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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: B2016-0261 Date: 06-Jul-16 Map/Lot: 103/012-000 Owner ID: 5574000 Project Location: 63 PODURGIEL LANE Unit: Job Description: Strip&ReRoof Owner Nam Scott Pomazon Tenant Name N/A Careof: 63 Podurgiel Ln Uncasville CT 06382- Telephone: (860)848-9017 Applicant Name Timothy Corcoran Telephone: (860)889-3554 DBA: T.R.Corcoran GC Lic/Reg Type HIC Lic/Reg N 512927 679 Shetucket Tpke. Exp Date: 30-Nov-16 Voluntown CT 06384- Construction Value Permit Fees Construction Information Building Value: $11,250.00 Building Fee: $144.00 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: $11,250.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $2.93 Total Fee Paid: $146.93 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 i Certificate of Approval ❑ Certificate 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.: 1 -,:.)01(.0. C.4.;(.0) Type of Work Occupancy Type Permit Type ❑New Construction VI Single Family ❑ Building ❑Addition Two-Family ❑ Plumbing ❑Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: 6 3 Pett 4 - (Number) (Set) ,� (Unit) Job Description: Lk -ry_e- �-(f / ti- ,//a a�/, ` L l' ilc 1 r,6 o , 1c.y:1 .e,c, 4 Owner: Sic-oR^Jtl---• 1))01(1,--7 On C42-4-4 Address: 1/ (�- y �, �IG p City: (4 Y`C�f,O-t` .6Q State: Cr- Zip Code: Telephone(pb O )� - /O/ Applicant: C +-- DBA: CP 7� C C . Address: 1p ) �+ ,y City. Z/<�!C 4-r2aw._. State: �- fl Zip Code: O C O � Telephone(0 6 d )( ! - Contractors - Complete the Following: License Type: � L License No.:SJ 'Q}> Expiration Date: /i-3ci ( 6 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 altemative 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: — .�i►+�s�, _ Date: '1/5 J Construction Value Permit Fees Building Value: Building Fee: I y. ) 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: r9.�) Total Fee: I L1(� •Cj ?j Revised-August 23,2007 Town of Montville Building Department File Receipt Date: 05-Jul-16 ReceiptNo: 11476 Received From: Timothy Corcoran Job Address: 63 Podurgiel Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: Bldg Check: $0.00 $146.93 State Check: Bldg Credit: $2.93 $0.00 State Credit: Fire Cash: $0.00 $0,00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $11.750,00 Demolition Value: $0.00 CheckNo: 15154 Received By: Carmen Kneeland 0C,,1 1'Y ��4%j 12,c,1,4 Address: 63 Podurgiel Lane ITEM OTY $/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 $ - P 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 E4 $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ Pool Heater EA $ 8,98425 $ - $ 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 2500 SF $ 4.50 $ 11,250.00 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 TOTALS $ 11,250.00 $ $ $ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 11,250.00 $ 144.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 2.93 TOTALS $ 11,250.00 $ 146.93 Figures are based on the 2006 RS Means Residential Cost Data ORD® AC Lii....----- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDI /YYYY) 9/25/215 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-MGT 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 Byrnes Agency, Inc. - Norwich CONTACTA William F Kavanagh 6 Consumers Avenue /CPHONE _(A .No Ext); (860) 886-5498 FAX Norwich CT 06360-7521 E-MAIL WC,No):(860) 859-5075 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Acadia Insurance Timothy Corcoran DBA TR Corcoran General Cont(860) 564-1937 INSURER B: 31325 679 Shetucket Tpke INSURER C: Voluntown CT 063843641 INSURER D: INSURER E: COVERAGES INSURER F: CERTIFICATE NUMBER:Cert ID 15330 NU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED E AIM D SION ABOVEB OR 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 LTR TYPE OF INSURANCE ADDL SUER A X COMMERCIAL GENERAL LIABILITY , M D POLICY NUMBER POUCY EFF POLICY EXP M/DD/YWY MM/DD UMITS �OCCUR I EACH OCCURRENCE $ 1,000,000 BOA5174489 9/19/2015 9/19/2016 DAMAGE TO RENTED . CLAIMS-MADE I X PREMISES Ea occurrence $ 50,000 III IIIMEDEXP(Anyoneperson) $ 5,000 GENT AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY 5 1 000 000 1111 POLICY Te-,-, I I LOC GENERAL AGGREGATE IS 2,000,000 al OTHER= PRODUCTS-COMP/OPAGG :5 2,000,000 AUTOMOBILE LIABILITY Empl Benefits Liab S 100,000 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) I$ ! ALL OWNED ^SCHEDULED BODILY INJURY(Per person) IS AUTOS AUTOS HIRED AUTOS AUTOSNON-OED BODILY INJURY(Per accident)!S I PROPERTY DAMAGE (Per accident) I S UMBRELLA UABOCCUR i$ EXCESS UAB CLAIMS-MADE EACH OCCURRENCE is _ DED RETENTION$ I AGGREGATE !s WORKERS COMPENSATION !5 A AND EMPLOYERS'LIABILITY WCA5174495 !ER _ `I ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 9/19/2015 9/19/2016 STATUTE OFFICER/MEMBER EXCLUDED? I I N/A (Mandatory in NH) E.L.EACH ACCIDENT 1$ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below El_DISEASE-EA EMPLOYEE!S 100,000 E.L.DISEASE-POLICY LIMIT'S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) For Informational Purposes Only • STATE OF CONNECTICUT DEP.4RTME:VT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR TIMOTHY R CORCORAN 679 SHETUCKET TPKE I VOLUNTOWN,CT 06384 CANCELLATION T R CORCORAN CUSTOM BUILDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE LIC./REG NO. EFFECTIVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HIC.0512927 12/01/2015 11/30/2016 ACCORDANCE WITH THE POLICY PROVISIONS. \ / • AUTHORIZED REPRESENTATIVE SIGNED -`- Cat,..4.-Z-1..a1,1/4„) ©1988-2014 ACORD 25(2014/01) The ACORD name and logo are registered marks of ACO DORD CORPORATION. All rights reserved. Page 1 of 1 • Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL —.0(p p . roperty Address 7A7'w Job Descri n Required Approval Department Permit Issuance Approval Tax Collector Signature/date Comments: Fire MarshaltriAAAL__ -/I� SignatuFFold e • Comments: ❑ Planning &Zoning Required for all permits except p Signature/date Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: igf_ WPCA, Administrative (b1t,Q, 1/00-VY1 11154 Required for p properties on sewer 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 Revise(fMarch23,2015