HomeMy WebLinkAboutStrip and Re-Roof 2002 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ex.t 82
Building Permit
Permit Number: B2002-219 mm Permit Date: 06-May-02 Permit Code R4
Job Location: 145 PARK AVENUE EXTENSION UNIT: MAP/LOT: 096/014-000
Job Description: strip&re-roof
Owner Contractor
FRANCIS J JR+JUDITH KIRCHNER NorthEast Home Improvement
P.O. Box 276
145 PARK AVE EXT Unit: Jewett City,Ct.06351
UNCASVILLE CT 06382 Telephone:
Lic/Reg Type: HIC
Use Group R4
Lic/Reg Number: 553370
Code 1995 CABO
Exp Date: 11/30/02
Construction Type 5B
Construction Values Permit Fees
Building Value: $4,000.00 Building Fee: $22.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $4,000.00 C/O Fee: $10.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $0.64
Total Fees: $32.64
it is the owners responsibility to schedule the following required inspections(minimum 48 hours notice reauested):
❑ 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
❑ Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test In Final Inspection
❑ Gas Piping and Pressure Test ertific. - f Occ p., y-Prior to use or occupancy
Building Official's Signature: Ae
FROM :NORTHEAST HOME I MPROI.!EME FAX NO. :86037.63661 , 0 Apr. 30 2002 08:30AM P1
,.,.+ .;v „1 .... W) r.i_� )- 1)
Town of Montville Permit 000‘10_2,-_R
Building Department
3 I 0 Norwich-New London'Tice.
'lel. 848-7166 UncasviBe, CT 06382 Fax 848-I237.
Application tor Buifrd'ing or Trude~s Permit
Buil— d1g Trades Perutit
0.New Coastr:u.tu,n [ Accessary Structurei
t,�r1I'R(JiTi8 � tlLFte2fl2C�
(l,44drion (]a]erour ttort �-i�trYti[ g(eazetito
1 1 Alteration ,Diener_ ,Lc.�y,...cx.r _ --
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Job Locution
-----__ ._. .
.Job Desc:rtpiion/Materials r _ .,
Owner X15e_J-ipiE4.7 6:4A•24-_ .t y Mailing Adcfre's 1 96".PAR le_ 4._vt_,. ..:-.A27.' . _
._ ..._ .. ----
city ra.AaCi4s.Y_j�1. _-- / --Start c-r nip 0ta3 1-et d'6¢ f 5f9cf / d '070....
Contn ctor N0 thi Hn Mailing Address
34 Ma n Street 4 r Inc. __._....-_ -
City_________ P0,a0X 5txte------ zip Tel r - �._.._.. ...._ _._..
Contractor's Li ' lrtSgstier . ... ' '`'.S`$3 3 70.- .....--- ---i<:xp. Clare—_.!- /
New Hume Consitruction Coutrectors;
Have you entered into a contract with a consumer for the propose i new erome7 0 YeS EL.-;r N u
I hereby certify that the proposd work will conform to the Basic J uilding Code arid all other codes as adopted by tlx:
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owna ui
fee and that I am authorized to make application for a pernin for such work as described above.
Owner/Agent Signature �` 0.-e---
...
r Date , / -� /
L",
Construction Value Fev
Building ✓ $ t7,/C�- r -.�
Plumtrartg $ 3_,.
_..
McchaaiwaJ
Electrical
- .,.,. $.____--._-_._... .. . ....--_..
Other $ $
Certificate of Occupancy - _ .- ___ �. _..--•-- __--
Plan Review Fee i •. l ---•— .
Staid'.lducatson S e" 6
Total $_,__ 467vc.— __.
•
,
ACORDB • . . • ,,g-. . = DATL tutNnorrel
• 0.4.,.-E OF- !AILITY iNSILIJIttie - ---- --
PRODUCER ,THIS CERTIFICATE IS ISSUED AS A MA ER OF INFORMA-ON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
BYRNES AGENCY INC HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
108 SACHEM STREET 1
COMPANIES AFFORDING COVERAGE
NORWICH CT C634--.0 CDAU,2„Ny
A CGU _
INSURED ;-- ---7
COmPANy
NORTHEAST HOME IMPROVEMENT INC B
PO BOX 276 COM=ANy
34 MA:N ST I C
-----
JEWETT CITY CT 06351 COMPANY
I 0
"C1MMV0--4ES'''- ' ,-- -- :-.:Hr ;1L:;):: '''..;" -,"..::-- H'r. :::-...... ; -Y7.-k:-:..'' . . :7. .;.10XS. ;. 4ki,tk4 . 4', nr
THIS 'S TO CERTIFY THAT THE POLICIES OF iNSuRANCE LISTED BELOW HAVE BEEN ISSUED TO'1-IE INSURED NAMED ABOVE FOR THE POLICY PERIOD
!NOCAT=0. NOTwiTHSTAND(NO ANy7-1EauiREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERT...CATE MAY BE ISSUED OP MAY PEPTAiN. THE iNSuRANCE AFPORDED BY THE POLICIES DESCRIBED HEREIN •S SUBJECT TO Au_THE TERMS.
