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Home My WebLink AboutSFR - Underground Conduit 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: E2005-0055 Date: 20-Apr-05 Map/Lot: 035/009-024 Owner ID: 58000 Project Location: 12 ALLISON'S WAY Unit: Job Description: Underground conduit for electric service Owner Name: David Carlson & Heidi Buchholtz Tenant Name: N/A Careof: 15 Forsyth Road Oakdale CT 06370- Telephone: Contractor Name: Property Owner Telephone: (860)235-9960 DBA: Lic/Reg Type: El Lic/Reg No: 104684 Exp Date: 30-Sep-05 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 Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee: $0.00 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 ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Ce ' icate of Approval ertificate of Occupancy Building Official's Approval: s 14 Town of Montville s Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form RECEIVED Permit # EI,Plum6ing )<Electricaf FjMechanical MAR 3 0 2005 CAS # y®fg 131~ Meating BUILDING DEPT. Air Conditioning Cjas ~iping ,~Sinyle Famify E] Two-,Fami(y Townhouse Job Address 12- 1gLLtS0A) t<-, &J41 (Number) (Street) (Unit) Job Description T,vs i;l Li- I/.A,o,`6-7Z cv-` C'CWA,, ®zs FyA ,5 r-)e7V1"y- Owner hau s b -i, U~ lj Mailing Address i S f? 5 y7 tj A'= City b 1~~s~ ct State C--r-- Zip 0637L-) Tel &0 / Z35 / Contractor SAM V- Mailing Address City State Zip Tel Contractor's License Type & Number Exp. Date- CT 3 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 Signatur Date l_l oj~ Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ $ Plan Review Fee $ State Education $ Penalty Fee $ Total - $ $ Pg i edxovem&r1, 2064 Q Town of Montville JNSTRUCTION PERMIT APPRO 11, Property Address 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 45- ® Tax Collector -C ~l i3jm ❑ WPCA sigrlvtu,_re: date ❑ Planning & Zoning sip-Ilia wr / date ❑ Health Department date ❑ Fire Marshal Sig,i-ia wre/ gate Comments/Conditions: RevisedWovember 1, 2004