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Strip and Re-Roof 2007
Field Inspection Notice Town of Montville Building Department November 5, 2007 Address: 15 Pollys Lane Job Description: Strip& Re-Roof Permit Number(s): B2007-0586 Permit Date: October 3,2007 INSPECTION Not Approved Approval Date: Deficiencies Special Date Conditions Final inspection for certificate Approval 11/5/07 DJ Rev.Date:1/18/06 Page 1 at 1 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: B2007-0586 Date: 03-Oct-07 Map/Lot: 103/061-000 Owner ID: 5603000 Project Location: 15 POLLYS LANE Unit: Job Description: Strip&ReRoof Owner Name: Joseph E and Nancy A Slota Tenant Name: N/A Careof: 15 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: Telephone: (860)884-2004 DBA: The Roofing Store LLC Lic/Reg Type: HIC Lic/Reg No: 606398 480 Gibson Hill Road Exp Date: 30-Nov-07 Sterling CT 06377- ,,,,,,,,,,,,,,,, 6377- Cons ru iqn Value Permit Fees Construction Information Building Value: $11,361.00 Building Fee: $96.00 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: $11,361.00 Penalty Fee: $96.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.82 Total Fee Paid: $193.82 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 Certificate of Appro :I 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.: t CO7—DSCsio Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family LI Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Job Address: / (Number) /— (Street) (Unit) Job Description: /9/= c�Car//3 06C _ �' _,, 1 ;--e. , / )fY:••••- r v".v4:•••• Q/Y/J / Oef—'--S X ,4 r/ �.vj%.e " , Owner: -5-0•-e. Address: City:t/ ,.cam �/� J State: Zip Code: /Q`3P� Telephone: Contractor: 777,. DBA: t��t / Address: .4 7 ) .•;• -.t' !! ,4t� City: �/-«Z'A.,' / State: C7 Zip Code:06--3 Telephone: Fr - -GC License Type///� License No.: ,(6/3 Expiration Date:/e/i 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. Owner/Agent Signature: _ Date: /63/2/0 7 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: Revised August 23,2007 Town of Montville Building Department File Receipt Date: 02-Oct-07 2841 Receipt No: Received From: The Roofing Store LLC Job Address: 15 Polly's Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $193.82 Check: $1.82 Check No: 1916 Short/Over: $0.00 Construction Value: $11,361.00 Demolition Value: $0.00 Received By Charles Corell � �� Address: 15 Pofly's Lane ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ - Basement,Finished SF $ 20.87 $ - $ - Basement,Unfinished SF $ 11.28 $ - $ - Crawl Sapce SF $ 8.46 $ - Interior Renovations SF S 31.90 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ - Basement SF $ 11.28 $ - $ - $ _ Crawl Space SF $ 8.46 $ - $ - $ - AMENITIES Kitchen EA $ - $ $ Full Bathroom EA S - $ - Half-Bathroom EA $ $ GARAGE Attached SF $ 49.41 $ - $ - - Detached SF $ 63.21 $ - $ _ Under SF $ 9.12 $ - $ - Carport SF $ 18.08 $ - MECHANICAL Warm-Air Y...; YM Hot Water N YM $ - Electric S N Y/N Air Conditioning N YM $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ Underground,new Amps $ - Subpanel EA 5 545.00 5 - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace FA $ 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 S 160.82 $ - $ - - POOLS&HOT TUBS Hot Tub EA $ 7,287.50 $ - $ - Inground Pool EA $ 19,430.40 5 - $ - Above Ground Round EA $ 4,635.88 $ - $ - Above Ground Oval FA $ 5,472.50 $ - $ - Pool Heater - EA $ 8,167.50 $ - - Inflatable Type Pool EA 5 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing,Strip&reroof 3000 SF 5 3.76 $ 11,280.00 Roof Sheathing 68 SF $ 1.19 $ 80.92 Siding SF $ 2.30 $- - Windows EA 5 423.50 $ - Skytghts EA $ 955.54 $ - Doors,Exterior EA S 401.50 $ - Oil Tank,275 Gallon FA, $ - Oil Tank,550 Gallon FA $ MISCELLANEOUS CALCULATIONS TOTALS $ 11,360.92 $ - S - S - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 11,361.00 $ 96.00 Plumbing Y $ - $ Mechanical Y $ - $ _ Electrical Y $ - $ Working before Permit Issuance y $ 96.00 Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1 82 TOTALS $ 11,361.00 $ 193.82 Figures are based on the 2006 RS Means Residential Cost Data i %t . t� " Kus' r� , '- "4tr y'v 1r'^t 4. •+ .* u.4.,--,`,4,'). ' ,:47''''''''' Aa} r t tr ' t ,: t '�.,�""- .N �' KP R'? .. ,E !. __ __ -.... _ ]C f... :L ... lk ._ i1c_ '�f'_ ate .. b, *•'11‘.."'{.,40:,I `; ir.1`y � tl �Z�.' - bi.._ .1 v f. �-'... �1, _ _ y�Li' 'lift- ii*C. 'r, STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it knovvn that f' { 3 l ROOFING STORE LLC (THE) ` 480 GIBSON HILL RD :: r STERLING, CT 06377 E� is certified b}• the Departmenof ConsumerProtection as a registered ' 'Y d HOME IMPROVEMENT CONTRACTOR �` ' Registration #606398 ,. f • y „LI ! y� ;i Effective: 12/01/2006 4 1 Ya Expiration: 11/30/2007 . ....o_'"..- '--- Edwin R Rodriguez,Commivsioner Ir 4r ,„:„ 4 ; $3 <: Yr f i`c ii iJ �rti. y� .C= '%' err ,,,,,..1,0••• ' '.:" .', < F' ACORD D, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/11/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Byrnes Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Consumers Ave. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Norwich CT 06360 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (860) 886-5498 (860) 859-5075 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: First Comp _ 27626 The Roofing Store LLC INSURER B: 480 Gibson Hill Road INSURER C: The Charter Oak Fire Ina. CO. 25615 Sterling CT 06377 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 ADDU POLICY EFFECTIVE POLICY EXPIRATION LTR INSRR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDIYY) DATE(MM/DD/YY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _-----_ PREMISES(Ea occurence) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY _ $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ C ANY AUTO BA9369C78307SBL 1/23/2007 1/23/2008 (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE _ $ OCCUR j CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WVS002156201 4/13/2007 4/13/2008 X WCSTATU- OTH- EMPLOYERS'LIABILITY Tom,OMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe Under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS None 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 Page 1 of 2 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 Property Address 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 Tax Collector % ic Required for all permits Comments: WPCA, Administrative 16k Io1 Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: Planning &Zoning Required for all permits Health Department Required for properties with septic systems-Not required for Plumbing,Electrical, Mechanical, Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements 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 Comments: Fire Marshal c -c9 Required for all permits Comment ((�[n(._� ( L� &visedi ugust 5,2005