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Electric Service Change 200 AMP 2009 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: E2009-0232 Date: 12-Nov-09 Map/Lot: 101/051-000 Owner ID: 5788000 Project Location: 24 RANKIN COURT Unit: Job Description: Electric Service Owner Name: Charles E and Mary Blair Tenant Name: N/A Careof: 24 Rankin Court Uncasville CT 06382- Telephone: Contractor Name: J.F. Riley Telephone: (860)376-8621 DBA: Lic/Reg Type: El Lic/Reg No: 103486 23 St.John Road Exp Date: 30-Sep-10 Jewett City CT 06351- 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 Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $1,800.00 Electrical Fee: $16.00 Construction Type: IRC Total Value: $1,800.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.40 Total Fee Paid: $16.40 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 0 Electrical Service CRS No: 1402582 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REOUIRED UPON COMPLETION ❑ Insulation V, Certificate of proval Aol Ce ifi e of Occupancy Building Official's Approval: �� �/�{- 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.: Ea- 1 -Dot; Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: !`-IDc)SS Property Address: `( I e (Number) (Street) (Unit) Job Description: _5 rt "r G G,4-A-c E 240-0 N- Owner: Yh 4-•ru, !,,-;.z Address: (21,,',4) (c c.v asvt City: i,, 'C' State Zip Code: Telephone( ;gel> 7is-1f Applicant: 'F. ( L:1 1 DBA: ri .12— Address: 23' c14-• kti /44-4 City: ,T&,tr�-TT % State: Zip Code: (36?r( Telephone( fff(/)7?6 - 2 i Contractors-Complete the Following: License Type: f" f License No.: (0 f%'I(. Expiration Date: 9 /:?6/ f Z 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.vBy checking this box,I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. 77- Owner/Agent Signature: Date: ///1A/c97 Constru n Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: / Fa-e. tk Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: fViredatngun 23,2007 Town of Montville Building Department File Receipt Date: 10-Nov-09 Receipt No: 5048 Received From: J.F. Riley Job Address: 24 Rankin Court Fees Collected State Educational Training Fee Cash: $16.40 Cash: $0.40 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $1,800.00 Demolition Value: $0.00 Received By Carmen Kneeland ('(ifçy\j..v\ Address: 24 Rankin Court ITEM CM' TOTAL CM' $I Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 11303 $ - $ Basement,Finished SF $ 22.96 $ - $ Basement,Unfinished SF $ 12.40 $ - $ Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ - Basement SF $ 12.41 $ - $ - $ - Crawl Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen 0 EA $ - $ - $ - Full Bathroom 0 EA $ - $ - Half-Bathroom 0 EA $ - - GARAGE Attached 0 SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air Y/N $ - Hot Water n Y/N $ - Electric n Y/N Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps - Underground,new 0 Amps $ - Subpanel EA $ 599.50 $ - 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 5 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 21,373.44 $ - $ - Above Ground Round EA $ 5,099.46 $ - $ - Above Ground Oval EA $ 6,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - Inflatable Type Pool EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF 5 3.00 $ - Roofing,Strip&reroof SF $ 4.00 $ - Roof Sheathing SF 5 1.31 $ - • Siding SF $ 5.50 $ - Windows EA $ 500.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 1,800.00 TOTALS $ - $ - $ - $ 1,800.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ - $ Mechanical y $ - $ Electrical y $ 1,800.00 $ 16.00 Working before Permit Issuance $ - Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.40 TOTALS $ 1,800.00 $ 16.40 Figures are based on the 2006 RS Means Residential Cost Data STATE OF'CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL LU14LI11 ITED CONTRACTOR j*fi iF RILEY f JEWETT e ` �"- 351 LIC./REG NO. E I vi,t.' EXPIRES ELC.0103ay (4(''; .i f01 j2l,I VTI,',1 09/30/2010 • • ` • vow vrr�- State of Connecticut x �, y Workers' Compensation Commission 7A a, nk le yt : •N/ � Please TYPE or PRINT IN INK re 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 Name of Applicant for Building Permit 7 ) n n Property located at 2 c� [ ►�C�.� �N in the City/Town of LeA./C4 ( / `( ATTEST 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: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant 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 Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant �` V Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. X14 1 f-\ ,� Cc-)t ti } Property Address Job Description ® - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval Tax Collector � �a �� "r //a/C c( Signature/date Comments: (0Planning & Zoning ! �:,�-, / i f/ /0 Signature/date Comments JI V' ® Fire Marshal /I/ (. 1 (iu \� Signature/date Comments: N. Health Department Required for properties with septic systems—Not required for Plumbing, Electrical, Mechanical, Roofing,Siding,Windows&Doors Signature/date Comments: \ ,� ni WPCA, Administrative a+ Required for properties on sewer nature/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: n State Dept. of Transportation 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 Review Complete Signature/date vZpvivediviivem6er5,2008