The URL can be used to link to this page

Home My WebLink AboutStrip and Re-Roof 2004 Town of Montville Building Department Date /0/ A-7 / 0 V Field Inspection Notice Permit # Job Location ) e PP Approved Type of Inspection fPOJF 4;114 Not Approved - Please call for re-inspection when the following corrections have been completed: Lf Buildm fficial Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2004-0288 Date: 08-Jun-04 Map/Lot: 097/037-000 Owner ID 114002 Job Location: 11 PARK ROAD Unit Job Description: Strip&Re-roof Owner: Contractor: Edgar Jr and Donna Prince 'H&S Qualit6y Construction, LLC P.O. Box 288 11 Park Rd Oakdale Ct. 06370- Oakdale CT 06370 Telephone: (860)848-4481 Lic/Reg Type/No. NIC 572300 Exp Date: 30-Nov-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $4,000.00 Building Fee: $22.00 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: $4,000.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.64 Total Fees: $22.64 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 ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS #: 0 V Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test • Building Official's Signature: Town of Montville Building Department Permit # 6 , TeL 310 Norwich-New London Tpke. Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Buildin Permit Trades Permit El Nm Construction 0 Accessory Structure ❑Addition 0 Demofltion ❑�Plum6ing ❑ltechanual [ teration ❑pthe, ❑Electrical Heating _Air Conditioning Job Location G�� rg Job Description/Materials 6/Y\ - t-S 'r15}t;cll ISIb -• fs� cans eer Sh ► -c id where ercir�- _ • n 5�)1 U D far l.�rL►Li f CC�I4-1 Owner cA t- bnrw Pr' ;ncc Mailing Address 1 1 3qaA- City - ` atc--tL State C l Zip I)L°3 90 Tel0i&70/ Contractor�"�S � i '�- '` (.0 QST. 1-LC-Mailing Address • O . U x aO Criy , ,c,LI, State ) Zi D� 3�C� p Tel /_'/ y__ :ontractor's License/Registration Type&Number 5 )2 30O —HIL-is Exp. Date 1 ) / 3 6 / �0 view Home Construction Contractors: lave you entered into a contract with a consumer for the proposed new home?0 Yes 0 No hereby certify that the proposed work will conform to the Basic Building Code and all other tate of Connecticut and the Town of Montville and further attest that theproposed to and that I am authand t to make f Mo tvill for ams as adopted n the escriwork is authorized by the owner in permit for such work as described above. wner/Agent Signature .,, Date / D .l Construction Value Fee gilding imbing $ 'yk - $ Z 2.----- chanical $ $ �ctrical $ $ ger $ $ tificate of Occupancy $$ r n Review Fee $ to Education $ `al $ $--o ��_ t --„„„ -< , 4, • ' A 1TE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that II & S QUALITY CONSTRUCTION LLC 56 MEETINGHOUSE LANE OAKDALE,tT 06370 has been certified by the Departm'eot of Cp?stuner Protection as a registered HOME IMPR(Wg1W NT CONTRACTOR Registtation, -# A7230 of I Y.PANs ffective: 12/01/2003 xpires: 11/30 tiii0;0/e• /6115"41, 2004 Edwin R. Rodriguez,Commissioner • ;•„.• '••• ACORD., CERTIFICATE OF LIABILITY INSURANCE I 08//04/2003 PRODUCER (860)848-2201 FAX (860)848-2207 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Curtin Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I 620 Route #32, Box 387 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Uncasville, CT 06382-0387 I INSURERS AFFORDING COVERAGE NAIC# INsJRED H&S Quait Construction LLC _ - - — NSUPERA -- .T_T____._. _—"_______--___-- — Y General Casualty_ 56 Meeting House Lane , lHSURER6 --- - t - Oakdale, CT 06370 1INSURER C I ilFUREP C' iNSLPER E------ COVERAGES _THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIt ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCI POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IMSR JIDDA TYPE OF�NSURAfJGE---- POLICY NUMBER - POLICY EFFECTIVE i POLICY EXPIRATION'------ -----.'_--LIMITS LTR)NM - DATE IMMWDDrYI _PATE IMI O YYY i GENERAL LIABILITY ! CCX036S 761 06/30/2003 06/30/2004 EACH CCCURRENCE S 300,00( :LommERa -E'.'Ei.4i LIA$LI7'i DAMA3E TO RENTS^ E 5000( I PREM'SES(Fe oct:xarx-tai _. .._.._._..,..