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HomeMy WebLinkAboutBathroom Remodel - Tub with Shower 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: P2017-0084 Date: 10-Aug-17 Map/Lot: 076/042-000 Owner ID: 3440001 Project Location: 12 LAUREL DRIVE Unit: Job Description: Remodel Bathroom- Replace Tub with Shower Owner Nam Peg&Rosario Attinello Tenant Name N/A Careof: 12 Laurel Drive Oakdale CT 06370- Telephone: (860)848-7598 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- 1 Construction Value Permit Fees Construction Information I. Building Value: $0.00 Building Fee: $0.00 Use Group: IRC F. Plumbing Value: $1,000.00 Plumbing Fee: $30.00 Code: 2016 State Building Code Z Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC ( Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R5 E' C of 0 Fee: $0.00 Comment I Plan Review Fe $0.00 State Ed Fee: $0.26 { Total Fee Paid: $30.26 I 1 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: s 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: Q ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certi' ate of Approval il certificate of Occupancy "--sy- Building Official's Approval: Al _ � Building Department 0-7(4/0&b/0OD 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 0 31f'(O,00� Fax. 860-848-723* RE SIDENTIAL PERMIT APPLICATION FORM Permit No.: Q 11 3 Typ a of Work u anc T e Permit Type ❑N e-Ni Construction Single Family Building ❑A<ldion Two-FamilyPlumbing 9 ❑Alteration 0 Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: IL Lawr.✓i pri�e Oakdale, CT 06,376 (Number) (Street) (Unit) Job Description: 1etkeratil - (Ze p ack b 4us Go i+e S Itch Aier Owner: Peg -4- Rosa✓i v Awk Address: 12- Lairel tjvi•1e City: Oro'dale. State: (..1 Zip Code: 0(037 0 Telephone( S(' ) - Applicant: 6rlAn, .�o T DBA: A Address: L(7 A 'Write AV, City. tAn e 41,aVi X14 State:(2 Zip Code: V 6 W - Telephone( d - 0103 Contractors - Complete the Following: ��oe' al� L3& ( -Pao-, t4 Zct �E� Goclet License Type: ''LM :_. License No.:02-C ,3g-(t Expiration Date: l013((17 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 To%n 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 permitforsuch work as described above. By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E33012.1 of the Residential Cod instead of the electrical require ents in ters 33 through 422_,of the Residential Code. Owner/Agent Signature: fifit AL4� "U Date: Construction Value Permit Fees Building Value: Building Fee: • 0 Plumbing Value: /00 .0Z Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: . a� Total Fee: 36• mise&August 23,2007 Town of Montville Building Department File Receipt Date: 09-Aua-17 ReceiptNo: 12546 Received From: Scribners Kitchen&Bath Job Address: 12 Laurel Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: 10.00 Bldg Check: X30.26 State Check: 10.26 Bldg Credit: 10.00 State Credit: 10.00 Fire Cash: 10.00 Fire Check: 10.00 Fire Credit: 10.00 Construction Value: 11.000.00 Demolition Value: 10.00 CheckNo: 11916 Received By: Carmen Kneeland 000/14_,C41 rn K-K C9..(1(D Bruning Plumbing & Heating 40 Maple Ave, Ext. Uncasville, CT 06382 860-848-0703 TO: Town/E4 r-of n4-i UR- DATE: tDATE: I/ JOB Name: t -iite.(to- t2 Lawel Dr'i✓e, 0&.0a(Q� 604- .'✓ — Peeacn +4 (A.5, s1iciger (Job Description) START DATE: 55 tc.f I t'7 I Fredrick Bruning give permission to Scribner's Kitchen & Bath Designs (Lori Merlo) to use plumbing license to obtain permits. Fred Bruning 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 SIGNED • ® ACGRE) I CERTI ICATE OF LIABILITY INSURANCE DATE(NNlpD1YYY1) 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 AL✓DmONAL INSURED;the policy(ies)must be endorsed. If SUBROGATION IS WANED, 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(;). PRODUCER CC°N-rAACT Melissa Quinn Sumner & Sumner, Inc. PHONE (860)423-7733 (A/C.No.Eat): !