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Home My WebLink AboutInground Pool - Electrical 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: E2006-0170 --Date: _ 15-Aug-0.6 Map/Lot: 131/046-000 Owner ID: 73000 Project Location: 7 ANDERSEN LANE Unit: Job Description: electrical for inground pool • Owner Name: Raymond T and Michele L Occhialini Tenant Name: N/A Careof: 7 Andersen Lane Oakdale CT 06370- Telephone: Contractor Name: Brandon Girard Telephone: (860)886-6073 DBA: Electrical Unlimited LLC Lic/Reg Type: El Lic/Reg No: 190384 16 Bliss Place Exp Date: 30-Sep-06 Norwich Ct 06360- nstr ct,,.Non„Vale Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $000 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $0.00 Penalty Fee: $0.00_ Permit Code: RS C of O Fee: _$0.00 Comments: Plan Review Fee: rv~ $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee Paid: $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 FVI R Electrical ❑ Backfill - Footing drains and waterproofing ❑d 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 ❑ Certificate of Approval ❑ Certificate of Occupancy r Building Official's Approval: r Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building ❑ Addition ❑ Two-Family ❑ Plumbing ❑ Alteration ❑ Townhouse ❑ M anical ❑ Accessory Structure Electrical CRS#: Job Address: 77 k e{'Son L.n Qa~ WJ ~e P r~ CrI 6 4370 (Number) (Street) (Unit) Job Description: VV5+12 :~OC Cl A00 C~YYk('6UA9 Owner: It Vi 1 Address: / hyi rS o n L City: \ Z'` y p r' ~j State: C I Zip Code: 0070 Telephone: CBaa) Contractor: 1t~~ r DBA: ` `I✓~ ` L ca I Address: 1 to ~1j5 P/-, ` City: State: ~Q ~Ci Zip Code: Ob 346 r) Telephone: *73 License Type: License No.: J 1 y 3~ y Expiration Date: I hereby certify that the proposed work will conform to the State 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. ~y checking this box, I will follow the requiremoft f the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requireme is in ap r through 42 of the Residential Code. Owner /Agent Signature: Date: J/ 19 M Construction Value Permt'¢Fees Building Value: Building Fee: ~ Plumbing Value: Plumbing Fee: Mechanical Value: c Mechanical Fee: Electrical Value: . Q Electrical Fee: Total Value: Penalty Fee: C of O Fee: 11W 'A Plan Review Fee: State Ed Fee: Total Fee: Ro*ed 0ecem6er31, 2005 tsom~.a miffli s. ~ .i ~sY we.. \ ~....~..a....s sr Y.,.i i✓ dk~.L 2.l.R ~JT OF C4.Fd\SUM°:'8~4 J. <t.OTfl.lVr#A4N s( ~aA1~4d~11r W Be it known that r DON JET R I .RD t y ~ E NOR IC,1-I; CT 06360 3 tection as a ~~K Try trr~ :~jt of risurxrer o has been certied by I~ 13i~rr ELECTRICAL uNUMITED CONTRACTOR 1 . ,k Licims(~. I jtii ,7, r1 .,fit . 10/01/2005 Elve k iration: 09/30/2006 Edwin R Radtgguez, Commissi0ta0t j i SECS lNJED P. 1 6 2006 IBU11_DMG DE P A State of Connecticut Workers' Compensation Commission - Please TYPE or PRINT IN INK rsursr~ 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 Building Applicant for Permit Name of Applicant for Building Permit 1 Property located at ~7~` L n In the City / Town of O C A14 Q C 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: ❑ I am the OWNER of the above-named property. I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lJ 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 E le__ ~Mkr a,' J /1 ) IVnj e A U Federal Employer ID# (FEIN) Signature of SOLE PROPRIETOR Applicant Y - 6 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 ` CONSTRUCTION PERMIT APPROVAL A Y~e✓cSo t_-,s N 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 o O Signature/ date Comments: WPCA, Administrative 4 coate Comments: ❑ WPCA, Operations Signature/ date Comments: ❑ Planning & Zoning Signature/ date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation Signature/ date A A All Comments: Fire Marshal L 1 u IN, ignature/ date Comments: 4tevked,Xugwst 5, 2005 '20 o mp (n f +oo'D f"\p r~.~ . r ec- Owq 12 rjW _ 20 "Kr 4 -204L Soler r~a~oaac; I'oa~ t~ r~c~. ~wi~ Vie. L-2-01, c rn s t d o wov.5e.. by Pump. Q i t .Y t k i t 5 i 1 E g~ §8 y{ qi 2 i f 1 0 c_"Ia( D 4E IV 16 2006 F or g1%J,1LDING DEPT- weA- r ~ t t H t