HomeMy WebLinkAbout1997 - Strip and ReRoof ‘ TOWN OF MONTVILLE �}
Building Department 62,)
e,
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
_For 180 Days
Permit No: 13476 Approval Date: 5/19/97 Expiration Date: 11/19/97
Estimated Cost : 3 ,000 . 00 Fees: 16 . 00 PRF: C.O: 5 . 00
Owner: Robert DuBois Address: 80 Pruett Plasce Tel : 442-5335
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Job Location: 80 Pruett Place Code: 05
Contractor: Niantic Roofing Address: P .O. Box 677 Tel : 691-0611
Stick Built : x Modular Home: Manufactured Home: Commercial :
Addition: Garage: Car Port: Shed: Remodeling: Roofing: x
Siding: Fireplace: Chimney: Windows : Pool : Demolition:
Plumbing: Heating: Electrical : Air Conditioning: Gas :
Patio: Porch: Deck: Retaining Wall : New: Repair/Replacement : x
Wmait siingjes used/discription: strip roof and apply 15# felt paper and
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 ado ted by the State of Connecticut, and
the Town of Montville.
Applicant 's Signature: �_�
Date: ��
If signed by Contractor, type of license/registration & No: 5-3 a 5
Building Official 's Signature: /l- _,, ' !" Ae -s�'
L, i., late �,7
Date of Health Dept . Approval : //r Jr, : �
Date of Zoning Approval : /
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119. 3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED
INSPECTIONS. FOR
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COMMERCIAL FINANCE AGREEMENT
P.O.Box 9119,30 Monument Square,Concord,MA 01742•Toll Free:800-228-0028•Fax:508-371-7134
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'{a63 .::...>•..::::..:::.::;•:::•::;:•:::;t:::>::>.:::::::::.,;., INSURED COPY Lom1
Name and Address of Insured(exactly as shown on policy) Name and Address of Insured's Agent(Agent)
NIANTIC ROOFING INC,KEVIN PELLETIER DBA Agent Number:6990
THOMPSON&PECK INC
P 0 BOX 677
MANTIC CT 06357 321 WHITNEY AVENUE
ATTN: NEW HAVEN CT 06511
Telephone Number:860-434-2300 Telephone Number:203-787-6781
Policyholder Designation: Corporation Type of Agreement
Tax ID#: New Agreement
SCHEDULE OF POLICIES
. Full Name of Insurance Company and(1)Address of Company Policy Number Policy Than Type
Office or(2)Name and Address of General Agent to Which Policy Effective Date In Of Polies Premium
: ' `�"` Premium is Paid Prix Number MO DAY YR Months Insurance
ST PAUL INSURANCE 6516UB171X369797 5 i 10 ' 97 12 40 3597.1
\?` P O BOX 98180,CHICAGO,IL 60693-8180
FLORIDA DOCUMENTARY STAMP TAX(Florida Insured's only) $
FOR AUTO POLICIES: CASH PRICE
registration I Vin#: (Total Premiums) $ 3597.'
Payment to be Automatically Drafted from Insured's Bank Account: NO
1
•
PAYMENT SCHEDULE
Payment Plan:Invoice
'c Number of Payments:9 First Payment Due:06/09/97
Subsequent payments are due on the same day of each succeeding mouth
CASH CASH AMOUNT FINANCE TOTAL OF PAYMENTS AMOUNT ANNUAL
PRICE DOWN PAYMENT FINANCED The amount you will OF EACH
The amount of a-cit CHARGE have paid when you have PAYMENT PERCENTAGi
provided on your behalf The dollar amount the made all scheduled RATE
credit will cost you erect
payments The cost of your ere
as a yearly rate
3597.00 899.25 2697.75 163.80 2861.55 317.95 14.35%
• PREMIUM FINANCING SPECIALISTS(IlEREINAA IRK CALLED PFS)
Prepayment The Insured may prepay in full at any time and remove a refund of the earned finance charge, 7 days in VA.Maximum delinquency charge is$5 in DE,ML MT.NJ.ND,OILWA:$50 in MD:S50 in MS for
calculated according to the Rule of 78's(actuarial method used in AR,CA,MA,ME,MS,NJ,OR,PA,VI),and of$100,000 or less.In AK,OR;for delinquent payments of less than$250 the delinquent charge is the less of
subject to a nonrefundable charge stated on page 2.Mrnimum refund is$1.00. the payment or S5,otherwise the delinquency charge is 2%of the payment In NM,the Insured agrees to pay
Security Interest The Insured assigns to PFS as security for payment of this agreement all sums payable to the interest at the Annual Percentage Rate stated above on any payment not made on the scheduled due date until
Insured with reference to the policies listed above,including among other things,any gross return premiums and payment is made.KS:Delinquency charge of S5 plus 2%of the installment in default.
