HomeMy WebLinkAboutElectric 2006 Field Inspection Notice
Town of Montville
Building Department
June 16, 2006
Address: 260 Raymond Hill Road, Lot 3
Job Description: Electric service
Permit Number(s): E2006-0124 Permit Date: 7-Jun-06
INSPECTION Not Approved Approval
Date: Deficiencies Special Conditions Date
Electric Service • • 6/15/06 DJ
Certificate of •
approval • 6/15/06 DJ
v2)\11\ 0
Rev.Date:10/18/05
Page 1 of 1
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: E2006-0124 Date: 07-Jun-06 Map/Lot: 087/002-T03 Owner ID: 5813000
Project Location: 260 RAYMOND HILL ROAD Unit: 3
Job Description: Electric service for mobile home
Owner Name: Eldridge Luther Tenant Name: N/A
Careof:
26 Marquardt Lane
Groton CT 06340- Telephone:
Contractor Name: John Hespeller Telephone: (860)464-8489
DBA: Lic/Reg Type: El _.,.
Lic/Reg No: 186863
6 Wolf Ridge Gap Exp Date: 30-Sep-06
Ledyard Ct
06339
_____Sonstruction Value-__________-_ _ Permit Fees Construction Information
Building Value: _ -µ$0.O0 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: __ Mechanical Fee:
__ _. _. $0.00
Electrical Value: $2,883.00 Electrical Fee: $24.00 Construction Type: IRC
Total Value: $2,883.00_ Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: _ $0.46
Total Fee Paid: $24.46
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 El Electrical Service CRS No: 0
❑ Framing ElR HVAC ____
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking_Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ C-rtificate of Approval
9- 'fi . e of Occupancy
Building Official's Approval =y9—
f
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.: &,HOZ 7 O`2V
Type of Work Occupancy Type Permit Type
❑New Construction ❑Single Family ❑ Building
❑Addition ❑Two-Family ❑ Plumbing
El Alteration ❑Townhouse ❑ Mechanical
❑Accessory Structure ❑ Electrical CRS#:
Job Address: 166 K/4 ,�o� /f1c,L R 0 L6r 3
(Number) , (Street) (Unit)
Job Description: Sl n L y i iv(.- 100. /4 5-/ -V /C L' zy-u313i c /t0/3"'t:
Owner:
ftv1 -
Owner: A C, Li-) flfl
Address: / - Y4 n a u [p 1 LA-4-7 L
City: 1--.1t..li ) " 4- State: Zip Code: oC 3 4 0
Telephone: 44 S -_ 72-4 0
Contractor: • �/ / /4L,. Se L
j�
DBA: J+ ES1pILE. � IfC j72 /CA-L co/I-I-X(4-6 F /A--(i- L L z
Address: V k.,(.4..) (4------ QM t , c,--e O A-P
City: LepA -h State: C4— Zip Code: CDC'n
Telephone: 464-(['4 t ci License Type: 2L ( License No.: ) D 6'6 C3 Expiration Date: IN d t
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.
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. /o2 Owner/Agent Signature: Date: e IIX
C truction 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 O Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
24vised Decem6er31,2005
Town of Montville
Building Department
File Receipt
Date: 02-Jun-06 Receipt No: 1357
Received From: John Hespeler
Job Address: 260 Raymond Hill Rd. Lots 3 & 7
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $48.92 Check: $0.92
Check No:
Short/Over: $0.00
Construction Value: $5,766.00
Demolition Value: $0.00
Received By David M Jensen ✓j � �—
2-,.
df 3
Address: 260 Raymond Hill Rd.
