HomeMy WebLinkAboutStrip and Re-Roof 2006 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: B2006-0364 Date: 01-Aug-06 Map/Lot: 096/127-000 Owner ID: 5346000
Project Location: 176 PARK AVENUE EXTENSION Unit:
Job Description: Strip&Re-roof&cap chimney
Owner Name: Armando G and Erlinda G Valda Tenant Name: N/A
Careof:
176 Park Ave Ext
Uncasville CT 06382- Telephone:
Contractor Name: United Contractors Telephone:
DBA: Lic/Reg Type: HIC
Lic/Reg No: 602638
18 Walden Avnue Exp Date: 30-Nov-06
New London Ct 06320-
„„, ..Construction Value ,_,_ Permit Fees Construction Information
Building Value: $4,512.00 Building Fee: $40.00 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: $4,512.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.72
Total Fee Paid: $40.72
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 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
❑ Insulation d❑ Certificate of Approval
no
Building Official's Approval:
Town of Montville
4,i Building Deirtment
310 Norwich-New LGgdon Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit N .: -&2/4;p__:12/..%2/
Type of Work Occupancy Type Permit Type
❑New Construction ❑Single Family ❑ Building
❑Addition ❑Two-Family ❑ Plumbing
❑Alteration ❑Townhouse ❑Mechanical
0 Accessory Structure cEl Electrical CRS#:
Job Address: /9.6 ?al/ ,/e'*e Px�' / Z'17 c&
N •:-r) (Street) 4 (Unit)
Job Description: •' (004/ (S ([710 ?��� ) 7L (27 1‘. c>171,--e-
f fd4 / ‘ 0 rs %
Owner: (gdO / i i Q t ///A00 •
Address: /2"-6- ?CV/ /9 vC C `x74.
City: l/ _
/�h7CA-Si/li State: C Zip Code: 06,9Z?
l! ,
Telephone:
Contractor: 174a/ C/i lfr,f 1 s •
DBA: K/7i � /eAddress: �.C/ /f��• `��`
City: �(�✓ ,9&/7 �� State: C� Zip Code: c�?t/�/
Telephone: License Type:7I ' / License No.: 6026) 5 Expiration Date: /7— 30-a -
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 the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters •2 of • Re• d= tial Code.
i /
i �� Date: C- / < . 3 ®6 •
Owner/Agent Signature: '� ' �
Constru tion Value eG Pe it Fees ,�
Building Value: O)r mss`b' Z Building Fee: -V45Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: Electrical Fee:
b_=
Total Value: Penalty Fee:
'5(t/� C of 0 Fee:
Plan Review Fee:
State Ed Fee: f 7
Total Fee: lio / /y
`Rrviced(Decem6er 31,2005
Jul 24 , 15 :20 EDT by: DREREGINA ERFE ( 15 : 20) Page 1 of 1
ACORO,, ,• ' ` 'I ' ` :: ..L '11`'' ::: �' : >::::<: >:: : : : ( M/DD/Yl6
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6 CONSUMERS AVE COMPANIES AFFORDING COVERAGE
NORWICH CT 06360-7521 COMPANY
A NATIONAL GRANGE MUTUAL INS CO
INSURED COMPANY
AHMET CILEK DBA B ACADIA INSURANCE
UNITED CONTRACTORS COMPANY
18 WALDEN AVE C
NEW LONDON CT 06320 COMPANY
D
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.
co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UNITS
LTR DATE(MWDD/YY) DATE(MWDWYY)
ri GENERAL LIABILITY MP00 5 7 3 8 5/06/06 5/06/07 GENERAL AGGREGATE $4, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $4, 000, 0 0 0
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $2, 0 0 0,0 0 0_
OWNER'S&CONTRACTOR'S ppmEACH OCCURRENCE s2, 000, 000
FRE DAMAGE(Any Ore fire) $ 500, 000
MED EXP(Any one person) $ 10, 000
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON.OWNED AUTOS (Per accidere)
PROPERTY DAMAGE $
GARAGE UA BLTY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE s _
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM s
B WORKERS COMPENSATIONAND WC060600284800 6/06/06 6/06/07 X TORYUMITS
Tr
EMPLOYERS'Lu&IJTY
EL EACH ACCIDENT $1, 1j00, 000
TME PROPRIETOR/ NTL EL DISEASE-POLICY uMfT $1, 0 0 0, 0 0 0
PARTNERS/EXECUTNE —
OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $1, 0 0 0, 0 0 0
OTTER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
FAX: FAX 848-7231
RE: 176 PARK AVE UNCASVILLE CT 06382
SHOULD ANY OF TIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE
TOWN OF MONTVILLE EXPIRATION DATE TIEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATNE
REGINA ERFE RE D