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Home My WebLink AboutStrip and Re-Roof 2005 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: B2005-0659 Date: 01-Nov-05 Map/Lot: 102/034-000 Owner ID: 5632000 Project Location: 92 POLLYS LANE Unit: Job Description: Strip&Re-roof Owner Name: Julia S Schaeffer Tenant Name: N/A Careof: 92 Pollys Lane Uncasville CT 06382- Telephone: Contractor Name: MCM Restoration Telephone: (860)443-0185 DBA: Lic/Reg Type: HIC Lic/Reg No: 561318 181 Cross Road Exp Date: 30-Nov-05 Waterford Ct 06385- Construction Value Permit Fees Construction Information Building Value: $6,300.00 Building Fee: $56.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $6,300.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.01 Total Fee: $57.01 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 f _ -:- ,cate of Approval ❑ Ce, - of occupancy Building Official's Approval: / = � Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit# 6 d <j - .0 . n Wew Construction 0 Addition Cteration []Accessory Structure ❑Sin0 Family [] Two-Family [I Townhouse Job Address /2 ivLL 697(4_ GNC.gsi//cLE Ci 066BZ (Number) (Street) (Unit) Job Description LS 7 ,P $ t Zoo r /r -Sc Owner SG >;r%fir,e..., 7---u<L t 4 Mailing Address q 2 PUL City 6f/VC04dviL4E State C7 Zip 063 _ Tel / o37 , F'4131 Contractor MC/14 AS�04 ,vo Mailing Address /S / s i2 a City £04i4 t76,2) State C1 Zip 62 Tel / `f f3/ off-5 Contractor's License/Registration Type &Number ,�,5 /, 3 I Exp. Date // / 20 / a E I hereby certify that the proposed work will conform to the Basic 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 applica ',- i • i or such work as described above. Separate applications are requi -d for elec o• • . umbing,mechanical, etc. ��— - � Date /0 / 3( / 05 /Agent Signature Building II ' Construction Value $ 2,f00.v° Fee Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ $ Certificate of Occupancy Plan Review $ State Education = $ Total $ $ (See Inverse side for additional-requirements) vviseI cFe6nrary 25 2005 Town of Montville Building Department File Receipt Date: 31-Oct-05 Receipt No: 798 Received From: MCM Restoration Job Address: 92 Polly's Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $57.01 Check: $1.01 Check No: 21051 Constru alue: $6,300.00 D- .lition Value: $0.00 Received By Joseph Summer. Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: 36 Depot Rd. Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ - Inflatable Pools EA $ 1,000.00 $ In-Ground EA $ 20,700.00 $ Heater EA $ 3,465.00 $ Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof 18 SQ $ 350.00 $ 6,300.00 Overlay SQ $ 250.00 $ - Plywood SQ $ 125.00 S - Plumbing Full Bath EA $ 5,000.00 S - Half Bath EA $ 3,500.00 $ - Garages Attached, 1 car EA $ 10,775.00 $ - Attached, 2 car EA $ 18,600.00 $ - Attached, 3 car EA $ 25,810.00 $ - Detached, 1 car EA $ 13,850.00 $ - Detached, 2 car EA $ 21,100.00 $ Detached, 3 car EA $ 28,350.00 $ - Sheds SF $ 26.25 $ Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ Siding SQ $ 600.00 $ - Windows EA $ 445.00 $ - Doors EA $ 625.00 $ - Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ - Enclosed SF $ 123.90 $ TOTAL BUILDING CONSTRUCTION COST $ 6,300.00 PERMIT FEE CALCULATIONS Fee Building 3 6,300 $ 56.00 Plumbing S - $ Mechanical S - $ - Electrical $ - $ - n Work Commenced before permit issuance $ - CO Fee $ - Plan Review $ - State Ed Fee $ 6,300 1.01 Total Fees $ 57.01 Based on 2003 RS Means Residential Cost Data 10/31/2005 t vie Movers Yo VELUX� ,� %.