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Strip and Re-Roof 2001
Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 .r Building / Trades Permit Permit Number BP2001-260 Permit Date 5/18/01 Permit Type Building Permit Code R4 Job Street# 40 Job Location POLLYS LANE Map/Lot 103/044-000 Job Description Roofing -Strip Owner Contractor Carol&George Wood NorthEast Home Improvement Address 40 Pollys'Lane Address P. O. Box 276 City Uncasville ____ i State Ct. City Jewett City State Ct. Zip 06382 Telephone 848-7067 Zip 06351 _ Telephone 376-0591 Lic/Reg Number 553370 Lic/Reg Type_HIC Exp Date: 11/30/01 Use Group R4 Code 1995 CABO Type Construction 5B Building Value $3,000.00 Building Fee $16.00 $0.00 Plumbing Fee $0.00 PlumbingValue Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $3,000.00 C/O Fee $10.00 Comments: Plan Review Fee $0.00 State Ed Fee $0.48 T tal Fees $26.48 r Building Official's Signature ,. . q-77 Date d/ (---- It is the owners res•onsibili to schedule the followin• re•uire/ns•ections minimum 24 hours notice required): ❑ Footings - prior to pouring concrete ❑ Backfill -footing drains and waterproofing ❑' Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing H Chimney -one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation ® Final Inspection ❑ Rough HVAC H Certificate of Occupancy-PRIOR to use or occupancy 05.16.`01 09:06 FAX 1$603763666 • NORTH EAST HOME Z 02 03,-28'1)1 21:01) F?.T 8E87231 BliILDING DEPT 401 1 Town of Montville Permit #))PD7 z3O/-,26'0 Building Department 310 Norwich-New London Tpke_ Tel. 848-7166 Uncasvillc, CT 06382 Fax- 848-7231 Application for Quilling or tradea Permit j3uildinE Permit Trades Persalt Q New Ce?Lrtruction ❑Accessary Structicre D "- 9rtecllartttal J fl4' os ri Caitiegz ' (fFr� ____,_gfgd#ng Q Alteration [j Other - --itii'CaTtationing j � J Gases Job Location 0 1 '\ 1 Lemic f 0 1 . - J 4 I ,/ P. / Job Description/MateriaLs .C..a - r / , Owner // _ • r • o_ Mailing Address 1�/' /! C ��1k� - - City ('10,r'Ajf''l I R _ State CrZip O‘1 f) _ Tel v ‘O !erw, 7 a p 7 Contractor IV P'IN/ _Mulling Addre s 3 Y c/',1 .S1 g ) f ,\377- d/, 7-' City {� 1 -74:"4., f/1/ State Zip j3 S7 Tel d h/- /37A/_J Lrij au Contractor's Liceose/RetstrattTyeSt Numbe S_ 3 3 ' 1 E.x,p.Date___Zi J3J_ 41 New Home Construction Contactors: Have you entered into a contract with a consumer for the proposed new borcie?[s Yes ( Ho { I hereby certify that the proposed work win conform to the Basic Building Crxe 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. (2t 9-----------.) Owner/Agent Signature _\00,.._ Date S--- l� J 7 Construction Value Fee 13 11- p`^ & , Building $ :3 0cro s _ /V _ - Plumbing $ $ Mechanical $ _ $ — Electrical $ _ $ • Other $_ _ 5 - .. --- Certificate of Occupancy $ 1e Fran Review Fee $ State Education s , ) (� - Total $ 0�p(9 $ E ---- j? ' III i lir Town of Montville Building Department Receipt [, . Date 5' /,&3 / d / No. 00728 From: , - _ ' • 46._________ r o ' Job Address: (J p,...4 ,.,, ,',-,_-)?: i Amount $ fs2C. _y Cash heck ) Check # '��,57 ,:' © ita7-) Received b 1 AI ,; .l_,- Permit # �0 f 05.17 01 09:04 FA 18603763666 • ' NORTH ,� 4y�y�.