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HomeMy WebLinkAboutInground Pool/Hot Tub - Electrical r TOWN OF MORMLLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, Cr 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2005-0083 mate: 02-May-05 Map/Lot: 131/050-000 Owner ID: 81000 Project Location: 23 ANDERSEN LANE Unit: lob Description: Electrical for pool & hot tub owner Name: David A and ]ill Marchini Tenant Name: N/A Careof: 23 Andersen Lane Oakdale CT 06370- Telephone: Contractor Name: Bonnher Electric Telephone: (SW)848-8539 DBA: Lic/Reg Type: El Lic/Reg No: 181768 P. 0. Brno 366 Exp Date: 30-Sep-05 Uncasville Ct 06382- Pemdt Fees Construction Infotmatron " Construction Value 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 w/2004 Amendment Mechanical Value: $0.00 Mechanical Fee: $OAO Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0,00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee: $0.00 It shad be the owners nsibility, to schedule the following In rrections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. PLUMBING, MECHANICAA ELECTRICAL PERMIT INSPECTIONS ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers © R Electricai ❑ Backfill - Footing drains and waterproofing ❑ Elec Trench - with conduit Installed ❑ Concrete Slab - Prior to pouring concrete © Pool Bonding ❑ Anchor Bolts - with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Rreblocking Draftstopping f$f,D UPON COMPLETION ❑ Insulation _ f App al erh upancy C~ Building Official's 8ppMLal: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit F-jnlum6ing Electrical F_15%echanical CAS # 91eating _Air Conditioning Gas sniping ZSingle Family ❑ Two-Family Townhouse Job Address D3 MD E(LSO N Lc-)y 0l`~Ic CE (Number) (Street) (Unit) Job Description T-N sjxu l t,)e Q .4 Ga on d r r,~ eats L -f Owner ~Av2 +~ti L ~1 ~QC tJ /N / Mailing Address- City State Zip Tel l--X--~L Contractor 11 1'1 e P. Mailing Address C~ City t11 ic~e 4_5 t,-U- P State C ~ Zip 0630 Tel 3 Contractor's License Type & Number F - I Exp. Date/ 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 . x` Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical $ 21 1 CIS'71 co $ Plan Review Fee $ State Education $ Penalty Fee $ Total . $ $ ftvisedXovem6er1, 2004 OF CO NNECTICUT + DEPARTMENT OF CONsuMER PROTECTION ~ STATE Be it known that JOSEPH B BONNER s 774 OLD COLCHESTER ROAD UNCASVILLE, CT 06382 has been certified by the Department of Cpnsuaaer Protection as a licensed ELECTRICAL UNLIMITED CONTRACTOR 4i E1 Lic'c;r~se X878,,:. F _ Effective: 10/01/2004 Expiration: 09/30/2005 Edwin R Rodriemcz, Coxnnussioner ° a MR, MEN ( VATS VANWXWM aesrL~iC,,, 1213112004 eeua~ Mi C#IRTIFICAI E IE IifUED A>I< A 1 TR~t OF MMFOFII "TM MI Y MR> CpMIF~C MIO ' LYON THE CdTIF7CATE Federated Mutual Insurance Company MCKOWL DIU C KATE DOES T AlrlllrXl. EXTEND oft A TER 1iHE OL AFf01~lD THE PrOtK~F&t 22yr 00, 121 East park Square Owatonna MN 55064,x,, Federated Mutual Insurance Company or A Federated Service Insurance Company a~GNMrAN'T is Bonner Electric, Inc. MBox 366 DI ANY Uncasville, CT 06382 WWANY D mom= E t M:W2OW "AA fF23~1 M eLMD To THE 1~Ahgr~ wie T ►re rcklcY Pl4p4D F1►T 211E Pot IGtEE OF r1suR~4NC Tom 4R comwnm of ANY CONTRACT OR O'1"M pp~uy~rREPECT TO WHCf• TM CERTM$M M ANY TF~ rL7 MIT OW OF SUCli FOUCIEB. Uhifr 3fK WM MAY H11 D" WDUMI BY PAID CIA1 EB WT TO ALL THE TOMS. 0o rotN<y W►tCrivE P&MV L7+,F""M L1Mrfi so TM of wprganvil •OU" NUM/Oi DATM MM+d " DATi M M"" SraMAAL sATE s 00 000 °N1"L uAwWY eRaDVCTai _ wee s 2 0M000 X c puy WWWAL uAALWY CLAW* MAD! 1--....i OCCUR rfJS•01111L i qr rutUtY - f A 9011504 1213112044 1213112005 rwa+ oac uteg 0 1 00 000 OWmW* k CONTRACTCA A ►IIOT MK DAWM tAM Os" • AuroMUNU UAML r eowren SON" UMfT s 1,000000 X AW AU" A" OWNM AUTOS • A s~lwsoAUTUS 9011504 17!3112404 1.2/31/2005 X whcO Auras Boos r WU1i r MW "ddwo x %ON-OWN M Auras rro.DaTr aAa~Aar~t • AUTO ONLY EA AG XWM > MARA9t U~AlIN1'N ' OYNlR TNAe AUT4 oMLYi AM At" M ACCa?f~Mt • AQ4ftQATE I EA04 O NCH t x ~F-W 9011507 12131/2004 12/31/2005 AaOMM" • D 4YWRYMAgUM*P"& F6M • rr we WOMUM OOMMMAMON AW .rw,oT.W UASaasv 1213112005 d EACH At MENT • A TIRE PROPRIETOR! S 9011508 12131/2004 a Da+rAar • UW I PAKfN"WAD ECtItevE ER. OMM . B~! OYEH : Qr?PWM . H EXCL oT►~ A Installation Floater 9011504 1213112004 1213112005 $1,250,000 046 MIP'TRON of o1T~OM61lOWT1d~A►lMkY114L ~Tp•It VEL2Z UCATION OF INSURANCE VK t V AM OF TN! AMOK DWCPWW rooms K CANgALM VWOM gMMTwr oATC T• W&W. TM NRMRNO 00100W Was PMMVOR TO WIM TO WHOM IT MAY OWN - DAYS WOOTrtr NOTRM TO TNR CWMPW^79 iMLt'K1t NAM va -n* LEK- WT VA"M m M&& MMH NO*" WAµ •M CM Ka Ok MOATWM M UPAK TY of AMY rim up" we a is ON TAMM. AYTNGMl1W I~IEiiMTA y. t . Town of Montville CONSTRUCTION PERMIT APPROVAL Property Address l' - ie 1 C'i. 3st ;POc1L- T(~1~ 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 ~cr~M w~ ~~an 1 cS s ~G ~~7 fob WPCA igiiature' elate Planning & Zoning Sigt7i1ture ` date Health Department r p~ f { Fire Marshal Signaftre/ date Comments/Conditions: ftvisedWmm6er 1, tow