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HomeMy WebLinkAboutBathroom Shower Replacement Field Inspection Notice Town of Montville Building Department March 21, 2017 2016 Ct Building Code Address: 1 Partridge Hollow Job Description: Replace Bathroom Shower Permit Number(s) P2017-0022 Permit Date: February 28,2017 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Rough Plumbing • 03/21/17 VV Final inspection and certificate of approval • **NOTE**: After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Rev.Date:1/18/06 Page 1 of 1 • TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2017-0022 Date: 28-Feb-17 Map/Lot: 028/005-015 Owner ID: 5358000 Project Location: 1 PARTRIDGE HOLLOW Unit: Job Description: Replace Bathroom Shower Owner Nam Russell Dimarco Tenant Name N/A Careof: 1 Partridge Hollow Oakdale CT _ 06370- Telephone: (860)446-8085 - --- Applicant Name --^- - -- - --------------- Bruning Plumbing Telephone: (860)848-0703 DBA: Lic/Reg Type P1 Lic/Reg N 203634 40 Maple Avenue Ext. Exp Date: 31-Oct-17 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $600.00 Plumbing Fee: $30.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $600.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.16 Total Fee Paid: $30.16 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 ❑d 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 frami ❑ 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 Q Certificate of Approval rii Certific. - of o - pancy Building Official's Approval: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 8E0-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 1 RESIDENTIAL PERMIT APPLICATIONcv FORM Permit No.: 6� 17 — CjoaD- f Type of Work ccu anc T e Permit Type ❑NewConstruction Single Family J Building Addilon Two-Family Q'Plumbing Alteration 0 Townhouse [1]`Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: I Par-hr tell'e, 140ild„J, ()o kc.'(e, 0_1— O to3`70 (Number) (Street) (Unit) Job Description: a rooter ger)(ata— S hours- i^ kt 451 Owner: R(kss + 5k ,rC b,n,t,r,_0 Address: t fa vt-trckece k-to I.. car t3 City: 0 04- cc.Ce State: �l- Zip Code: O0370 Telephone( (<v ) q 4(so _ 'OCs"S Applicant: t .fuh.,,n 'Q Iu.,.w,.l.,s DBA: A Address: �{ � 0 P4 4 Ut l Eu-( City: WIC1.eLsv1l(e- State: Zip Code: Ot - Telephone(MIC ) i 4 k - 0703 Contractors - Complete the Following: License Type: P Lts.4 R.. License No.: 02L?3 e3I el Expiration Date: 1 0(3l(7 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. Q(J 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, I` instead of the electrical requirem is in aptershi-e-4- (0 33 through 42 of the Residential Code. Owner/Agent Signature: Date: 2/27/I 7 Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: &CO. OD Plumbing Fee: 3),DCS Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: _ Cof0Fee: Plan Review Fee: State Ed Fee: !LP Total Fee: 3o ,1 4 Revise&L August 23,2W7 Town of Montville Building Department File Receipt Date: 27-Feb-17 ReceiptNo: 12080 Received From: Scribners Kitchen&Bath Desian Job Address: 1 Partridge Hollow Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: Bldg Check: �0 00 130.16 State Check: 10.16 Bldg Credit: 10.00 State Credit: Fire Cash: 10.00 10.00 Fire Check: 10.00 Construction Value: 1600.00 Fire Credit: 10.00 Demolition Value: 10.00 CheckNo: 11346 Received By: Carmen Kneeland cfANK , Al ck_ d Bruning Plumbing & Heating • 40 Maple Ave, Ext. Uncasville, CT 06382 860-848-0703 -----------TO: Town/fit of No—vi (I� DATE: JOB Name: DtMarc-0— \ &r-ir e.- lloLL), O&c rite, CT 0(o370 tearoom.- t o_o_ S Lookr (Job Description) START DATE: 3 f!n - 17 I Fredrick Bruning give permission to Scribner's Kitchen & Bath Designs (Lori Merlo) to use plumbing license to obtain permits. " .‘ z-1/;" Fred- runing STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING UNLIMITED CONTRACTOR FREDERICK BRUNING 40 MAPLE AVENUE EXT UNCASVILLE,CT 06382-2418 LIC./REG NO. EFFECTIVE EXPIRES PLM.0203634-P1 11/01/2016 10/31/2017 • is SIGNED --- ® A`,,, � CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 12/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Melissa NAME_ Quinn Sumner & Sumner, Inc. PHONE —(860)423-7733I FAX _(AIC.No.Extl: (860)450-7200 757 Main Street E-MAIL m inn@ sumnerandsumner.com (�,No) c ADDRESS: P. 0. Box 187 ---- ----- —__—...