any payment on account ofloss which result in reduction of the unearned premium. Cancellation Charge:The Insured agree`that if a default results in cancellation of the pohcy(ies)to pay a
Delinquency Charge:The Insured agrees that upon default in payment of any installment of five days or more to cancellation charge in the amount stated on pave 2(not applicable in TX).
pay a delinquency charge of 5•/(4%in MS)of the delinquent installment In AK,CA,DE,MA,MI,MN,ND,NJ, See the provisions on page 2 for additional irtfomtation about nonpayment,default,and any required paymc
OR,TN,TX:Delinquency charge not due until installment is in default for ten days or more,15 days in MS, full before the scheduled date.
NOTICE 1.1)0 NOT SIGN THIS AGREEMENT BEFORE YOU READ IT,INCLUDING THE WRITING ON PAGE 2,OR IF IT CONTAINS ANY BLINKS.2YOU ARE ENTITLED TO A COMPLETELY
f0 FILLED IN COPY OF THIS AGREEMENT AT T1W TIME YOU SIGN IT.3.11W UNDERSIGNED UNDERSTANDS.ANT)IRS KFCFIATD 1 COPY OF TI-US AGRF,F.MENT.KEF.P IT TO P,enT'
INSURED YOUR LEGAL RIGHTS.4.UNDER TIE LAW YOU HAVE THE RIGHT TO PA'.OFF IN ADVANCE THE FULL AMOUNT 1114,:5ND l-\DER CER TAIN CONDITIONS rO l()It51\t i'5
REFUND OF THE FINANCE CHARGE.5.SEE OTHER SIDE FOR IMPORTANT INFORMATION
All Insureds must sign as named in policies.If corporation,authorized officers must sign.If partnership,partner should sign as such;signatory acting in representve capacity represents that all Insureds have authorized this transactin,
have authorized signatory to receive all notices hereunder.By signing below each Insured jointly and severally agrees to make all payments required by this Agreement and to be bound by all provisions of this Agreement.including
on page 2.You are not required to enter into a insurance premium financing arrangement as a condition to the purchase of any insurance policy.
Insured specifically adieowledges that the repayment of this loan Is a legal obligation of the Insured regardless of the status of the Insurance coverage provided by the above named policies and further admowiedges that
•
las been received once PFS has d the agent/or carrier(s)for tbgamounts financed as detailed above.
By (Signature of Insured) / '�///.' Date
(Printed or Typed Name) / 7,t
AGENT'S REPRESENTATIONS AND WARRANTIES
lire undersigned Agent has mad the Insurance Agent's Representations and Warranties on page 2 and maces na such representations and wamndes redtod therdn and agrees to be hound bn the terms oft is Agreement
By (Signature of Ag (4-r\T/v,/A_ n - {' .�
I I v(,U(.�,t,` + Vlpryb1I5:7Y1 0. -� Date `J—/ i c1 I C1 7
(Printed or Typed Nam \ n) I c,1„CSU.-t U
v t INSURED MUST ALSO SIGN PAGE 2 !!
TOWN OF MONTVILLE
Building Department
416 Application for a Permit
Owner: V �� �p�U
Address: Z' /iii Tel : Y14.1:___33-r
Job Location: ed /01vE 27" cd‘r ,
Contractor: 11.4A .-Tic /? &fr,- Address: /, / 0, P1l C a
Tel : 4' Aea/
Stick Built: Modular Home: Manufactured Home:
Commercial :
Addition: _._._ Garage: Car Port :
_ Shed: _ Remodeling: _ Roofing: Le-
Siding: Fireplace: _ Chimney: — Windows : _ Pool : _ Demolition:
Plumbing: _ Heating: _ Electrical :
_ Air Conditioning: _ Gas :
Patio: _ Porch: _ Deck: _ Retaining Wall : _– _ Repair/Replacement : _
Type of Material/job description: / / 4.:9 /
/ate LA C._-e- w/T rtil / /3-tit dk 02? oa .raft
Size: Type of Heat:
Fireplace:
No. of Stories: No. Rooms:
Breezeway:
No. Baths : Garage:
Use: