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Home My WebLink About7x19 Covered Front Porch 2017 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: B2017-0403 Date: 21-Sep-17 Map/Lot: 093/022-000 Owner ID: 4130000 Project Location: 15 MASSACHUSETTS ROAD Unit: Job Description: Construct 7x19 Covered Front Porch(HIP Style Roof) Owner Nam Scott J.and Amy L.Hammer Tenant Name N/A Careof: 15 Massachusetts Road Oakdale C'T 06370- Telephone: (401)243-7266 Applicant Name Lenkiewicz Construction Company LLC Telephone: (860)642-4779 DBA: Lic/Reg Type HIC Lic/Reg N 5655327 37 Bascom Road Exp Date: 30-Nov-17 Lebanon CT 06249- Construction Value Permit Fees Construction Information Building Value: $11,772.00 Building Fee: $144.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $11,772.00 Penalty Fee: $0.00 Permit Code: R10 C of 0 Fee: $10.00 Comment Plan Review Fe $14.40 State Ed Fee: $3.06 Total Fee Paid: $171.46 It shall be the owners repsonsibilitv 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 frami ❑ Electrical Service CRS No: 0 ❑Q Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSP TION RE.UIRED UPON COMPLETION ❑ Insulation d i . e of Approval /Elificate of Occupancy Building Official's Approval: ' Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: _eao►7-0903 Type of Work Ocj{upancy Type ermit T e New Construction 0 ,Qy,6ingle Family Building Addition (❑Two Family ❑ Plumbing Alteration ❑Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 15 POa.55[kc u,5eM5 9.A (Number) (Sheet) (Unit) Job Description: CO 4/57-le(IC / 7 X/ 5 Co v e/ed fro 4,-14-- pote c (N, ,-1. r) Owner: C�.k 0 #Aeil 4cJY VWr Address: 15 1 :.1 ,,_. -NLoe1c\- RA City: l cue State:CT Zip Code:(19310 Telephone( LAN )di-0---i�I94:. Applicant: Le=3'ik/eCrJoca. '- co z Z DBA: Address: Y2 /3l CO.� ?c,'City: �C"z.c4 ui'V State: Zip Coda06Z V Telephone rid) 6 47--7 Contractors - Complete the Following: License Type://7-6- License No.:5 5'27 Expiration Date: ///! 7 I hereby certify that the proposed work will conform to the State 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. l0 By checking this box, I will follow the r-•.'rements of the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requiremen - c'apters 34 through 49 3 of the Residential Code. 7114.04toie.. CO Owner/Agent Signatu -. s /l�eG(/ Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Qevised August 2,2007 Town of Montville Building Department File Receipt Date: 20-Seo-17 ReceiptNo: 12665 Received From: Amy Hammer Job Address: 15 Massachusetts Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: S0 00 State Cash: 50.00 Bldg Check: $171.46 State Check: X3.06 Bldg Credit: 50.00 State Credit: $0.00 Fire Cash: 50.00 Fire Check: 50.00 Fire Credit: S0.00 Construction Value: 311 777 00 Demolition Value: 50.00 CheckNo: 211 Received By: Carmen Kneeland 064net g Ael 0 k kli .fr_-41 U` Court 15 Massachusetts Road ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ - Porch 133 SF $ 88.51 $ 11,771.83 Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS Solar Install n TOTALS $ 11,771.83 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 11,772.00 $ 144.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Plan Review Fee y $ - Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 14.40 State Education Fee $ 3.06 TOTALS $ 11,772.00 $ 171.46 Figures are based on the 2006 RS Means Residential Cost Data Print Lookup Details Page 1 of 1 F L � 4, State of Connecticut ‘kvir4;‘," Lookup Detail View Name and Address Name DBA Address LENKIEWICZ CONSTRUCTION COMPANY LLC 37 BASCOM RD LEBANON, CT 06249 Registration Information Registration Effective Expiration # Registration Type Date Date Status HIC.0565327 HOME IMPROVEMENT 12/01/2016 11/30/2017 ACTIVE CONTRACTOR Generated on: 9/21/2017 10:32:58 AM https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=226473&contact=171... 9/21/2017 09/19/2017 15,44 (860)537-1863 Cheryl Sieg,anh Page 1/1 ACORDCERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 9/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cheryl NAME: y Siegmann Colchester Insurance PHONNo,Ext): (860)537-5377 FAX (860)537-1863 63 Hayward Ave AE DDRESS:cheryl@colchesterins-com INSURER(S)AFFORDING COVERAGE NAIC Colchester CT 06415 INSURER Main Street America Assurance 29939 INSURED INSURER AmGUARD Insurance Company 42390 Lenkiewicz Construction Co LLC INSURER C: 37 BASCOM RD INSURER D: INSURER E: LEBANON CT 06249-1600 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1791910392 REVISION NUMBER: 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER' POLICY EFF POLICY EXP LIMITS LTRINSD,WW1 POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO ENTED A CLAIMS-MADE X OCCUR PREMISES(Ea a occurrence) $ 500,000 MPT8007U 11/1/2017 11/1/2018 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 X POLICY QCT LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER. DATAC $ 25,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) LEWC783170 11/1/2016 11/1/2017 EL.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT $ 1,000,000 • DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION (860)848-7231 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Montville THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Montville Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. 310 Norwich-New London Tpke Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE Cheryl Siegmann/AGENT • - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 i. . Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL f' ts5 . 4,c1 Property Address Coverers Cron+ ('or in - ft.r f 5 (� Job Description Required Department Permit Issuance Approval Approval 1111 Tax Collector /r� Signature/da/r/-7:;:' t r Comments: ® ✓ Fire MarshalA.m.,/ 1�/ 7 Signature/date Comments: l ✓ Planning & Zoning Required for all permits except Si nature/date Plumbing,Electrical,Mechanical,Roofing, siding,Windows : Boors ❑ Health Department Required for properties with private septic or well Signature/date Comments: ®� WPCA, Administrative OKciul Per t3r('ck_r\ Corr- Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Final Inspection Reviser 23,2015 /c ,9?.,155/4-C cis.e,/_.S A>c(- ___ ____ , . , • r . / I /f 4 . . . ........._ v \Ai y Lt; ...N C c \ , ek t ,Aic., --1-0‘.,,, .......!.. — '3 0 y(DA( ,,,15e),,,,d. 6.-) c: I, t,,,, i .5 ----:-.--. • . . I a --------:„-- ---, - -,..., .' ---, .--4- ..,,,. I l, • , • --,,, C r.,) i :,-- 276, , , ,, ,/ ...,........ 0, G, -------___ • ,__.,-,... Al Z 5 / Ai own of Montville a A/ 0 B Ming Department REVIEWED OR CODE COMPLIANCE Not to , construed n a permit for, or approval . any violation of the provisions of the , . :— - Building Code £ 3 Fie . opy If File copy ac7------— '-- '777* Ci:o c-k L, (r,A, c 4/ s ? 1 la LZ 4 X 4- -:i.) 7,-1-. • mew. .... ....__ 7--- 1 ri[-------- t) rt>1.- 2 — \ . ,_ . . ..... .. 76\54 AUG - 8 2017 1 c. c,e,d