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Strip and Re-Roof 2006 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: 62006-0288 Date: 26-Jun-2006 Map/Lot: 101/048-000 Owner ID: 5784000 Project Location: 12 RANKIN COURT Unit: Job Description: Strip&reroof,20 squares Owner Name: Catherine Morich Tenant Name: N/A Careof: 12 Rankin Ct Uncasville CT 06382- Telephone: Contractor Name: David Smith Telephone: (860)625-6345 DBA: DC Smith Home Services Lic/Reg Type: HIC 88 School Street Lic/Reg No: 582582 Exp Date: 30-Nov-2006 Taftville CT 06380- Construction Value Permit Fees Construction Information Building Value: $7,520.00 Building Fee: $64.00 Use Group: IRC . Plumbing Value: __ $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $7,520.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.20 Total Fee Paid: $65.20 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- 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 framing ❑ 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 tg ertificate of Approval Building Official's Approval: /% ertificate of Occupancy / / ' .j t 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.: Type of Work Occupancy Type Permit Type El New Construction '6Single Family 14.130ilding Al Addition 0 Two-Family ❑Plumbing teration 1:1 Townhouse Mechanical cal ❑Accessory Structure ❑Electrical CRS#: Job Address: I Z. -R41/4-1.4e.A.ri Go<-M- — (Number) i (Street) (Unit) Job Description: CIV•A1p 66R—CrAl, Owner: ItChgN444,-.6f,ti , - Address: `L PLICA.` -C-- City: V( swL L- State: CA"' Zip Code: 04 srx. Telephone: Carla 7S1. ' • Contractor: W\,0 Smalls-- DBA: W,a - DBA: 0 C SOAMk" kVAXII S Address:8E3 SC.fteL. cr- City: t � y State: • Zip Code: 000.3?-° Telephone:`t 4 3 ! License Type: L. License No.:6►OO61 % Expiration Date: 1 I I0(y 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 Montvill 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 dtltwork a escribed 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 el 'cal requirements in chapter hrough 42 of the Residential Code. Owner/Agent Signature: \ Date: to ZLl 0 Construction Value v Permit Fees Building Value: `:. �� ,,c020 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: /d C7 0 Total Fee: �j r &vire&Decem6er31,2005 Town of Montville Building Department File Receipt Date: 22-Jun-06 Receipt No: 1430 Received From: David Smith Job Address: 12 Rankin Court Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $65.20 Check: $1.20 Check No: 657 Short/Over: $0.00 Construction Value: $7,520.00 Demolition Value: $0.00 Received By Sandra Pandora Address: ITEM QTY 6/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 114.17 $ - $ Basement,Finished SF $ 20.87 $ - $ Basement,Unfinished < SF $ 11.28 $ - $ - Crawl Sapce I. SF $ 8.46 $ - InleriorRenovations SF $ 31.90 $ - $ - $ MANUFACTURED HOMES Ground Anchors SF $ 5.86 $ - $ - $ _ Basement SF $ 11.28 $ - $ - $ _ Crawl Space SF $ 8.46 $ - $ _ $ _ AMENITIES Kitchen EA $ - $ $ - Full Bathroom EA $ $ Half-Bathroom EA $ $ GARAGE