� EAST HOME X102 J r. .�T.+„ . s.l {r ! ,. 1 ' • Tugr^y.\c•' ■v 1i r. a rti� 't ��' c )1rr"� � *�'r1 � r-_, —' _f ' 4k.k '�S:A5 yi. '}, �t 44 7 "r—1/4A.-11-1';..` 1LI 1�1r;+ 11'1 /.4 y rid ' 93 JseA�' gyp , . .. •, ,liyt STATE QF C() _ `` ►' 1. 1')1:"P;11,'7'1491:(1'T 01•' , r3' i ; Itt (.AH1'01. AVL: • Ilf.k'I'•ORI) t 1 ,T.' 4111 L'r I (r3_lh [• Be I{ kre.rl1 tl'c,t :, NORTHEAST HOME IE:.MF1V INC l.,Fy w1 C:i 39 WEDGEWOQD 1:F1 SUITE 1, t :` JEWETT rY .:.1 ai3:3:3 f - ! . ,>: t4e :iii �+ Is • certified by the Department of Con:,_n'tiec P,ctecl..•n as-i -egi4t?`•ree fiHOME iMPR �rEME�\ T 4* ' I Contractor of Record: JAMES PENTLAND,, _ „., ,,,' ► Registration Number: 553370 �' I Effective Date; 12/01/2000 ='°' ; � Expiration Date: 11/30/2001 '' 3'� '�► - 17 7 e,i_ . I Ir:R1 ii(t,—CLfllll'tl;i3_Cllle.l' �' ,,, - _"'o1,.Y' _, ,t Ao,4 1� L 1 h� '{ 3 ; 4 it`s. 05/17/01 0904 FAX 18603763666 . ' NORTH EAST HOME 01 lajtfil.K.iukii 05,'2$102 12:4E 276t506.2•31 ts a itAt s. _iirot..ro...1 x"-L',.m.,---,,,--" , •••••••,•4;.Nt.:., ..micannw.7~.,,,....!::,, i!.. ••:,.....- •., _ 4,-:1-,,,,,.....r..t.,...0.-4•9',' 1.. ..,,'':::7'•' flIkillt=9PIFYI '' „F.T,.!":.....i.;-....:,' .... ,„,' ;F:)1(1;fni;,, ,..;y) —"...''''''.. ..'—-''''-&!'''''''4A6'.',S' "-•';';',..V;••:'.4'4'4';`,1.'On't:0,..,41.*•••'.4,Mt•:•••;.).4.16.1:::',:,,,,,:::,7..,1?:i.4.9.1:'''..:4'%.,1- t• ,4?.,7,•' ',, ict*, ., t. ,.:!:•,,...•4.0•4.7:ii:f.!" •'V;,,;.1.0,:-'4L: 0 ,," _L. C 1 PINCibucell Thi- E- 'MATE IS idsueo - A MATTER OF iNFORMA .•P BYRNES AOENCY INC ONLY AND CONFERS NO RICHT$ UPON THE CERTIFICATE HOLDER. THIS CERTIPIOATV DOES NOT AMEND, EXTEND OF ASTER 'ME COVERAGE AFFORDE) BV THE POLICIES BELOW i 08 SACHEM S TREET COMPANIES APPONOIN0 COVERAGE !-- NORWICH '1-' 0 63 54 1 C'Q,P4IP&NY A C C-, .,T _______ mounzo ( co DAN Y NORTHEAST MOMS rmpRovmmENT LNC B PO BOX 276 34 MAIN ST Lc _ __ JEWETT CITY CT 06351 1 IXIMPANY i r I 0 1 stvologii.,4-r'i I.,'".4"., 4'L'',"Lti.i..•g••.'4•',.';'"!..V4,14''.04;•""'.Ws''s,.It.,•••,'.,i: Nr,,,,•:Th:*•-•;',12Z.kir..?•:1•>$.•:.7., ..;,,q.:4!ti,A";•4,z,•A,...N.W2,,. ,,,-41:,•--..C.A. •......,;',.. _.,•14:11,•L;4.s E.;:.4.IA..-. .. .,NP•r,""mk„ i.•••.,-„..,',. .ft . . -, ..,- . —1.:eHt...-r:17.114: :•,wec:!"1";::1,1•:,,,:.21,40,•;,r.I.,,;:.1;,,...:;.,,;z:44Z-s..-z; ;*:-..otztEl'n3':,4,01.-,i;14.4.41*0-,H,H::r.';•:Es.i.v.,-4- ..mtrr•V!IN.g,iltii:HtrzsZT:6•Ate..mavv-94-,-.•-:.-:'-'-'. ,-4:".-.4-.