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HomeMy WebLinkAboutStrip and Re-Roof 2016 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: 82016-0412 Date: 20-Oct-16 Map/Lot: 103/003-000 Owner ID: 5558000 Project Location: 24 PODURGIEL LANE Unit: Job Description: Strip&ReRoof Owner Nam Michelle M and Stephen M Ahlcrona Tenant Name N/A Careof: 24 Podurgiel Ln Uncasville ._.CT 06382- Telephone: (860)917-3305 Applicant Name THD At-Home Services Telephone: (401)447-7172 DBA: Lic/Reg Type HIC Lic/Reg N 565522 908 Boston Tpke Exp Date: 30-Nov-16 Shrewsbury MA 01545- Construction Value Permit Fees Construction Information Building Value: $L800.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,800.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.47 Total Fee Paid: $30.47 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation a Certific• - of Ap. •val ertificate . •cc .- cy Building Official's Approval: / _ � • ddb �Ob Town of Montville �1 Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: "o°"liP T e of Work Occupancy Type Permit Type New Construction la Single Family Q'Building Addition 0 Two-Family 0 Plumbing Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 2'4 PP9ur3 e t l.n (Number) (Street) i- (Unit) Job Description: ship k rem (4 ) st . erSaha1 SYIIr�e$' No -5+ crfural c kct i Owner: 94' "eueAhII[( Cbfa Z` L Address: f- 4cjur t e( City: UncasVl((2 U State: CT Zip Code: 053$2 Telephone( g6O) cf 7 - 3 3b'C Applicant: I> A4- - HO(fle $ r nCe!' DBA: y., ",, Address: Q DDIS �c,s z rn 'yoke, City. Shrewsbury State: MA Zip Code: DtS'+S Telephone('+fit ) 447- -7177 Contractors - Complete the Following:WC- J65' License Type: � License No.: /mac 22 Expiration Date: (30/16P 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. ❑ 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, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: c Date: 1413 6 Construction_ Value Permit Fees Building Value: 7—r�� t k(O Building Fee: )-C:J Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: CofOFee: Plan Review Fee: State Ed Fee: . Total Fee: :30-y'7 Revised August 23,2W7 Town of Montville Building Department File Receipt Date: 13-Ort-16 ReceiptNo: 11744 Received From: Permit Services LLC Job Address: 24 Podurgiel Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $30.47 State Check: $0.47 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Con,ruction Value: $1.800 00 �e , ... $0.00 CheckNo: 18468 Received By: Vernon D Vesey II �� Address: 24 Podurgiel ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Detached - SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces - EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert - EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch - SF $ 149.38 $ - Sunroom - SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - ?r Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS 0 3 w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - ..: RENOVATIONS Roofing,Overlay SF $ 3.50 $ - ' Roofing,Strip&reroof 400 SF $ 4.50 $ 1,800.00 Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - g` Windows EA $ 550.00 $ - Skylights - EA $ 1,051.10 $ - Doors,Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - t; MISCELLANEOUS CALCULATIONS 1j TOTALS $ 1,800.00 $ - $ - $ - t PERMIT FEE CALCULATIONS t' Construction Value Fee Building $ 1,800.00 $ 30.00 t Plumbing y $ $ - Mechanical y $ $ - Electrical y $ $ - t Working before Permit Issuance $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ _ State Education Fee $ 0.47 TOTALS $ 1,800.00 $ 30.47 Figures are based on the 2006 RS Means Residential Cost Data >` 2 T) € PSR _. etf_ .ti - 4_iF k_ (I) N .Si- \IE. R PR0IEC.' r 1 _j li+ =ti:-T ♦V I•• J. e l r,,,, e : t _71d t-5r R 1 Y- i2.. i'll.i.s r 7 s;:ra rz is 4:ii.aa ) ...J 3 z. rtrnent C Cs n.,-;-,;mer P' _c` sin must be ns-,eitied .,. any - .:9=;e5 ..L, tt :ir re acw Nit_;.. ti r'_y (30)days ui such change. Qt.estions regarding this registration i:aan be directed to the License S'r-,-ices Divisi«3n at!