The URL can be used to link to this page

Home My WebLink AboutStrip and Re-Roof 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: B2007-0673 Date: 09-Nov-07 Map/Lot: 102/030-000 Owner ID: 5631000 Project Location: 85 POLLYS LANE Unit: Job Description: Strip&ReRoof Owner Name: Milagrina R Mariano Tenant Name: N/A Careof: 85 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: O'Reilly Building&Remodelin9 Inc. Telephone: (860)536-0229 DBA: Lic/Reg Type: HIC Lic/Reg No: 6150986 4 Sloop Lane Exp Date: 30-Nov-08 Mystic CT 06355- _,__,_ConstructiggYalue - Permit Fees6 Construction Information Building Value: $6,016.00 Building Fee: $56.00 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: $6,016.00 Penalty Fee: �� — $56.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.96 Total Fee Paid: $112.96 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 Certificate of Approval ❑/C- ca :. . 0. u.. cy _BuildingOfficial'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.: 6,x-7 '-B Type of Work Occupancy Type Permit Type ❑ New Construction •Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: gS �i-+.1r� ��N 1 -10,v-rU (Number) (Street) (Unit) Job Description: IZ ouE . L Roo'1= Owner: r►�h1C�scp t'\+�2��a.� o Address: BS L c. E- City: Z"vO State: c-1- Zip Code: Telephone: Contractor: 4--A-r �V1�D+nfL. * R'EI�oDt�i�� S^dc_' DBA: Address: .4 5 City: State: c--r- Zip Code: OC3 S S Telephone: 8 fob-C 34. -O 2-7-7 License Type: ` License No.: OCc. i 5() ( Expiration Date: i -3( -ZOO 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. I 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 nature:/Agent Signature:9 Date: it- 9 -O `7 Construction Value Permit Fees Building Value: 3, O 0 0 . Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: '3,0 oo Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: RrTnxt Auger 23,2007 Town of Montville Building Department File Receipt Date: 09-Nov-07 Receipt No: 2994 Received From: Oreily Building and Remodeling Job Address: 85 Polly's Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: Check: $0.00 $112.96 Check: Check No: $0.96 5067 Short/Over: $0.00 Construction Value: $6,016.00 Demolition Value: $0.00 Received BY Charles Corell �� Address: 85 Polly's Lane ITEM QTY $IUNIT 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 $ 31.90 $ - $ - $ MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ - Basement SF $ 11.28 $ - $ - $ Crawl Space SF $ 8.46 $ - $ - $ - AMENITIES Kitchen EA $ - $ Full Bathroom EA $ Half-Bathroom EA $ - $ _ GARAGE Attached SF $ 49.41 $ - $ - Detached SF $ 63.21 $ - $ - Under SF $ 9.12 $ - $ - Carport SF $ 18.08 $ - MECHANICAL Warm-Air Y Y/N Hot Water N Y/N Electric N Y/N $ - Air Conditioning N Y/N $ - ELECTRICAL SERVICE Upgrade 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 w12 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 $ - $ Inground Pool EA $ 19,430.40 $ - $ - Above Ground Round EA $ 4,635.88 $ - $ - Above Ground Oval EA $ 5,472.50 $ - $ - Pool Heater EA $ 8,167.50 $ - Infatable Type Pool EA $ 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing,Strip&reroof 1600 SF $ 3.76 $ 6,016 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 $ - OII Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 6,016.00 8 - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 6,016.00 $ 56.00 Plumbing Y $ - $ _ Mechanical Y $ - $ _ Electrical Y $ - $ _ Working before Permit Issuance y $ 56.00 Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.96 TOTALS $ 6,016.00 $ 112.96 Figures are based on the 2006 RS Means Residential Cost Data ISSUED BY THE STOCK INSURANCE COMP .�► NEW HAMPSHIRE INSURANCE COM' 'NY CALLED THE COMPANY / i EW H "`' 11 POLICY NUMBER 75190-0000 WC 687-98- INCORPORATED UNDER THE LAWS OF PENNSYLVAN I A 013-82-0707-0 ITEM t NAMED INSURED: MAILING ADDRESS IDENTIFICATION NO.: O'REILLY BUILDING & REMODELING INC 4 SLOOP LANE MYSTIC, CT 06378-0000 /VI Companies of American International Group EXECUTIVE OFFICES: SEE NAME AND ADDRESS SCHEDULE - WC990610 70 PINE STREET, NEW YORK, N.Y. 10270 , I.D# T I;• PRODUCERS NAME & MAILING ADDRESS WORKERS COMPENSATION AND EMPLOYERS 50C INS CABOT0 AGENCYST INC LIABILITY POLICY INFORMATION PAGE PO BOX 920179 ET INSURED IS NEEDHAM, MA 02492-0002 CORPORATION PREVIOUS POLICY NUMBER NEW OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's mailing address ITEM 3 FROM 07/0 1/07 To 07/01/08 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CT B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 p°I Bodily Injury by Disease $ 500,000 each limit employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Estimated Total Rate Per Estimated Code Number Remuneration $100 OF Re- Premium 111 Annual ❑3 Year muneration X 0 Annual 0 3 Yei SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $39f EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $100 CT MINIMUM PREMIUM $850 CT If indicated below, interim adjustments of premium shall be made: TOTAL ESTIMATED PREMIUM $7 48! 0 Semi-Annually 0 Quarterly 0 Monthly ENDORSEMENTS(FORM NUMBER) DEPOSIT PREMIUM SEE ATTACHED FORM SCHEDULE - WC990612 V& j2I 1"• (-v lJr- I -7 3•--1 - 5(16 <.� l 07/18/07 PARSIPPANY 82 U 3J Issue Date \`�' Issuing Office Authorized Represent4tive 39907 wC 00 00 0 ,�r� ,?iA .:,a•'7'f'—V..;{}t%;'. •.:{'�'F,>,�.: '/ ,,, • .'r a L r•5.:*. / .tom ry `��/ �{/� v' C� `t Y 4 ryry t`' Y.l ',rr�•t: ,•,� �!ti Y•7 � .r.�r•, V`N.'�,.;1�..t •Y. �'% '1 ' .tib- j L U. ♦�Yj C=' ,{��:fi �•`� t5 4011"10 j V, 1 S� Y5' �.C4• >,`.:�5 ,,Y��l�l.i�.�u ,-l/ tN1,4 • � •, fl,-• t hi;._ .3 0 tgt•F.il to gi::,c' , ";,'i '4/S .f $ ~/ Sr.•`. v�. s f _,, STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION s . Beit known that gy=p O'REILLY BUILDING & REMODELING INC a 4 SLOOP LANE MYSTIC, CT 06355 , h r as , t is •certified by the Department of Consumer Protection as a registered ,% , 'f _ HOME IMPROVEMENT CONTRACTOR • ,t x Registration # HIC.0615096 ss ss " Effective: 12/01/2007 r._ fr' r Expiration: 11/30/2008il if a Jerry Farrell,Jr.,Commissioner . `•,Y f? \ r ::ta t: .; 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 ' `3 (--C Y Pro•erty Address 'go , C\C Job Descript4 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 q c, Required for all permits Comments: f 1+' WPCA, Administrative In It 19 101 Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: 6/Leal/ ,1 MI Planning &Zoning 1(q/a 7 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 Marsha L 1 l( Required for all permits L Comments: ; I A 1`1 viserfAugust 5,2005