- ' C_.WMS MADE I X-1 (rt:JR I MED EXP!Any.)no person) $ 5 00( H ' A !---; PERSONAL&ADV RdJJRY ; 00 ,001 j GENERA!AGGREGATE 4 600,0(K GEM.AG=UECATE LIMIT APPLIES PER^ PROOQ.LTS•COMP/OPAGG S 600,00( - AUTDMOBILE LABILITY it_nCOMBINED SINGLE LIMIT ANY ALTO i (E3 accident) $ I i. -i!-- ALL JWtiEDAUTOS k L--- I LLY IN.;-IRY $ SC!-EDULED AUTOS j (Per r c Y..n) i 4RED AUTOS j I EODIL INJURY ' '�! NON-00iT'ED AUTOS (Per accident) $ PRCPERTY DAMAGE - _� (Pyr ac dent! i I GARAGE LIABILITY ' AUTO ONLY-EA ACCIDENT S i I ANY A_ OTHER THAI EA ACC $ i— ALTO ONLY A3G $ ! 1.- I EXCESSIUMSRELLA LIABILITY EACH OCCURRENCE i CCL:LP iLL.,MS MADE ( AGGREGATE T ' _ 1$ I I DE^D_CTIET.c i I Ht itNTI'JN T { , $ WORKERS COMPENSATION AND i CWC036576106/30/2003 03/30/2004 -oic.aT0- j ._- Ea. __ EMPLOYERS'LIABILITY E L EACH ACCIDENT $ 100,00C A I ANY PROPR!ET)FJPANTNEFYFYE.LUT:vE : OFFICER/MEMBER EY.CLLDE E I. DISEASE-EA EMPLOYEE $ 100,00( SF'El^lAl PROV!SI 0145 GelfAsi ___ __ -_ _ E L D..SEASE-POLICY LIIFT t 500,00( I OTHER If i � I L DESCRIrION OF OPERATIONS I LOCATIONS I VEHIC'ES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL,MPOSE NO OBLIGATION OR L!ABILIT, OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �/0 '��/^'*'r -- Carl os Coot1GT a//4^"^ "IIL++ ACORD 25(2001/08) FAX: 848-4481 ACORD CORPORATION FROM : CURT I N INSURANCE AGENCY FAX NO. : 86084P. 7,07 Jun. 02 2004 OS:46AM P1 A ORD. CERTIFICATE OF LIA13ILITY INSURANCE 06/02/2004 PRODUCER (8.60)84$-2201 FAX (860)848-2207 THIS CERTIFICATES ISSUED AS A MATTER OF 1NFORMATION Curtin Insurance Agency, Inc, ONL`f AND CC4WERS 4473 RIG4-43S UPOR THE:CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 620 Route #32, Sox 387 ALTER THE COVERAGE AFFORDED BYTHE POL CES 6ELOW. Uncasville, CT 06382-0387 /NSURERS AFFORDING COVERAGE 1 NAIC# INSURES H&5 Quality Construction LLC. 'MSUR;c Ceneral Casual ty 56 Meeting House Lane H LJRFKa Oakdale, CT 06339 INSURER C' INSURER D. 'I L.------ wsuRER E 1 $OVERAGES T'-E POLJC_IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT WITHUTAND1N- ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'MTH RESPEC7 TO 1 H,ICH THIS CERTIFICATE MAYBE ISSUED OR 'MAY PERT 1N,THE'rt4S'URANCi_AFFORDED SY THE POLICES DESCRIBED HEREIN IS 5U'JECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR. sD�" TYPE OFINSURANCE Pt7CCCY EFF€�' 'E POL,L^r EXP lR47�lnN POLICY a_ L,,,r 'NV ly,r4inni v). Lfferre ST¢ II GENERAL L1A6tLITY I CCX0363761• 06/30/2 3 05f 30/ZOIZ,4 Exc.w,cr..:UPAEa,rC I S 300,000 Y x COMMERCIAL GENERAL LIABILITY DAMFMAISFAGE TO(FaRENTED I g 50,00 PRS MED EXP!Anone person) $ CLAIMS MADE U OCCUR F y 5,000 A IIII PERsokAL&ADV INJURY $ 300,000 1 1 GENERAL AGGREGATE r8 600,006 GV:a.AGGR�6atE LIMT,BRPLIES PER:I 111 `PRODUCTS-COMPIOP AGG I$ 600,000 ao'_;GY ;IT,: �� Loc '.i 1 111 111 AUTompf(II F LL*BIJJTY I I COMBINED SINGLE LIMIT $ Xs 2CC Pre! ANY A;TO ALL OWNED AUTOS I j BODILY INJURY 0%,parson) $ SCHEDULED AUTOS HIRED AUTOS BGOI'LY INJURY (Perace:i.ent) $ HON-OWNED AUTOS - l PROPERTY DAMAGE $ $ (Per nxlcent) GARAGE uABILRY AUTO ONLY-EA ACCIDENT 1$ ANY AUTO ` OTHER?HAN EA ACC S T AUTO ONLY: AG0 ;1 EACH OCCURRENCE $ EXCSSSJUdAP- ELLA 4 LL JL)JY (I r�OCCUR r CLAIMS MADE I ! AGCREI5A7E 5 1 1 1 DEDUCTIBLE f - $ lRETENTION S ` $ CWC0365761' Cf6/30/2003 06/30/2004 ` 1 OR STATU-! �oTH- IVORKERS coMPENSATION AND � i TnRY I!MRs� I ER ( EMPLOYERS'LIAB7LTIY E.L.E;:.t-t ACIJAEt1T 8100.-00( ANY PROPRIETOR/PARTNEPJEXECUTIVE I I OFFICERVEMBER EXCLUDED? E.1.DISEASE-EA EMPLOYED$ 100,001 1,..,.,.:„deeeRCV im �� .I DOLIGI'LIMN S 500,001 SPECIFL PROVISIONS t,etow i E.L.DISEASE- OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Iob Site: 171C Kitemaug Road, Interior Renovations /9/ ? 167-F4/#" 1/ PAS Av ,CERTIFICATE HOLDER ANCE . :. •N —. s ,QULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Town of Montville 71t? BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 310 Route #32 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE Carlos Cook/G1 �'`""' ' I.ACORD 25(2001108) FAX: (860)848-7231 TdIbtORD CbRPORP7i1'JN 1V,