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HomeMy WebLinkAboutStrip and Re-Roof 1999 • TOWN OF MONTVILLE BUILDING DEPARTMENT 310 NORWICH-NEW LONDON TPKE. UNCASVILLE, CONNECTICUT 06382 Building Permit CeL 860-848-7166 Faa 860-848-7231 g : 1 Page: Permit Number: BP1999-286 Printed: 7/21/99 Approved: Applicant: Peter Silveira Zoning: , P.O. Box 615 Addition: Niantic, Ct 06357 Block: 102 Lot(s): 046-000 Parcel Number: PARC1999-425 Section: 140 Polly's Ln. Township: Uncasville, Ct 06382 Range: Area: Legal Description: Builder Peter Silveira , P.O.Box 615 Voice: 860-443-8484 Niantic, Ct 06357 Fax: Local License: State License: 523713 Fees and Receipts: Number Description Amount FEE1999-1543 Building Permit Fee (Auto) $16.00 FEE1999-1544 Certificate of Occupancy-Assessory Structure $5.00 Fees Total: $21.00 Construction Value: $3,000.00 Structure Use: Residential Start Date: 0/0/00 Purpose: strip& re-roof End Date: 0/0/00 Floor Areas Impervious Surfaces Living Space: 0.00 Basement/Storage: 0.00 House: 0.00 Porch/Walk: 0.00 Garage: 0.00 Porches: 0.00 Garage: 0.00 Other: 0.00 Decks: 0.00 Other: 0.00 Driveways: 0.00 Total: 0.00 Total Area: 0.00 Site Area: 0.00 Structure Area: 0.00 Percentage of Site: digir7-----) ,_i. Com-, Building Offici. Signature / Date • • Town of Montville Building Department 310 Norwich-New London Tpke. , Uncasville, Ct . 06382 Tel . 848-7166 *************************: *************************************************** APPLICATION FOR BUILDING PERMIT OR TRADES PERMIT, Please fill out completely Owner: I, ►'zyji Ile lc Mailing Address : HD PhI S Lone City: Ui1C&iI JIB State: Cl Zip Code C(::1362 Tel : SH6-L-}(AirI Job Location: lL(_D 901145 La11.9-- � 02 la yzs Contractor: Q T r �V�1Y(,L Mailing Address : Pd LX))S (pts City: K\ yl-lc State: CT Zip Code: dc1.357 Tel : 3q2L-1 ****************************************************************************** Stick Built : Modular Home: Manufactured Home: Commercial : Addition: Garage: Car Port : Shed: Remodeling : Roofing : Siding: Fireplace: Chimney: Windows : Pool : Demolition: Plumbing: Heating : Electrical : Air Conditioning: Gas : Patio: _ Porch: Deck: Retaining Wall : New: Repair/Replacement : Job Discription/Materials used: tf A- r J- )f) (Askhq d.rcc edq€ , Size: Type of Heat : Fireplace: No. of Stories : No. Rooms : Breezeway: No. Baths : Garage: Use: 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. � Owner/Agent Signature. i1 ALA2E1)\ 0--/, Date (442-y /qC1 If signed by Contractor, type of license/registration & No: 5 -1 )3 ****************************************************************************** Building Department Use Only Construction Value Fee Building 6}-6.e) "-- Plumbing Plumbing Heating Electrical Air Cond. Other Certificate of Occupancy Plan Review Total Cash/Check p • PETER SILVEIRA 1 P.O. Box 615 --- Niantic, CT 06357 Phone (800) 691-0503 -- Fax Same. -- Home Phone (860) 443-8484 Email silveira.roofing@snet.net DATE: b C n To whom this may concern, I hereby authorize for either Sandra Silveira or Jennifer Arndt to apply for building permits in my name. My contractor's license number is 523713 and a copy of the license can be furnished upon request. OWNER'S NAME: Y--o Cy + K r I S-1 .'11 1 ler JOB ADDRESS: \L\b Is Lan-e_ l i I IncosVI 1\e JOB DESCRIPTION: S-trt p rte- bcvcK add y-hery noT If there are any questions, please feel free to call the office at the phone numbers listed above, and speak to either Sandra or Jennifer. Th. • 3.' Peter C. Silveira Peter Silveira Roofing { j DETACH CERTIFICATE ABOVE ALUPJ( Ht-Urt k I ivty STATE OF CONNECTICUT DEPARTMENT OF C't,N.UP.I :'k PROTECTION , 165 Capitol Avuratc, Hartford, Conne :ticut 06106-1630 Attached is your registration to perform "home improvement" work as defined in the Connecticut General Statutes, The pocket card shall be carried on your person at all times while performing said work. 1 Such registration shall be shown to any properly interested person on request. No such registration. t shall be transferred to or used by any other person other than the person to whom the registration f was issued. Contractors shall display their state registration number on all commercial vehicles used j: in their business and shall display such number in a conspicuous manner on all printed advertisements, bid proposals, contracts, invoices and on all stationary used in their business. i If you need assistance,please feel free to contact the Department of Consumer Protection,License I Services Division at (860) 566.825. i 1 I I \ I I tri t 1 ►.