HomeMy WebLinkAboutElectric/Electric Service - SFR
y Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
860-848-3030, Ext. 82
Electrical Permit
Permit Number: E2002-331 Permit Date: 21-Oct-02 Permit Code R5
Job Location: 4 ANDERSEN LANE UNIT: MAP/LOT: 037/002-060
Job Description: Electrical & Electrical service
Owner Contractor
Brian C Gebo Jeffers Electric LLC
58 Pine Road
PO Box 264 Unit: Jewett City, Ct. 06351
,Jewett City, CT 06351 Telephone: 376-6814
Lic/Reg Type: El
Use Group R4
Lic/Reg Number: 125733
Code 1995 CABO
Exp Date: 9/30/03
Construction Type 56
Construction Values Permit Fees
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 Value: $0.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
Included on Building Permit State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice requested
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney - One flue above thimble
❑d Rough Electrical ❑ Firestopping/draftstopping
WA Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ H I Inspection
❑ Gas Piping and Pressure Test Cerd a of upa - Prior to use or occupancy
Building Official's Signature: Z2
Town of Montville
Building Department Permit
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
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Heating
Air Conditioning
-Gas Ting
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Job Location
Job Description/Materials L~7 `C °20® SU~C•
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Owner Mailing Address RO
City 34-o State C--,% zip Tel C~/~6 I
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Mailing Address /"~~E
Contractor
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Contractor's License/Registration Type & Number Exp. Date_~K3~~ /
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 ,I/O
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ ~d~0• $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $
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MENNEN=
y ELECTRICAL UNLIMITED CONTRACTOR
MARK E JEFFERS
58 PINE RD
JEWETT CITY, CT.G6351
TYPE: El
LIC.✓REG NQ. EFFECTIVE EXPIRES
125733 10/01/2002 09/30/2003
I SIGNED