-'etto—:..zwi,E. . THIS ra TO CERTIFY TI-LAT THE POLICIES OF INSURANCE LITE BELOW HAVE BEEN ISSUED Ti Ti-(e INSURED NANien ABOvE FCR THE POLICY Demo° iNDICA/10, NOTWirmsTAI'voiNO ANy ASOKHREMENT, TERM oR CONDITION OF ANY CONTRACT oR°THEP DOCUMENT WITH RESPECT TO WHICH THIS CE,PITIFICATE MAY BE ISSVED OA MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES OE5cRiEEII HEREIN $SuEsEoT TO AU..THE TEAMS. ExCLUSIONS Ab CONDmONS OF SUOH PouciaS, LIMITS SHOWN MAY HAvE BEEN REDUCED BY PAX CLAIMS. cc / /Fouar R-rptaAroti/ Type OA INEuRANcr mum,'NumeER-- —SN.SV EPRIOnvE , , LIMITS L,Tri ,.... onwrantyy; DATE ctAMitqarrry ' ' ORNERAL LiAniary OaR611353 S 11 01 5 11 02 cserignAl.Ara:AM/cm 's2 000, OCC X.CGRIMERCAL GENe•FtAd.wastiLl'rr PrIODucTs.Goy Fncg AGO ,62, C C3, CO C •,.-•i_ i'OLAIIJS MAC/a 1 X OGCLIA' . l fi;rE 0,,j.4AaT: 000, 00C =vAvNriy:r ue AL lit CI 00 00, 00 00 CC L 'F10,08E1.1'5 =31.4'sFeAc-re.prs rNerr $1, I 1 imEo OW WI,wria wino% ' , — _ .- ,AirroNCtillE uau3ILITY PaPJP48223 5/17101 5/11/02 300, 00C COMBINED 31411LR LIMIT I S 'ANT AJTO t--1 -- , , i 1.111:i1NNELI Avyas ---1,, :BODILY INAJlerr $ SCHBOULED.UTOS ------- j Piot EC Aintis OODILY INAIRY • 1-1NON-DWNED AVMs (Peraceideqq - PROlberrrr I aAmASE. s —.. -ciastaaz LiAINUTY Akro clmo.,•E44 ACCIDENT..,c 'ANN AUTO : OTHEIt NAN AL:TO ONL ..,..".. _.• :•::::. .,,4; i-m...---- L--J _______ , nAm•I,ACCIDENT I$ I / AOOPEGATG :$ EXCESS t-1.ABiLrry jAcH OCOuNtRENCC , S 1---LIACIAELLA raiaM Af5136`441AVE S ---t--- ---- cenyurNtAN UMBRELLA 120nm '$ WelluctPdi=IA PENSA110/.4 AND ABA1'76749 ' IA t • • 7 5 1 2 0 1 1 1 02 X ."1:41:11;Litit IX *p;.: ,...”•„.,..46;,•.`;.'......,.,.. :. EJIAP LZTER.S'Ligutm.iTy a VAC4-. A15 MIMI , S 1 0 0, 0 0 D i Th.!PF)rfl.PM,i2•Fon, i i IPCL LOL QtalAtg-la0UPY-WEL I 500, 000 I5.., -T-NEPS./EXECuTIVE ! . CtenCE9S APE. &XCI... E.PI iiAd2-EA EMPLOYEE !t 1 0 0, 000 eli-iEPI 1 • • • ..... .---- DESCRIPTION OF OPERATKINSMOCA-nONIWVEHIOLESPSYASetAL,TELie FAX 37 -f.701=7" ;'='".1;'.4:- , ,1/2,,!,.. .•• • ,:...11:c.% .'.4E7_4.-,,,... ,-,,,,le,,!.;, -•.. •:', ,,.,:.•,,,,.......i.,,..,.n•: •••..h.,,ir19,f';.,',1-..g.•:- ''•'`:P"'::10 ,"%a4lik,4.•'.1_1'' ''1'0 " .. =,',' '..4 .;,....,'.'...!..7'.. .....!'•.!:n7f,:,•;. .M, :i0:'.,, •''.;,::'... .,4•4:•-.4,•:'''i•:,'-'1'.•• : ..-•••;.•,•-••.•.,.--•,......,..• ',6k4.:•:,*Vh.•89•UX!igti;:!:elajthi0.1.1);*!,10.i ShlOoLO ARV Or rig ANOVE DCBCFRRETi POL.u=szt lie oANCRILLEO gEF0FIL- TN. NORTHEAST ROME IMPROVEMENT INC EXF•tRATION o.A.Tu TP/F_FM.C.f, TH,E %ssi.iwa c.cogrAArr 'Attu_ cotoEAvon To im.. L PO BOX 276 ,L,2 , DAY&WRITTEN.I.O•nCE TO THE ceffirriP4CATE HOLDER NMTo 7141 LAWT, 34 Mh1N ST fr i•ALLuilt TO MAIL SUCH Nflanca/MAU IMPO5F NO CliLigArroN OR LIARILITY JEWETT CITY, CT 0633-1., OF ANY RIND UPON me UOMPANY ITS AgSN're OR AIIPPI,-ENTATIV4L_ Aurn-trxv2:ffa rirpmETIENTA• 111 . ' i King Nis ...,1E,',81Mgky,gy.f.:f4,t.RN:1:4'10:4.11ASher NSI'ACTR40.,1;!krir,-".1,-.'i.;,,K, '-'''1?',..,?"NW,'4.•,':-:f"":V:i,,S•.',1!.'illy,''-''''. :'•"-Ls'l''-=';'•7.,;*4‘:,•:;‘.1 L.:;o:--::;;:',',,;.:'..::406