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Home My WebLink AboutScreened Porch 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: E2007-0131 Date: 13-Jun-07 Map/Lot: 087/002-T03 Owner ID: 5813000 Project Location: 260 RAYMOND HILL ROAD Unit: 3 Job Description: wiring for enclosed porch Owner Name: Edward 3&Kathleen L Donat Tenant Name: N/A Careof: _.._ __._.._... 260 Raymond Hill Road,Lot 3 Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone: (860)848-8644 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: cgnstruction 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: ---_—.----..•- ..-____,_.._. $5000.00 Electrical Fee: $8.00 Construction Type: IRC Total Value: $500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.08 Total Fee Paid: $8,08 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers 0 R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC [-1 Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test Fireblocking_Draftstopping INSPECTION REOUIRED UPON COMPLETION ❑ Insulation rti' .te of , oval - ,AoroccuPancI Building Officials Approval: 1 Town ofiontville Buildinp Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: ci r`; � 04F/ Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family 0 Building ER Addition 0 Two-Family ng Alteration 0 Townhouse ❑Me hancal ❑ l Accessory Structure Electrical CRS#: Job Address: 2 ijgra(a( a /L _D T�Gtt3 (Num er)J (Street) (Unit) Job Description: (ii1 iiei,3 r /A) c5 J /) gee., Owner: �/� b;;;$N,4.T (7/VTt die/' t boApyr Address: ,y,5- i ?4'iV O /)l -z., 9 City: ( C4S1/11(�/ �w State: C c + Zip Code: O!o 7Jo Z Telephone: 0 �- Ni9[1-5, Contractor: cS F DBA: Address: City: State: Zip Code: Telephone: License Type: License 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. ❑ By checking this box, I will follow the re•uirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical require,.- in c..pters 3 • •ugh 42 of the Residential Code. Owner/Agent Signature /,,__j Date: C 07 ar Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: y ' Total Value: (, Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &visa'Dccem6er31,200.E • • Town of Montville Building Department File Receipt Date: 11-Jun-07 Receipt No: 2418 Received From: Ed&Catherine Donat Job Address: 260 Raymond Hill Rd., Lot 3 Fees Collected State Educational Training Fee Cash: $8.08 Cash: $0.08 Check: $0.00 Check: $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $500.00 Demolition Value: $0.00 Received By Sandra Pandora / / C State of Connecticut 7A `.: .;.) Workers'Compensation Commission Please TYPE or PRINT IN INK Proof of Workers' Com. ens ' f p anon Coverage when Applying ora Building Permit for the SolePro riet who WILL NOT act as or Pro_ �� OWner General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building Permit DW i Property located at ,• d !Li If 21 /- In the City/Town of - , O)kt7 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. iff Signature of OWNER A..lican diarj/t)eta ZrAft- LI I 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 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 -( O 44y rro,JO /1,2 6_40 ; (J4)c'r3 ,J c Property Address �L�G7�i44 G i,e Job Description 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 ApprovalPermit Issuance Approval Tax Collector ...ez ,� j, N/,.�.K*_ //, 0 7 Signature/d e,. Comments: ❑ WPCA, Administrative Signature/_gat, Comments: ❑ WPCA, Operations Signature/data Comments: ❑ Planning &Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation (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. Comments: Fire Marshal 46 /5> Signature/date Comments: St•rn.L. .. \-1 RevisedAugust 5,2005