Loading...
HomeMy WebLinkAboutStrip and Re-Roof 2003 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2003-0632 Date: 03-Nov-03 Map/Lot: 096/061-000 Owner ID 113547 Job Location: 122 PARK AVENUE EXTENSION Unit Job Description: Strip&Re-roof Owner: Contractor: ' Anthony S Ozga Anthony Ozga P.0. Box 21 122 Park Ave Ext Hanover Ct. 06350- Uncasville CT 06382 Telephone: (860)822-6465 Lic/Reg Type/No. 0 Exp Date: Tenant: Self Telephone: ephone: Construction Values Permit Fees Construction Information Building Value: $1,398.00 Building Fee: $10.00 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: R4 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $1,398.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $0.22 Total Fees: $20.22 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ Footing -Prior to pouring concrete ❑ Rough HVAC ❑ Backfill -Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping pp 9 ❑ Rough Electrical ❑ Insulation ❑ Electrical Service 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: �, Town of Montville Building Department Permit#j/�D7(97‘,.._(4, 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ❑dew Construction 0 Additionration ❑Accessory Structure ['Other Job Location / 'at wk.- L� ,x'T- Job Description/Materials ,4jr LT/ /?aO t 9,),„ I --A7,0_,47 Owner V z 6'4 Mailing Address d` I City 10-44/j/f%f State (7 Zip araC Tel ye /O?2-/ 6*1‘. Contractor /� Mailing Address City State Zip Tel / / 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 le) /J[/ / gm— 4epr Con ction Value Fee Building $ / '?5 $ / Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ 20 Plan Review Fee $ State Education $ , oZ Total $ $ 0 ( 02 %2 (See Reverse side for additionalrequirements) Permit Fee Calculation spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA $ 3,150.00 S Above Ground Oval EA $ 5,250.00 In-Ground EA $ 18,900.00 $ Heater EA $ 3,465.00 S Hot Tub EA $ 5,250.00 $ Roofing Strip&Reroof SQ $ 207.20 $ _ Overlay 11 SQ $ 127.05 $ 1,397.55 Plywood SQ $ 101.85 $ Sheds SF $ 26.25 $ Electrical Service 100 Amp EA $ 816.43 $ - 200 Amp EA $ 1,519.19 $ - 400 Amp EA $ 6,039.29 $ Breezeway/Decks Open SF $ 22.31 $ Enclosed SF $ 94.76 $ Porches Open SF $ 62.69 $ Enclosed SF $ 123.90 $ _ TOTAL BUILDING CONSTRUCTION COST $ 1,397.55 PERMIT FEE Building $ 10.00 Electrical $ $ - $ - CO Fee $ 10.00 Plan Review $ - State Ed Fee 1,398 $ 0.22 Total Fees $ 20.22 Based on 2003 RS Means Residential Cost Data 10/30/03 OCT-39-2003 09 :37 FIM NH I TTE "S_ I NSURFINCE 1 860 886 1965 F'. Gil sw ACORD CERTIFICATE OF LIABILITY INSURANCE S DATEIMWDDIYYYY1 i 1013012043 P OC4JC" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOIIMATICM WdKtB'E Meteorite Aganty,inc. I ONLY AND CONFERS NO �HT31 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 'Mc groadwey ALTER THE COVERAGE AFFORDED 10 THE '?OLIO % I3ELQ104. Norwich CT 0838011NSURR8 AF'FSSADIN4 __ COVERAAE NAIC 0 i „ _mum Anthony 8 Dego LINsuREa/t,. LIHERY MUTUAL _ _ P,O,Box 21 J IPIAi,NS EfiB'_ __ — Nl$uRER_C — — �.__. —f--.„ fie mover O7+78331? IN4URER D. 1 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AkTUVE FOR l'HW PO.IS'i/PER=-NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND`IT'ION OF kIi,Y COfic DT OR. QTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLLMONS Awl, CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN"Rezuvec EY INC CLA/AM15 mil 4,.,:{X„ --.PO ICY EFFECTIVE POLI EXP TION POLICT AUMWEA , ,.rar►r• I .1.�• LIMITS ff(IERAL LIABILITY I I I CH ' f - I RENTED iOMfEmVxi 4Ew +sRt tAa91i.;*+ ABEI$E3dFaoaors ,s C,lJdB NAAw =CUR rt�EC EXP AnyoeFes/T.L. ,E —...._.---- 1- . _.__-_r • sIE1L4 [iAT fOWL A(3�lREWj�pLItI�AAIT APPuES PER'. PROI�y OTS-Gt3M1 JO!A00 $ __-_ _--_ I POLICY I ,. LOG i !%. B&$*Y I COMBINED SINGLE IJMrr pi eoddera) ANY AUTO I _—____--__—,--.---__— .11 -- r .__-- jTILOwritt.AUTOS II I �------- ' BODILY INJURY f 9CkEALllF11.AUTP9 i r�Pv.4erson) II riAGE IHIREDAUTOS I BODILY INJURY -�- — NON-OwNEDAUTO3 { (PereoeytlenU = IRillgIRTYA4NAbE I. IPer Baa TY I LL46tLRY FALTOONLX. EAAlOirkg T i 1 ANY AVIV OTHER THAN AC-C-11-.M--_'°-"----•--- I I I I fWTO ONLW, NCIO EXCCSINUMBRELLALIABILITY I —__J'OCCUR CLAIMS MADE � 1 araliskvaaw 6 I $ _ mouCTIBLEI y RCT �.__..---. TION S I WORKERS COMPENSATION-Ala r I X TJ1Ij LA'L ,.!9_21L—_�-------.-'-- ENPLRYERB'LIAWLITY I r- r A �WCT31S3234588 07t07�03 107107144 I�Ea,cH AOcipEeaT.•�,____ ;t—�•�_._.____.__. ANY PROPRIETORIPARTNERIEXECUTIvE • LSFFJtE.A1MEMBER EXCLUDED? I r E l 0161A E-�411h?��IE ,a�Q_-- ^- Ie .B.doerntae rrdH I i 1E� D rEASE-POLJCYIJMIT' II 300,0 OTHER • II DESCRIPTION OF CPW11'7NS reasgreoN'I,u1A,IICL?B I sci_usION$ADDED BY ENDORSEMENT/'PEDAL PROVISIONS 124 PARK AV'E1i%JE PRT:WECT CERTIFICATE HOLDER CANCELLATION. , MONTVILLE BUILDING INSPECTOR ANY OFTHeASOVEDEMMRieseOPOUCI!2SECANCELLED BEFORE THE EXPIRATiOt DATE THRJIYOF.THE IBBUINQ INSURER WILL ENDEAVOR TO AWL 34 DAYS WRITTE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THSLCPT,iGT'PAfLhEE JPO DO SO SHA& I IMPOSE NO OBLIGATION OR LIASIUTI Cif ANY SAWD UPON ME INSURER,-ITS AGENTS 0 REPREBENTATIYEK, i / ...map, __ AUTHQG)Z.D Reim.. a. F 848.7231 r �.r AV ,v/ yeACOFW • - '10-- 77ON?8 er�ttRn 25(1041tQ$i , Town of Montville Building,Department Receipt Date /4 / 3,d / D 3 No. 0 3 311 From: ..r./4 i'4Wd _ Le !.:_Apf 0/oilJob Address: � 1 / i Amount $-- 47=a-' s' Cas de, Check # t5?6} .Irc c one) Received by /,! �' '' , ,- , /,� r�/'i .ri Permit #11r, 45-.-45,c,,7 1