Loading...
HomeMy WebLinkAboutKitchen and Bath Remodel 2009 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2009-0248 Date: 10-Dec-09 Map/Lot: 085/005-000 Owner ID: 5801000 Project Location: 170 RAYMOND HILL ROAD Unit: Job Description: Electric for Second Floor Bath Remodel&Kitchen Owner Name: Chad and Jennifer Baker Tenant Name: N/A Careof: 170 Raymond Hill Road Uncasville CT 06382- Telephone: Contractor Name: Mark Jeffers Telephone: (860)884-0379 DBA: Jeffers Electric LLC Lic/Reg Type: El Lic/Reg No: 125733 58 Pine Road Exp Date: 30-Sep-10 Jewett City CT 06351- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fee Paid: $0.00 It shall be the owners reosonsibility 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 El 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 • - ION REOUIRED UPON COMPLETION ❑ Insulation M.1 --rtifi . - of Approval � Alip ❑ ;A irate of Occupancy Building Offidal's Approval: -v -uC /------1.4e-4,. ' Town of Montville Budding 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.: QC409—ODLI Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure �� 0 Electrical� /CRS#::/ Property Address: /20/(��9y,iio,i/cJ/%///�o 4 c �1i1/C'i9Ef 1%//E (Number) / (Street) (Unit) Job Description: /C E W,:ee (_.?/f/alF/'',[,6�i' 1 y- /4A4,t-Ah 4dc4 Owner. ()kid Y- gtN,Ui 4W- Address: ,s/ L City: State: Zip Code: Telephone L_) - Applicant ,4f,4ikC. E 4,--5 DBA: X72 gEzJ LLe S Address: O AVE 4 4-a City: J€wET i�c ly State: Zip Code: O cri Telephone 0360 )8 - C� 7y Contractors-Complete tie Following: License Type: fr---/ License No.:`mss/g3 Expiration Date:_0a/2_ 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 nether attest that the oroaosed work is authorized by the owner In fee and that I am authorized to make annilcation for a permit for such work as described above. tchecldng 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 the Residential Code. Owner/Agent Signature: 3,07.1Date: /7,2/9/0yAg g Construction Value Permit Fees - K Building Value: Building Fee: '` Plumbing Value: Plumbing Fee: ‘3.-ar. a Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Nillingi- Total Value: Penalty Fee: 1�M77 C of 0 Fee: � ' Plan Review Fee: .44 • State Ed Fee: sr Total Fee: !jvist&Awn 23,2007 STATE OF CONNECTICUT ucr:tR/ y/ (OySL.%IL1? PROIL( ELECTRICAL UNLIMITED;'CONTRACTOR MARK E JEFFERS 58,1 NE RDS JEWETT C tr, 06351 LIC./REG NO. FE IVU ;'� EXPIRES ELC.0125733—E a Q X0/01/2009 , 09/30/2010 SIGNED___, �_ • Cert ID 4507 ACORDD, CERTIFICATE OF LIABILITY INSURANCE. DATE(MM/DD/Y1'YY) 3/9/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Byrnes Agency, Inc. - Dayville ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 394 Lake Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dayville CT 06241-0739 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (860) 774-8549 (860) 779-3799 INSURERS AFFORDING COVERAGE NAIC# _ INSURED INSURER A: Peerless Indemnity Insurance C f 18333 Jeffers Electric LLC INSURER B: 58 Pine Rd INSURER C: —~ Jewett City CT 06351 INSURER D: I INSURER E: COVERAGES • 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRQ TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYI DATE IMM/DD/YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ADAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY 3006948751 3/5/2009 3/5/2010 PREMISES(Eaoccurence) $ 500,000 ICLAIMS MADE. X OCCUR MED EXP(Any one person) — $ 10,000 IPERSONAL BADV INJURY $ 1,000,000 J GENERAL AGGREGATE $ 2,000,000 'GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS•COMP/OP AGG $ 2,000,000 I1--- I POLICY JE O- 1 1T LOC AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT A IANY AUTO 3006948748 3/5/2009 3/5/2010 ' (Ea accident) $ l1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS / (Per person) $ X HIRED AUTOS BODILY INJURY S X I NON-OWNED AUTOS (Per accident) I� PROPERTY DAMAGE E I (Per accident) GARAGE UABIUTY AUTO ONLY-EA ACCIDENT E • HI ANY AUTO • OTHER THAN EA ACC $ 1I • AUTO ONLY AGG $ I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ _ OCCUR CLAIMS MADE AGGREGATE E E I' DEDUCTIBLE • . E RETENTION E _ $ TH- A WORKERS COMPENSATION AND 3006948750 3/5/2009 3/5/2010 X WC LIMIT °ER EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT E 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 100,000 If yes,desaibe under 's, SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT E 300,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS • CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL • IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 Page 1 of 2 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 Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 110R1mandN,' I( �va Property Address Oet,0(1C6C t PcL r-i Q._ d� Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval .711 Tax Collector 411111ksa r, , 1 • o• Signature/date Comments: 1n ‘71111 Planning &Zoning 14(1& �" \ 7 /'i I d Signature/date Comments: (2I c� it • Fire Marsha [1191 Signature/date \ Comments: � Health Department Required for properties with septic systems-Not required for 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 exviu gtrovea6n 5,2008 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2009-0178 Date: 17-Nov-09 Map/Lot: 085/005-000 Owner ID: 5801000 Project Location: 170 RAYMOND HILL ROAD Unit: Job Description: Mechanical for Bathroom Remodel Owner Name: Chad and Jennifer Baker Tenant Name: N/A Careof: 170 Raymond Hill Road Uncasville CT 06382- Telephone: (860)848-9019 Contractor Name: Robert H.Laudette Jr. Telephone: (860)642-7847 DBA: James Carboni Plumbing&Heating Inc. Lic/Reg Type: HIC Lic/Reg No: 550768 574 Route 32 Exp Date: 30-Nov-10 North Franklin CT 06254- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $4,500.00 Plumbing Fee: $40.00 Code: 2005 State Building Code Mechanical Value: $500.00 Mechanical Fee: $8.00 Electrical Value: $550.00 Electrical Fee: $8.00 Construction Type: IRC Total Value: $5,750.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.27 Total Fee Paid: $57.27 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 REOUIRED UPON COMPLETION ❑ Insulation ertificate of •,proval 211 G rtif, - of Occupancy Building Official's Approval: �sr _ i�y_ FROM :BUILDING DEPARTMENT FAX NO. :860 848 7231 avwLt vj.LVWLtIIIiiiv Jdn. 23 2008 01:24PM P1 glpiidinq Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, GT 05382 -- _,.___._. Fax 8650-848-7231 • RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 04_)CS-r—Or* Occupancy Type Permit Type New Conetnxdion Cr Single Family Building Addition 0 Two.Famlly Plumbing Alteration 0 Townhouse Mechanical ❑A Ary8tnxlun. ebical CRSut Job Address: a a no n ' 1---- . �' Y (St►set) (Unit) Job Description: V •1114• � • a MIA lase9)kC`tog -t41-e�s i t? Scksvl r_. \,o c r8-i 0 n — Owner: I • 1 1 S_ ehC Address: • are. . V • 3 \ W -11 VirCRY A 7yState: Zip Coda:( I.A3%a Q Telephone: 4Z COO`• C�4S- 9019 Contractor: tDe-1+ 1-4-, ka 8)e - , DBA: a 1 . rt. iaa • n 1 • Ilk v , Add - w '7 -:s• . .: . 4 • : Ili. • .n . 1 in ''' State: Telephone: . / FA license T 'c rise No. 1( I 6 Expiration Dale: i a 0 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 MontMNb and further attest that the or000sed work Is authorized by the owner In fee and dual 1 am authertzed to make aaollaadon for a fbrsuch oar*as dasp4bedabove, Q By cheddng this box,I will fo , requirement* • the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code. indeed of the electrical requ *�, In chapters through 42 of the Residential Code. Owner/Agent Signature: /A ,a„/ ft As AZ4 Date: / /Z a 1 .- Construction Value Building value: Palm Foos Building Fee: Plumbing Value: 4 5 aD ,Ck Plumbing Fee: Mechanical Value: 5C0• CO Mechanical Feu: FJoatrita)Value: 7665 440 Electrical Fee: Total Value: /std•0",-).