HomeMy WebLinkAboutStrip 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: B2005-0269 Date: 14-Jun-05 Map/Lot: 102/045-000 Owner ID: 5648000
Project Location: 136 POLLYS LANE Unit:
Job Description: Strip&Re-roof and Siding
Owner Name: William and Barbara Page Tenant Name: N/A
Careof:
136 Pollys Lane
Uncasville CT 06382- Telephone:
Contractor Name: T. R.Corcoran Telephone: (860)889-3554
DBA: Lic/Reg Type: HIC
Lic/Reg No: 512927
679 Shetucket Tpke. Exp Date: 30-Nov-05
Voluntown Ct 06384-
Construction Value Permit Fees Construction Information
Building Value: $17,250.00 Building Fee: $144.00 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: $17,250.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $2.76
Total Fee: $146.76
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 0 Certificate of Approval
1. Certificate of Occupancy
_
Building Official's Approval: ,? , '��f-4 , -
•
Town pf 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#4e=r42,
9Vew Construction []Addition Q Alteration Accessory Structure
Single Eami1y 111 Two-Eami1y 0 Townhouse
Job Address /3 C j"' cl „
(Number) (Street) (Unit)
Job Description 21e..cti ,3Dy B � J c-R /)
Owner 1,(l -
Mailing Address /3� Pe-My
City State C ZT Zip Qc 3 i..2., Tel Irq 7 I?.2 7
Contractor 7"-•R, CQr Mailing Address � ? 5 4 cicJO-
City (a A-
1L /v h/71 rJ w kt. State Cr Zip 0(3 Tel i? ?/3SrY
Contractor's License/Registration Type
gi &Number s ��� . S7-2,1 ) Exp. Date if /36 / Or
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 required for electrical,plumbing, mechanical, etc.
Owner/Agent Signature Date b / / a
Construction Value Fee
Building /
Plumbing 3/
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State Education
Total $
(See 4-verse side for additional requirements)
WrviseiFe6ruary 25 2005
Town of Montville
Building Department
File Receipt
Date: 07-3un-05
Receipt No: 266
Received From: T. R.Corcoran
Job Address: 136 Poll 's Lane
Fees Collected State Educational Training Fee
Cash: $0.00
Cash: $0.00
Check: $146.76
Check: $2.76
Check No: 10934
Construction Value:
$17,250.00
Demolition Value:
Received By Sandra Pandora
��ii Pr � �_, ire
Permit Fee Calculation Spreadsheet
MISCELLANEOUS PERMIT CALCULATION
Address:
Pools & Spas
Above Ground Round EA $ 3,200.00 $
Above Ground Oval EA $ 6,000.00 $
In-Ground EA $ 20,700.00 $ _
Heater EA $ 3,465.00 $
Hot Tub EA $ 5,250.00 $
Roofing
Strip & Reroof 15 SQ $ 350.00 $ 5,250.00
Overlay SQ $ 250.00 $ -
Plywood SQ $ 125.00 $
Plumbing
Full Bath EA S 5,000.00 $ -
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 20 SQ $ 600.00 $ 12,000.00
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 $ 17,250.00
PERMIT FEE CALCULATIONS
Fee
Building S 17,250 $ 144.00
Plumbing S - $
Mechanical S - $
Electrical $ - $
Work Commenced before permit issuance $ _
CO Fee $
Plan Review $
State Ed Fee $ 17,250 2.76
Total Fees $ 146.76
Based on 2003 RS Means Residential Cost Data
6/7/2005
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DATE(MMDDY )
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PRODUCER THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
6 CONSUMERS AVE COMPANIES AFFORDING COVERAGE
NORWICH CT 06360-7521 COMPANY
A NATIONAL GRANGE MUTUAL INS CO
INSURED ---- ^---- -- - --
COMPANY
TIM CORCORAN DBA T R CORCORAN B
GENERAL CONTRACTOR COMPANY
679 SHETUCKET TPKE C
VOLUNTOWN CT 06384 COMPANY
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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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMI TS
LTA DATE(MINDOJYY) DATE(MM/DD/YY)
GENERAL LIABILITY MPI 6 2 2 2 9 9/12/04 9/12/05 GENERAL AGGREGATE s2, 000, 000
X COMMERCIAL GENERAL LIABILFFY PRODUCTS-COMP/OP AGO s2 , 000, 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S l, 000, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S1, 000, 000
FIRE DAMAGE(My one tire) $ 500, 000
I MED EXP(Any one pew) S 10, 0 0 0
AUTOMOBILE UABIUTY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS I BODILY on) S
(Per person)
HIRED AUTOS
' BODILY INJURY
NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE S
GARAGELJABIUTV AUTO ONLY-EA ACCIDENT I$___
ANY AUTO I OTHER THAN AUTO ONLY: L
— `__ -_ EACH ACCIDENT I$ _..
AGGREGATE $
EXCESS UABIU TY - EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE $
I 'OTHER THAN UMBRELLA FORM
4I WORKERS COMPENSATION AND W C 16 2 2 2 9 9/12/04 ' 9/12/05 X 'Tony uM% 31-4, $
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $ 100_1_00 C
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE EL DISEASE POLICY LIMB S 500, 00(
OFFICERS ARE. EXCL EL DISEASE-EA EMPLOYEE s 100, 00(
OTHER •
STATE OF CONNECTICUT
DEPARTMENT OF C'OVSl.'-)U_'R PROTECTION
HOME IMPROVEMENT CONTRACTOR
TIMOTHY R'CORCORAN r_:q f .•yi <r. _:ter.. J/
679 SHETUCKET TPKE £►`. . .:. =w?;=: %c .: ✓/�
VOLUNTOWN,CT 06384 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
T R CORCORAN GEN CONTRACTING EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT.
LIC./REG No. I EFFECTIVEE PII1ES' BUT FAILURE TO MAIL SUCH N ?ICESHALL IMPOSE NO OBLIGATION OR LIABILITY
512927 I 12/01/2004 111/30/2005 OF ANY KIND UPON TH COMP• •GE I OR REPRESENTATIVES.
! AUTHORIZED REPRESENTATIV
slgNEo REGINA ERF RE D
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Building Department
848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
/3 G >.°0-e1z'
Property Address
1.1-071( 'V- Z1-4-seY-•-ry
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 c„./7 /0 —
`sinattrre; date
❑
WPCA
0
Sie,-naturel date
❑ Planning& Zoning
Signature/date
❑ Health Department
Signature/date
❑ Department of Public Works
Siumaturei date
❑ State Dept. of Transportation
Signature date
❑ Fire Marshal
Signature/date
Comments/Conditions: