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Home My WebLink AboutStrip and Re-Roof 2016 Field Inspection Notice Town of Montville Building Department December 14, 2016 2016 Ct Building Code Address: 19 Polly's Lane Job Description: Strip& Reroof Permit Number(s) B2016-0442 Permit Date November 9,2016 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Two old layers • . Verified removed • 12/14/16 DJ Final inspection and • • certificate of approval 12/14/16 DJ Rev Date 1/18/06 Page 1 of 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: B2016-0442 Date: 09-Nov-16 Map/Lot: 103/060-000 Owner ID: 5605000 Project Location: 19 POLLYS LANE • Unit: Job Description: Strip&ReRoof Owner Nam Donald R and Beverly Olsen Tenant Name N/A Careof: 19 Polly's Lane Uncasville CT 06382- Telephone: Applicant Name Dependable Contracting Telephone: (860)447-3447 DBA: Lic/Reg Type HIC Lic/Reg N 621903 88 School Street Exp Date: 30-Nov-16 Taftville CT 06380- Construction Value Permit Fees Construction Information Building Value: $12,600.00 Building Fee: $156.00 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: $12,600.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: . $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $3.28 Total Fee Paid: $159.28 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: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation _o ate .f App .val ❑ Ce. • r •ccupancy 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.:e 1p 'OH 14D Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family ❑Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration ❑Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#:9 Property Address: / --Potty,.... 2 4 ( ) (Number) (Street) Unit Job Description: _ //96 ' '-0 U' - L_,i - ' ASTIWNIN Owner: --P4(I L �S/d-(-7(A eSi'0 ii Address: 6)1/1,1 City: State: Zip Code: Telephone( ) - Applicant: Drn- /i&L t- ailrYi fir 7-2 A16 DBA: _ 'Address: f e Ch&i L 5/ `I /-7 City. -n4 L Li State:Cl I- Zip Code Telephone( i`'i`i //t�- J &/ / Contractors - Complete the Following: /, �N �,2 License Type:/4 f C, _- License Nob i%C3 Expiration Date: 1 UJ V• 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 Signatur i /Aidla Date: // �A Construction Value Permit Fees Building Value: I a 9200 Building Fee: 1 f UDC) 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: 3 c& Total Fee: 1 SCl.a E Revise&August 23,2007 Town of Montville Building Department File Receipt Date: 07-Nov-16 ReceiptNo: 11832 Received From: Dependable Contractina Services Job Address: 19 Pollys Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 50.00 State Cash: $0.00 Bldg Check: 5159.28 State Check: 53.28 Bldg Credit: 50.00 State Credit: $0.00 Fire Cash: 50.00 Fire Check: 50.00 Fire Credit: i0.00 Construction Value: 517.600.00 Demolition Value: 50.00 CheckNo: 3086 Received By: Carmen Kneeland OA/� e /` m , OL VTO 1 I Address: 19 Pollys Lane ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ $ Interior Renovations SF $ 36.09 $ $ - $ ii 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 BA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces BA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,69225 $ 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 $ - $ Inground Pool BA $ 31,550.00 $ - $ Above Ground Round Fes, $ 6,299.46 $ - $ Above Ground Oval BA $ 7,019.75 $ - $ Pool Heater Fes, $ 8,984.25 $ - $ Inflatable Type Pool BA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof 2800 SF $ 4.50 $ 12,600.00 Roof Sheathing SF $ 1.51 $ Siding SF $ 6.75 $ - Windows BA $ 550.00 $ Skylights BA $ 1,051.10 $ - Doors,Exterior BA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 12,600.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 12,600.00 $ 156.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance . $ • Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 3.28 TOTALS $ 12,600.00 $ 159.28 Figures are based on the 2006 RS Means Residential Cost Data l ep�e�n�dt JJe� Contracting Services --mil % 120C` i Cor! frk , dun itame ea id it all 7'zteOld Ojjtee: 6 Plant Daae. ?f/aterOld (06385 K60-44?-3447 This letter is to verify that Susan Kelly-Bird has authorization to sign the building permit application on behalf of Dependable Contracting Services,LLC. Municipality in which the permit is to be pulled: Montville Job Name: 19 Polly's Lane,Paul&Sheila Scott Starting Date of Job: 11/11/2016 Contractor Name: Dependable Contracting Services,LLC Name of Agent: Susan Kelly-Bird Contractor License#: 621903 i ed Co. actor Signature e44149 tai 90 "6 %4" at 4 time Z• 7 1 4- • ... ' . .... Al V rxi ..,- Z. . tri ,i-' ti M L.' .,' t-4 )-• '. Oak . ! •1 t71 ''.4 '`i ...id t . 1 t.11,- ,..... •,:z 011 4,- E. ' ;:.)r,-$ ..... i• ..._.m )g 4, 4 c.,, .Q . ,i. 1 r. I I 1 i 4, tri 0-3 r21 0"4 I id N s 1 •-...x '-' n ''S .....m . 0 , ts.a. as. c.—.1. . . ARL® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/7/2016 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 House Account NAME: Sava Insurance Group Inc. PHONE (860)437-7282 (855)749-7282 (A/C.No.Ext): WC,No): 750 Broad Street ADE-MAIL ESS:MMM.savainsurance.com INSURERS)AFFORDING COVERAGE NAIC# Waterford CT 06385 INSURER AMain Street America Assurance 29939 INSURED — INSURER BMGM Insurance Company 14788 Dependable Contracting Services LLC & Dependable Sk INSURERC: 88 SCHOOL ST INSURER D: INSURER E: TAFTVILLE CT 06380-1020 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1611311604 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 SUBR POLICY EFF POLICY EXP -- -- - — LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MIWDDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED __ PREMISES(Ea occurrence) $ 500,000 MPT5446L 10/15/2016 10/15/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY JECaT LOC — — PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Data Compromise $ 25,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED AUTOSULED B1T2106J 5/20/2016 5/20/2017 BODILY INJURY(Peraccldent) S X HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS j (Per accident) — Underinsured motorist $ 1,000,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) WCT3687H 2/14/2016 2/14/2017 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 I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Insurance purposes only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE // E Occhionero/EMO JV' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r7ni4ni 1 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL [CI Pc y L -e Prop rty Address p Pc, l Job Description Required Department Approval Permit Issuance Approval / Tax Collector '% 1//7 , Signature/date Comments: 11 Fire Marshal Comments: Ert i v t (� ((,(� f ) �� i) ` /A Signature/date ❑ Planning & Zoning Required for all permits except Signature/date Plumbing, Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: WPCA, Administrative \/ ?J 2 J Q k ( l- f Mbo 1111/49 Al Required for 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 RevisrdMarch 23,2015