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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: E2003-0061 Date: 27-Mar-03 Map/Lot: 037/002-051 Owner ID 2513
Job Location: 31 ANDERSEN LAN Unit
Job Description: Electric Service & Electrical
Owner: Contractor:
Salvatore Mazzarella Majestic Electric
239 Upper Pattagansett Rd.
238 Browning Road East Lyme Ct. 06333-
Norwich CT 06360 Telephone: (860) 691-1851
Lic/Reg Type/No. El 123507 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 on 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 inspections (minimum 48 hogs notice rep uir u
❑ 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
Rj Rough Electrical ❑ Insulation
W Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville
Building Department Permit # o n
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
1s./
nPlumbing electrical ❑Mechanical
./p/ Heating
Air Conditioning pL `7
Gas Piping
Other /
Job Location -31 ,<f.~~c2s~.~ Gee G° cs f
Job Description/Materials Z,✓S 'T'R' ~i L ~~1 7~ J w'2~ l
Owner Mailing Address ~
City c. State C - zip do 3 6 0 Tel Sd0 / 5f 7/ 6~af
Contractor Mailing Address -7/9
City t/ / G State Zip Tel g old / pl
1-11
Contractor's License/Registration Type & Number 65--l Exp. Date ° I <97
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 17/ . v~
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ 3 ! 0 0 $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total $ $
e
0
UNL1NiTSED CONTRACTOR
ELECTRICAL
SALVATORE E OS.SO
239 UPPER PAZ B NT 06
LAST ROAD
LY
TYPE: EL
EXPIRES
EFFECTIVE 09/30/2003
CO REG NO. 10/01/2002
123507
SIGNED