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Strip 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: B2006-0324 Date: TY 12-Jul-06 Map/Lot: 103/0.80-000 Owner ID: 5677000 Project Location: 49 PORACH ROAD Unit: Job Description: Strip&Re-roof(34 sq.) Owner Name: Helen K Ferencek Tenant Name: N/A Careof: 49 Porach Rd Uncasville CT 06382- Telephone: Contractor Name: G.A. Denison&Sons,Inc. Telephone: (860)443-6541 DBA: Lic/Reg Type: HIC Lic/Reg No: 566806 P.0. Box 550 — Exp Date: 30-Nov-06 New London Ct 06320- Construction Value Permit Fees _ Construction Information Building Value: $12,784.00 Building Fee: $104.00 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: $12,784.00 Penalty Fee: $0,00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $2.05 Total Fee Paid: $106.05 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business clays 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 / Ei Certificate of Appr%.val /i7,777---7 . e . occupancy Building Official's Approval: ,7.---:0011, / L • 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#(,3 b2O O — O .3 25/ ❑ New Construction n AdditionAlteration n Accessory Structure f l Single Family [l Two-Family EI 'Townhouse Job Address (Numb`er) '�Stre fl'r—z/ (Street) (Unit) Job Description if //iii - / Owner / � IV -�,,�*�t 2 Mailing Address IVF Ppypc„o( Zed City ` �,�/ State € r Zip 0 '3,F 2-Tel e / Pqe/ 2.426- Contractor irtiQ �e S / Mailing Address O Q, cs`© State C4: Zip D�.3 ZO Tel a / q�/..3 / Gcs y Contractor's License/Registration Type&Number ,5".‘b cP0 6 Exp. Date /7 / ,3 O / O 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 uired for electrical, umbing, mechanical, etc. Owner/Agent Signatur 4 Date 7 I 7 / d6. Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review State Education — Total $ VF69 GO (See&verse side for additional-requirements) 94viseir'e6ruary 25 2005 Town of Montville Building Department File Receipt Date: 10-Jul-06 Receipt No: 1474 Received From: G A Dennison Job Address: 49 Porach Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $106.05 Check: $2.05 Check No: 7220 Short/Over: $0.00 Construction Value: $12,784.00 Demoli in Value: - $0.00 Received By Vernon D Vesey II - Address: ITEM QTY $/UNR 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 $ - $ - $ - AM ENRIES 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 N Y/N $ - Hot Water N .'. VM $ - Eleclric N YM $ 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/lfireptace EA $ 6,451.50 $ - Masonry w/2 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 Healer EA $ 8,167.50 $ - Inflatable 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,Stop&reroof 3400 SF $ 3.76 $ 12,784.00 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 $ - Oil Tank.550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 12,784.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 12,784.00 $ 104.00 Plumbing Y $ - $ _ Mechanical Y $ - $ _ Electrical Y $ _ $ _ Working before Permit Issuance N $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 2.05 TOTALS $ 12,784.00 $ 106.05 Figures are based on the 2006 RS Means Residential Cost Data G. 