HomeMy WebLinkAboutHeat Pump Replacement Electrical 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: E2017-0214 Date: 28-Aug-17 Map/Lot: 016/030-018 Owner ID: 4447000
Project Location: 17 MOUNTAIN LAUREL RIDGE Unit:
Job Description: Electrical for Heat Pump Replacement
Owner Nam Temma Silberman Tenant Name N/A
Careof:
17 Mountain Laurel Ridge
Uncasville CT 06382- Telephone:
Applicant Name John Suchecki Telephone: (860)872-3180
DBA: All Stars Electrical Lic/Reg Type El
Lic/Reg N 125230
10 Dockered Road Exp Date: 30-Sep-17
Vernon CT 06066-
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: 2016 State Building Code
Mechanical Valu $0.00 Mechanical Fe $0.00
Electrical Value: $862.00 Electrical Fee: $30.00 Construction Type IRC
Total Value: $862.00 Penalty Fee:
$0.00 Permit Code: R5
C of 0 Fee: $0.00 Comment
Plan Review Fe $0.00
State Ed Fee: $0.22
Total Fee Paid: $30.22
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 ❑d 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
Q Certificate of Approva
■ '- i i - W O - panty
Building Official's Approval: /
A
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.: EDO) 7-.011-1
Type of Work Occupancy Type Permit Type
❑New Construction ❑Single Family ❑ Building
❑Addition 0 Two-Family ❑ Plumbing
❑Alteration ❑Townhouse
❑ Mechanical
0 Accessory Structure tit Electrical CRS#:
Property Address: '' / 2 � 'o cJ4., v Le.,‘L. k e ( 2cJ
(Number) (Street)
(Unit)
Job Description: k Re tAJ c'.Z c_ /'S F• a j /c CJS % R er lct c f-..i
a V/ . i T 4 6._, e1 C7 V f.J-ae !fie' J C o . e
Owner: / / r /� /�
Address: ! 7 /-2--7�v--. 7G(J� G cx(i.-t el /2 ,
City: (nuctz 4u. lie State: £.t Zip Code: 0 Co 3 �'' Telephone( )
Applicant: ,o La 4.J S uc L,ec A '
DBA: A a S f'Gti-J e 1 eG-,kic c.,e
Address: /o D 0 C fcek.e.k0 t2 j
City: L/ek2 N O /•/ State: C- Zip Code: 0 C.0 u C, 6 Telephone( Old) &'1-)- 21 a-' U
Contractors - Complete the Following:
License Type: /l License No.:/d 023 U Expiration Date: /7
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.
❑ By checking this box, I will follow the requirements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code,
instead of the electrical requirements in chapters 34 through 43 of the Residential Code.
Owner/Agent Signature: l.„... Date: 2 /
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: sceo2r l)v Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee-
State Ed F--.
Tota -ee:
Revised August 23,2007
Town of Montville
Building Department
File Receipt
Date: 24 Aua 17 ReceiptNo: 12596
Received From: John Sucheck
Job Address: 17 Mountaim Laurel Dr.
a4 nn es x d-- _ State of Connecticut Fees Collected
Bldg Cash: 10.00 State Cash: $0,00
Bldg Check: $30.22 State Check: $0,22
Bldg Credit: 10.00 State Credit:
$0.00
Fire Cash: 10.00
Fire Check: $0.00
Fire Credit: $0.00 Construction Value: 1862.00
Demolition Value: 10.00
CheckNo: 4751
Received By: David Jensen
•
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
/ 2 / �ccc. Ortut=
Property Address
1-2 'p ce 'f'"L!) lc u�� r w� t .� �j e� c�4-1
Job Description ,J
Required
Approval Department Permit Issuance Approval
_.
111 Tax Collector �.� J�K-w-�--- � � +f f 7
Signature/date
Comments:
Fire Marshal
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:
L1/J 'WPCA, Administrative p,'c ,,1. O/c /2c,1/77
Required for properties on sewer ' nature/date
Comments:
❑ WPCA, Operations
When Required by WPCA Signature/date s's
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements Signature/date
Comments: -
❑ Montville Police Department f'
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
is
Building Department Final Inspection
RevisedMardc23,2015