---- ----- _ INSURER(S)AFFORDING COVERAGE NAIC# Willimantic CT 06226 INSURER AMain Street America Ins. Co. 129939 INSURED ----- INSURER B Hartford Underwriters Insuranc 130104 BRUNING PLUMBING AND BEATING INSURER C 40 MAPLE AVENUE EXT INSURER D INSURER E UNCASVILLE CT 06382-2418 -- — — -+— INSURER F COVERAGES CERTIFICATE NUMBER:16/17 REVISION NUMBER: I 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. SGBR -- ---- --------._------ LTR TYPE OF INSURANCE INSD WVD• POLICY NUMBER j MIDDY EFF i POLICY EXP 1 (MM/DD/YYYY)1IMM/DD/YYYY)I LIMITS X I COMMERCIAL GENERAL UABIUTY --I 1 i EACH OCCURRENCE _ i$ 500,000 A I I CLAIMS-MADE X I OCCUR I DAMAGE TO RENTED 500,000 _—j MPF6112E .I 12/12/2016 PREMISES(Ea occurrence) $ — i 12/12/2017 I MED EXP(Any one person) '$ 10,000 ,PERSONAL&ADV INJURY I$ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: II GENERAL AGGREGATE j$ 1,000,000 PRO- I I ---.... JECT [—_J LOC OTHER: I ! PRODUCTS-COMP/OP AGG!$ . 1,000,000 X I POLICY I Individual Risk Mod Prem I$ AUTOMOBILE UABILITY 1 COMBINED SINGLE LIMIT I (Ea accident) I$_ 750,000 B I ANY AUTO I I I BODILY INJURY(Per person) I$ ---ALL OWNED I y SCHEDULED 1020EC286727 AUTOS _ AUTOS 10/30/2016 10/30/2017'BODILY INJURY(Per acadent)j$ HIRED AUTOS I NON-OWNED ! L-- AUTOS I I i PROPERTY DAMAGE I$ i I(Per accident) UMBRELLA LIAB OCCUR I I I I Uninsured motorist combined 1$ 500,000 _----1 1 EACH OCCURRENCE $ , EXCESS UAB I I CLAIMS-MADE I I AGGREGATE I$ DED I i RETENTION$ r— WORKERS COMPENSATION I I$ I I AND EMPLOYERS'LIABIUTY Y/N I PER H STATUTE!ER i ANY PROPRIETOR/PARTNER/EXECUTIVE r--, t $ OFFICER/MEMBER EXCLUDED? JJ N(A I E.L.EACH ACCIDENT I — I(Mandatory in NH) H yes,describe under I i E.L.DISEASE-EA EMPLOYE$ i DESCRIPTION OF OPERATIONS below ! E.L.DISEASE-POLICY LIMIT $ I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION lori@scribners.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scribners Kitchen & Bath Design THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 44 Route 32 ACCORDANCE WITH THE POLICY PROVISIONS. Quaker Hill, CT 06375 AUTHORIZED REPRESENTATIVE V Ebersole Jr./VIP2 ✓ .• ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/2n14011 A� SCRIB-1 OP ID:JE 4.........-- CERTIFICATE OF LIABILITY INSURANCE DATE(MMOD/YYYY) 02/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT Judy Kerrigan, Brown&Brown Brown&Brown of CT,Inc. PHONE AX 55 Capital Blvd.,Ste.102 (Arc,No.Ed):860-447-3111 FAX No):860-676-8172 Rocky Hill,CT 06067 aooRless:• jkerrigan@bbhartford.com Brown&Brown of CT Inc. INSURER(S)AFFORDING COVERAGE NAIC* INSURER A:Sentinel Insurance Co. LTD 11000 _ INSURED Scribners Builders,Inc. INSURER B:Hartford Accident&Indemnity 22357 dba Scribners Kitchen&Bath INSURER c:Hartford Casualty Insurance 29424 Design 44 Route 32 Quaker Hill,CT 06375 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR - -- ADDL SUBR POUCY POUCY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD YYYY) (MM DD/YYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X]OCCUR 02SBALX7227 10/24/2016 10/24/2017 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 — MED EXP(Any one person) _ $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO- — JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A (Ea accident) $ 1,000,000 ANY AUTO 02UECRO5620 09/11/2016 09/11/2017 BODILY INJURY(Per person) $ ALL OWNED X— SCHEDULED -- _ AUTOS _ AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE 02SBALX7227 10/24/2016 10/24/2017 _ AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X PER STATUTE OR TH B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 02WECLD5836 10/24/2016 10/24/2017 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job: Dimarco-Location: 1 Partridge Hollow, Oakdale, CT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Montville THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Inspector 310 Norwich-New London Tpk AUTHORIZED REPRESENTATIVE Uncasville,CT 06382 ©1988-2014. ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Towr of Montville Buildirpb Department CONSTRUCTION PERMIT APPROVAL t Qafrc W Ookkc&o , 1 003`70 !N1}t2Co) Property Address B4(4vm P� (au- S t tfC Job Description --- ���- epartment - - ---- Approval Permit Issuance Approval Tax Collector -- � /�f _ j� r 7 Canments: Signature/date Fre Marshal ( 77/ Signature/date Comments: 3 e Planning & Zoning Required for all permits except Signature/date Plumbing, Electrical,Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: WPCA, Administrative L .c.�t t) I?j ,.q.)7/17 41310 Required for properties on sewer Signature/date 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection _ Reviser Marchi23,2015