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Home My WebLink AboutStrip and Re-Roof 2016 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2016-0465 Date: 28-Nov-16 Map/Lot: 096/030-000 Owner ID: 5314000 Project Location: 75 PARK AVENUE EXTENSION Unit: Job Description: Strip&ReRoof Owner Nam Bethany Schultz Tenant Name N/A Careof: 75 Park Ave Ext Uncasville CT 06382- Telephone: (860)823-7679 Applicant Name G.A.Denison&Sons Inc. Telephone: (860)443-6541 DBA: Lic/Reg Type HIC Lic/Reg N 566806 P.O.Box 550 Exp Date: 30-Nov-17 New London CT 06320- Construction Value Permit Fees Construction Information Building Value: $7,200.00 Building Fee: $96.00 Use Group: IRC Plumbing Value: 50.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $7,200.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.87 Total Fee Paid: $97.87 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 ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation Certificate of Approval ❑ Certif to of Oc• •eon Building Official's Approval: � r Town of 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 No.: i)UI . C -I(.6 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition Cl Two-Family ❑Plumbing 0 Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure ❑Electrical CRS#: Job Address: 2 5 ��„t c (Number) (Street) (Unit) Job Description: Owner: 277 ,k1 ) pow-r/ Address: 7f- /ci..J CLD-c_ City: Ct7Z� t! State: Lam✓' Zip Code: Telephone: &6 6 — F23 Contractor: ,�. . / 0.e.yz..?„.0—;-)-1 �, , t/4. DBA: Address: # •a r)( SS G City: 11.1.14/2-,--t-4#1 (_/ State: � Lrc=. Zip Code: �� S- Telephone: 61- -�S (// License Type License No.: _caExpiration Date: // 7/6 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 requirements 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: �41 _ �' _ Date: j/— 2_2 Construction Value Permit Fees Building Value: 1) CC), Building Fee: Plumbing Value: t(E C r Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &vised Decemfer31,2005 Town of Montville Building Department File Receipt Date: 72-Nov-16 ReceiptNo: 11867 Received From: G.A.Denison&Sons.Inc. Job Address: 75 Park Avenue Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0 00 Bldg Check: $97.87 State Check: gl 87 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: 10.00 Fire Check: $0.00 Fire Credit: t0.00 Construction Value: $7.200.00 Demolition Value: 10.00 CheckNo: 22878 Received By: Carmen Kneeland (ctA kiel M t ._ . , n^Ad Address: 75 Park Avenue Ext. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished - SF $ 41.96 $ - $ - Interior Renovations - SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom - EA - Half-Bathroom EA GARAGE Detached - SF $ 71.53 $ MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n- Y/N $ - Air Conditioning n- Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set - EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ Masonryw/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces - EA $ 11,095.70 $ Wood Stove,free standing - EA $ 2,692.25 $ Wood stove insert - EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ Porch - SF $ 149.38 $ Sunroom - SF $ 176.90 $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool - EA $ 31,550.00 $ - $ - Above Ground Round - EA $ 6,299.46 $ - $ - Above Ground Oval - EA $ 7,019.75 $ - $ - Pool Heater - EA $ 8,984.25 $ - $ - Inflatable Type Pool - EA $ 1,200.00 $ SHEDS w/o electrical SF $ 25.55 $ w/electrical SF $ 26.85 $ RENOVATIONS Roofing,Overlay SF $ 3.50 $ Roofing,Strip&reroof 1600 SF $ 4.50 $ 7,200.00 Roof Sheathing SF $ 1.51 $ Siding - SF $ 6.75 $ Windows - EA $ 550.00 $ Skylights - EA $ 1,051.10 $ - Doors,Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon - EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 7,200.