Attached SF $ 49.41 $ - $ _ Detached SF $ 63.21 $ - $ _ Under SF $ 9.12 $ - $ _ Carport SF $ 18.08 $ - MECHANICAL Warm-Air N Y/N - Hot Water N Y/N $ $ Electric N Y/N As Conditioning N YM $ - ELECTRICAL SERVICE Upgrade Amps Overhead,new Amps $ Underground,new Amps $ Subpanel EA $ 545.00 $ _ Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/lfreplace EA $ 6,451.50 $ - Masonry w/2 fireplaces EA $ 10,087.00 $ - Wood Stove,free standing EA $ 2447.50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 39.16 $ - Porch SF $ 135.80 $ - Sunroom SF $ 160.82 $ - $ POOLS&HOT TUBS Hol Tub EA $ 7,287.50 $ - $ _ Inground Pool EA $ 19,430.40 $ - $ Above Ground Round EA $ 4,635.88 $ - $ _ Above Ground Oval EA $ 5,472.50 $ - $ Pool Heater EA $ 8,167.50 $ - Inflatable Type Pool - EA $ 154242 $ - SHEDS w/o electrical SF $ 18.50 $ - Welectrical SF $ 18.50 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing.Strip&reroof 2000 SF $ 3.76 $ 7,520.00 Roof Sheathing SF $ 1.19 $ - Siding SF $ 2.30 $ - Wndows EA $ 423.50 $ - Skylights EA $ 955.54 $ - Doors,Exterior EA $ 401.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 7,520.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,520.00 $ 64.00 Plumbing Y $ - $ Mechanical Y $ _ $ Electrical Y $ - $ Working before Permit Issuance N $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1 20 TOTALS $ 7,520.00 $ 65.20 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL VL K (r( IkiZi1 ( 40.1\e,4 I L Propert Address ? Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector s- / ( o-�► � (0/4,�/0 Co hpr Comments: WPCA, Administrative )C1/ .1 la-)'- l ig attire! date Comments: ❑ WPCA, Operations Signature/ date Comments: ❑ Planning&Zoning • Signature/ date Comments: ❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Comments: Signature/date 111 Fire Marshal kifda) Signature/ dateComments: NIA-__qt(V lL:Ni • kvise1Auguct 5,2005 DATE E MM! • D DYY_ AORD vq PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6 CONSUMERS AVE COMPANIES AFFORDING COVERAGE NORWICH CT 06360-7521 COMPANY A NATIONAL GRANGE MUTUAL INS CO INSURED DAVID SMITH DBA COMPANY B D C SMITH HOME SERVICES 88 SCHOOL ST COMPANY C TAFTVILLE CT 06380 COMPANY C�OYEak.G S: D THLS LS O��CERTIFY RT• THAT THE POLICIES OFINSURANCE•RA• U N••E• C USTED •� RIOD BELOW HAVE . B.�:. INDICATED, NOTWITHSTANDINGBEEN ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOURED CUMENDT WIDTH REVE OSPECT TOLWHI•��HETHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE WHICH EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MWWpryY) DATE(MM/DD/YY) LIMITS GENERAL UABLITy MPB 16 8 5 9 X COMMERCIAL GENERAL LIABLITy 10/15/05 10/15/06 GENERAL AGGREGATE $2 , 000, 000 CLAIMS MADE }( I OCCUq PRODUCTS•COMP/OP AGO $2, 000, 000 OWNER'S l CONTRACTOR'S PROT PERSONAL&ADV INJURY s1 / 0 0 0/ 0 0 0 EACH OCCURRENCE $1 / G O O/ G O O FIRE DAMAGE(Anyone tire) S 500, 000 AUTOMOBILE LIABILITY MED EXP(Any one person) S 10, 000 ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per person) $ AUTOS NON-OWNED