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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 / afr-t Job Location ii? Job Description/Materials ...dr is/ / .,_`-c C j2.,,,/y1 w• , - ' d, /s-- • ' 36 • Fs 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 ot) iYr m.vswxta ,,,ex,,,,;» ::::e , f '. r-... .± wt r3A d ...t 'v ^E� f ..Dn� % :.:.A� v11::1,1z. . ,-1 .011,1,701,..,4...,,41...A..7.....::_::...4.xe � � , nt 1" '-':.k:-.-:- ..:o , •,, „, ., ,.:, w ..,.....-aa. .: ,t ,' A�� ••, ,-i,.-„„ � 09i90 PRODUCER ?:.. 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 I D �t�j���•'�?:.a�Q'a'•i.. .7' "'.�. ••°�, `"' h • .�.;�.�'^• ;�arY e<;;•:..�,�+�;,.y,.,..�<±.±'\:ecp;::.•+,x� ,e::r':.=eo_y;::-av: ;:x;±::•:'•!s:., o K �:ix,.:k•R r.:gi :r..� -...:..,..:stn,..,.,.;.G, �.t�` 5,�� y8 .•.K. �� \•<..��a..,.....,. �,•?„•.�;CY�9.7 '�-'ta..<.; :,1.•.,�,r:; ... .. ....: ... .•.ic\, ±.,... ::,:-±+��:..�.� :.�"i.OS.?,3�'.:,.•�,;..2:r!C�c:'�.'w�.,�:±'�`,:�$ \�ni3M� ,"remit••`. 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 • 111:7'17:7'1 U \I ('1' ('O\.S1 111k t't!l1Y'li(•/W V' ' 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 I f "X' fAail•S'� OF ANY KIND UPON THE COMP• iJ/ S :__ .- TOR REPRESENTATIVES. -tf atj : ; AUTHORIZED REPRESENTATIVE - SIGNED7. F FBernadette ` 1 f A — -_ia. _ ,_-____ Exl rc.�M >Z>sibi:?Fa:......:x>•rst.,.•%r.':.,�,<%c;::»Szo:::. ,. •>::..: ,-{r.t. "3i1.1{Sl:.