HomeMy WebLinkAbout2002 - Electric Service
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New 1,ondon Turnpike
Uncasville, CT 06382
860-848-3030, Ex.t 82
Electrical Permit
Permit Number: E2002-081 Permit Date: 08-Apr-02 Permit Code R5
Job Location: 31 BEECHWOOD ROAD UNIT: - MAP/LOT: 081/076-000
Job Description: Electrical Service
Owner Contractor
DAVID J + THERESA T CREAMER Greg Benoit
5 Overbrook Road
31 BEECHWOOD RD Unit: - E. Lyme, Ct. 0633
OAKDALE CT 06370 Telephone: 739-2556
Lic/Reg Type: E1
Use Group R4
Lic/Reg Number: 122226
Code 1995 CABO
Exp Date: 9/30/02
Construction Type 5B
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: $1,000.00 Electrical Fee: $10.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $1,000.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $0.16
Total Fees: $10.16
It is the owners responsibility to schedule the following required inspections (minimum 48 hours notice requested):
❑ 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
❑ Rough Electrical ❑ Firestopping/draftstopping
W/ Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test ❑ Final Inspection
❑ Gas Piping and Pressure Test rtific of upancy - Prior to use or occupancy
Building Official's Signature: -
j
Town of Montville Permit
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231
Application for Building or Trades Permit
Building Permit Trades Permit
❑ New Construction ❑ Accessory Structure ❑Efum6ing ❑WecFianicaf
❑Ad,dition ❑(Demaktion REfectricaf .7feating
f~] Alteration ❑Otfier Air Conditioning
Gas Tiping
Job Location c ~Otq~C4 W o o rl AV
Job Description/Materials k-P- 10 /)/9-C 19 921W S V G
-44/i 7-/7 (v -f w I R Y e,1-5 s/ 1?2 e,g k e re b o ,Y
Owner_Drty ; ~r0 C/ Mailing Address
City d~/3~ State % Zip Tel kl, / oafs
Contractor ja/f -Mailing Address QL14e~2 ,-9 --;7/
City State Zip de&,&-- Tel / 7
Contractor's License/Registration Type & Number D / X2,22.2_~e' Exp. Date q l
New Home Construction Contractors:
Have you entered into a contract with a consumer for the proposed new home? E] Yes To
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_ 1 cy 2.._
Construction Value Fee
Building
Plumbing $ $
Mechanical $ $
Electrical $ ®d $ -
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ /Poo t7a
$ OlU ~
Town of Montville Building Department Receipt
Date No. 4i <#j
rom:
Job Address:, ms's d~~~~
F•
Amount Cash C'h c Chcck 4
Received by ~ . _ ~ _ w~ t
BENOIT MAINTENANCE
5 OVERBROOK ROAD
EAST LYME, CT 06333
(860) 739-2556
FAX 739-8032
ELECTRICAL UNLIMITED CONTRACTOR
GREG BENOIT
5 OVERBROOK ROAD
E LYME, CT 06333
TYPE E1
LIC. ! AEG NO. EFFECTIVE EXPIRES
122226 10/01/2001 09/30/2002
SIGNED
J / `'C. ~i ,111
S d Aj
FROM : CURTIN INSURANCE AGENCY FAX NO. : 880$482207 Apr. 08 2002 E19:10AM P1
I
ACORD, DATE (MMIDDlYY)
CERRTIRCA E OF UABLITY INSURANCE 00tj %f 2013"1
RDDUCER (860)849-2201 FAX I #4ff-ZZOT ( TwS c""~astTTi~r<SrCTE IS r'ED ASS MA77-PIR OF,444FORMATION
CONFERS NO UPON CERTIFICATE
ONLy
:urtin 'Insurance Agency, 'Inc. 1 AMID THIS IS CERTIFICATE DO DO Rl ES S NOT 3~l1Ut THE END, ~fE1`y'1~ t- N'D
NOL ..DER. TH i7R
6W koutw #3F, mac AV ALTE,fp ;rq CCw-p,RAC%i-7.4,FF0RZD BY TEE POLICIES BELOW.
%&tr, US'V4V,1M, C% Q. 7 INSURE=RS AFI-OW NG t-TWE RAVE
r~qf? Tracey
Isumo req. Keno ter ba INSURER A: western Heritage Insurance CO
S t7v,tir6ronk Drive INsunll3B. Blue[tidge Insurance Co.
