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Strip and Re-Roof 20sq 2007
• 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: B2007-0006 Date: 08-Jan-07 Map/Lot: 078/010-OOA Owner ID: 5439000 Project Location: 60 PEQUOT ROAD Unit: Job Description: Strip&Re-roof 20 sq. Owner Name: John W.and Mary E Luty Tenant Name: N/A Careof: Po Box 267 Montville CT 06353- Telephone: Contractor Name: G.A.Denison&Sons,Inc. Telephone: (860)443-6541 DBA: Lic/Reg Type: HIC Lic/Reg No: 566806 P.0. Box 550 Exp Date: 30-Nov-07 New London Ct 06320- �onstructic?n Value_ Permit Fees Construction Information Building Value: $7,520.00 Building Fee: $64.00 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: $7,520.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.20 Total Fee Paid: $65.20 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 INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d C-•' ate o pproval • e of Occupancy Building Official's Approval: y5 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.:1541 06. Type of Work Occ cnc T e 0 New Construction �Fa Vp Permitg Type ❑ ditionIngle Family ❑Building 0 Two-Family ❑Plumbin Alteration 0 Townhouse ❑Mechanical hanical 0 Accessory Structure 0 Electrical CRS#: Job Address: ,. e umber) (St-•et) ��_"' Job Description: ` (Unit) � LL (/' '/ / � - 2-G? ik Owner: / Ri_.4 Address: (9 d �City: Q State: Telephone: ale) --( CIF ,.-• /3 6 6 ZiP Code: Contractor: 4. �.. o 5044 c.14-- DBA: Address: pa . A (co — / ?/ _ 41 Ar r 44-A•e_,___________ State:_ /71` . Zip Code:O 63 2 Telephone: i-/y3 6 s*---c// License Type: License 5( No.:_ � Expiration Date: //`10 ^ ©, 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 the Residential Code. Owner/Agent Signature: Date:— / y�o7 Construction Value Building Value: Permit Fees Building Fee: Plumbing Value: Mechanical Value: Plumbing Fee: Mechanical Fee: Electrical Value: 5 z ap , po Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &visa'Decem6er31,2005 Town of Montville Building Department File Receipt Date: 04-Jan-07 Receipt No: 1981 Received From: G.A. Denison Job Address: 60 Pequot Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $65.20 Check: $1.20 Check No: 0 Short/Over: $0.00 Construction Value: $7,520.00 Demolition Value: $0.00 Received By David M Jensen &c42/1 M. Address: 60 Pequot Road ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction :; SF $ 114.17 $ - $ - Basement,Finished SF $ 20.87 0 - $ - Basement,Unfinished SF $ 11.28 $ - $ Crawl Sapce C SF $ 8.46 $ - Interior Renovations SF $ 31.90 $ - $ - $ - MANUFACTURED HOMES Ground Anchors ', SF $ 5.86 $ - $ $ - Basement SF S 11.28 $ - $ - $ - Crawl Space SF $ 8.46 $ - $ - $ - AMENITIES Kitchen EA S - S - $ - Full Bathroom : EA Half-Bathroom .....r.. EA $$ - $ - GARAGE Attached ' SF $ 49.41 $ - $ _ Detached SF $ 63.21 $ - $ - Under ' SF $ 9.12 $ - $ Carport SF $ 18.08 $ - MECHANICAL Warm-Air i''. Y WN $ - Hot Water i'. .Y YM Electric N Y/N $ _ _ Air Conditioning N Y/N $ ELECTRICAL SERVICE Upgrade o<Amps $ Overhead,new Amps _ Underground,new Amps $ $ Subpanel EA $ 545.00 $ - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/lfireplace EA $ 6,451.50 $ - Masonry w/2 fireplaces - EA $ 10,087.00 $ - Wood Stove,free standing EA $ 2,447 