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HomeMy WebLinkAboutStrip and Re-Roof 2012 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: B2012-0246 Date: 20-Jun-12 Map/Lot: 103/008-000 Owner ID: 5569000 Project Location: 48 PODURGIEL LANE Unit: Job Description: Strip&ReRoof Sunroom- RePoint Chimney Owner Nam Therese L Dunn Tenant Name N/A Careof: 48 Podurgiel Lane Uncasville CT 06382- Telephone: (860)848-8821 Contractor Nam William Stammel Telephone: (860)230-6217 DBA: United We Stand Uc/Reg Type HIC Lic/Reg No 615687 491 Valley View Road _._. .__ Exp Date: 30-Nov-12 Sterling__ ___________ CT 06377-.____..__ Construction Value Permit Fees Construction Information Building Value: $3,000.00 Building Fee: $36.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $000 Construction Type IRC Total Value: $3,000.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.78 Total Fee Paid: $36.78 It shall be the owners repsonsibiliiy 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certificate of ',proval ❑ -- ic. _ .f 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.: elairi —.(90400 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ❑Addition ❑Two-Family ❑ Plumbing ['Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: / �t�n.•n.C-r c '-- c-. ti C (Number) (Street) (Unit) (3 <t E:.)/ -4 Job Description: — , ,, , rue- , , L .r �.�, n.Lrc I C, er 4 .. A 7 y 1-/ ;....cct.. c.et — tip► r'. Pte+ •••• IL E Po T a YJ Owner: C f-1 e- Grp se-)v Address: 7'5 /7v City: G--c • -j v c �- State: L , Zip Code: Telephone( $6 b) a`/r- .. Applicant: 1-1//Cc_/ 4 S"'>—,el /-, r DBA: C/sv ,--e L-./E Address: 6/9/ Lift LLr Y [/r c w ri—n City: State: G i Zip Code: 0 63 - Telephone(P6 O )o�3 o - 6 I Contractors - Complete the Following: License Type: /! r License No.: Expiration Date: t i/3 6/ -t, 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. 4WOwner/Agent Signature: �''—C_// .40 Date: L/! ` /i Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Qevised.August 23,2007 Town of Montville Building Department File Receipt Date: 19-Jun-12 Receipt No: 7515 Received From: William Stammel Job Address: 48 Podurqiel Lane Fees Collected State Educational Training Fee Cash: $36.78 Cash: $0.78 Check/Card $0.00 Check/Card $0.00 Check No: 0 Short/Over: $0.00 Construction Value: $3,000.00 Demolition Value: $0.00 Received By Carmen Kneeland r; y1/1 RV) ��„ n d Address: 48 Podurgiel Lane ITEM QTY S/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/tfireplace 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 $ - $ lnground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ _ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows - EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 3,000.00 TOTALS $ 3,000.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 3,000.00 $ 36.00 Plumbing y $ _ $ Mechanical y $ _ $ Electrical y $ - $ Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.78 TOTALS S 3,000.00 $ 36.78 Figures are based on the 2006 RS Means Residential Cost Data STATE OFCONNECTICUT CTIC UT DEPARTMENTEOF N HOME IMPROVEMENT CONTRACTOR UNITED WE ST ,LLC 491'y Y w RD E IVES EXPIRES LIC./REG NO,, s HIC.0615687 !0112011 ,a£�' - 11/30/2012 ��ou,�, tr �« SIGNED .___, 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. ( � �b 401, c Property Address S T.ti r P c-Cx 3 S Q L. �4 •Z�// �-E Po C-41-r EY-.1 Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval ® Tax Collector 6 / / g I / J..� Signature/date Comments: '‘.)1® Planning & Zoning Signature/date Comments: / .L 2 111 Fire Mars I V' Signature/date Comments: Health Department Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical.Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative I / 1. 111 Required for properties on sewer Signature!date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when proiect includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept of Transportation 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 Review Complete Signature/date viced(ov m r5,2008 6/19/2012 8:38 AM FROM: Gerardi Ins TO: 1-860-848-7231 PAGE: 002 OF 002 l - .a ACORD CERTIFICATE OF LIABILITY INSURANCE 6/19/2012Y) 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 Rita Renaud, CIC NAME: Gerardi Insurance Services Inc P(AIC,No,Ext): (860)928-7771 (FAX AIC,No): (860)928-7199 16 Pomfret St ADDREss rrenaud@gerardiinsurance.com INSURER(S)AFFORDING COVERAGE NAIC t Putnam CT 06260 INsuRERA:Travelers Indemnity Company 25658 INSURED INSURER B.Charter Oak Fire 25615 UNITED WE STAND LLC INSURER C: 491 VALLEY VIEW RD INSURER D: INSURER E: STERLING CT 06377 INSURER F: COVERAGES CERTIFICATE NUMBER:CL124905923 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. INSR ADDL SUER LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MMlDDfYYYY) (MMIDDfYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 XIOMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 A CLAIMS-MADE 1-1 OCCUR I6802122L998IND12 4/10/2012 9/10/2013 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 �GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 -_—X1 POLICY Ti PE, n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accIdent) $ — ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OVMJED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Peracddent) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEI E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED'? Y I N I A (Mandatory in NH) IOUB2125L83512 9/10/2012 9/10/2013 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION (860)848-7231 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Montville ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Dept 310 Norwich New London Tpke AUTHORIZED REPRESENTATIVE Uncasville, CT 06382 William Carpenter/LA �� f ,--:-_,-5....--------,=-.------- --- ACORD 25(2010/05) ®1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD