HomeMy WebLinkAboutSFR - Electric/Electric Service
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0056 Date: 20-Mar-03 Map/Lot: 037/002-037 Owner ID 2517
lob Location: 40 _AN_ DERSEN LANE Unit
Job Description: Electric Service & Electrical
Owner: Contractor:
CJT Development LLC A C Electric LLC
43 Valley Drive
59 Mirey Dam Road Naugatuck Ct. 06770-
Middlebury CT 06762 Telephone: (203) 723-2430
Lic/Reg Type/No. El 125018 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 hours notice reouir d)a
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backflll - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
F*/~ Rough Electrical ❑ Insulation
0 Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of Montville) ~z
' Building Department Permit # ~ioZ~C?
310 Norwich-New London Tpke.
TeI.848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
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Job Description/Materials
OwnerG . lJ i4'f ./P rIYA 17' Mailing Address J /~i'
City 14 l 63 t/ State Zip 4 Tel
4/3 Z
VA AL°
Contractor~C~C Mailing Address
City State Zip 0 Tel 0,0-31 9? 31
Contractor's License/Registration Type & Number 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 .®-S
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $ .
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total $ $
i
STATE OF CONNECTICUT
DEPARTMENT OF CONS(hWER PROTECTION
ELECTRICAL UNLUvIITED CONTRACTOR
ARTUR J CARREIRA
43 VALLEY DR
NAUGATUCK, CT 06770
TYPE: El
LICAEG NO. EFFECTIVE EXPIRES
125018 10/01 002 09/30/2003
SIGNED