\ \ 1 'f fit f I ' : i This is to cortity that toxiir Its pstatallahsM or Ganisrai.��r.o Statutes tha tottowing pawn PHO M C S LPRR R CONTRACTOR 1 t SHAWANDASSBE RD WATERFORD CT 06383 DILA.: HOME MAI USN 8N TOR � L.CIREp. NO / EXPIRES 71VE 11130/ 005237/ 12/01/98 99 CONTR '`i+ 'P R CORD: NOT APPLICABLE r I ;,TONED: CAREFULLY PUNCH OUT CARD ABOVE AND PLACE IN YOUR WALLET JUN-30-98 11 :46 AM WAITTE"S—INSURANCE 860 886 7793 P. 05 ACORN x_ #1111 0j , , �, =,,,- rr «� awwsr.iw.onno,.n.•,.,..r�, ryu"�w., � � '� DAT1EfMM100tW) MOLDER , c.. 06-30-98 860-888.5571 THIS CERTIFICATE IS ISSUED AS A ATTER •F INF•RMA-ION WAITTES INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 180 ALTER THE COVERRAp CERTIFICATE p NOT AMEND, EXTEND W. TAfTVILLE,CT. 06380 COMPANIES AFFORDIP&COVERAGE- COMPANY GREAT AMERICAN RlBURED _.. ....- ------- -- -- -- �OMPAKY PETER SILVEIRA B TERRA NOVA DBA SILVEIRA ROOFING -------- P.O.BOX 915 r COMNY TRAVELERS INDEMNITY NIANTIC, CT 06357 CPA COMPANY ....... ...._ THIS IS T ,;'..4 D f r 1 ,• xx.. .�{ ( F ,rvr r�'�� �� i. �-��vri 'WY.I'w:fld W %49( .. t t�:•'`< .i: Y 1 1 AM. ',,,11;‘ .. _ . S O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I a TOT ;l HE S:URED AtMED l � ' INDICATED NCTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON RACOOR OTHER DOCUMENT WITH ABOVE RES ECT TOFOR THE LWHICH THISI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORCEC BY THE PO.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS ._.._ U S------H- ---- EXCLUSIONS AND GONN D TIOONS OF SUCH PQLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR' TYPE OF INSURANCE j POLICY NUMBER CO POLICYCPFE4TIVE POLICYEJfPtRAT10N ----'.`•�-- --- !!_'_' DATE(MMRIMRwOrci) LBMTB ONYI DATE( B _�atom uABIL TY 88JKN 148 199 } -12 98 08-12-99 GENERALAOOREOATEf S . .—300 .000 I COMMERCIAL GENERAL LIABILITY I PRODUCTS-CONIPgP ACO i 300,000 __.L. 'CLAIMS MADE (IJ OCCUR i r — �}-......_.._--3 I PERSONAL A ADV INJURY i 300 OM —� __t ..._....._300. OWNc R S E CONTRACTOR PROT EACH OCCURRENCE _ (i — I FIRE DAMAGE(My ors fire)_ ,$ 50.000 I MEDEXP(Afl ,p,rwn] l i i A ;AUTOMOBILE L ABILITY OCA 7'7047904 + I S'� ' 12-30-97 12.30-58 ANY ALTO I COMBINED StNCLE LIMIT 1w i 1 ALL WINED AL!OS L . SCHEDLLEC AL'T06 BODI�mINJURY i �• HIRED AUTOS _. Fj BODILY (Pic INJURYiHON•OWNED AUTOS i— j PROPERTY DAMAGE i I$ t 1 WAGE LIABILITY I AUTO ONLY Y.EA ACCIDENT }S 1 ANY ALTO j OTHER THAN AUTO ONLY; ----- — i , I EACH,ACCIDFNT i EXCESS LABILITY AGGREGATE 1 i EACH OCCURRENCE. Ii I UMBRELLA cORM --•--._.._...y OTHER THAN JMBRELLA FORM1 I AGGREGATE T TSV � WDRKERB COMPENSATION AND 6JUB-299X958 8 98 RMPLOYIPIS LIABILITY I 08-19.98 08-19-99 XEAC v 1_1°i'' --_-.--.—. ''° THE PROPRIETOR! EL EACH ACCIDENT I 1012,092_1 PAKTNER9/ExECU'IVE INCL i I EL DISEASE•POLICY LIMIT $ 504,004 j OFFICERS ARE , X 1 EXCL I--- OTHER ; ! i EL DISEASE-EA EMPLOYEE 1±,., 100.000 I — ..1 DESCRIPTION OF oPBRATIONULOCAT10NBNEH1CLe$ISPECAL ITEMS Y . 1:.1- r`. i 1".:'w'IT. anTm 1, r '` ..T 14,::-'4 .T -RI~. 1' ' ' ,i,.ti (' ,. .! ,..,. TOWN OF MONTVILLE MOULD ANY OP TN! ABOVE DESCRIBED POLICIES BE CANCELLED 'Wm THE SXPIRATION DATE THEREOF, THE ISSUING COMPANT WILL ENDEAVOR TO MAIL _.D_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WT FAILURE TO MAIL SUCH NOTICE SHALL REPOSE NO OOLIGATiON OR LIABILITY I • ANY. IND UF• I THE COMPANY ITS ADEN OR REPRESENT TN +e'�L-:n ,. p4.n ti;9 r r•;., A M r►!�,, E ] .1' 1 ! �V fc? ,„, . r ...„I!Z-. 1114 ...'.�° �-41 I; 'R Intl ,-1,114t67—,—„ l 0