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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0388 Date: 10-Dec-03 Map/Lot: 131/049-000 Owner ID 2508
lob Location: 1~ ANDERSEN LANE Unit
Job Description: Electrical & Electric Service
Owner: Contractor:
Hartens Pond LLC TIG Electric
95 Yawbux Valley Road
183 Quarry Road North Stonington Ct 06359-
Milford CT 06460 Telephone: (860) 535-2289
Lic/Reg Type/No. El 183635 Exp Date: 30-Sep-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5
Other Value: $0.00 Other Fee: $0.00 . Comments:
Total Value: $0.00 CO Fee: $0.00 Included an Building Permit
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fees: $0.00
It is the owners responsibility to schedule the following ins ions (minimum 48 hours notice required.
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
d❑ Rough Electrical ❑ Insulation
Q Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
4z,
Building Official's Signature:
Tow'a of Montville
Building Department Permit # /Gm3='
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
Application for Commercial Trades Permit
Pfumding ~kctricaf Mechanicaf
Heating
Air Conditioning
Gas
Other
Job Location dk Sv~iD
lob Description/Materials W)l rI N q Seri c~ r- Si n51~ -CAA t
Mailing Address
Owner
City- State Zip Tel d
Contractor (e CO ~L Mailing Address 1'It4-)6 x `0~~~ ~
City /(OM S ~Z3 ~vv S State C( Zip dE,~S~7 Tel A C) / 5-35-1, 2-
S G5 Exp. Date l i ~c3i~
Contractor's License/Registration Type & Number
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
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER MOTECTION
ELECTRICAL UNLBIITED CONTRACTOR
GLENN T UMPHIM
95 Y AA SUX VALLEY ROAD
NORTH STONINGTON. CT 06359
TYPE: El
LIC./REG NO. EFFECTIVE EXPIRES
183635 l 0/01 %2003 09/30/2004
SIGNED