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Strip and Re-Roof Again 2011 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: B2011-0455 Date: 23-Sep-11 Map/Lot: 016/029-T22 Owner ID: 5758000 Project Location: 22 RAINBOW DRIVE Unit: Job Description: Strip&ReRoof Owner Nam Robert P&Kathleen A Macher Tenant Name N/A Careof: 22 Rainbow Drive Uncasville CT 06382- Telephone: (860)848-0205 Contractor Nam George Denison _ Telephone: (860)443-6541 DBA: G.A.Denison&Sons Lic/Reg Type HIC Lic/Reg No 566806 P.O.Box 550 Exp Date: 30-Nov-11 New London CT 06320- Construction Value Permit Fees Construction Information Building Value: $5,600.00 Building Fee: $60.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $5,600.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.46 Total Fee Paid: $61.46 It shall be the owners repsonsibility 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-Fooling 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 framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certifi .te of • ..royal ertific,.t- .f Occupancy Building Official's Approval:. f r 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.: 1(2)�C-)1I —0455 Type of Work Occu cy Type Permit Type ❑ New Constructioningle Family ❑Building ❑Addition 0 Two-Family ❑Plumbing ❑Alteration El Townhouse ❑Mechanical 0 Accessory Structure ❑ Electrical CRS#: Property Address: a�n./-C i) Q l (Number) (Street) (Unit) Job Description:YcL .e' :,bra 4r2milf /- _ j Owner: Lam' Address: �v( ,� 1 12A City: 6 Yl--c -o-e—r E4 State: CA(' Zip Code: Telephone(W' ) / -©Z Applicant: 4 r / DBA: Address: Dry 0 , V, dk7 /( > ,5 6 ,/ City: / ez ) U^-L State: Cil Zip Code: 0 e3 Telephone(j6' ) y ri=6,c W Contractors - Complete the Following: r License Type: C License No.s 6/r©ln Expiration Date: //73 'l/ 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirementsjin chapters 33 through 42 of the Residential Code. Owner/Agent Signature: e � '-�',`` Date: � Z 7/ �f Construction Value Permit Fees Building Value: j er , 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: Revised August 23,2W7 Town of Montville Building Department File Receipt Date: 22-Sep-11 Receipt No: 6801 Received From: G.A. Denison&Sons Inc Job Address: 22 Rainbow Drive Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $61.46 Check/Card $1.46 Check No: 13455 Short/Over: $0.00 Construction Value: $5,600.00 Demolition Value: $0.00 Received By Carmen Kneeland Ca./1, wimimilm Address: 22 Rainbow Drive ITEM OTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ $ _ - Basement,Finished SF $ 22.96 $ - $ _ Basement,Unfinished SF $ 12.40 $ - $ _ - Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ _ $ Basement SF $ 12.41 $ - $ - $ Crawl Space SF $ 9.31 $ - $ _ $ AMENITIES Kitchen EA $ $ $ Full Bathroom EA $ - $ Half-Bathroom EA $ - $ GARAGE Attached SF $ 54.35 $ - $ Detached SF $ 69.53 $ . $ Under SF $ 10.03 $ - $ Carport SF $ 19.89 $ - - - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N - Electric n Y/N $ _ Air Conditioning n Y/N $ ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ - Underground,new Amps $ _ Subpanel EA $ 599.50 $ - Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry wilt ireplace EA $ 7,096.65 $ - Masonry xd2fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,869.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool EA $ 21,373.44 $ - $ Above Ground Round EA $ 5,099.46 $ - $ Above Ground Oval EA $ 8,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - InflatableTypePool EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - - w/electrical SF $ 20.35 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Strip&reroof 1400 SF $ 4.00 $ 5,600.00 Roof Sheathing SF $ 1.31 $- - Siding SF $ 5.50 $ - Windows EA $ 500.00 $ Skylights EA $ 1.051.10 $ Doors,Exterior EA $ 601.50 $- Oil Tank,276 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 5,600.00 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,600.00 $ 60.