East Lyme, Cr 06333-1425 INSURER C: NCCX
w5UPOR D:
INSURER E:
.OVERAGES
Pttfr r^OL1'7E c➢Fli~`Su4Jfir'IL`E, r.^rTV~3Bi ~8'hAb/~ Rehr,URSI EDTOTHEJ.NSUREDNAMED.A3OVE PORTHE POLICY PERIOD INDICATED. I+,6fWiTHSTAtZING
ANY REQUIRVIVIENT, TERM OR CONDITION OF ANY CODJ'f RACT OR OTHER DCICUMENT WITI I RESPECT TO WHICH THIS CERTIFICAT^ MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE-AFFORDED-9Y S',5Zz d" T TQ r ! T4iE C ~rB-0 v, EXC71 fi3111N~a ANi1 CCIi~lQlTif~NS QF SUCH
P.RLLIMES_. _ R,EGATE LIMITS SHOWN MAY HAVE SEEN REDUCEP BY PAID CLAIMS.
P, LIC E E V PCtLt E]CFI g71tJN V LIMITS
TypF CyF ICiNCE ?QL]CY NUMSE2 ATE M DIYY DA M +DD
GE39fRAL UAWLITY P362080 02/25/2002 02/25/2Q5)3 sn cH xcuRRENC.Z d is Soo 0
COMMERCIAL GSNERAL LIABILITY II- ;IRE DAMAGE (Any one fire) S _1011 r
{ h1EI EXP (rtny pe 50n) S 1',
CLAIMS MACS I -R-1 OCCUR Orie
A IT~TvexLHCravraltrrz~ % 5AlA'n.,
{ ~ I^v~~59L``i~r1l' rh!~.SQ[ta4Y ~ .~,a*W"r
GENLAGCREGATELIMITAPPLItSFFR: { ?Fl1CIl.ICTSrGQh4P!tpAGG S 1 000100
POLICY' r~ Mo. LISC ~ {
Ax;T`13ktV0L-1-•LLrAiwIe 1 t rAW"' 1156 071211.2001 { 07/21/1002 ~s~saBitaF2 ~4R1talf UMIT. S
{Ea aecfdent} 5 30.
.
,aa'r.u+TV f`
t ALL OWNEb AUTOS S { BODILY INJURY y
B 1 x 1 SCHEDULED AUTOS { (Par person)
HIRED AII'1'08 { { I $C tLY INJURY
X MON-OWNED AUTOS { { { - sr..ubm% ~
{ RROPERTYDAMAGE
$
r~-• ~ IF'er accident)
GARAGBLIARItmt at~NI-Y..EA-A(;CWV.NT 5
H-I ANY' AM ( II ^-l"ERVIII"I. EA ACC S
i AUTO ONLY' A6G ~
88!" `a~SrJAF311 11 K FACH OCCUFkkENCC S
OCCUR ~ CLAIMS MADE { ~ I AdGREGATI= S
R PFDUCTIaLg
1 {
PF_TENTrON $ ~y~
WOPO ERS COMPENSATION AND f 'ice ill 1700 w A%1;w 3 7DRV"LIMIT 'EK
C I ~,clPC~~ s LI e.I=,~ SkGHAirSI1~FN7 _ 100,00
E.L.DIStASE.EA L-MPLOY£E s 100,000
{ E.L. DISEASE -;0-LiCYLIMIT S Soo. 00
r3T1~
{
ORSEMENTISPECtALPROVISIONS
V r,RIPIIONOFQPgRATIONS1 0CATTQNafVg4CLES/0CCL fQNSMAN
?c 3'7te. 3,1 ftedc~it a 00fi a Dak&W. 49 , ;4C-SCl, 4~OL^1e.4. r +s~~ueLtiu I RiPJ:IeISau .uEttF.R:. _ GANCEL.LATIUN
SHOULD ANY OF THE A 6VP MCRIHED POLICIES IRE CANCELLED SEFOlIk THE
{ EXPIRA'n0N DAYSS THEREOF, THE ISSUING COMPArW WILL ENDEAVOR TO MAIL
rTo uIT of 1Martt'l 11.9 { 3-0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attention: Sandy } SUTFAILURETO MAIL SUCH NOTICE$HAL.LIMPOSE NO tseuUrtrwH0ML!j 6eLIT1'
310 Route #32 1 OFArnwN:acrA~I+IxEZUwrnrnsaas,'rr~~d,sstsr~a~ss~~,va~tu~.
UnCasviT7e, CIF VOW .as:*1AnW"npaFSENZa.Tw.G ~
~C4s 4 fii
SAGO
TAX: 848-71,1.1 C>R TiCkN 1Si~i3
AC 2x ,t7/9 ~