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HomeMy WebLinkAbout40x100 Metal Building Electrical 2001 Town of Montville Building Department Date // / / 0/ Field Inspection Notice Permit # Job Location o7 4 7 �CG,tJ� // ed:xi ► Approved Type of Inspection — Not Approved - Please call for re-inspection when the following corrections have been completed: Gs uild� Official 0 Town of Montville 0 Building Department Date // / Q 7/ Q / Field Inspection Notice Permit # Job Location p 6 7a /fib ti C 1_ W// r� r Hkproved Type of Inspection ,Crec_i. / t--,e /t c-L Not Approved - Please call for re-inspection when the following corrections have been completed: 4.: ka i / --a-7 1 /7 Building Official- 0 Town of Montville 5 Building Department Date _/ar.? /o Field Inspection Notice Permit # Job Location (96 7o reQ,f1 d /III 1 y 1►, Approved Type of Inspection ... a * • - • - _ i Not Approved - Please call for re-inspection when the following corrections have been completed: / Building Official Town of Montville 1111 Field Inspection Notice Permit # • Location: itZ 6 7 /ay D, /7//// Type of Inspection: - Issued to: Delivered to: 'O D NOT APPROVED The following orders are he - . ' issued for their correction: Please call for insp ction hen corrections have been comple d 8;' 48-716 Date: //) G / By: Building 0 Town pf Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building /Trades Permit Permit Number EL2001-272 Permit Date 12/14/01 Permit Type Electrical Permit Code C5 Job Street# 265-26 Job Location RAYMOND HILL ROAD Map/Lot 087/024-000 Job Description Electrical & Electrical Service Owner Contractor Robert Chabot Shippee Electric Address 15 Occum Lane Address 16 Baker Street City Uncasville State Ct. City Thompson State Ct. ZiP 06382 Telephone 848-8558 Zip 06277 Telephone 860-923-2073 Lic/Reg Number 182583 Lic/Reg Type El Exp Date: 9/30/02 Use Group S2 Code 1996 BOCA Type Construction 2C Building Value $0.00 Building Fee $0.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $0.00 CIO Fee $0.00 Comments: Plan Review Fee $0.00 Paid on Building Permit State Ed Fee $0.00 Total Fees $0.00 1 Building Official's Signature Date )1-1/? /CJ I It is the owners responss1 i. t.. -chedule the following required inspections (minimum 48 hours notice requested): ❑Footings-prior to p;*r' g concrete ❑ Backfill-footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-one flue above thimble Rough Electrical ❑ Firestopping/draftstopping [Electrical Service ❑ Insulation [Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping-pressure test and installation LI Final Inspection ❑ Rough HVAC 0 Certificate of Occupancy-PRIOR to use or occupanc Town of Montville Permit# Lz o01 _z7 Z Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit, Trades Permit E New Construction Q Accessory Structure ❑Addition QDemoGtion p"` ectrQElectricaC ing patec(anicae D Alteration ['Other 7i(eating _Air Conditioning 9as Job Location 2(.7 QR•1rko vc.) L k,\ Q,4 Job Description/Materials �,, \� Se 5 V-ks o.4-44 c-AS C14 2-00 14 Owner (Z oywit, Mailing Address 2L 1 Qsa mov..,rl .1‘ 2 City Q,)(_ •;4 t.; State CT Zip rJ b SZ Tel / / Contractor Sipe E le .i c Mailing Address 1 kc, g�ty . g City TV\o iwto State C r- Zip 06 in Tel Mo 0 2 3 / Contractor's License/Registration Type&Number E-1 t Z.S g as Exp.Date y / 3o / 0 Z New Home Construction Contractors: Have you entered into a contract with a consumer for the Proposed new home?Q Yes❑No I hereby certify that the proposed work will conform to the Basic 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. Owner/Agent Signature Date /2 / 3 / 6 / Construction Value Fee Building Plumbing $ $ Mechanical $ $ $ Electrical $ Other, $ 1©,v�v o $ Certificate of Occupancy $ $ Plan Review Fee $ State Education $ Total $ $ i� v .c)0 $ STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Buildin: Permit Affidavit for Pro Owners or Sole Pro.rietors (Conn.Gen. Stat. §3I-286b) Property located at 2c7 7 b . . \ In the town of c Name of building permit applicant 1.A.1/4,.) , e } Please check one: 1. I am the owner of the above property. 2. VII am the sole proprietor of a business. 2A.Name of business Sh, n ce 2B.Federal Employer Identification Number(FEIN) -s SAi) Pursuant to §3I-286b,"a property owner or sole proprietor[who] intends to act as a general .. contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check o e: I. VI do not intend to act as a general g contractor or principal employer. [Sign and stop here] / I � /AK.. Signature of applicant 2. I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she en gaes accordance with the Workers'Compensation Act(Chapter 568). in work on the above property in I understand that pursuant to §31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court)