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Ii INSURERS AFFORDING COVERA • NAC M I I INSURED INSURER k. GRANITE STATE IN MP RANCECOANY I O.A.DENISON a SONS,INC. INSURERS: COLONY INSURANC CO. CIO GEORGE DENIS NINSURER C: PROGRESSIVE NO WESTERN POST OFFICE BOX T66 WATERFORD CT 041368 INSURER 0: INSURER E: COVERA THE POLICES OF INSURANCE L,;TSD LOW HAVE , N I'• E• TO TN INS - `D ADOVF FO- TH -• T '1 V I • .T TED. NOTYATHST•i •• ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH THIS T,FICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES PESGRISED HERENi IS SUSJECT TO ALJ.TME TERMS, EXCL ONS AND CONornoNS OF SUCH POLICIES ADOREQATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS InGRi,{pry TYPE OF INSURANCE POLIOY HUNKER ; POLICY IPICTIYR ' ro�10T EXPIRATION i LIMITS LtN jINNRD _ � Y_,� - J ,py$1aM(pQJyyL 1. D1T1IM#�OIYY! ®ENERM.LIAMUg — 4L 43O74768 0"1/04)06 1 0WD4/07 I ) H OCCURRENCE, jo ___.-..... ' GENERAL � I ` To RENTED ;i J CLLIABILITY woo mini X f OCCUR I ; D.EXP(my err person) I _... B ..-_ --- ..—___.__ i RbONK i ASN INJURY 1 00,000 �_._ER. ( NERAL AGGREGATE IS :00,000 GEWL AG0REAATE LIMIT APPLIES P .I, I ObUCTS-COMP/OP AGO. 1.5 00,000 Pilo. r--..� _...1 POLXCY r. .I ,1G7 I I Loci ., __... . _. .._..._.-I -auTOMosu Lia�t rY CA 06830330.0 I 40122/06 10/22106 1 _^ �oMBINiD SINGIE LIMO i !ANY AUTO a0e40�nt) I ALL OWNED AUTOS ; poky I JURY , ..Xl ( canon) 'i 00,000 1 -._. _. C F..i. sCHEOULEDALITOS HIRED AUTOS I I'ADILY INJURY 1 NON.OWNED AUTOS *er ecctdrnq i 00,000 I_.— ...,.. IROPERTY DAMAGE Is 30,0000 1 '.8r s oidMU 'I I GARAGE LlAOILITY , . I I.. Q.DHLy.EA ACCIoe,Y...._' ANY AUTO iI A Al O 4110 TIER THANj MOES I MORELLY - UTO ONLY H OCCURRENCE __— j 000UR LACLAAB MACE 'j ! GREW" DEDUCTIBLE -. ........_._._... __._._. I RETENTION$ -- - _.._. _.. ..__y .1 _.._......_..__...-._ E ;wORNERS oOMPENOATION AND WC 2?8-86-47 08/14108 05146106 -+}- WC*YOU. I row" .�� A jIMPLoYER,LIABILITY AM PMecwbMnXEWtNE I .L.EA.—CH.A.O.CXE►T_ '.......___...... ! 000 1OPi O6A Fuffin°i L.DI/ 6MPLOYEi $ 00,0 live IS►BQ& - umilit PROVISION)i •.L DISSASE.POL!CY LIMIT $ 100,000 OTHER: DESCRIPTION OF OPERATIONSILOCATIONBNEHICLESIEXCLUSION$ADDED SY ENDORSEMENT'SPECIAL PROVISIONS THE ABOVE COVERAGE APPLIES TO CARPENTRY&ROOFING carbon Exclusions may apply to the above referenced ooviraQe. CERTIFICATE HOLDER CANCELLATION car SHOULD ANY OF THE ABOVE DEB MORD POLICE:.IM CANCELLED BEFORE T IS EXPIRATION DATE tHEREO', THE sum INSURER WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIF , TE HOLDER NAMED TO THE LEFT.BUT Fl LURE COPY FOR INS'D ONLY TO DO SO SHALL IMPOSE NO CRIJiiii,aION OR LIABILITY OP ANY KIND UPON THE IN'URER, ITS AGENTS OR REPRSUENTATWEB Attention; FAX 440-3842 . �!� % ACORC 25(2001108) Ce.......---.—&----P4.159-1; --,...—__ ficale al 11238 i t' a I 4D ACORD CORPORATION 1688 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/' 11( Property Address 9 J -6-op( Q / 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 A royal Department Permit Issuance Approval Pp Tax Collector ��OOrn `1 `cLo Signa tit. date Comments: ❑ WPCA,Administrative ` 3V7e '7//b/b Signature! date Comments: ❑ WPCA, Technical Signature'date Comments: ❑ Planning&Zoning Signature/date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Sid nature!date Comments: ❑ State Dept. of Transportation Signature/date Comments: ❑ Fire Marshal Signature/date Comments: PviserAugust 5,2005