / C GIN Name of Applicant for Building Permit Property located at in the City / Town of 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: ❑ lam the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 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 eze-C-41 C A--e Federal Employer ID# (FEIN) rf5~~ Signature of SOLE PROPRIETOR Applica C~ ~f A Town of Montville CONSTRUCTION PERMIT APPROVAL Property Address 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 Permit Issuance Approval Approval z ® Tax Collector ft~ ❑ WPCA 7)-o ❑ Planning & Zoning dale ❑ Health Department ❑ Fire Marshal r c ate Comments/Conditions: w§visedXovem6er1, 2004