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HomeMy WebLinkAboutElectric/Electric Service for SFR 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: E2005-0219 Date: 22-Sep-05 Map/Lot: 035/007-000 Owner ID: 59000 Project Location: 14 ALLISON'S WAY Unit: Job Description: Electrical & Electric Service for New SFR Owner Name: RTT Development Tenant Name: N/A Careof: 35 Blais Road Uncasville CT 06382- Telephone: Contractor Name: Millovitsch Electric Telephone: (860)376-2153 DBA: Lic/Reg Type: E1 Lic/Reg No: 104995 43 Lisbon Heights Exp Date: 30-Sep-05 Lisbon Ct 06351- 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 O 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 ❑d 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: 466221 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping . INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certifica of Approval C icate of Occupancy Building Official's Approval: / ' Town of Montville Buiid ng Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit 1/ ❑Pfum6ing ~Iectiicaf ❑Wechanical C U Heating __.qir Conditioning Gas 'Piping ❑~Singfe Tamify ❑ Two-Tamify ❑ Townhouse Job Address S C)\,-) ` k,-j (Number) (Street) (Unit) Job Description~`~~~ ~,J ; t'Az cla i~~ fig. ,ram ~ . ~ ► Owner 1---..Mailing Address State C" . Zip Tel a(~ Contractor Mailing Address iA° L_ t &_~11 ID "v`) City C3 C) an> n, , State Q:7 V, Zip (L3 G ! Tel 2 Contractor's License Type & Number q 9 5 Exp. Date 13 / o / 4 5' 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 Y° Date U Construction Value Fee Plumbing $ $ Mechanical $ Electrical $ $ Plan Review Fee $ State Education $ Penalty Fee $ Total $ $ Rv*edNavem6er1, 2004 State of Connecticut = Workers' Compensation Commission - Please TYPE or PRINT IN INK OV/ SVSQMEt TNANST(7/T 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 Permit Applicant . Building Name of Applicant for Building Permit V~N`~~ k,1% Property located at in the City /Town of 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: ❑ lam the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant LA /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 C. Federal Employer ID# (FEIN) G y Signature of SOLE PROPRIETOR Applicant Ac L Town of Montville -JNSTRUCTI61N PERMIT APPRO°'- tL. 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 ® Tax Collector ^ -6a2.A °S U ❑ WPCA ❑ Planning & Zoning ❑ Health Department ❑ Fire Marshal Comments/Conditions: 4ZfvisedNovem6er1, 2004