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Strip and Re-Roof 2016 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: B2016-0141 Date: 03-May-16 Map/Lot: 101/058-000 Owner ID: 5791000 Project Location: 31 RANKIN COURT Unit: Job Description: Strip&ReRoof Owner Nam Lewis and Doris Fithian Tenant Name N/A Careof: 31 Rankin Ct Uncasville CT 06382- Telephone: (860)848-0440 Applicant Name Yost Home Improvements, Inc. Telephone: 860 2-8032 C � DBA: Lic/Reg Type HIC Lic/Reg N 500250 1018 Hartford Turnpike Exp Date: 30-Nov-16 Waterford CT 06385- Construction Value Permit Fees Construction Information Building Value: $8,100.00 Building Fee: $108.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $8,100.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $2.11 Total Fee Paid: $110.11 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL.ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: a ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approve Certifi•• of• - pancy z.______.z2v/'''..' Building Official's Approval: .---e Town of Montville Building Department 310 Norwich-New London Tpke. TeL 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: BOO)v b(L}� Type of Work Occupancy Type Permit Type 0 New Construction l21 Single Family [$Building ❑Addition 0 Two-Family 0 Plumbing 0 Atferation 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 31 Rankin Court Uncasville, CT 06382 (Number) (Street) (Unit) Job Description: Strip current roofing and install new architectural style roof shingles on entire roof. ItScb-Cf Q Owner: Lewis Fithian Address: 31 Rankin Court city: Uncasville State: CT zip Code: 06382 Telephone( 860 848 _ 0440 Applicant: Yost Home Improvements, Inc. DBA: Address: 1018 Hartford Turnpike City: Waterford State: CT zip code: 06385 Telephone(860 )442 - 8032 Contractors - Complete the Following: License Type: HIC License No.: 0500250 Expiration Date: 11/30/16 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 requirements in .ters 33 through .2 of the Residential Code. Owner/Agent Signature: Vice Pres. .14011°P.. r_C 04/25/2016 Cons do Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: $12,000.00 Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Rexise6.'August 23,2007 Town of Montville Building Department File Receipt Date: 02-May-16 ReceiptNo: 11296 Received From: Yost Job Address: 31 Rankin Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $110.11 State Check: Bldg Credit: $2.11 $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $8.100.00 Demolitio $0.00 CheckNo: 5746 Received By: Vernon D Vesey II / �—' Address: 31 Rankin Ct 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 WN $ _ Air Conditioning n Y/N $ - $ ELECTRICAL SERVICE Upgrade Amps $ - Subpanel Fes, $ 699.00 Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace FA $ 7,096.65 $ - Masonry w/2 fireplaces FA $ 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 SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool BA $ 31,550.00 $ - $ _ Above Ground Round BA $ 6,299.46 $ - $ _ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater FA $ 8,98425 $ - $ _ Inflatable Type Pool EA $ 1200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof 1800 SF $ 4.50 $ 8,100.00 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 TOTALS $ 8,100.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 8,100.00 $ 108.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 2.11 TOTALS $ 8,100.00 $ 110.11 Figures are based on the 2006 RS Means Residential Cost Data S II: f 11' ( {` " . I <t trt d sl# *ST t�¢ t tex t f K d1 aSJf{ /I,/ HOME IMPR* ;;:., creme * RA,w e YOST HOME IMPROVFA1ENT INC WO HARTFORD TEXE WATERFORD,C T 063015.4032 tfOrMir /0 / A R D CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) 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 LEVINE INSURANCE GROUP LLC NAME: Susan Berck-Cross PHONE 221 Boston Post Road ANNo g): (860)739-4444 (MCNo): Box 339 (860)739-6861 A DRIESS:sue@ligct.com P.O.P 0 Lyme CT 06333 INSURER(S)AFFORDING COVERAGE NAIC* INSURED INSURER A Acadia Insurance Yost Home Improvements Inc INSURER B: Yost Manufacturing & Supply Inc. INSURER C: P.O.BOX 263 INSURER D: Waterford INSURER E: CT 06385 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1641301167 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 ADDL SUBR LTR TYPE OF INSURANCE INSD W (MMI VD POLICY NUMBER POLICY EFF POLICY EXP X COMMERCIAL GENERAL LIABILITY DD/YYYY► (MM/DD/YYYY) LIMITS EACH OCCURRENCE _ $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 250,000 CPA5087642-13 4/22/2016 4/22/2017 MED EXP(Any one person) _ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: — __ POLICY X JECT I I LOC GENERAL AGGREGATE _ $ 2,000,000 OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO (Ea accident) ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS CAA5087644-13 4/22/2016 4/22/2017 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ X UMBRELLA LIAR X OCCUR Uninsured Motorist limit $ 1,000,000 A EXCESS LIAB CLAIMS MADE EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION$ CDA5087646-13 4/22/2016 4/22/2017 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X I STATUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N A OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) If es,describe under WCA5087648-13 4/22/2016 4/22/2017 E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Lewis Fithian THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 Rankin Court ACCORDANCE WITH THE POLICY PROVISIONS. Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE David Pugliese/BERCK- -_.cL„,, — ACORD 25 2014/01 ©1988-2014 ACORD CORPORATION. All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD INS025 r7rnann Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 31 Rankin Court Uncasville, CT 06382 Property Address Strip existing roof and install new roof shingles on the entire roof. r Job Description Required Department Approval Permit Issuance Approval i Tax Collector -j -� • Comments: / Signature/date ❑ Planning &Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: 11 Fire Marshal � �� Comments: Signature/date ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: C 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 Revised March 23,2015