• Certified Installer i 0 M RESTORATION LLC ` u� f�til 181 Cross Road,Waterford,CT 00385 SELECT 443-BUILD 443-ROOF R SHINGLE ROOFER' c444444141 4.011,01.11T.0, EST 1988 REMODEL/NG EXCELLENCE Authorization for Building Permit Application Date: /0/3 The bearer of this letter is authorized to sign the Building Permit for the following work as an agent of MCM Restoration,LLC (Lie. 561318) Town/City: Home Owner Name: Se 1-4 F F�2 Owner Address: q2 Pd( ( 4144_ / _ Description of Work: Sr/i2I gE 4700 r Approx. Start Date: /l l 7 U C#.j1P A ` � •,eta Patric 7 cAneenl R 'o . LLC Agent MC R-storation LLC icens-4 Contractor(L'c#561316) canworit. (P int Name) I, U/ 1Y/LVV-1 1.1:JV 311111.11 insurance, inc. Joyce Kavanaugh-*Aim 2/3 Client#: 13547 MCMENTERpR AC TE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUC 06/14/05 Smit THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 15 Li SURANCE INC. Niantic, CT 06357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 860 739-3322 INSURERS AFFORDING COVERAGE NAIC# INSURED MCM Restoration Corp. INSURER A. Selective Insurance of Southeast 181 Cross Road INSURER B. American International Waterford, CT 06385 INSURER C. INSURER D. COVERAGES INSURER E: 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 ADD'L LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERALLIABIUTY S1683233 06/14/05 06/14/06 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE X OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $10 000 PERSONAL BADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $3,000,000 POLICY PRO- JECT -COMP/OP AGG $3,000,000 lECI LOC A AUTOMOBILE LIABILITY S1683233 06/14/05 06/14/06 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ GARAGE UABILRY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY. EXCESS/UMBRELLA LIABILITY S1683233 AGG $ 06/14/05 06/14/06 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $1,000,000 DEDUCTIBLE $ X RETENTION $0 _ $ B WORKERS COMPENSATION AND WC6931159 X TWCY I $ EMPLOYERS'LIABILrTY 01/17/05 01/17/06 S0TH• ORTATU•I X I FR IMITS ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $500,000 If yes,describe under E.L.DISEASE-EA EMPLOYEE $500,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEE •!RATION PROOF OF COVERAGE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1r) • •YS RITT- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE 0 DO . ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,r-AGE• IR REPRESENTATIVES. AUTHORIZED; PRES �T; ryy,rt� a N•. ACORD 25(2001/08) 1 ,of 2 #M5122 , - - I • JCK 0 ACORD CO-••1% • 1 •;8 .-!,...,,A-....".:'..•:x.:..+ �/ �r t t ! v • t Ir' 1/ t,. -•'• . , � -� ' \.n \'•.% \� mak V. STA ------_ _ _ ''" ,� �� < .� 1,--:-.-.; k,�,� TE OF CONNECTICUT' ♦ DEPARTMENT OF CON SUMER PROTECTION I ' `; 7,;-:"4, ,.. Be it KnownIf!,r • M C M RESTORATION LLC ''' " r 981 t -, '— - trTREET NE ,L;�j dT _Q6320 --*‘..•,:.-- -_.."--4t" is certified by the De a 1 P rtrTit £ onsutrie F,tpection as a registered HOME.IMP O VE ,�: - _,` ' HJT CONTRACTOR � " 7-Q = r M C i�'t RESTORATION LLC us . .Q.,-.,...3i. �rRANSr ky,' Effective: 12/01/2004 Expiration: 11/30/2005 ; Y s Edwin R Rodriguez Commissioner :. . 1 1 at . ' r „ y . 3 a v i Et \tr tis ' �R. a., RA A. ..••q -'R 4.' 4,.,;%.,,wA. 4:::4,:;::0 , •'4. •.. •q. •t. , . J hv `Tt: T.1:0:0:11;' Department of Revenue Services State of Connecticut Sales and Use License Number: 484005 25 Sigourney Street . Hartford CT 06106-5032 Tax Permit R603(New 12/03)PP lir.-Q� � The person named below is licensed under the Sales and Use Tax Act.This Use Only at This Location: permit is good only for the named permittee and the location shown. If MCM RESTORATION LLC there is any change in ownership,the permit is null and void. MCM RESTORATION LLC 1iDate expiration Business Connecticut 981 BANK ST Issued Date Start Date Tax Registration Number 09/28/2004 10/31/2009 11/20/1998 9491663-000 NEW LONDON CT 06320-2739 I I I,,,,I I,,,,I I,,,I,I I I III„,I„I I,I,I„1„I,,,,I I I,I„I MCM RESTORATION LLC MCM RESTORATION LLC / 981 BANK ST NEW LONDON CT 06320-2739 (7 /frit) / / This license may not be transferred or assigned. Pam Law,Commissioner of Revenue Services • Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL oo./ cs Property Address S��lP 9 %?E�oor 4),45i 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 le Tax Collector Signatu. ate Comments: \^ , or WPCA,Administrative , ► \ 10 I3 t \6 SignatLi/date Comments: ❑ WPCA, Technical Signature/date Comments: ❑ Planning& Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept.of Transportation Signature/date Comments: ❑ Fire Marshal Signature/date Comments: 4eviseaAugust 5,2005