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HomeMy WebLinkAboutStrip 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: B2002-541. Permit Date: 26-Sep-2002 Permit Code R4 Job Location: 181 RAYMOND HILL ROAD UNIT: MAP/LOT: 088/006-000 Job Description: Strip&re-roof Owner Contractor _ JOSEPH JR+SHIRLEY M JANKOWSKI The Siding Store,Inc. 408 Norwich Road 181 RAYMOND HILL RD Unit: Plainfield,Ct.06374 UNCASVILLE Cr 06382 Telephone: 564-7088 Uc/Reg Type: HIC Use Group R4 Uc/Reg Number: 525387 Code 1995 CABO Exp Date: 11/30/2002 Construction Type 5B Construction Values Permit Fees Building Value: $3,000.00 Building Fee: $16.00 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: $3,000.00 C/O Fee: $10.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.48 Total Fees: $26.48 it is the owners responsibility to schedule the following required 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 0 Final Inspection ❑ Gas Piping and Pressure Test I = r-tate of t cupan• • • use or occupancy Building Official's Signature: Town of Montville Permit #MC1009.—S)/ Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231 Application for Building or Trades Permit Job Location /8/ ' 7/D, 1 ,4 2.0 '/. Map/Block-Lot / / Job Description/Materials -To e17;fy iPDDF, /.rh1/.9.6C /ff/6 Owner tikl°LEy c .dL ri..e Mailing Address /8/ WrAond L A . . City /,(,t/�,IJ)//L/F. State (�• Zip 06 38A Tel.860 -858 - 3488 Contractor %//E %..4i0/,r/f Mailing Address 41,og Aj°uJ/eh /ed. . City ,/A/.tJ E/Ge State (17 Zip D637 / Tel.860 -565/- 708 61. Type of Permit ❑ New Single Family ❑ New Two Family ❑ Addition ❑ Commercial ❑ Industrial ❑ Alteration ❑ Garage ❑ Carport ❑ Shed /IN Roofing El Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical ❑ Gas ❑ Retaining Wall ❑ Deck ❑ Pool El Patio ❑ Porch El Demolition El Siding ❑ Windows ❑ Fireplace ❑ Chimney Size Type of Heat 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. New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed work ? ❑ Yes ❑ No Owner/Agent Signature S(164:64 • Date O q / O(, / Contractors License/Registration Type &Number7 qE IN/aeoYE. 'eir 55387 Exp. Date // / . / Construction Value Fee Building $ 3060.614— $ i6.Da Plumbing $ $ Heating $ $ Electrical $ $ Air Conditioning $ $ Other $ $ /O. at. Certificate of Occupancy $ Plan Review Fee $ State Education Fee Total $ 300 . $Ac.. Town of Montville Building Department Receipt 1 cli Date 9 I/ 2 /Da No. a 214I' From: -- s/.0//v C, 5?d A'--.6- Job Address: 1/ .,/ ,Jarfrpi7,0 //-4_ /(r) ' , EDAmount $ ;6 . '7J-- 'ash eek Check # Y35-99 / (('ircle one) Received by ' , Permit file: 00 E ', mow ,✓—� . .�� fiet n P 9 o! rp n•: n a 1 n 11 j IN 1 9 , p• r• e•: . `' : •, 'N :44 . , > p 1!`\ t `fi t` 4/'1NY' N.,,-/I -,#1 v+4,e1 " 01 'r. ,rsfa" I $ r`' 0iNs- f*'ti,4-✓ I w'' $ \/ '\# V,,.� - t'\ -- - 7 ,, �- -� ;I STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION ;, , ` > tj Be it known that - tl1 _ ; ;! SIDING STORE INC (THE) ' 408 NORWICH ROAD PLA JFIE4,7)„CT 06374 1, y i has been certified by the Department o Consimer Protection as a registered 1 HOME IMPROVEMENT', CONTRACTOR ,Fi)- Contractor'of Record:.PAUiL R CAYER , o Rsta �on # X25387 ` ave egg , < 4 `1 Effective: 12/01/2001 k-, ` i Expires: 11/30 �, 2002 , : Ja T. Fleming, Comm sinner . 1 / i .f ' ' ro.''./' vliiZ �^r . ., ,''.+ r -; Y;.: 1,4:4"1”:".":,;N:4 ,..v� .a 4r' f •::.,e:'''"'",.0.- vol '` ,. -;iN:►. s ylati , ..:. f f , . 14. + I -0 i ...:`,4., 'w f + a.{.0✓' +-, '"..+, �, 4 '- -�.0 i , C l 'U.' 'C, di •a‘a /i: U,,. „Odti ,J (E. ',ll '41//' +U C :`; '4 U,. UU! \ d nl ;0 .)' , it E ( 1r' if-3 FEE : $ .46-y8 • a/oE'y o.. /ie,CEy �A66. /B/-.47i3fon,t ii-iZZ Rd. Ail Y/1.1 e63Ba. 6'fB-sem . To ,o , jF, mi.dAtzL /s/.O {Eta ,e&-, e _ r CORD„ C RTIFICAT • OF LIABI ,IT 1NSURINSURANCE � PRODUCER - • DATE(MM/DD/YY) 07 22 02 BYRNES AGENCY INC ONILYCANDIFICATE IS CONFERSISSUED AS A NO RIGHTS MATTERUPONTHE OF INFORMATION 553 HARTFORD PIKE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 739 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DAYVILLE COMPANIES AFFORDING COVERAGE CT 06241-0739 COMPANY -- INSURED A THE HARTFORD THE SIDING STORE COMPANY B ZURICH—AMERICAN INS CO 408 NORWICH RD COMPANY PLAINFIELD CT 06374 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DD/YY) DATE(MM/DD/YY) UNITS r' GENERAL LuelLm 0 2 S B A L E 4 4 31 8/03/02 8/0 3/0 3 GENERAL AGGREGATE :2 000 000 ©COMMERCIAL GENERAL LIABILITY ■■CLAIMS MADE }{ OCCUR PRODUCTS..COMP/OP AGG s2 000 000 OWNER'S a CONTRACTOR'S PROT PERSONAL a ADV INJURY $1 0 0 0 0 0 0 EACH OCCURRENCE 81 QQQ Q Q Q FIRE DAMAGE(Any one fire) $ 300 000 'AUTOMOBILE LABILITY MED EXP(Any one person) $ 10 0 0 0 ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS I SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Par person) $ IIINON-OWNEDAUTOS BODILY INJURY (Par accident) S ■ PROPERTY DAMAGE $ GARAGE UABIUTY ANY AUTO AUTO ONLY-EA ACCIDENT $ I f OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LABILITY AGGREGATE $ III FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ • I WORKERS COMPENSATION AND 6Z Z UB 191 X 6 2 3101 7/0 60 2 7 / /0 6/03 © $ EMPLOYERS'LABILITY I ■ TOO RY LIMIT THE PROPRIETOR/ EL EACH ACCIDENT I$ 100 000 PARTNERS/EXECUTIVE III INCL OFFICERS ARE: ■ EXCL i EL OISEASE•POLICY LIMIT $ 500 QQQ OTHER EL DISEASE-EA EMPLOYEE $ 10 0 0 0 0 IIIIIIIIIDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER "; ::r;::;::;:::: :CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 310 NORWICH—NEW LONDON TPKE UNCAS V I LLE, CT 06382 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILfTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kimberly J. cl(T • ACORD 23.3 f195 KH A ®A ORO CORPORATION 1988