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HomeMy WebLinkAboutElectrical - wiring for kitchen & bedroom renovations & relocate panel TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)^848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2006-0059 Date: 10-Apr-06 Map/Lot: 105/024-000 Owner ID: 3495000 Project Location: 55F LAUREL POINT DRIVE Unit: Job Description: wiring for kitchen & bedroom renovations and relocate panel Owner Name: William I and Helen Curtin Tenant Name: N/A Careof: 114 Maple Ave Uncasville CT 06382- Telephone: Contractor Name: Patrick Maurice Telephone: (860)889-9512 DBA: Lic/Reg Type: El ___.w...... Lic/Reg No: 104082 _ 692 Hartford Rd. Exp Date: 30-Sep-06 Salem Ct 06420- _ ,_~pnstruction Value. Permit Fees„ Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC 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 Paid: $0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING MECHANICAL. ELECTRICAL PERMIT INSPECTIONS ❑i Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers Ld] R Electrical ❑ Backfill - Footing drains and waterproofing ❑ Elec Trench - with conduit installed Concrete Slab - Prior to pouring concrete ❑ Pool Bonding L , 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 ❑ Fireblocking _Draftstopping INSPECTION REQUIRED UPON COMPLETION h Insulation [ Certificate pproval _I C ' ate of Occupancy Building Official's Approval: Town bf Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit Type of Work Occupancy Type Permit Type ❑ New Construction krSingle Family ❑ Building ❑ Addition ❑ Two-Family ❑ Plumbing .Alteration ❑ Townhouse ❑ Mechanical ❑ Accessory Structure [Electrical CRS#: Job Address: LP ,KQe L Pd,,tU 1 OR(U e (Number (Street) n I (Unit) Job Description: _i\j -t ReGQonn,,f, Q~ ~ oc Pt i ©cy' ~ ~ t'AN-e 1 Owner: t `(L3 t ck~ - C` Address: p ~-1 MAPI P't J City: tk~.aC i .lJ t He State: C,Zip Code: 066 3 9- a_ Telephone: t ! V Contractor: A L DBA: Address: Yt City: State:( J Zip Code: 7 L Telephone: License Type: License No.: Expiration Date: 7 c~ I hereby certify that the proposed work will conform to the State 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. ❑ By checking this box, I will follow the re rements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner /Agent Signature: Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: q vi ed (December 31, 2005 llr H G - ix I~1 as .1. ~ 1 JI ♦ ~ ~ W f L + Q i rf I~~ U W ~ Z e1-~ ~¢r o o p; 00 O ,I F to M tit + f. to • • d W W L State of Connecticut Workers' Compensation Commission - QurT S`~~ Please TYPE or PRINT IN INK ew~ry~r Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building Permit Property located at in the City / Town of If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer, you are not required to have workers' compensation insurance coverage. CHECK ONE (1) BOX ONLY and complete the following: ❑ 1 am the OWNER of the above-named property I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J am the SOLE PROPRIETOR of a business doing work at the above-named property. I WILL NOT act as the general contractor or principal employer Name of Business ~~GfA t J CcxAl S Federal Employer ID# (FEIN) Signature of SOLE PROPRIETOR Applicant