(AK,No)_(860)450-7240 757 Main Street E-MAILD RD :mquinn@sumnerandsumner.com P. O. Box 187 L L INSURERILS)AFFORDING COVERAGE I NAM* ` Willimantic CT 06226 INSURER AMaiII Street America Ins. Co. 129939 INSURED -------- INSURER B Eartford Underwriters Insuranc 1301_____ INSURER C 40 MAPLE AVENUE EXT — —_-_-- INSURER D INSURER E UNCASVILLE CT 06382-2418 -- INSURER F: COVERAGES CERTIFICATc NUMBER:16/17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSLRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREME NT, 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. INS- ppm � I LTR TYPE OF INSURANCE JNso I .J POLICY NUMBER i POLICY EFF POLICY EXP - ----- X I COMMERCIAL GENERAL UA8ILITYDm"r')I(NM/DD/YYYYI I UNITS ' I IEACH OCCURRENCE i 500,000 A I ;CLAIMS-MADE ; X I OCCUR I i DAMAGE TO RENTED S PREMISES(Ea ocw rer>ce) S 500,000 IeF6112E 112/12/2016'12/12/2017 MED EXP(Any one person) 15 10,000 1 1 P�ERSONAL&ADV INJURY IS 500,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1$ 1,000,000 X i POLICY PRO-�� I 1—I1 LOC IPRODUCTS-COMP/OPAGG Is _ 1,000,000 OTHER: !individual Risk Mod Prem 11 5 -._...__. AUTOMOBILE LL4811JTY EOMBIar NNEEDt SINGLE LIMIT jb 750,000 B I ANY AUTO I j ALL OWNED 1 X SCHEDULED I l BODILY INJURY(Per person) $ AUTOS AUTOS °02IJECiB8727 I ----_ HIRED AUTOS NON-OWNED 10/30/2016 10/30/2017 I BODILY INJURY(Per accident) $ AUTOS I j I i PROPERTY DAMAGE I _.-- I i ' I(Per accident) :$ UMBRELLA LAB I OCCUR-- i I j u L4reured motorist combined I$ 500,000 -�EXCESS'JAB -II CLAIMS-MADE I I i I EACH OCCURRENCE I$ QED j RETENTION I ` I AGGREGATE !S r— WORKERS COMPENSATION ) I - f I$ AND EMPLOYERS'Ll.B1UTY I I I PER Zi ANY PROPRIETOR/PARTNER/EXECUTIVE Yr/NI, I I STATUTE LER ' I DTH- OFFICERIMEMBER EXCLUDED? i `N/A I I EL EACH ACCIDENT g �J` I(Mandatory in NH) I I I _ S yes,describe under E.L.DISEASE-EA EMPLOYES DESCRIPTION OF OPERATIONS below I 1 1 1 j EL DISEASE-POLICY LIMIT i$ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION lori@scribne{II1s.us - SHO Scribners Kitchen & Bath Design THE UEXP>RATION ANY OF HE DATE THEREOF, NOTICE ABOVE DESCRIBED IES BE CANCDELED BED IN 44 Route 32 ACCORDANCE WITH THE POLICY PROVISIONS. WILL BE DELIVERED N Quaker Hill, CT 06375 AUTHORIZED REPRESENTATIVE IV Ebersole Jr./VIP2 Votoc, ACORD 25 2014/01 ©1988-2014 ACORD CORPORATION. All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD INS025 Onien11 ___'-..,„1 SCRIB-1 OP ID:JE ACOM' O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/31/2017 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 CONTACT Brown&Brown of CT,Inc. NAME: Judy Kerrigan, Brown&Brown 55 Capital Blvd.,Ste.102 j/ ,"No.ExtI:860-447-3111 rig,No):860-676-8172 Rocky Hill,CT 06067 A o IEss:jkerrigan@bbhartford.com Brown&Brown of CT Inc. INSURERS)AFFORDING COVERAGE NAIC f 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. LTRR TYPE OF INSURANCE ADDL SUBR POUCY EFF POLICY EXP - INSD WVD POLICY NUMBER (MMIDD/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 ac<xrrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY _ $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 POLICY JELOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A ANY AUTO 02UECRO5620 09/11/2016 09/11/2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILYINJURY(Per $ AUTOS _ AUTOS ( accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS UAB CLAIMS-MADE 02SBALX7227 10/24/2016 10/24/2017 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 AWOKERS COMPENSATION ND PER H EMPLOYERS'LIABILITY X STATUTE ER Y/" B ANY PROPRIETOR/PARTNER/EXECUTIVE 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 OPERATIONS PERATIONS below E.L.DISEASE-POLICY UMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Jobsite:Attinello-12 Laurel Drive,Oakdale,CT 06370 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 Town of Montville BuildirKi Department CONSTRUCTION PERMIT APPROVAL A- i 0 ello 1 Z Laurel D i i,!e ) CaLt aie, al 0 (n 3"70 ; Property Address ,(� (fie p taco_ -f1. o l,�{- S Lo — iJ��*rrCcm- ��l.�W��� �t5. J Job Description --Required _red— -Department Permit Issuance Approval Approval - III Tax Collector 9( ///-7i V: Signature/date Canments: E I Fire111 Marshal e,.....AtotAA ____,e.,,6, D /9. f I Signature/date Comments: ❑ 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 OV-0--1 Pec O ckiel - �jG/(7 c_• Required for properties on sewer 1 Signature/date Comments: n 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.fL 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 .___ - Revised Mmrh23,2015 SCRIBNER'S KTICHEN AND BATH DESIGN 44 Rte.32 Cludcer HE,CT 06375 4447144 4rAn(ltrY15 ....., a-A, if iirw ' '3'S' oau( ,1 h , \ © is 1 0 II 1 ...._ I 1 INV AINIANIIIERINVIIIII hill.1.!1-1-\t. AQ 1)(1--U 4 (4tycli\civu 4e . .. - ... ..,,. .l‘/ (i)etw :., 1