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