`,360)-13-6000 or email d zpjiceaseservlces_c.t.vt_v. Visit f!ur web site at virt.,-,v.ct.go...des to verify regIsi ations, dw=4:n oad applications and ib_booklet for The Connecticut Contractor for Horne Improvement and New Horne Construction. STATE. OF CONNECTICUT DEPARTMENT OF C© S1'fER PROTECTION i-i•..JN1 r. i; il'ilOv-EiNIENT CON TRR C•"1'0 rt THE) AT-HOME SERVICES INC .XT-?-iON(E SERVICES INC Ct-M =:RL A\D OF FILE PARK C.I.NIBERLAND OFFICE PARK - :6'4i)C--t_NIB S"1L NT) K' AY,S. E 300 26 0 CUMBERLANO P.ARK\GA81,S mi.3(.141 - AAT L.A`i T A:.GA 30339 ATLANTA,GA 30339 i:I.:7-:_; ?'E DEPO INSTALLED SALES ---7. -,, F - 1 - i q ; t -.x`W C-^;'- :7777::-.77,77W:77 ...r.+ „ `.V�~`. `S L 'l Y .. firv .sill- S ,� , _ _0" S .— r� --y -- i t T a _ fi $ - ..7 A 1 E. _i_ ',." x -,\E ; is _T * , t �S- 3 - . T - _". - . - . : . C>_ ;SMB RT AND OFFICE PARK 91s Ci IBE LAND PARKWAY. l`=_ i 1 E 33 �.q . L NT A, GA30339 .i,: : HOME IMPR �� E ylENT CONT CTOR , : f . THE HOME DEPOT IN STALLED SALES - -----t ' 'i It Expiration: 11/30/2016 '4$1_ - - ..1:�� r.2D^w,s. d.4k.._.--->....„..-=b`+.i�\—:... ...yea +�,-21.-.... �'w.-..--��� .--...ff�o, `6...,.s- --t+-- -- ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)32.8i201E 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). CONTACT PRODUCER NAME: MARSH USA,INC. PHONE FAX FAX TWO ALLIANCE CENTER INC.No.Extl: (A/C.No): 3560 LENOX ROAD,SUITE 2400 E-MAIL ADDRESS: ATLANTA,GA 30326 INSURER(S)AFFORDING COVERAGE 1 NAIL M 100492-HomeD-GAW'-16-17 _INSURER A:Steadfast Insurance Company 26387 INSURED INSURER B:Lunch American Insurance Co 116535 THD AT-HOME SERVICES,INC. New Hampshire Ins Co ,23841 DBA THE HOME DEPOT AT-HOME SERVICES INSURER C: P 2690 CUMBERLAND PARKWAY,SUITE 300 INSURER D:Illinois National Insurance Company '23817 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003746646-14 REVISION NUMBER:3 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. /NSR TADDL,,SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD'WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) A I X COMMERCIAL GENERAL LIABILITY GL04887714-06 03/01/2016 03/01/2017 EACH OCCURRENCE $ 9,000,000 DAMAGE TO RENTED 1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ LIMITS OF POLICY XSMED EXP(Any one person) $ EXCLUDED OF SIR:$1M PER OCC PERSONAL&ADV INJURY _$ 9,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 9,000.000 X POLICY JECTPRO PRODUCTS-COMP/OP AGG $ 9,000,000 PRO- LOC OTHER: i $ 3 AUTOMOBILE UABIUTY BAP 2938863-13 03/01/2016 03/01/2017 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) S — ALL OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accident) $ AUTOS — AUTOS PROPERTY DAMAGE NON-OWNEDPROPERTY accident) $ HIRED AUTOS _ AUTOS $ UMBRELLA LIAB — OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED � I $ I 1 I RETENTION$ PER OTH- C WORKERS COMPENSATION WC015519215(AOS) 03/01/2016 03/01/2017 x STATUTE I ER AND EMPLOYERS'LIABILITY WC015519217 AK,KY,NH,NJ,VT) 03/01/2016 03/01/2017 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ( E.L.EACH ACCIDENT S D OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) WC015519216(FL) 03/0112016 03/01/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000.000 If yes,describe under Conitnued on Additional Pagei E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION THD AT-HOME SERVICES,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DBA THE HOME DEPOT AT-HOME SERVICES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2455 PACES FERRY ROAD ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �(ovt.00►� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Z t-4- 909 a rid l_,r\ Prdderty Address sin'p -t- c - t'b (4-) sq. asph (4 si thifiks Job Description Required Department Permit Issuance Approval Approval Tax Collector ./' /0/77/(p Signature Comments: Fire Marshal t Oik 1 L Signature/date Comments:I b- l� G� ari PDk ❑ 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 LiI�L,Q j��lYl tb1134 Required for properties on sewer p 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: ❑ 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 *vire et March 23,2015