HomeMy WebLinkAboutElectric Generator & Transfer Switch
Town of Montville
Building Department
Field Inspection Notice
Address: 7 Allison's Way
Job Description: Electric Generator & transfer switch
Permit Numbers: E2004-0316
Footing Not Approved: Approved:
Comments: 1•
Backfill Not Approved: Approved:
Comments: 1•
Piers Not Approved: Approved:
Comments: a.
Framing Not Approved: Approved:
Comments: i•
Rough Electric Not Approved: Approved:
Comments: 1-
Electrical Service Not Approved: Approved:
Comments: 1•
Electrical Service Not Approved: Approved:
Trench Comments: 1•
Rough HVAC Not Approved: Approved:
Comments: i-
Rough Plumbing Not Approved: Approved:
Comments: i-
Gas Line & Not Approved: Approved: 12/03/04
Generator Comments: 1•
Fireplace Throat / Not Approved: Approved:
Chimney Comments: 1-
Fire/Draftstopping Not Approved: Approved:
Comments: 1•
Insulation Not Approved: Approved:
Comments: 1•
Shed C/O Not Approved: Approved:
Comments: i-
Certificate of Not Approved: Approved:
Occupancy SFR Comments: r•
Comments:
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: E2004-0316 Date: 01-Nov-04 Map/Lot: 043/009-018 Owner ID: 54000
Project Location: 7 ALLISON'S WAY Unit:
Job Description: Install 8000 Watt Generator & transfer switch
Owner Name: Todd M andRenee C Frechette Tenant Name: N/A
Careof:
7 Allison's Way
Oakdale CT 06370- Telephone:
Contractor Name: Property Owner Telephone: (860)889-2888
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
w/2004 Amendment
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $3,000.00 Electrical Fee: $24.00 Construction Type: 5B
Total Value: $3,000.00 Penalty Fee: $0.00 Permit Code: R5
C of O Fee: $0.00 Comments:
Plan Review Fee: $2.40
State Ed Fee: $0.48
Total Fee: $26.88
It shall be the owners reosonsibility 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.
❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test
❑ Backfill - Footing drains and waterproofing W R Electrical
❑ Concrete Slab - Prior to pouring concrete ❑ Elec Trench - with conduit installed
❑ Framing ❑ Electrical Service CRS No: 0
Fireplace Throat - One flue above throat ❑ R HVAC
❑ Chimney - One flue above thimble ❑ Gas Piping and leak test
❑ Firestop Draftstopping ❑ Final Inspection
❑ Insulation ❑ Certificate of Occupancy
Building Official's Approval: I
Town of Montville
Building bepartment r
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Trades Permit Application Form
Permit # C%,"Y c2lj
ElPlum6ing )V-'Efectrical EI Mechanical
C VU # Yleating
_Air Conditioning
Gas Wiping
Singfe Family ~ Two-Family ~ Townhouse
Job Address 7 AL_gsbNs U Ary
(Number) (Street) (Unit)
Job Description /1 ll~oKr Soup L~Pt-t't PRpMAL &kV13 ,t2( TbR_ -Th aPMis;K PA 4
P_LktMICkL ~D 15'i`iiAL, i12~~ 2 Sr.LiT'G1E 50 PAOCl--
Owner -obo Mailing Address_ 7 ki_tst~S l,~A'(
City C )tU_bALE State Zip Q_P376 Tel VcO / Sn / 2$9t
Contractor A Mailing Address
City State Zip Tel
Contractor's License Type & Number Exp. Date
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State o onnechcut an e Town 1VIonTe andfurther 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
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ :3 Q c9 o $
Plan Review Fee $ y a
State Education $ n
Total
(CompCete reverse side
Rovisedseptem6er9, 2004
STATE OF CONNECTICUT
WO RS' COMPENSATION COMMISVON
Building Permit Affidavit for Property Owners or Sole Pro rietors
(Conn. Gen. Stat. § 31-286b)
Property located at: ~7 A"t= t5dm--> L)~ft`(
In the town of Oftwb f`lam-
Name of building permit applicant: ot~
Please check one:
1. -:;K
4,I am the owner of the above property.
2. I am the sole proprietor of a business.
2A. Name of business:
2B. Federal Employer Identification Number (FEIN)
- - - - - - - - - - -
Pursuant to § 31-286b, "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
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 one:
1. I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
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 engages in work on the above property in accordance with the
Workers' Compensation Act (Chapter 568).
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)
Town of "-lontville Building Departn' -nt Receipt
. y
/ ca No.
Date AO
E
From:
Job Address:.,
Cash Check Check #
Amount $ C.•-°~
Circle one)
Permit #
h~---
Received by
I _ L
Town of Montville r
ONSTRVCTION'PERIVIIT APPRG . AL
~11-15untiS Pt~(7 C) p-"&I-G
Property Address
46ON6 I rERf -tZ GG,n/1 PA Q >~awy e~ E1Rlc-fiL TD TrJ1C1STt 'S
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 Permit Issuance Approval
Approval
® Tax Collector 0/< ~f~~.. ~y o f g /0 /-f
~igP':%1uire( elate
❑ WPCA
Sig mature-' date
cam' Planning & Zoning / Z~ D
`~p Z4~i-
Sigi.at2~t°c° cl ate
Aid Health Department /C9 N Z
S E n.at:Ire/ date
❑ Fire Marshal
SigiaaWre/ date
Comments/Conditions: r
R vrsedSeptem6er9, 2004
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