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,200.00 $ 96.00 Plumbing - Mechanical - Electrical - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 1.87 TOTALS $ 7,200.00 $ 97.87 Figures are based on the 2006 RS Means Residential Cost Data C D enison OW IIC - 1-/‘ I_•:"..<-/ q 75 p.tx ati-e E • • w 4 C j i A C.i — L • . t 11 • i.. s w • I Z t> t tl: .r C - n r • ..or �F f. �,,,a 1 �� 4. • . , , , c .....„ 1-. P... 4 i C.: ^ x W 4, ,1) E Z V C Y° `,r' Ct7----...'.. .**:":1' '-'. ( 11 - ..... , , s ..3 k4Q-,-: .. -P-F. L., -.-. a 7. = I G • t 4 ... •� • i 4 i. i L , isx Jif.d ! - i0 • r* y .— • • 4 f t •,-' ✓ „ j '`��,,.- '+...........a..y _ GADENIS-01 _ NMEIG$ ACORO (-DATE IMM/DONYYY) CERTIFICATE OF LIABILITY INSURANCE !I 11/212016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED I REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ; PRODUCER CONTACT !Smith Brothers Insurance,LLC. PHONE Location 377 Main Street,Niantic,CT 06357 (A/C,No.Esq (860) 447-3354 FAX No)(860)652-3236 Mailing; 68 National Drive,Glastonbury,CT 06033 E YAI ss GeneralMailbox@SmithBrothersUSA.com INSURER(S)AFFORDING COVERAGE NAIC a INSURER A Main Street America Assurance 29939 INSURED INSURER B Progressive Company 24260 G.A.Denison&Sons,Inc. INSURER C P.O.Box 550 INSURER D New London,CT 06320 INSURER E: - __— __.---_ INSURER F. COVERAGES__ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS :iNSR TYPE OF INSURANCE ADM SUER POLICY EFF POLICY EXP LTR IVSD.JtYy�___ POLICY NUMBER ._. (MM DO/YYYYI_IMM:DD Y�YL, __. U�NTS_ _� A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2.000.0001 CLAIMS-MADE X OCCUR MPP3219V 06/04/2016 06/04/2017 DAMAGE TO RENTED 1 PREMISES(Ea rry,Nrr}OCe S MED EXP(Ary one persp,‘; $ 10 ,000I I PERSONAL&ADV INJURY S 2,000,000; GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 X POLIr, 78 LOC PRODUCTS-COMP/OP AGG S 4,000,000 _ OTHER B AUTOMOBILE LIABILITY -------- --- - -._,-�COMBINEDNE1,000,0001 t)SINGLE LIMIT S ANY AU70 08339330-8 10/22/2016 10/22/2017 BODILY INJURY(Per person) AUTOSOWNED R�� ONLY X AUT SULED BODILYRINJURY(Pa+ace de"l) $ AUTOS ONLY Vona�O (PPe�eEr n AMAGE S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE ,$ DED RETENTIONS S ----------- WORKERS COMPENSATION PER 0TH- 10,000 AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNERFXECIi'V4 6-7_2UH-Z 84477.7.15 10/22/2016 10/22/2017 2,000,000 A�FFICER/MEMBER EXCLUDED' f I I ACH ACCIDENT 3 I andatory in NN) X I.I. DISEASE-EA EMPLOYEE S 4.000,000 N yes deecnbe OF DESCRIPTION QF OPERATIONS below._.,_ _.- E i, DISEASE-POLICY LIMIT S -- I I DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES (ACORO 101.Additional Remarks Schedule,may be attached If more space is required) ._— ----- -. _-- __-__- .. - -_-..__..___ _.._..__ _ __- CERTIFICATE HOLDER __ --__. ...__ CANCELLATION____ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) s 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No .ermit will be issued until all the re.uired si•natures are obtained. /2 -c:' Pc-"-1; C;-P-e- c Property Address c/7/.-e-C(,' .„---/ZZ . Job Description Required Department Permit Issuance Approval Approval ® Tax Collector %_7( / i/k Z/I L Signature/date Comments: ;-7 III Planning & Zoning e"- -- f- // 2 Z �� Signatur /date t Comments: I ❑ Fire Marshal l '/ 1 L2t Signature/date Comments: t _ S\ 0---- 1A-A-- f 1 (� � ❑ Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department • Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature!date Revised May 23,2m7