HomeMy WebLinkAbout2003 - Roof
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B21303-0342 Date: 02-Jul-03 Map/Lot: 090/056-000 Owner ID 1531
Job Location: :31 ALLEMMMM Unit
Job Description:
Owner: Contractor:
John W Iii Bronejko A &I Builders
22 Edmond Road
31 Allen Drive Griswold CT 06351-
Uncasville CT 06382 Telephone: (860) 376-5166
Lic/Reg Type/No. HIC 500923 Exp Date: 30-Jan-03
Tenant:
N/A
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $2,860.00 Building Fee: $16.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $2,860.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $0.46
Total Fees: $16.46
It is the owner; responsibilloty to schedule the followling Onspections (monimum 48 hours notice required3i
❑ Footing - Prior to ouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - P or to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑d Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
Town of A-I.ontville Building Departm---+t Receipt
No. h o~
Date ;7
From:
Job Address:
r
Cash Check
~ ~ Check
i Amount
~t (C irclc one)
Permit #
Received by
IV
Town of Montville
Building Department Pemait #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, Cr 06382 Fax. 848-7231
One & Two Family. Building Permit Application Form
n&W Construction .~ition tion n Accessory Structure
[]Others
Job Locatio 4
Job Description/Materials
Owner W Mailing Address
City Cti'LC~,L State C.lp 'Tel ~~oG /I_°?'
Contractor Mailing Address.
City fem. cu t State - 7.ip Tel
Contractor's License/Regis tion Type & .Number -522 d Exp. Date &
1 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 ontville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to a aV cation for a permit for such work as described above.
Owner /Agent Signature . ate
Construction Value Fee
Building $~y $
Plumbing $ $
Mechanical $ $
Electrical _
Other rj
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total. $ G G
(See *zierse side for ad4tMo requirements)
Town of Montville
Residential Permit Requirements
❑ Two (2) complete sets of construction documents (to scale) are required and shall show the following information if
applicable. This list is not all-inclusive, additional information may be required for your particular project.
• Supporting Documentation • Building Section(s) & Details
oig tj~ signed and dated Building Permit Application Floor-to-floor heights
Permit fee - calculated upon completion of plan review Material type, size, and spacing
Completed building permit affidavit for property owners or sole Stair details (rise, run, treads, nosing, width, headroom)
proprietors or copy of workers compensation insurance Handrail details
Copy of Contractor Registration or license Guardrail details
Construction permit sign-off sheet signed by all departments Roof ventilation
Model Energy Code Analysis
Heat loss calculations •Framing plans
Engineering data for steel beams, engineered lumber, roof trusses or any
other engineered products or design Design loads -for floors, ceilings, roofs Street address of project on all drawings and documents Bearing partitions
Direction of flaming
• Site plan Spans, beam
wood species and grade
Property lines Framed openings
Distance from property to structure Sheathing type and thickness
Structure dimensions window and door header sizes
Driveway Decking material, size, spacing
Topography (existing and proposed) Note: Unusual structural conditions may require that additional
Footing drain inverts, outlet and separation engineering back up be submitted
Proposed utilities
Wetlands and flood zone limits and elevation • Chimneys and Fireplaces
Signed by P & 4 Wetlands, Uncas Health, WPCA Clearances to combustible materials
Manufactures data for metal flues
• Foundation Plan Exterior fresh air source for fireplaces
Assumed soil bearing pressure Flue sizes
Dimensions Manufacturers data and installation instructions for metal fireplaces
Wall thickness
Footing sizes • Electrical Plan(s)
Anchor bolts, size and spacing Panel location(s) with main size
Window and door sizes and locations Meter socket location
Hatchways
Columns outlet locations
Floor construction data GFCI outlet locations
Drainage details Smoke detector locations
Waterproofing details lights and switches
Crawl space ventilation Appliancelequipment circuits
Crawl space access Stair illumination.
Concrete strengths • Mechanical plan(s)
• Floor plan(s) Dryer vent
Dimensions Bathroom exhaust ventilation (natural or mechanical) type and size
Door and window sizes, egress window Hood exhaust
Glazing in hazardous locations Type of heat
Gars eldwellin protection . Heating, ventilation, and air conditioning plant location
g g opening Oil tank sizei location, and piping layout t separation LP-Gas tank location, size, and p p
Kitchen ing Bathroom. layouts, tub sizes in gallons, space clearances Make-air requirements
Indicate use of all rooms Manufacturers data for equipment
Stair location
Attic access location and size • Plumbing plan(s)
Square footage for each habitable level of the structure Building trap location if on municipal sewer
Required light and ventilation for each habitable room sewer location
Domestic water location
• Elevations - minimum of two required Manufacturers data for whirlpools, corner tubs, & larger tubs
Type of siding water heater size, type, and location
Roofing
Other finishes
f=inish grades Note: One set of annroved plans is required to be kept on
Building heights site at all times.
Height of chimney above roof
Roof pitch
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LIC. / REG NO: EFFECTIVE EXPIRES
500923 1210112002 11/3,0/200:
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108 SACHEM STREET COMPANIES AFRORMNa COVERAM
NORWICH CT 0 6 3 6 0 COMPANY
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INSURED
COMPANY
PATRICK ACARUSO DBA F1 _ THE HARTFORD
A & J BUILDERS
COMPANY
22 EDMUN ST C
JEWETT CITY CT 06351 COMPANY
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THIS 15 TO CERTIFY THAT E POLICIES OF INSURANCE LISTEt7 BELOW HAVE REEN 155UE0 TO ?LIE INSUFIED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTAN ING ANY RECIUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSL OR MAY PERTAIN, TILE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TFRMS,
EXCLUSIONS AND CONDITI NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE assI I IiEDUCf-.U RY IPAID CLAIMS.
CO TYPE OF INSURANCE POLICYNUMBER POLICY EFrECTIVE tft6ig LTA DATE (MMM"YI LIMITS
OENEITAL LIABILITY M PJ 7 5 4 5 7 1/ 0 l- 0 3 GREOATE S 1, 0 0 0 0 0 0
X COMMEnC1AL GENERAL LI R11.11Y CUMPtOP AGG S 1 0 0 0 0 0 0
CLAIMS MADE a OCCUR . ADV INJURY $ x 500,000
OWNER'S RCONTRACTOR' - PnOY EACH OCCURRENCE S 500, 000
rm6 DAMAGE (Any one fire) s 50,000
MED EXP (Any o- paNon) s 5 , 0 0 0
AUTOOORILE LIARILTT9 ~'I U 7 5! 5 7 0~ U 3 4/ 01 0 4 500,000
ANY AUTO COMBINED SINGLE LIMIT S
_ ALL OWNED AUTOS
S&FDULED AUTOS (Per pere BODILY s
HIRED AUTOS
NOrhwNED AUTOS (Pger r oc ecd O c;dw,t)
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PnOPEnTY DAMACIE s
GARAGE LIABILITY
AVTO QNLY • EA ACCIDENT S
ANY
'AUTO
OTIII RTHANAUTOONLY:
- EACH ACCIDENT S
AGGREGATE .s
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM
AGGREGATE s
OTHER TI{AN UMBRELLA M- _ s
ATU
WORKERS COMPENSATION AN D 0 2 WBCE F 3 5 6 3 7/18/---0 2 0
H •L`I,'•'~6'PS'~a~ ; ~e
TORT IMRS ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT s 100,000
THE PROPnIETOR! INCL El DISEA6E-POL{CV LIMIT S 5 0 0 0 0 0
PARTNERS/EXECUTNE ,
OFFICERS ARE: EXCL , F1 DISEPSE•HA EMPLOYEE 1 1 0 0 , 0 0 0
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0E3CRIiTION OF OPENATI(N7RA-Tx:n 6tJSNENICLE SlSPECIAL ITEMS
FAX 848-5599
848-4655
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SHOULD ANY OF THE ABQYE DESCRIBED POUCIRS BE CANCELLED BETone THE
EXPIRATION DATE THEREOr THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WnITTEN NOVICE TO T11E CERTInCATE HOLDER NAMED TO THE LEFT,
BUT rAiLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPITESBNTATIVE
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