HomeMy WebLinkAboutStrip and Re-Roof 2003 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Building Permit
Permit Number: B2003-0348 Date: 02-Jul-03 Map/Lot: 092/148-000 Owner ID
115519
Job Location: 53 PENNSYLVANIA AVENUE Unit
Job Description: Strip and reroof
Owner: Contractor:
Geraldine Thomas T.R. Corcoran
679 Shetucket Tpke
P 0 Box 135 Voluntown CT 06384-
Oakdale CT 06370 Telephone: (860)889-3554
Lic/Reg Type/No. HIC 512927 Exp Date: 30-Jan-03
Tenant:
N/A
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $3,900.00 Building Fee: $22.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee:
$0.00 Code: 1995 CABG
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: $3,900.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.62
Total Fees: $22.62
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required);
❑ 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 0 Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
PTown of Montville
Building Department Permit#
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Application for Commercial Building Permit
❑ J(ew Construction 0 Addition AC tion 0 'Utility Structure
['Other
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Job Location ii?
Job Description/Materials ...dr is/
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Owner /
Mailing •Address A,�_ ,.
City aid-JO State CZ_ Zip 04?7 0 Tel /(5)(P-1?/ S7 y3
Contractor IE!Cc- C r c-a IN Mailing Address (o ,S'/'P ir c 4 7 7/z-
City V d/t✓/ pt/'iN State Cr Zip Q 6 3 d y Tel i? 7/ 'S:5 I
Contractor's License/Registration Type &Number S/ .2 ? 5 Exp. Date l/ /3'0 / 43
L h? e %'/e V/2.61\*
I hereby certify that the proposed work will conform to the Basic 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.
Owner/Agent Signature yC2-0-�--� Date 2 /
3 / a3
Construction Value Fee
Building $ g9 co—' $ 'ZZ
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $ O ,4.Z
Total $ 3,76`0 , U 0 $ ZZ.6-
Town of Montville Building Department Receipt
• • ,
Date -2 / 2— / o3 No. 0 2 9 3 0
From: R. e.c-r-00
tCr-
Job Address: _5_5 P-r Abc--(
Amount $ 2-2 . Z._ Cash Check Check #" ?97
(Circic onc)
Received by S Permit #i'Z
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PRODUCER
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THIS ems- - TE 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 POUCIES BELOW.
108 SACHEM STREET COMPANIES AFFORDING COVERAGE
NORWICH CT 06360 COMPANY .
A NATIONAL GRANGE MUTUAL INS CO
INSURED
COMPANY
TIM CORCORAN DBA T R CORCORAN s�
GENERAL CONTRACTOR COMPANY
679 SHETUCKET TPKE c
VOLUNTOWN CT 06384 COMPANY
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIVED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDIT10NS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LI TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE(MM CIFYY) DATE(MM/DD/YY) LIMITS
_CiIWLITY MPI62229 9/12/02 9/12/03ENERAL AGGREGATE S2, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG s2, 000, 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $1, 000, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S1, 000, 000
FIRE DAMAGE(Any one tire) S 200, 000
_ MED EXP(My one person) S 10j000
AUTOMOBILE UABIUTY
—^ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY S
(Per person)
_HIRED AUTOS
NON-OWNED AUTOS BODILY $
(Per accident)dent)
PROPERTY DAMAGE $
GARAGE UABIUTY
AUTO ONLY-EA ACCIDENT S
ANY AUTO
—
OTHER THAN AUTO ONLY:
— __ EACH ACCIDENT S
iI AGGREGATE i$
EXCESS UABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
S
i i WORKERS COMPENSATION AND WCI62229 I 9/12/02 9/12/03 Kfro vuMis 0 _
EMPLOYERS'UABIUTY
I .-
EL EACH ACCIDENT $ 100, 000
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL EL DISEASE-POUCY LIMIT $ 500, 000
OFFICERS ARE: EXCI.
iOTHER — - EL DISEASE-EA EMPLOYEE $ 100, 000
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' HOME 'RO., .A! NT CONTRA OR
TIMOTtPl-R CORCORAN
679 SHETUCKET TPKE ,>: < g6: , <1 : <
VOLUNFOWN,CT Q6384 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
DBA:T R CI?RCORA,S ON CONTRACTING EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
`• 10 DAYS WRITTEN NOTICE TO THE C FICATE HOLDER NAMED TO THE LEFT,
LIC.
I 51229 _.'.. ]2/01 02 :,i •1 /3b/ 803 BUT FAILURE TO MAIL SUCH NOTICE SHAT IMPOSEiO OFIM/GATION OR LIABILITY
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"X' fAail•S'� OF ANY KIND UPON THE COMP• iJ/ S :__ .- TOR REPRESENTATIVES.
-tf atj : ; AUTHORIZED REPRESENTATIVE -
SIGNED7. F FBernadette ` 1 f
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