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2009 - Strip & ReRoof
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: B2009-0535 Date: 25-Nov-09 Map/Lot: 103/023-000 Owner ID: 5559000 Project Location: 29 PODURGIEL LANE Unit: Job Description: Strip&ReRoof Owner Name: Victoria Kapilotis Tenant Name: N/A Careof: 29 Podurgiel Lane Uncasville CT 06382- Telephone: (860)848-3486 Contractor Name: The Siding Store Inc. Telephone: (860)564-7088 DBA: Lic/Reg Type: HIC Lic/Reg No: 525387 408 Norwich Road Exp Date: 30-Nov-09 Plainfield CT 06374- Construction Value Permit Fees Construction Information Building Value: $10,400.00 Building Fee: $88.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $10,400.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $2.29 Total Fee Paid: $90.29 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECT ON RE•UIRED UPON COMPLETION ❑ Insulation D - at- • Approval / I -` ate of Occupancy Building Official's Approval: • '� Town of Montville 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.: 8a( (--OE35 Type of Work Occupancy Type Permit Type ❑ New Construction [v'Single Family ❑friuilding 0 ❑AdditionQ'Two-Family Plumbing ❑Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure 0 Electrical CRS#: Job Address: a9 �CYI'GL,,e.G'ie__.z- x.12 (Number) (Street) (Unit) Job Description: /0 '`TiQ// fie ieD2F1 ,/ Al-7JIU1 /:S lb. FELT- g' ,e_E-,eOD . 626 sau4 Es) Owner: V Cz i4 ')61p/Lo 743' Address: G2-9 ��O d/ City: Glide, Y/LL State: 0� D(3 / G2//// Zip Code: Telephone: 860- v`Y'8 - 34,66, Contractor: T/ii (.1)Q/j/tJ& (L 'T Y- , TNC. DBA: 41°46 / / Address: 49 /j/(', U)/t . ` /" City: /thState: CT 446. 71 QQ// Zip Code: Telephone:UIP -"�7v1/- 72v8 License Type: //'- License No.: 5ai 387 Expiration Date: /1'3D- 624Y 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 requirem7 in chap rs 33 through 42 of the Residential Code. 64 , Owner/Agent Signature* Date: Vali/An Construction Value Permit Fees Building Value: 4 B, 000. �� Building Fee: 9e.a9 Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: 'r 8010 Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: �/ Total Fee: 4 "lD. 9 gcvised December 31,2005 Town of Montville Building Department File Receipt Date: 24-Nov-09 Receipt No: 5095 Received From: The Siding Store Job Address: 29 Podurgiel Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $90.29 Check: $2.29 Check No: 54887 Short/Over: $0.00 Construction Value: $10,400.00 Demolition Value: $0.00 Received By Carmen Kneeland 06/1$11Q • Address: 29 Podurgiel Road ITEM QTY 8/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ - Basement,Finished - SF $ 22.96 $ - $ - Basement,Unfinished SF $ 12.40 $ - $ - Crawl Sapce - SF $ 9.30 $ - Interior Renovations - SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ - Basement SF $ 12.41 $ - $ - $ - Crawt Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen 0 EA $ - $ - $ - Full Bathroom 0 EA $ - $ - Half-Bathroom 0 EA $ - $ - GARAGE Attached 0 SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ - Carport - SF $ 19.89 $ - MECHANICAL Warm-Air Y/N $ - Hot Water n- Y/N S - Electric n- Y/N $ - Air Conditioning n- Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new -Amps $ - Underground,new 0 Amps $ - Subpanel EA $ 599.50 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/1fireplace - 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 $ 43.07 $ - Porch - SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 21,373.44 $ - $ - Above Ground Round - EA $ 5,099.46 $ - $ - Above Ground Oval EA $ 6.019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - InOatable Type Pool - EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Step 8 reroof 2600 SF $ 4.00 $ 10,400.00 Roof Sheathing SF $ 1.31 $ - Siding SF $ 5.50 $ - Windows EA $ 500.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 10,400.