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Home My WebLink AboutNew 50 AMP Circuit 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: E2017-0204 Date: 16-Aug-17 Map/Lot: 030/002-001 Owner ID: 673000 Project Location: 166 CHESTERFIELD ROAD Unit: Job Description: Install 50 Amp Circuit Owner Nam Town Of Montville Tenant Name N/A Careof: Leanord J Tyl Middle School 800 Old Colchester Road Oakdale CT 06370- Telephone: Applicant Name Stephen Carroll Telephone: DBA: Montville Board of Education Lic/Reg Type Lic/Reg N 0 800 Old Colchester Road Exp Date: Oakdale CT 06370- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: E Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $1,000.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: C5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.26 Total Fee Paid: $0.26 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 0 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 ❑ 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 0 Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: 11 t il! --1r — Town of Montville • 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.:L9OI7-ODO1f Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 El B ❑H-1 El I-1 ❑ R-1 0 s-i ❑Type IA 0 Type 1118 ❑ Building ❑Addition El A-2 0 B,Medical 0 H-2 0 1-2 ❑ R-2 0 S-2 0 Type IB 0 Type IV ❑ Plumbing ❑Alteration 0 A-3 0 E 0 H-3 0 1-3 ❑ R-3 El U 0 Type IIA ❑Type VA ❑ Mechanical ❑Change of Use 0 A-4 0 F-1 0 H-4 ❑ 1-4 ❑ R-4 ❑ Mixed 0 Type IIB 0 Type VB 0 Electrical 0 A-5 0 F-2 0 M ❑Type IIIA ` � CRS#: Property Address: / a ( 4'(�r (Cie' /v /E,Q (Number) ,� (Street) (Unit) Job Description: /17-5- Z/ 571F-/Ay, .!7/71(`6rf Owner: 10rJlsj S4 44/T&'E Tenant: 4' 1" /, Ile /349f-- Address: Address: City/State/Zip: City/State/Zip: Telephone( ) - Telephone( ) - Applicant: J iC t,ri'1 asyze, DBA: Address: fee City: / iC*t„ . State: ` t Zip Code: °6� 7 17 Telephone( ) - Contractors - Complete the Following: License/Registration Type: License/Registration No.: Expiration Date: I 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. Owner/Agent Signature: ma e: 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: ..2Y' Total Fee: ca(p Revised.August 23,2007 Town of Montville Building Department File Receipt Date: ]s Aua 17 ReceiptNo: 12559 Received From: Steve Carroll Job Address: 168 Chesterfield Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.26 State Cash: X0.26 Bldg Check: $0.00 State Check: $0.00 Bldg Credit: 10.00 State Credit: X0.00 Fire Cash: 10.00 Fire Check: $0.00 Construction Value: 11 000.00 Fire Credit: 10.00 Demolition Value: $0 00 CheckNo: 0 Received By: Carmen Kneeland Pal `� m h/Ltaft_p(n4 Building Department Town of Montville CONSTRUCTION PERMIT APPROVAL (61- (,/-7ee:17e9K---%/-e JP Property Address Job Description Required Department Approval Permit Issuance Approval Tax Collector Signature/date Comments: Fire MarshalS#(/// v�/S• /i7 Signature/date Comments: ❑ 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 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 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 Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Final Inspection Revised March 23,2015