HomeMy WebLinkAboutStrip and Re-Roof 2006 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: B2006-0392 Date: 10-Aug-06 Map/Lot: 102/042-000 Owner ID: 5643000
Project Location: 124 POLLYS LANE Unit:
Job Description: Strip&Re-roof
Owner Name: Julia Johnson Tenant Name: N/A
Careof:
124 Pollys Lane
Uncasville CT 06382- Telephone:
Contractor Name: Tri State Windows Telephone: (860)443-8401
DBA: Lic/Reg Type: HIC
Lic/Reg No: 519110
15 Lakewood Drive Exp Date: 30-Nov-06
Oakdale, Ct 06370-
Contruction Value Permit Fees Construction Information
Building Value: $6,768.00 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: $6,768.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $1.08
Total Fee Paid: $57,08 ✓
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 ate : Approval
ate 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# 0667,- Q 2
0 New Construction 0 Addition ❑Alteration 0 Accessoiy Structure
0 Single(Family 0 Two-'Family 0 Townhouse
Job Address I O(Li O I 1 I ft 'LQ
(Number) (Street)
(Unit)
Job Description g-e-. rvo r
Owner l,L.l I le J Olinson Mailing Address ( ai I - a i 1 G S la--n-C__
nn ii
City O U( 1 tQ State C p C� 1
Zip �� � Z'I'el (�r/�) / 8 � � -7
l0t' -ST✓+ r _
Contractor !i'10,at,J uls-f' -_t_n(o Mailing Address I S L.e} la it 30 0e 1 �;Q,
City r) lc_ 0�.J Q State I Zip D(03-7urei g(4c) / %%3 /O/
±/ome -_-rhp(01(emm'(?) �cExp. l/i 3Q 6,67Contractor's License/Registration Type&Number )0 (fv✓1 Date
R.e7 -,4 5791/0
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 application for a permit for such work as described above.
Separate applications are re ired r ele ' • ,plu :ing,mechanical, etc.
Owner/Agent Signa / /
Date 7 / 2 7 / 0 C,
onstruction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State Education $
Total $ $
(See averse side for additional requirements)
ftvised fe6nary 25 2005
,
Town of Montville
Building Department
File Receipt
Date: 27-Jul-06
Receipt No: 1531
Received From: Tri-State Windows Distrutors Inc
Job Address: 124 Polly's Lane
Fees Collected State Educational Training Fee
Cash: $0.00
Cash: $0.00
Check: $57.08 Check:
Check No: $1.08
10734
Short/Over: $0.00
Construction Vale $6,768.00
Demolition . ue: $0.00
Received By Joseph Summers
Address: 124 Poilly's Lane
ITEM QTY $/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 $ 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 YM $ -
Hot Water N YM $ -
Electric N VM _
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 w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood oboe insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.82 $ - $ -
POOLS&HOT TUBS
Hol Tub EA $ 7,287.50 $ - $ -
IngroundPool EA $ 19,430.40 $ - $ -
Above Ground Round EA $ 4,635.88 $ - $ -
Above Ground Oval EA $ 5,472.50 $ - $ -
Pool Heater EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
wielectrical SF $ 18.50 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.38 $ -
Roofing,Strip&reroof 1800 SF $ 3.76 $ 6,768.00
Roof Sheathing SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Wndows EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors,Exterior EA $ 401.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS
TOTALS $ 6,768.00 $ - $ - $
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 6,768.00 $ 56.00
Plumbing Y $ - $
Mechanical Y $ - $
Electrical Y $ - $
Working before Permit Issuance N $ _
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 1.08
TOTALS $ 6,768.00 $ 57.08
Figures are based on the 2006 RS Means Residential Cost Data
.2_.
STATE OF CONNECTICUT
DEPARLIIENT OF CONSUMER PROTECTION
HOME IMPROV.EMUNT.cONTRACTOR
•
TRI-STATE 11(INbOW bIST INC
15'LAREFOCO'DRIVE
1 0.4IC4LE,q4400370
___,,,,y- -,:0 -,*,,•_:. ,,e
TRI-STATE WOW DIST INC
•
Li . RE Ntit. - . ...2A. Iv ,:..• ..'..,-...:--- XPIR
519110 '- -C.:712/01,12005'..V.-41/30/2006
y;)6,4--7 •-•T‘i,,,'
•
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...
•
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4 -
ClientN; 30701 TRISWIN
uN 0.}} P X.� � ---....T _ � DATE t
_ . TIF Al OF LIABILITY INSURANCE ,,- I
Webster Insurance (JIVLr MNL L Jlvrcno i'U FllblY I.i Uri.r Y I IG
914 Hartford Turnpike HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Waterford, CT 06385
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Maryland/Zurich Commercial
Tristate Window Distributors, Inc INSURER B:
15 Lakewood Drive
INSURER C:
Oakdale, CT 06370
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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR NSRC DATE(MM/DD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY PAS41498453 10/28/05 10/28/06 EACH OCCURRENCE $1,000,000
DAMAGE X COMMERCIAL GENERAL LIABILITY PREM SESO(Ea occu RENTED
$1,000,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 _
7 POLICY 7 JEn LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
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 $
IOCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND WC4149854503 10/28/05 10/28/06 X WC STATUS- OTH-
EMPLOYERS'LIABILITY TORY LIMITS 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/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Town of Montville DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
310 Norwich-NL Tpk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Uncasville, CT 06382 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED RE RESEN TIVE
ACORD 25(2001/08) 1 of 2 #M65455 JJV @ ACORD CORPORATION 1988
Building Department
848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
/, 6/ 14-S' /1--Y)X2.