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 10,400.00 $ 88.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 2.29 TOTALS $ 10,400.00 $ 90.29 Figures are based on the 2006 RS Means Residential Cost Data 'r: r }:i:.�•. -r;w•+:EYt-.^..'.ice-' Y.." • V .1r 1-• -•-• -•.•• •1' •[r ....-s,..- •,, y „OA,: A4 h ''ii' �1'�y ;'`Irti{':'" lr` : :;r: '. .r 'V':.r .lr •lr: �.r 'r. r , � ♦� r.. A t'{r :4. r" :."I ji N . ~ dl 4 •x {"S" PryN cR 1 . s . y? '' 1R•:•1••• /. M1m1r $ y ..\ Ci\. 13L ` rx ; , . . h • .. i TE OF CON t`TICUT ♦ DEPARTMENT OF CONSUMER PROTECTION Be it known that ,. . SIDING STORE INC (THE) #N, 1' ;* 4Q81'�TQR✓' H ROAD -5r; 374 a ��,, l i �p « $asar ' e ll : � ir ection as a registered '” 44 -, = SPR 0` -ONTRACTOR Reg 7 • �QANSTL7uiT :-TEI � 4/-- - +e2 ' $'�ea " r Jerry Farrell Jr.,Commissioner n.... w• y ....j..:, ti. ..r y. s ? \ t.\'...!'S ..,•rfl it.,;; 5 ✓--'A vir,\ - e''� % ; '. .' ...'•> _-.,. ~. .•(.. .,;a�v• is}' t '•'v'k.;: •..i .r •.yr y\.... i !v.tS ti+.• t�'�.. ! w-. �•,• •/ \ i, i- •-:`T'4 :.yam-vim /K• , ...m ,.' /1�'G y'C'%1\''y‘7•••:"--4,...7."--•s :'• r�yy• "vwtti�•'` ")414'.....4.l}nkv J�-+31�k 1�y `�l� �,1�` ; J1y1� %...,..':--. ".---t-,:.•:-...;''-•-.��: -__ .. . __-. /f\ -. _ %1\ __ ..... /J\_..—__/ a /I\ ...,1,..,,:•‘ A,.•=•_---4,-"*'_-/1. 4 . ASPNFAX 8/12/2009 8 : 38 AM PAGE 76/123 Fax Server Cert ID 5226 ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDIYVYY) 8/12/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Byrnes Agency, Inc. - Dayville ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 394 Lake Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dayville CT 06241-0739 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (860) 774-8549 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NGM Insurance Company 14788 The Siding Store INSURER B: Zurich—American Insurance Pool 408 Norwich Rd INSURER C: Hartford Casualty 29424 Plainfield CT 06374 INSURER D: INSURER E. COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION I TR wan TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD1YYI DATE fMMlf fl/YYI LIMITS GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 C AMAGE TO RED X COMMERCIAL GENERAL LIABILITY 02SBATT3984 8/3/2009 8/3/2010 PREM SES(Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY_ $ 1,000,000_ GENERAL AGGREGATE $ 2,000,000 GGEEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 _ X I POLICY PRO JFCT LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMfT A ANY AUTO 131056379 4/19/2009 4/19/2010 (Eaacdde, ^$ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Perpereon) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per acddent) GARAGE UABIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ $ _ DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND 0657N491 7/6/2009 7/6/2010 WC ORYUMIT ER EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 11 yes,describe under SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Montville NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 310 Norwich—New London Tpke IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Uncasville CT 06382 AUTHORIZED REPRESENTATIVE ,?. 4.1 ACORD 25(2001/08) ©ACORD CORPORATION 1988 Page Y5o5f1122 • 1 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL a9 /odk/ed/E,C___ LA/. Property Address k.. 7-x.//d EF btiS7-4A L. /5th. ,Z T- ¢ -,ems. Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval El Tax Collector "6,UCQ -___,../,46 ,,z— ///2.. (o 9 Comments: • C. WPCA, Administrative I / \\,- "LI 1 Comments: ❑ WPCA, Operations i Sir.;natura/ date 1 Comments: r J t El7—.4f-e—A/Planning & Zoning t tl Z`�/ O ( yianature/ date ff F Comments: p/ i1 ( --te- ❑ Health Department Signature/date ' Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation 1 Signature/re! dateComments: / - IP Fire Marshal gp,J i' ,r;,', �( —d Signature/ date Comments: �C-��,d 2 ftvisea ugust 5,2005