50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ - Sunroom SF $ 160.82 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 7,287.50 0 - $ - Inground Pool EA $ 19,430.40 $ - $ - Above Ground Round EA $ 4,635 88 $ - $ - Above Ground Oval EA $ 5,472.50 $ - $ - Pool Healer EA $ 8,167.50 $ - InBatable Type Pool EA $ 1,542.42 $ - SHEDS wio electrical - SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.33 $ - Roofing,Strip&reroof 2000 SF $ 3.76 $ 7,520.00 Roof Sheathing SF $ 1.19 $Siding SF $ 2.30 $ - Windows EA $ 423.50 $ - Skylights EA $ 955.54 $ - Doors,Exterior EA $ 401.50 $ - Oil Tank,275 Gallon EA $ - - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 7,520.00 $ • $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,520.00 $ 64.00 Plumbing y $ - $ _ Mechanical Y $ - $ Electrical Y $ - $ _ Working before Permit Issuance N $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.20 TOTALS $ 7,520.00 $ 65.20 Figures are based on the 2006 RS Means Residential Cost Data G. A. Denison & Sons Inc ,,1 k etia (.1-me Ave. New London, Conn. 06320 Established (860) 443-6541 1969 Fax (860)440-3592 Ct. License No 1-800-690-9699 566806 has my permission to apply for the v """� PP Y building permit for the followingproperty, P P riY, ‘oa Pele--ce-o-et --3,-7,/ 4-g--r _---, George A. Denison OCT-20-200E, 08 :25 PM THE TNS PROS 1 G0g4�8418 P. Fri, A6® T>a. CERTIFICATE OF LIABILITY af�S�'R,4NC --i—"--"--".'*"-"'"""'"'7-------PAi. ii'- ens, (mo)t4eS DAIS fMWDI rYYYY) PN teen) .:{ta 10/W21 08 THE INSUJ�ANCG PROFESSIONALS,INC, 11E05 CERTIFICATE 10 ISSUED A!! A MATTER OFI INPQRAf ITA pt Pp9J UFO sOX 1007 ONLY AND CONFERS NO Rlp{0 UPON THE CERTIFICATE OROTON CT 06340-100HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALT R T , CSVERA. AFFORDED �.__ ®v THE POLIO!E¢ BFLOw. IINSURERS AFFORDING COVERAGE ..___.. __., _ r�pdncy Llcw:uoMUszx I NUC M INSURED G.A.DENISON&SONS,INC, — INSURER A' OFIANITE STATE INSURANCE CE dMPANY C/0 GEORGE DENIgpN IIJ5(.41eFIB COLONY INSURANCE CO. __ —_T —— _- POST OFFICE SOX 76$ N6UFIER C PROGRESSIVE.FfOOREf381VE N4RYH WESTERN -- +—•.._ —.. WATERFORD CT Qd9B5 INSl1HER d _ COVERAGES L- PIER E:— _—_ — —____-- — �_. HE •• I IEA OF INSURAN a LISTED BELO't .• : GN IS&UED TQ THE WSURED NAMED ABOVEPerim ~� ANY REQUIREMENT. TERM OR CONDITION OF ANy CONTRACT OR OTHER DOC•"Ut'ADN7 WITII qL, U ICI. MAY PERTAIN, THE INSL'RANct''AFFORDED BY THE DOLI.OIES CE t3PFCT 1H W uim TNI siO INDICATED, NOTW qNy �OlIC,ES. AGGRF.C{ATEUMIT +iGRIi3ED H CLAIM I$ ?UBJEC," TO ALL THE "rEpM6. EKOLU9ti�NI�A DMCONU CONDITION SUCH INer,lAoo�.I TYPE pp INSURANCE MAY' NAVE BEEN REDUCED BY PAI'' CLAIMS. — iTR 1488 POLICY NUMCER f Mier CYPED7IvE }aLIGY Cx PIRA71ON •. RAI.LIABILITY I aL aso7a7as A*b am �dLvr LIMITS I X COMMERCIAL i3CNFRAL LIABI 00/04/0e J Qf1{Q.4/Qr "�•�_ LITY EACH OCCUk�2ENCE, I; t i •r i ' 7 CLAIMS MADE I X OCCUR F tb(Et liTATtA(4E TO i e� —�! 8 I _�_ --. MED,€XP(Any one parson! -r—.,_. _ PERSONAL 8 ADV INJURY 13 t , CGN'L AOORECIAN APPLIES PGR:I �0 LEE:NERAL.aacuT�cATE .mss"— w 000 LIMIT I- ' [PRODUCTS-COW/DP -- — I 1 JE 1 —I LOC I i PRODUGT3 CCMP/OP AGO, $ $10,000 AUTDupaILE LWBIL(TV .. —.. .. —_.. CA 48311390-0 10/22/06 H::: TOE 10/22/07 I COM6INED SIN3Li LM7T IANY AUTO ' IEA al eI ALL OWNED AUTOS I Ma LY I NJURY (P4,PSan) I; 1 IQ'QQOSCaDULgD AUTos I itC oe 0 I ERN DAMADC AAAIDE LJAlILIT'! '��' I FB!Ycald�ntl 1 0,000 ANY AUTO 'AVTC THA•CA ACCIDENT 18 __ OTHER THAN EA AOC G AUTO ONLY • XCESas!umaRELLA LUBfLnY A©tl 'S fff OCCUR CUIUS MADE I I EACH OCCURRENCE a — -- LAGOREOATE S ri OfDIJCTidiE _lc__ 7i_.