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HomeMy WebLinkAboutStrip and Re-Roof 2017 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: 82017-0404 Date: 21-Sep-17 Map/Lot: 105/040-00A Owner ID: 4949000 Project Location: 1451 OLD COLCHESTER ROAD Unit: Job Description: Strip&ReRoof Owner Nam Lori S Thiel Tenant Name N/A Careof: 1451 Old Colchester Road Oakdale CT 06370- Telephone: (860)334-4395 Applicant Name Robert Maynard Telephone: (860)917-9073 DBA: R M Maynard Home Improvement Lic/Reg Type HIC Lic/Reg N 564937 12 North Main Street Exp Date: 30-Nov-17 Jewett City CT 06351- Construction Value Permit Fees Construction Information Building Value: $13,050.00 Building Fee: $168.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $13,050.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $3.39 Total Fee Paid: $171.39 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 El Anchor Bolts-with sill plate and prior to floor frami ❑ 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 2 Certificate of-Approval ❑--C-rti'••te of Occupancy Building Official's Approval: - c-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.: ha0177)'1 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑ Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure t� ❑ Electrical CRS#: Property Address: / 95) 0//f Cc/C 11 e_c1-e✓ 7? !) (Number) (Street) (Unit) Job Description: 00 F R EP4 ce m e i'f ;�1 O Q S1r lipped" ® .?cY' 2. ,c-,0/iced Owner: 13 /~ I h ,-c_ / Address: / —{` City: 4 11)1 V`"/fe Stater Zip Code: Telephone( )33Y- L 375 Applicant: R d 6 e r1— el 17 a`"C( DBA: ) K'1 _ OP-7 a. n C(I Address: /2_ 0 r -t '//ri cc , `"1 3 1 City: ee-- 7 State: G T Zip Code: O6 3 S"'....r Telephone(260 )9?? - 70 )3 Contractors - Complete the Following: S6 '13 /�'° - / > License Type: License No.: Expiration Date: 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 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, f instead of the electrical requirements in chapters 34 through 43 of the Residential Code. Owner/Agent Signature: _`� '�-.1,001 Date: 7 Z Construction Value Permit Fees Building Value: 13050 Building Fee: I CP S 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: 2) 33C1 Total Fee: 9 11. 3s Revised August 25,2007 Town of Montville Building Department File Receipt Date: 20-Seo-17 ReceiptNo: 12667 Received From: R M Mavnard Home Imnrovement Job Address: 1451 Old Colchester Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10 00 State Cash: $0.00 Bldg Check: 1171 39 State Check: 13 39 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: 10.00 Fire Check: 10.00 Fire Credit: 10.00 Construction Value: 113.050.00 Demolition Value: $0.00 CheckNo: 1489 Received By: Carmen Kneeland 1 ntAJ,1 K %_p ackA d Court 1451 Old Colchester Road ITEM QTY $/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 Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 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 EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof 2900 SF $ 4.50 $ 13,050.00 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 Solar Install n TOTALS $ 13,050.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 13,050.00 $ 168.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Plan Review Fee y $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 3.39 TOTALS $ 13,050.00 $ 171.39 Figures are based on the 2006 RS Means Residential Cost Data V •t!.: •tom.•. •1 1 '1 `t `C!.W:v •L'•:n:v,•,• .A.2 .;, .;. • {:d:4• 41pft. :';%r: t/ t `L ,r t L.41:4•'.. L•:•::vv I f ,r rl :.• t r'. .••t;tt .rte :i:ii: .t �r 1 .r v:: som:Karen Couball FaxID : Date: 8/15/2017 09 : 39 AM Page : 2 of 2 RMMAY-1 OP ID: KM ACRD DATE(MM/DDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 08/15/2017 — 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 t the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the t, certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME: Mark Mark S Spinnato Bouvier Insurance PHONE FAX 1020 Hartford Turnpike (AIC,No,Ext):860-859-9821 (AIc,No): 860-561-8778 Waterford, CT 06385 E-MAIL Mark S Spinnato ADDRESS:mspinnato@binsurance.com INSURER(S)AFFORDING COVERAGE NAIC N , INSURER A:Mesa Underwriters Specialty INSURED R. M. Maynard Home Improvement INSURER B:Travelers Property Casualty 25674 k. 12 North Main St Jewett City, CT 06351 INSURER C: INSURER D: s INSURER E: INSURER F: COVERAGES . CERTIFICATE NUMBER: 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBERLIMITS S. GENERAL LIABILITY E (MMIDDIWYY) (MMIDDIYYYY) EACH OCCURRENCE $ 1,000,000 k' MP000600102643 10/15/2016 10/15/2017 DAMAGETO100,003 A X COMMERCIAL GENERAL LIABILITY PREMISES{EaRENTED 0 occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 t. GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-_COMP/OP AGG $ 2,000,000 ;,` 7 POLICY PRO- LOC $ t. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i' (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ .. ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ s. AUTOS AUTOS t NON-OWNED PROPERTY DAMAGE $ 3. HIRED AUTOS AUTOS (PER ACCIDENT) - UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ t1. EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S S WORKERS COMPENSATION X WC STATU- 0TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE N I A 7PJU B9F65903 07/14/2017 07/14/2018 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 ti DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Norwich ACCORDANCE WITH THE POLICY PROVISIONS. Building Department Union Square AUTHORIZED REPRESENTATIVE Norwich,CT 06360 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL l yE 016) Co ices4e.r Rc Property Address keiz„,,p Job Description Required Department Permit Issuance Approval Approval ' Tax Collector Signature/date Comments: / Fire Marshal 1 (2 1 t� r 11 Signature/date `� n Comments: t / g ❑ 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 NIS 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: - ❑ 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 March23,2015