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HomeMy WebLinkAboutStrip and Re-Roof 2013 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 180 Park Avenue Ext. Job Description: Strip & Reroof Permit Number(s) B2013-0445 Permit Date: October 17, 2013 Not Approved <:pprovai INSPECTION Date: Comments Date Final inspection and • certificate of approval 5/20/15 DJ Rev.Date: 1/18/06 Pape 1 d 1 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: B2013-0445 Date: 17-Oct-13 Map/Lot: 096/128-000 Owner ID: 5348000 Project Location: 180 PARK AVENUE EXTENSION Unit: Job Description: Strip&ReRoof Owner Nam Ernest B. Pollard Jr. Tenant Name N/A Careof: 180 Park Avenue Ext. Uncasville CT 06382- Telephone: Applicant Name: Tom Garbati Telephone: (860)443-1232 DBA: Thomas Garbati Builders Lic/Reg Type HIC Lic/Reg No 573138 179 Butlertown Road Exp Date: 30-Nov-13 Waterford CT 06385- Construction Value Permit Fees Construction Information Building Value: $5,850.00 Building Fee: $72.00 Use Group: IRC_ Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: _ $0.00 Electrical Fee: $0.00 Construction Type IRC v_ Total Value: $5,850.00 Penally Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.52 Total Fee Paid: $73.52 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing 111R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation E] Certificate WApproval Ce 'fi . e of Occupancy Building Official's Approval: 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.: lect.3 -� r Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: ( �'u 1 (Number) (Street) (Unit) Job Description: 51-v , p- u c Owner: I'Y\ l Pa ( ( c. ✓ c4 Address: City: State: Zip Code: Telephone( ) Applicant: Uva C, c. ✓k DBA: Address: (1,) I-,) `� 13 :i f 1-7-r\--)^� 1- �--)^ (2--� City: +('cl State: Zip Code: ) Telephone( fir"" 3 -/2 e Contractors - Complete the Following: 1 License Type: License No.: 5-1 3 ( 1 y Expiration Date: I 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. El 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: Date: / 0/ / 1/ / 3 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: 1 cvisee August 23,2007 Town of Montville Building Department File Receipt Date: 16-Oct-13 ReceiptNo: 8890 Received From: Thomas Garbati Job Address: 180 Park Ave Ext Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: Bldg Check: $0.00 $73.52 State Check: $1.52 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $5,850.00 Demolition Value: $0.00 CheckNo: 3023 Received By: Carmen Kneeland NVIMA _jjaid �'l4 Address: 180 Park Ave Ext TOTAL • ITEM QTY $/UNIT 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 $ - Masonry w/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 1300 SF $ 4.50 $ 5,850.00 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 $ 5,850.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,850.00 $ 72.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.52 TOTALS $ 5,850.00 $ 73.52 Figures are based on the 2006 RS Means Residential Cost Data • r`.f'1 � 4r�•0S+y \S¢ {ti o P^.1. ---,sYe � \.J�i,.-;Z\<.:''—•: ,(!\',;ryo'.-t.•.,•�. . µq • 4.V./A- .� ./A-1Y. '.—41*�(� , '"'t,-'':Vi j=',% rt t /.. -i .� �y�,id1 �.�G. Y• "11141e4./: 40%,1,,,'it `Y,i � �' `\,y Vlta ...;'e kAl.",1l X;y ,., v ,a, om.+.-.C.. �t ��., �.f� rJ .'fin.. i',rF t. .. -,2,,'' �G *.... ,0*--. ,•�---A. f-zt - s,• "' ti -- STATE OF CONNECTICUT + I EPARTMENT OF CONSUME' PROTECTION !I < k Be it known that iv _. THOMAS GARBATI BUILDERS LLC ' E4•: 179 BUTLERTOWN RD WATERFOIt.D2- i 06385 'Z Ems , a ''Y q�: . - is certified by the Department of Consumer Protection as a registered $4 ,x T HOME IMPROVEMENT CONTRACTOR Registratica t .0573138 r j5-- Effective: 12/01/2012 � W ;; Expiration: 11/30/2013 . J •" ,- William M.Rubenstein,Commissioner 1�r� 7. r 57`&-, 1' 1tl44� L ., n tii .'V„fr s'1-7 044;4,'� ,,, ` 7'.;,,,- jJ.' G�y 'i '":%:,.-0,t,' . -, E + ) :,, s'�� ,2_ r ,2.,„„. \. J 9 Rey'' ��. v.w. ?'•r i �'N. ...„ - '` • r i _254. � G, vi\ ..�ice. ��.� ..� 'it.,� ./31'�.k ' . , <,,P...,:...-i 'r� � G'��f�,�. -1 :•,__ _ ....� �. _✓'1Y-�.. .4.—::-..',-....4-,...--;N�., .�.:,.la. _ .,..„'14,-.• .+IS, _....4,"4.`-:: 17,,,' I+. <..!.. G+' '�" CERTIFICATE OF LIABILITYDATE(N,�IDD/YYY INSURANCE 7/1/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCH BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to t _certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Byrnes Agency, Inc. — Norwich NAME: Lauren M Smith 6 Consumers Avenue PHONE IA/C,No.Exn; (860) 886-5498 I(A/C,No):(860) 859-507 E-MPJL Norwich CT 06360-7521 ADDRESS: lsmith@byrnesagency.com INSURER(S)AFFORDING COVERAGE NAIC 1 INSURER A:Netherlands 24171 INSURED Thomas Garbati Builders LLC INSURER S:Peerless Indemnity Insurance Com 18333 INSURERC:Ohio Mutual Insurance Company 179 Butler Town Rd INSURER D: Waterford CT 06385 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 11210 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIL INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCE INSR WAD POLICY NUMBER (MMIDDIYY EFF POLICY EXP GENERAL LIABILITY LTR (MMlDD/YYYY) LIMITS EACH OCCURRENCE $ 1,000,0C C I COMMERCIAL GENERAL LIABILITY BP 0016590 4/1/2013 4/1/2014 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 50,0C CLAIMS-MADE I B I OCCUR MED EXP(Any one person) $ 5,0C PERSONAL&ADV INJURY $ 1,000,0C GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 -1 POLICY X PR JEGT LOC AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT B (Ea accident) $ 1,000,00 ANY AUTO BA8636676 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED 3 SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS g NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR $ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY YIN WC8635377 4/1/2013 4/1/2014 B ITORYIIMITSI I FR ANY PROPRIETOR/PARTNER/FCUTIVE WC STATU- OTH- OFFICER/MEMBER EXCLUDED? I yI N/A E.L.EACH ACCIDENT (Mandatory In NH) $ 100,00 if yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 $ $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,ff more space is required) . . . . .. . . ... .. .. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Inforaation Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE c, ti ©1988-2010 ACORD CORPORATION. All rights resew ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Page 1 of 1 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. J O ?cvIC AVC. Eye Property Address - (try c Job Description Required Approval Department Permit Issuance Approval Tax Collector � 31b t L3 Comments: Signature/date Planning & Zoning Comments: Si ature/date Fire Marshal ( Comments: Signature/date �) Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signa e/dat 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: n 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 7(eviserf7tfay 23,2011