Property Address
Rc _ Foo
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
Approval Department Permit Issuance Approval
Tax Collector _ / 7 0
Signal UF'. cial
❑ WPCA `°4 --1 1
6 Co
ti 17natnie date
❑ Planning& Zoning
Signature: date
❑ Health Department
Signature'date
❑ Department of Public Works
Signature; date
❑ State Dept. of Transportation
Signature! date
(2 / la)
❑ Fire Marshal i/
isAkitEN
Comments/Conditions:
•
.
SIqL'k(67-5t,-)73 /) I /I J �� 0 �/Zil� 1� t
•WINDOWS RS
TRI-STATE WINDOW DISTRIBUTORS INC. •VINYL SIDING
('
`V 15 LAKEWOOD DRIVE, OAKDALE, CT 06370 Contractor
k , I C / Registration
5\di)
CA ( • ROOFING
(860) 443-8401 TOLL FREE 1-800-538-3160 FAX (860) 443-6135 No51910
Contract submitted to Work to be performed at
�1JJ
Name �V 1 l t �1-oYlii so rt
Street 1 Z 4, po i i yS 40 h_ Street S Q m
City,State Uncas v/get C0 1,3 R 2_ City, State
Phone 84/8_ 81 9 7 Phone
We hereby propose to furnish the materials and perform the labor necessary for the completion of the following:
/411 ex i_S4l►l layers Nil roag.y w0/ „A.c v (hied c ,,r/ e t ssa rt/«/i 1-► C& t o.i.t k tf r/um,O Ie .
A sill' iv. cake.- Rte t n+will Ic r[1-�l .e j ,..iii. - yclLv. . 15. / b. 1=zC4-rug%/L�-_
U /«t/0Lier SAra.�trt iiS (-Al IJrr/rrla r*fI'n 7 CaHt( c.Jaltc barrier r,h7/Ix trscr'n,-i
ail "-trip •ee/9es /Vi Lc)Ai It r(rlf eA.tr/1,--aI-e 4.4c 44.2;1/ le ,'ers-1-4.//e,/
on a/( ler/ tc_ a ncc,..) vcw-f- Lc -�s i/Jidtr talc 'exis4t� -t. i aaF
Sl1 t h /4 s [ii./I 6 c ,30 ra r f-�f-c�L 2 s-1--/c, �r'Iwo ca cl inc /lice, c S e,-<.c s .
Wig 5 CAtA,.2t/ // rr lzk,tt.t,clot g.A-cc/u.c a<_rice/.
`•1v6 tnrItiries any Nitct / S -1 Aelf_rr/aia,--c c2A.c( Sea(at.t. ,
All cir3coui c Aavc bcc,‘ yip/itJ
NOTES:
ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED 1. PRICE s S 9 00 .cx)
AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE 2. DUE ON STARTt(DF y o c) s 2 . 9'SO. "
MANNER FOR THE SUM OF' 900- C3° 3. FINAL PAYMENT S 2. 95-0 .")
DOLLARS grit tPUSaricl lite i-itJNdrt'd—
DATE OF THIS TRANSACTION 7- 2 /- 6 NOTE: ALL PAYMENTS ARE TO BE PICKED UP
WORK WILL BEGIN ON OR BEFORE 7- Z8 -O BY INSTALLATION'FORMAN.
6
FINAL PAYMENT IS DUE ON THE DAY OF
TO BE COMPLETED BY / cJ k• FKa»t s1-ter'- COMPLETION.
THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE, WHICH IS SUBJECT TO THE PROVISIONS
OF THE HOME SOLICITATION SALES ACT. THIS INSTRUMENT IS NOT NEGOTIABLE.
NOTICE TO THE BUYER: I. Do not sign this contract before you read it or if it contains a blank space. 2. You are entitled
to a completely filled-in copy of the o•tract when you sign it.
Acce. •. !I-S 4T WINDS • 1 STRI:, ORS INC.
// ` Signature of Buyer
' i i /..msA1illirs/
Signature an.Title Signature of Buyer
CUT AND • CH CUT AND DETACH
BUYER'S RIGHT TO CANCEL: OU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MID-
NIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF
CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT
NOTICE OF CANCELLATION 7 - 2 /-.0
(Date of Transaction)
You may cancel this transaction, without any penalty or obligation, within three business days from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument
executed by you will be returned within 10 business days following receipt by the seller of your cancellation notice, and any
security interest arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received,
anv nnnrls elolivprvrl to vnn nnrier this rnntrart nr calp• nr vnn may if vnn wish. eomnly with the inctrnrtinne .,f tho “orl.,..