REM QTY $fUNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $ -
-
Basement,Finished SF $ 20.87 $ - $ -
Basement,Unfinished I SF $ 11.28 $ - $ -
-
Crawl Sapce I SF $ 8.46 $ -
Interior Renovations SF $ 31.90 $ - $ - $ -
MANUFACTURED HOMES
Ground Anchors , SF $ 5.86 $ - $ - $ -
Basement SF $ 11.28 $ - $ - $ -
Crawl Space SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen EA $ - $ - $ -
Full Bathroom EA $ - $ -
Half-Bathroom EP, $ - $ -
GARAGE
Attached SF $ 49.41 $ - $ -
Detached SF $ 63.21 $ - $ -
-
Under SF S 9.12 $ - $ -
Carport SF $ 18.08 $ -
MECHANICAL
Warm-Air N . YM $ -
Hot Water '.I'aNr.' Y/N $ -
ElecNc ''a N Y/N $ -
Air Conditioning _.N Y/N $ -
ELECTRICAL SERVICE
Upgrade S Amps $ -
Overhead,new 4 Amps $ -
Underground,new "SI1001'>. Amps $ 2,882.94
Subpanel EA $ 545.00 $ -
Gen Set EA $ 3,500 00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry w/1fireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces S EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
-
Porch -: SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
-
Inground Pool S' EA $ 19,430.40 $ - $ -
Above Ground Round E A $ 5,472.50 $ - $ -
Above Ground Oval EA $ 4,635.88 $ - $ -
Pool Heater BA $ 8,167.50 $ -
-
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
w/electrical SF $ 18.50 $ - $ -
-
RENOVATIONS
Roofing,Overlay - SF $ 3.38 $ -
Roofing,Strip 8 reroof SF $ 3.76 $ -
Roof Sheathing - SF $ 1.19 $ -
Siding - SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors,Exterior EA $ 401.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS
TOTALS $ - $ - S - $ 2,882.94
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $ -
Plumbing Y $ - $ -
Mechanical Y $ - $ -
Electrical y $ 2,883.00 $ 24.00
Working before Permit Issuance N $ -
Certificate of Occupancy Fee $ -
Plan Review Fee $ -
State Education Fee $ 0.46
TOTALS $ 2,883.00 $ 24.46
Figures are based on the 2006 RS Means Residential Cost Data
,�` ;,- r State of Connecticut N 7A .
, ,„ = Workers' Compensation Commission o
�..�/,�,.;p• � Please TYPE or PRINT IN INK cx
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 V V tiF.;6 it c LIZ J
Property located at • 6 4 (0 p �./L L 0 y ) r ,y 3 ZS
in the City/Town of ONC S I/1 L L L
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 / SPE Gen EE, 61.71 i(� GD.A. e I-7yG` L L c
Federal Employer ID#(FEIN) 531 0& 7 54 I
/
Signature of SOLE PROPRIETOR Applicant ...„ii .
f
State of Connecticut N
7A - 7B - 7C
`• Workers' Compensation Commission
�.. * :� DIRECTIONS
{
: w� DIRECTIONS for FILING FORMS 7A,7B and 7C
pZ,Rzir
Building Permit Requirements for Workers' Compensation
Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first
submit"proof of workers'compensation coverage for all of the employees who are engaged to perform
services on the site of the construction project for which the permit was issued."
The only exceptions to this law are the sole proprietor or property owner who will not be acting as general
contractor or principal employer.
What to give to the Building Official to obtain a Building Permit:
1. The General Contractor or Principal Employer must provide a written certificate of workers'
compensation insurance for all of the employees on their project.This certificate may not be for liability,
disability or any other type of insurance.
2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal
employer is not required to have workers'compensation coverage. In order to obtain the building
permit,a FORM 7A should be completed and given to the building official.
3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal
employer must provide a written certificate of workers'compensation insurance for all of the
employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn
notarized affidavit on FORM 711, stating that he will require proof of workers'compensation insurance
for all those employed on the job site.
4. The General Contractor or Principal Employer who has properly excluded himself from
coverage using the appropriate WCC form(see NOTE below)must file the FORM 7C with the building
official.This form certifies that they have properly excluded themselves, and attests that they will
require proof of workers'compensation insurance from every employee that works on the designated
job site.
NOTE,: The general contractor or principal employer may exclude himself from workers'compensation
coverage by filing one of the following forms with the appropriate Workers'Compensation
Commission district office:
Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC
Form 6B-1 for employees who are Members of a Partnership
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
/ Property Address
$U �- — /C CS/C- 12449021244902 61Z-CVA/r) S� 1 C6/;--- r
�� (7ruplJob Description
c- �-' / 't
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
• Tax Collector 1 °``'��� 4o/a.,Jo
Comments:
❑ WPCA, Administrative
/ t
''�'��i tRl�4.u3 fes, date
Comments:
❑ WPCA, Operations
Signature/ date
Comments:
❑ Planning &Zoning
Signature! date
Comments:
❑ Health Department
Signature/ date
Comments:
❑ Department of Public Works
Signature! date
Comments:
❑ State Dept. of Transportation
Signature! date
Comments: A, A, Lb
Fire Marshal 4 (-)-
Signature/
3Signature! date
Comments:
ftvisei August 5,2005