BODILY INJURY (Per aocldent) $ PROPERTY DAMAGE $ GARAGE UABEITY 1111 ANY AUTO AUTO ONLY.EA ACCIDENT $ ■ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ IIIIUMBRELLA FORM . EACH OCCURRENCE J$ OTHER THAN UMBRELLA FORM AGGREGATE WORKERS COMPENSATION AND 5 EMPLOYERS'LIABTY ILIIMM. ER- THE PROPRIETOR/ EL EACH ACCIDENT I$ ---- PARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL EL DIS EA$E•POLK:Y LIMB I$ OTHEREL DISEASE-EA EMPLOYEE 1$ DESCRIPTION OF OPERATIONSA.00ATIONS/VEHICLESJSPECLLL ITEMS FAX 442-1668 :•..::. ......: .:::::::::.i i::i::::::.�::::.::: i::i:::.:::i is:i: Ili: •.::•..::: :,I'C',II;NC:P.EI fL7d' :..;....•:.. ...•...•........;.•.•.;.;.•.;.;.•.;. ......... iMM SHOVED ANY THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FOR INFORMATION ONLY E7XPPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I]L_, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIA% BILITY F ANY KIND PON THE OMPANY RS A•ENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .. I.......... ... . 4Sheri Kin ........:.. . : :•:.�:::.�::::::::.�::.:•:.;::•:•:•:•:•::•:•::::::::::::;::::.:: �::::::::::::::::::: •:: :::::M:;:::::::::::::::::::::::::::C4:1iJCCfi:1it:;,.C:iiA.�FQt :iAg: M:MM•hpY.�r.nr.+.... F.:::- • ) )„,.,, }1rr 5 I.I. -... _...... 1 %,..4.. . : e.., •;'r;n.t '%':; ,• ?i':}:�f/ „,,,,,.,nf, .tr.-, - ,_,- {\t/:'-' .V! p�!/'i\y-"`t.Y.�:'i\_/ ti'•, L�n.^`,- `;N :e, ,1/l .:\ 'i''%- r :'Y ,r 1 J, ,t, / rs a ,%h V� -4',..".%S• <t;•.y, Ott 1>• i 4. •t : �; •.w, "`2 3:, .:.w,• ,-r;v.•,> '-": i 4'.:',,,'"-M.,:. , ,• }�.,t , :• .*: F d.,.i.,` z..", t ....:/,-,.,C4`‘':.r ice, f;f r'Cit ,..",\a'� imi ,h .tet,.{V•,..;77 os . ..5, `: ,••,5•"j:.^�*Nti a,;_ �.�,,•f 1 4, , 1'* ,, ;,rii. ,,. J a..: i ;ilk r OA x, @rAI , i S., t i . y ai k k '. : _ r. w w ` .. ` r' w 44:'"u . IYi1 , j1.,. - 'i',,i, AJC., ' f!( G( i lY> Y STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION _, • =k Y ;.f Be it known that �;`;, DAVID SMITH , • ,y, .ii-': 88 SCHOOL ST TAFTVI . T.F;.CT •06380 ;; ... r"_.Y 0 > is certified by the Department of'Consumer Protection as a registered •{ ,- -le- 1 y • �1 HOME IMPROVEMENT CONTRACTOR r - Registration•#'5825825':. `, ...`'�Ar5� tic: \ s7 AEffective: 12/01/2005 ;7 ;: k,_ Expiration: 11/30/2006FA.N'e - Edwin R Rodriguez,Commissioner ''''',4:; � �• s.- ¢^e', t i} r• ('� it it , .: i, ifl- VOW( 4 . i '4 ..Ail', (f.1 },(j (j '"` ....irk� ifs' '1 d i A ■■( i(J a eft( •t i .l t .. a r pt f , . u( Y Tri\ ' k .,l)L TS ,. ..-}'•�;...: `--,, �P 4tl n ```4y '�' S` 4 •4�i �;:i.-. - .,tt Tt I 1�I. f �• `i •r,.; � 4;'?•: 'y;::., :•.t`• ,..,t`� n�\''Aih. a;"• S�tA L'4•'y '�1 \' >i•5� 'k.¢.Y7 .t•G, y`�'-'F•!� s �ti� .b�.A �\f 4,,::.....i.,--� r}.,. x!\�� o�' � ) t . �t•'y �1:, ....: �•:Lt y {aY�\ KC�`•µt• ° r7 y. .•�a?i yt �'vt.'41 •..:va E STATE OF CONN ECTIC U T1, 0F - * �1... dsst.li i' -'..,4 •P t 1' W f tSl c DEPARTMENT OF REVENUE SERVICES t SMITH DAVID TAX REGISTRATION 0605733-000 DC SMITH HOME SERVICES 24 PODURGIEL LN NOTICE DATE - 11 /13/03 UNCASVILLE CT 06382