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.46 TOTALS $ 5,600.00 $ 61.46 Figures are based on the 2006 RS Means Residential Cost Data trssJ'+ l ift a k+�ltistf ld t �1 E_ �Sni, i=+ � ,./ ;y 1• r••Al'. 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',�`� ;,1;,,;`- From:Nina Meigs Fax1D:Smith Brothers Incur Page 2 of 3 Dale•6/21/201 1 09 29 AM Payr A CORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE IMM/DOrY'f Y, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS I01 S 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), AUTHORIZEC 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, sub)ecl the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to tl,L. certificate holder in lieu of such endorsement(s). PRODUCER 860-572-8477 CONTACT NAME Charter Oak-The Insurance Prof • 6B National Drive,Suite 2 860-652-3236 NE ------_—__ Glastonbury,CT 06033-4314 IA/IP"o No,ETU. . j FAX EMAIL — --_- _.I(A/C.No) The Insurance Professionals ADDRESS PRODUCER —'-- ------ _ CUSTOMER IO it:GA.DEN-1 -_._-- ._—.r. INSURED G.A. Denison &Sons, Inc --- ------ INSVRER(S)AF F1 OROING COvERAGE INSURER A:PI'O�re SSIVe Company ��A�� P.O. Box 5502426G New London, CT 06320 INSURERS:Main Street America Group 03115 INSURER C -..... --...__ INSURER 0 - ---- INSURER E COVERAGESINSURER F F. '---- -}---- CERTIFICATE NUMBER: _ REVISION NUM THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED-TO THE INSURED NAMED ABO EBFOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH:_,. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EEXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS i TYPE OF INSURANCE t-•I u'F7:. �A-� POLICY NUMBER POLICY. ••L C • —--------- GENERAL LIABILITY MM/p0/YYYY MM/p0lYYYY ___ LIMITS .COMMERCIAL GENERAL LIABILITY MPP3219V EACH OCCURRENCE f —1,000,00000i4/11 06/006/04/12 — ■CLAIMS•MApE I )OCCUR PREMISES Ea uceurrence f 500,0 MED EXP(Any one benon) $ l 0,VVVi ®Buslness.Owners PERSONAL k ADV wJURr ; 1,OOO,JUL/ 1111 G POLICY LIMIT APPLIES PER' CPERSONALAGGREGATE f 2_000.0.JUL. ■■POLICY■!ROI: LOC PRODUCTS•COMPrOPAGO f 2,000,UUUI AUTOMOBILE LIABILITY f -- IIANY AUTO II! O COMBINED SINGLE LIMIT 08339330-6 10/22/10 10/22/11 (Ea acadaoll f ALL OWNEDAVrOS BOG4 Y w_kik r{pot person! 1 II SCHEDULED AUTOS •, 250.UIJ BOOK r uvOR IPm acc,denn 1 111 FIRED AUTOS - --._____— 500.000I PROPER/Y DAwiAGE'— ■NON-OWNED AUTOS (PA,acc.oanl) 100,VVUj IIUMBRELLA LUIS OCCUR --- —1:_______H ■EXCESS LIARIII �— III CIMEACH GCCuRRENCE 3 IIII DEDUCTIBLE AGGREGATE 3 1111 RETENTION $ IYrORHERS COMPENSATION -- . AND EMPLOYERS'NIABILITY 3 _ _ ANY PROPRIE70R'LWBI:if Y/N . WC STATU. f 250,UOUji OFGICERIMELIBEREXCLUDEO? I I WC 00680267000 06/04/11 Tear w,lr _:,°,14•1...• DESCRIPTION H) 1 06/04/12 E EACn ACIUE.ke1 f 50O.000 II yes,describe under ---._.__— —__._. OESCRPTION OF OPERATIONS Salon E L DISEASE L Elel!I YEE 1 100 UVUI 1111 . III MI R�OPERTY V�1— �_ __.. 75,Jau DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remants Schedule,II more space Is required) -- ------ CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - i. . :,. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1, ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE OACORD 25(2009/09) The ACORD name and logo are registeredmarrks2ofOACORO ACORD CORPORATION All rights reserved •r . lenison Sons. 4 I • 0,4 &- has mypermission P on to apply for the building permit for the following property, 0912 0 - c&—/-f-4 George A. Denison Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. PI k( Lc4, D2 . Property Address j4�P 1.1 1<OU F Job Description Required Department Approval Permit Issuance Approval �.� Tax Collector /r) z f / / Signature/date Comments: Planning & Zoning , / r� 9 2, lJ ' Signature/date Comments: Fire Mars ri/I 22 ( I Comments Signature/date Health Department Required for all permits except Plumbing, Electrical,Mechanical, Roofing,Siding.Windows&Doors Signature/date Comments: WPCA, Administrative 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: ❑ State Dept. of Transportation 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 Review Complete Signature/date Revised M rch 19,2010