—' " RETENTION ( .— —.—.. -- — ION 11 �-. __ — • 1WOAKEM C. ... 9A710N AND WC�/g 66.97 d -- — - I CMPLOYERV UAisiurr + OdJ1 @/bs 08/19/07 _ A i INV PRO►RICTIMPARTNeRIMCUrIVc Tbp,v Ln.11T9 1 UYNEq I DF'FICERAtIuICR cxcwDEe1 ICL.EACH ACCIDENT .,._ "—•.` -- n y.A P dv I 101000 I IlregAL PROVIBIdFw twaw DISEASE-EA EMIw7 EE j—+ 10 1,000 •. I I E.L.D18HASiE•POLICY Limtr g --_ sD I,oQQ I DESCRIPTION OF OPERATIONS/LOCATIONS/Y@HICLES,'E7GCLUSIONS ADpE k7Y ENDOFtSEMt:NT/SPECIAL PROVISIONS THE ABOVE COVERAGE APPLIES TO CARPENTRY&ROOFINGS Certain Exclusions may rppiy to the above referenc,j coverage. • CERTIFICATE HOLDER -- ""---- • CA.rat-TATIDN SHOULD ANY CF' TIa5 ASOVG DS C.�r8E0 POLICIES BE CANCELLED BEEF DRETHii EXPIRATION DATE THEREQF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 E 1y3 FOR BOOK KEEPING PURPOSES WRITTEN NOT CE TO TWE CERTIFICATE HOLDER TO co SO SHALL IMPOSE NO OBLIGATION OR LIABILIN ED TO THE LEGT,BU7 NSURI S G F.NTS OR R li PREBENTATIVES. OR ANY KINQ UPON THE INSURI R. ITS A AUTHOAITED nLPRCSE R71VE Attention; C..GIL . 74-e, ee9�{ ACORD 25(2001108) C041'11110(410# 1 1461 • Peggy A. Vega 41)ACORD CORPORATION 19f 1 1 Il^ qCd Y-*, s t/ -rr ,,,,',,,;,,,,,;1 ;p,Ki,--z,,..,,,----,„8;V, y\t 1• \t ,,-,--4,,,e` y' 1.4:11k, rx n 4 40.11',,ie`'z F �"' ''2. / ..,i i r'} . 4 ,y't 1, 4 w,,./+,� 4.�` 4.,,-- rrr,Ad ,:'a';',','M. '•-„'1,-.--'..;: t<."---„,Z.4 �(//�—\�:/ „Fk. fi J?p2 s N 4 4 11 4y1/i A 1/ 1 '";' 44'.,' �•,''•:4 ,i� '1N ,? 1d ..1 ',';;; �',�., ,,,Y'•{M1'/,.\trt y� D S 40 ,, dl¢ 0)�� �i�ti \\\l}�' !"� a'„��(rl4 h�1('J 4�y1 4'l','n 7/.L ._._ i t � � ',IAV"P''�.rt}�" � 1 ,, r, L41�'1% �' tiS ,rD1 ..,, d 1 dr �u rr .141;:s."' ri'� t1J� frF a , �t STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that G A DENISON & SONS INC ' �' a ' 131 CEDAR GROVE AVE " NEW LONDON, CT 06320 J.. is certified by the Department of Consumer Protection as a registered Y~/ rl . 7\ HOME IMPROVEMENT CONTRACTOR r-1. q Registration # 566806 AFF P Effective: 12/01/2006 Expiration: 11/30/2007 Uri \e Edwin R Rodriguez,Commissioner y 1 Ir u v �r i C r i e ,. ,� til.., v �'` , ,.. '. ..a� ^ .i 0. ,, �i t I s 1 ( , 11 i,; � i x ��-1, -LL ,,,_11._X11 . 4 y; 1 � y 1" y: i:'4t1!t E1s‘0,41,1,., " , v `t7,4 „, �.[i;. _�.. :r--li. ,�� ,,v' �_,:�� i9t i,�����t��^'2;`4} l,.,i ' 1�r•7� .�,• .' 4+U}7iwti 6��y.� y 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 UProperty Address v c 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 Approval Permit Issuance Approval Tax Collector ; , / 0 7 Signature!date Comments: 1 El WPCA, Administrative 0-k .� 1 4 J o7 ^agars- date Comments: ❑ WPCA, Operations Signature! date Comments: ❑ Planning &Zoning SQ -. ; date. Comments: ❑ Health Department S.ignatur i date Comments: ❑ Department of Public Works Comments: ❑ State Dept. of Transportation (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 = Comments: Fire Marshal l \ C) Comments: ,ignat! ``:fitS411 IV �- (►`L�L� ' � l L_� L L�^E.� iviseiflugust 5,2005