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Home My WebLink AboutStrip and Re-Roof 2002 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030, Ext. 82 Building Permit Permit Number: B2002-532 Permit Date: 26-Sep-2002 Permit Code R4 Job Location: 170 PRUETT PLACE UNIT: MAP/LOT: 004/004-Q00 Job Description: Strip&re-roof Owner Contractor LEE R+ ROWENA H JAMES Pete Silveira Roofing LLC P. 0. Box 615 170 PRUETT PLACE Unit: Niantic, Ct. 06357 OAKDALE CT 06370 Telephone: 443-8484 Lic/Reg Type: HIC Use Group R4 Lic/Reg Number: 565769 Code 1995 CABO Exp Date: 11/30/2002 Construction Type 5B Construction Values Permit Fees Building Value: $5,650.00 Building Fee: $34.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $5,650.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.96 Total Fees: $34.96 It is the owners responsibility to schedule the following reauired inspections(minimum 48 hours notice requested): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test ❑d Final spection ❑ Gas Piping and Pressure Test 11 'ertificat of Occupan• . to use or occupancy Building Official's Signature: J��,� r "s Town of Montville Permit # Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction ❑Accessory Stntcture ❑qvum6ing ❑9Kechanicaf ❑Action ❑gDemoCrtion Efectricat 51-eating ❑Alteration Otf:er S-t r l p + 2€YOo t fir Conditioning -Gas`Piping Job Location 1 O Pr�i.f-ft P_ oa Kr ale. Job Description/Materials an p Ro r LuS I n ( o dsc(i F1 P_ i Owner Let-tROWefa. James Mailing Address IZO Prue-i4 PL . oa -0 le. CT O(DS-70 City O'Q Kdo(e State CT Zip O(o310 Tel aPO / U47 / gcko-7 Contractor PtA-e S1 LVA 1 2001-1 1,-0 Mailing Address Po QOX L 1 s City 1\1 l Q n ti C State CT Zip OCo3 Er7 Tel BCoU / 4'43 / Contractor's License/Registration Type&Number 5-65r7L09 Exp. Date 1 1 / 363 / SOD�- New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes [f No 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\`( Ctfle\-av la... V�ll TISA.A0J Date / / O Z Construction Value Fee Building $ 5L050. J $ 3L\ - Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ o 9(p Total $ 5 LoS0 - $ �,� ciLs Toi of Montville Building Department Receipt P c) Date _________y_ a No. 02131 From: Jig view rig Job Address: 424/i77,- n 11111 Amount $ :L .„-,..17--..94._ Cash6e...c.j;,...)"'� Check # .Py 1)4_2_(�trcic one) Rcccived by 4F ' .4d/ i Permit # -S' ACORDDATE � CERTIFICATE OF LIABILITY INSURANCE o7`13-02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WAITTE'S INSURANCE AGENCY,INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 116 BROADWAY ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. NORWICH, CT 06360 INSURERS AFFORDING COVERAGE INSURED PETER SILVEIRA DBA PETER SILVEIRA ROOFING LLC F INSURER A: TERRA NOVA INSURANCE COMPANY PO BOX 615II INSURER B: OHIO CASUALTY - -- INSURER C_TRAVELERS NIANTIC,CT 06357 INSURER 0: _.�---_---_- _-_.-- _-- COVERAGES THE POLICIES OF INSURANCE USTED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH _POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED EY PAID CLAIMS. ;NSR, { POLICY EFFECTIVE 1 POLICY EXPIRATION LTR i TYPE OF INSURANCE POLICY NUMBER, DATE 01116RODNYI DATE WA/DO YY) LIMITS i GENERAL LIABILITY EACH OCCURRENCE ;300,000 A I X l COMMERCIAL GENERAL LIABILITY:99JKN146.088 06-12.2002 :06.12-2003 FIRE DAMAGE(Any one flrej s50,000 _I_J X CLAIMS MADE i OCCUR 1MED EXP_(Any ane person) !$5,000 �— -- -- — _ PERSONAL 6 ADV INJURY i$300,000 GENERAL AGGREGATE 1$300,000 rPRODGEN'L AGGREGATE LIMIT APPLIES PER: UCTS_COMPlOPAGO $300,000 r-- 1 i POLICY, !PRO- 1 !LOC _AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT s300,000 B —1 ANY AUTO BAO 52478170 ! 12-30-2001 ' 12.30-2002 (Ea accident) L- ALL OWNED AUTOS BODILY INJURY $ X 1 SCHEDULED AUTOS (Par person) HIRED AUTOS i I BODILY INJURY (Per accident) $ NON-OWNED AUTOS ! — ---1i —� PROPERTY DAMAGE I$ (Per accident) GARAGE LIABILITY AUTO ONLY_EA ACCIDENT 1$ _ EAACCI$ � ANY AUTO ; OTHER THAN - i—! AUTO ONLY: AGO $ EXCESS LIABILITY _ ' i I .EACH OCCURRENCE I$ ` AGGREGATE $ ' OCCUR L CLAIMS MADE --- rj DEDUCTIBLE .- -- d 1RETENTION S I i is 1 WORKERS COMPENSATION AND i X I TORY II(MITA. .- GER_ l I C ! EMPLOYERS LIABILITY 6KUB-646X737-8.00 06-23.2002 06.23-2003 E.L.EACH ACCIDENT :100,000 i E.L.DISEASE•EA EMPLOYE 1500,000 E.L.DISEASE-POLICY LIMIT j$10,000 OTHER It { DESCRIPTION OF OPERATIONSNLOCATIONSNEH1CLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: — CANCELLATION Town of Montville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Montville,CT 06353 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENT TIV AUTHORIZED R PREEN E ,,,..... pr...k....D I ACORD 25-S(7/97) 0ACORD CORPORATION 1988 sii vi Alt\ 1-<( )( )1 iil; (84 )) ) ^050.; (Z ;{ ) I ),-“. r. V-;1 I) .11.; “,1 I I;s;: 11 I IC 11)1, U1:0?#1 St)4 1,1)( DATE: q i02- ro whom this may concern, hereby authorize for either Sandra Silveira or Jennifer Arndt to apply for building permits in my name. My contractor's license number is 565769 and a copy of the license can be furnished upon request. OWNER'S NAME: kowes_a_. JOB ADDRESS: no Pracif PL- JOB DESCRIPTION: 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. -• / Thank you f //". Pety C. Silveira Pete Silveira Roofing, I:LC 1 • . . MIN (1"....-‘ f,• :;,:j ..."' .., :i4JCI IMMO Z.:, a:e9 . ..... t ..c1......., i r...4 . •:•,.`m ::::.-, Z t.1 te, . us4 ,..„..,„ if-_, . .'.- Z it.- IL) „tt 0 lw 1,..i.. -....„ ••- „..., 0.4 i.1-, F.,4 . mom F." < ..•..',---4"I:: 40. 14 . . 4,-- c) tin 9., •- 4-.,4 If r('' 'AO ....- C)(0 A6?( \.,