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External Electrical Work 2016 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: E2016-0264 Date: 03-Oct-16 Map/Lot: 016/029-T14 Owner ID: 5750000 Project Location: 14 RAINBOW DRIVE Unit: Job Description: Change Out Electric Service from Pole to House Owner Nam Ervin R Jr and Beradeffe A White Tenant Name N/A Careof: 14 Rainbow Dr Uncasville CT 06382- Telephone: Applicant Name Dan Vandale Telephone: (860)235-6810 DBA: Vandale Electric LLC Lic/Reg Type El Lic/Reg N 103208 645 Wyassup Road Exp Date: 30-Sep-17 North Stonington CT 06359- 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: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $1,500.00 Electrical Fee: $30.00 Construction Type IRC Total Value: $1,500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.39 Total Fee Paid: $30.39 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 frami .r❑ Electrical Service CRS No: 2801831 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Ij Certificate of A.3roval ❑ ' .tr .f Occupancy #01 Building Official's Approval: ...0•004) 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.: i-DCA co— 00(e`f Type of Work Oc upancy Type Permit Type ❑ New Construction Single Family ❑ Building D Addition 0 Two-Family ❑ Plumbing Alteration 0 Townhouse 0 Mechanical D ��� 0 Accessory Structure Electrical CRS#: ..)./f Property Address: iy1tiAoki 1,72 (Number) (Street) // _ (Unit) Job Description: Cheo*a(7 Sfro(JLrC j /6c 1 j') j� Owner: Levin R. 0—r. -t" Gernojee 4 1011*-- Address: 1 l -1 inbdL Uri .i G City: �.l!1 CGSV 11-e, '' State:C...7— Zip Codej)Lea Telephone( ) - Applicant: D1°� dr.44-c DBA: � v9C4 & 44 Address: Y 45— -- 4_U a. � 8o 3_3 -I feJ4' City. 4 S ! Vi State: Zip Code: DG3s"'p Telephone( )�35 b Contractors - Compllee`e the Following: License Type: G --j License No.J13Ok. Expiration Date: 9 C1 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. 0 By checking this box, I will follow the requirements of the 2005 NEC as the altemative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 t ugh 42 of the Residential Code. Owner/Agent Signature: , Date: - rir- i Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: I 5c-JC) Electrical Fee: .3cu,.00 Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: _ State Ed Fee: .3i Total Fee: , ',_3Ci Revised August 23,2007 Town of Montville Building Department File Receipt Date: 27-Seo-16 ReceiptNo: 11699 Received From: Jensen's Inc. Job Address: 15 Wynwood Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: 10.00 Bldg Check: $200.93 State Check: 82.93 Bldg Credit: $0.00 State Credit: 10.00 Fire Cash: 10.00 Fire Check: $63.00 Fire Credit: X0.00 Construction Value: $11.250.00 Demolition Value: $0.00 CheckNo: 2572 Received By: Carmen Kneeland 00,,,wv„vk 1il Address: 14 Rainbow Drive ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - S - Interior Renovations SF $ 36.09 $ S - S AMENITIES Kitchen EA $ $ S Full Bathroom EA $ - S . Half-Bathroom EA $ - S GARAGE Detached SF $ 71.53 $ - S MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch - SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS 8 HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater - EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 1,500.00 TOTALS $ - $ - $ - $ 1,500.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ - Plumbing y $ - $ - Mechanical y $ _ $ - Electrical y $ 1,500.00 $ 30.00 Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.39 TOTALS $ 1,500.00 $ 30.39 Figures are based on the 2006 RS Means Residential Cost Data STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UNLIMITED CONTRACTOR ROLAND VANDALE 144 WYASSUP RD N STONINGTON,CT 06359-1325 LIC./REG NO. EFFECTIVE EXPIRES ;LC.0103208-E1 10/01/2015 09/30/2016 SIGNED -_._-.-_------ Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Property Address E Job Description Required Department Permit Issuance Approval Approval Tax Collector 2,U Ao Signature/dat Comments: Fire Marshal Sig aturefdate 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: (� n WPCA, Administrative — Id,(�/YtQ, t(Jjk 4i6Q frb 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