HomeMy WebLinkAboutSFR - Electric/Electric Service
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
860-848-3030, Ext. 82
Electrical Permit
Permit Number: E2002-373 Permit Date: 18-Nov-02
Permit Code R5
Job Location: 35 ANDERSEN LANE UNIT:
MAP/LOT: 037/002-052
Job Description: Electrical & Electric Service
Owner
Contractor
THOMAS YUCHNIUK Vandzant Electrical
51 Old Norwich Road
51 SIMPSON LANE, Unit: Griswold, Ct. 06351
OAKDALE, CT. 06370 Telephone: 376-2851
Use Group R4 Lic/Reg Type: E1
Code 1995 CABO Lic/Reg Number: 187989
Construction Type 5B Exp Date: 9/30/03
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
I i h owners r oon it►ilitr`' to schedule the following rewired incnec+ion fminimnm 4g h
20.~.11R~lce reauestedl•
❑ 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
W Rough Electrical ❑ Firestopping/draftstopping
Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ Final Inspection
❑ Gas Piping and Pressure Test Certificate a - Prior to use or occupancy
Building Official's Signature:
Town ofyMontville
y
Building Department Permit it 7"5r
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
F~Pfumding 2rectricaf F-IMechanicaf
Heating
Air Conditioning
Gas Piping
F-I Other
Job Location /je. s ),j
Job Description/Materials /?D dr, CAP, ' a? c
CZA Owners Mailing Address__
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City OKA Xkk State C IT Zip Tel
Contractor ~ ~ fc Mailing Address &Xl /LJbR. z-11
City ~ryd: SG✓U,O State Zip Tel Eve-) /I/ 20 IS/
Contractor's License/Registration Type & Number F7- V 01 Exp. Date_ 0-3
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 z° Date__Zj) / / s /
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total $ $
ELECTRICAL UlfLIN!IILI?CO.vT1t'AC- 0B, i
RANDALL V SCHAEN -
51 OLD NORWICH RIB
GRISw`OLD, CIF-06-351
TYPE: Fl
LIC.✓REG NO. EFFECTIVE. EXPIRES
i
187949 10/01/2002 09/30/2003
SIGNED