EXCLUSIONS AND corvoi riONS OF SUCH DOI:CIES LIMITS SHOWN MAY (AVE- BEEN REDUCED BY PAID r..-,LAtMS.
I
co '
.POucY EPPECTWE !Mier EXPRATION
TYPE OF INSURANCE POUCT NuMBER LIMITS
LTR , DATE(Mamoorfr DATE(MM/DDITY)
i
A GENERAL LIAsiuTy QBR6313 53 ; 5/11, 0 1 5/11 02 GENERAL AGGREGATE 1 32, 0 0 0, 0 0 0
1)71COMmERCIAL GENERAL iM911tri
I PP.00UCTS•COmpouP AGO s2, C00, 000
, • ,CLAIMS MADE IX 'OCCUR. I peRsoNAL.3,*CIV INJURY I sl, 000, 000
_
I 4.
OwNER'S A CONTRACTOR'S PROTI
EACH OCOurRENCE :51, 000, 000
I
I I
17-IRE DAMAGE(Any One ens) 3 100, 000
1 1
MEO EXP(A-T one person; S 5, 000
ra_ 1 ALTOLIOTPLE LLAEILITY FBAP4822-i 5711/01 5, 11, 02 ' 300, 000
—
COMBINE°SINGLE LIMIT I s
i ANY ADTO
1. $
RLL C.NNED Aul."1-.
BODILY imiopy
X isc-iEDuLEL AUTOS I(Pe,p000n)
HIRED AUTOS
---, BODILY=NJuRY 5
NOwNED Aul-Os ! 'Mpg accident)
_________
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'PROPERTY DAMAGE I$
I
GARAGE uweluTy I AUTO ONLY-LA ACCIDENT $
1 •- .
1 y:.,11Tr
OTHER THAN AUT°ONLY: - . '
I I
EACH ACCIDENT I S
_ i I I i AGGREGATE
EXCESS LIABIL frY
EACH OCCURRENCE I s
(----1
JI MEIFIELLA CORN' I AGGREGATE
S
L I CTI-IER THAN UMBRELLA FORM
. S
A WORKERS COMPENSATION AND ABH176749 5711/011-737117r)f XToR,U.-----n71 -97 .a 1-51F-1-1-
EMPLOYERS'UABILJTY
_
I I EL EACH ACCIDEArr s 100, 000
i THE PROP0:5Tow 1 NCL i EL DISEASE-pocv i
RTNERS/EXECUTIVE --- Is 5 0 0, 0 00 _
'PA . muow I
OFFIDERs ARE EXCI.
EL— DiSEASE-EA EmPLOYEE 1$ 100, 000
1 OTHER I
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DESCRIPTOR of OPERATIONSfUOCATIONSNEHICLES/SPECiAL ITEMS
FAX 37S-3666
. - - , - -,...'''.6.Attger.AATto14:,:....r.:.-:-.:-, ,,,,,,,,,,t..•:.,,,,-,,,,:::,,,,.:,,,.;,..„..,,,....,i,,:.,,,,,,,,...„„:„.:.:,,,,,,.
. . • • . .-; .: ... :,..—,-,..:::,....,...,,,,,,,,,..:.,,,,,,,,,,,,,,,,,,,:r.:4,,,,,,,:,;:q. .,,,,,,,,,,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE
NORTHEAST HOME IMPROVEMENT INC EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PO BOX 2 76
10 DAYS WRITTEN NOTICE TO THE CENTENO/4E HOLDER NAMED TO THE LEFT.
34 MAIN ST
raUT FAILURE TO MAIL.SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
JEWETT CITY, CT 0635 OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTAIZI , -
Shert. Kina ' SK D
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Town ofTontville Building Departmu ` Receipt
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Date .,6---/ 3 / 00? No. 01692
11
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From:om: J 1 �� ref/ I. �ii. .// �_ �� s �✓
Job Address: �' /� � ' __ J 4210..e
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Amount $ 77. Cash 'heck Check # fi
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Received byor d:..' Permit # ��O p —��'''c