-- Penalty Fee: C of O Fee: _ Plan Review Fee: State Ed Fee: Total Fee: Wilk&Alrie 23,A007 Town of Montville Building Department File Receipt Date: 12-Nov-09 Receipt No: 5055 Received From: James Carboni Plumbing&Heating Job Address: 170 Raymond Hill Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: __-_— $0.00 Check: $57.27 Check: _.. $1.27 Check No: 1494 Short/Over: $0.00 Construction Value: $5,750.00 Demolition Value: $0.00 Received By Carmen Kneeland lnL l161„dflArl � Address: 170 Raymond Hill Road ITEM CITY $/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 0 EA $ - $ - $ - Full Bathroom 0 EA $ - $ - Half-Bathroom 0 EA $ - $ - GARAGE Attached 0 SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air Y/N $ - Hot Water n YIN $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ - Underground,new 0 Amps $ - Subpanel EA $ 599.50 $ - 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 w12 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 $ 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 $ 6,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - Inflatable Type Pool - EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical - SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Stop&reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding SF $ 5.50 $ - Windows - EA $ 500.00 $ - Skylights EA $ 1,051.10 $ - Doom,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 4.500.00 $ 500.00 $ 750.00 TOTALS $ - $ 4,500.00 $ 500.00 S 750.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ Plumbing y $ 4,500.00 $ 40.00 Mechanical y $ 500.00 $ 8.00 Electrical y $ 750.00 $ 8.00 Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 1.27 TOTALS $ 5,750.00 $ 57.27 Figures are based on the 2006 RS Means Residential Cost Data is 1i tj ''''''.4....1,-.'' ?Si14 •'1,:.',I74,' ';;1111 ,,,t'1' ..1.1• i :n•.1' r. ''..(:::::":.r.,. . Ml' STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION § Be it known that >�_ ROBERT H LAUDETTE JR n ! 7 ANDREA LN NORWIR -If C'r.CO6.1I0-1679 �{1171 � ,v 7! has been certified by the De_,partlnept pf`Const i ier Protection as a licensed „ j PLUMBING & PIPING UNLIMITED CONTRACTOR t i Licens6 PLM.030404-P1 Ir. r I Effective: 11/01/2009 r = I Expiration: 10/31/2010 ;= _ _. . 1 Jerry Farrell,Jr.,Commissioner 1 r - •,,J,„,„...:4.,, ,, ..: ,, ....'..1 ...",1, •.. ,( 1;..4 4 n.. .1. . . •1.j* ( 1. 134:g,'',1 •I. 4,'''..:::::?.:1..1. ..r 4 ...*+ 4'14:41'4 •• •,. . ,1. .... „ . 515• • t 35,1 f57f 55 , i - ** * */* *_41..* * 400 *. lk/I* * '44' * 9i* * Iliiii''_ * 4+,*''' *ti*'''- * ' ..iii:s* .kifi'^ /*'-'_A/*_.*__A.2‘‘`___LAL:i__*iLoi__ *____ _i „., ' STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION j*,; ' Be it known that itt f I JAMES CARBONI PLM & HTG INC C 9 t 574 ROUTE 32 N F,RANIEL N, CT 06254 I 1"," •S T )\f , is certified by the Depart cnt"d C pia"sdmer Protection as a registered HOME IMPROVENT_CONTRA,CTOR Regist aziion #H 0550'768 t rPANsr0lir lx AMES CARBONI PLM & HTG INC Effective: 12/01/2009 i . Expiration: 11/30/2010 Q��, , 1--A.- . �, Jerry Farrell,Jr.,Commissioner vl t ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RT DATE(MM/DD/YYYY) PRODUCER CARPLO2 06/19/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ARCHAMBAULT INSURANCE ASSOC. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Providence St. PO Box 153 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .nam CT 06260-0153 Phone: 860-928-0811 Fax:860-928-6462 INSURERS AFFORDING COVERAGE NAIC# INSURED — INSURER A: PEERLESS INSURANCE 24198 James Carboni Plumbing and INSURER B: _._ Heating, Inc. INSURER C: 574 Route 32 North Franklin CT 06254 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR AUU'L FOLIE(EFFEDyy) DATE INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAE i(1 KEN I EU A X COMMERCIAL GENERAL LIABILITY CBP9106627 07/01/09 07/01/10 PREMMIiSES(Ea occurence) $ 100000 • CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5000 PERSONAL 8 ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY A X ANY AUTO COMBINED SINGLE LIMIT $ 1000000 BA9870958 07/01/09 07/01/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS — — BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A —1 OCCUR CLAIMSMADE CU9092458 07/01/09 07/01/10 AGGREGATE $ 1000000 DEDUCTIBLE $ X RETENTION $10000 — WORKERS COMPENSATION AND WC S IA I U- O R A EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ANY 910 6 0 2 7 07/01/09 07/01/10 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? II es,describe under E.L.DISEASE-EA EMPLOYEE $ 100000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWMO01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TOWN OF MONTVILLE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL BIIILDING DEPT. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 310 NORWICH-NEW LONDON TURNPK. REPRESENTATIVES. MONTVILLE CT 06353 RI D PRESENTATI azme.„4 ACORD 25(2001/08) w� ©ACORD CORPORATION 1988 , FROM :BUILDING DEPARTMENT FAX NO. :860 848 7231 Jun. 08 2006 12:26PM P2 Town of Montville BuildInqpepartrnent 310 Norwich-New London TOP, Tel. 60-848-303o, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 , • CONSTRUCTION P RMIT APPROVAL tivnood) N , )) ocz0 . .._ . . . Property Ad ress _. . _........._ • .. . . . 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 Department Permit Issuance Approval __/Vproyal _............ ........_,....___ II Tax-Collector ei....6_,A__ 71. Ata,---,-.4...— /iiia-/0 9 1Lf!,,,i (. ...: Comments: — . le WPCA, Administrative 0 NItrio . 4 , • lk\O-\0 • .?,igioti ire/ dote Comments: 11 'L EI WPCA, Operations !licrtriturei date Comments: . . fill Planning & Zonihg "_......._ L .LII_i-- ./c7..?._. . _. .. Signatur ei date Comments: /-- 4 / El Health Department . _ . . ._....._ ;3ignature/ datc: Comments: 0 Department of Public Works .. Signattir0 (.1.-.1161 Comments: _ .. _._ E.I State Dept. of Transportation ;Ignatt ire/dte Comments: 111 Fire Marshal lill — _ 1 k 1'2102 Comments: ,... 11\.i L4 4 LL-I. Sig'mime/ date ..,.,.......— f; ,.. qtrvise4Augun 5,2005 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2009-0106 Date: 13-Nov-09 Map/Lot: 085/005-000 Owner ID: 5801000 Project Location: 170 RAYMOND HILL ROAD Unit: Job Description: Plumbing for Bathroom Remodel Owner Name: Chad and Jennifer Baker Tenant Name: N/A Careof: 170 Raymond Hill Road Uncasville CT 06382- Telephone: Contractor Name: Robert H. Laudette Jr. Telephone: (860)642-7847 DBA: James Carboni Plumbing&Heating Lic/Reg Type: P1 Lic/Reg No: 203404 574 Route 32 Exp Date: 31-Oct-10 North Franklin CF 06254- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Fees Included with Mechanical Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 It shall be the owners reesonsibility 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 REOUIRED UPON COMPLETION ❑ Insulation Certificate • pproval .te of Occupancy Buildine Official's A..roval: /�� i 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.: eaw 1 )1 (a Type of Work Occupancy Type Permit Type D New Construction 0 Single Family D,Building D AddIion 0 Two-Family B(,Plumbing D Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: no 1 sem-( mo(1 C ( I '. g OC.e,10k- (Number) nn -- ` (Street) (Unit) Job Description: Qe.m _AC) P Hr rcc n1 Owner. C vl A( •i----3-0,1n%'-P-1- & ke- Address: t-rte P.f VIACT(1 C H-) 1 l `ILC 7Ct A___ City: LW(CLSV 11(e_ State: (X Tip Code:CLF2 a Telephone( ) - Applicant - 4-^ 4 • 1--ts-Lkd c Sir-. DBA: 3-0•imCg CO-(100r1I P ti,Mbi rl5 i- 1`c-0-1-% t Address: 5 1L\ Ro ucto 33 City: N. —R—e.—in -t (\ State:`T- Zip Code: OtD DSLA Telephone( ) (Q4t )- 1k(4 7 Contractors-Complete the Following: ,, 11 1 License Type: 19 1- License No.:aCHU` Expiration Date: IC)131/(C) 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 Mone and further attest that the apposed 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. 0 By checking this box,I will follow the r . 71 merits of the •I NEC as the alternative compliance per section E33012.1 of the Residential Code, instead of the electrical requiremen • . pters 33 throw, ••2 of the Residential Code. i / Owner/Agent signature: ma' A Dater `1 i Z-JO S Construction Value IF Permit Fees p Building Value: Building Fee: V J-U, Plumbing Value: Plumbing Fee: . ,,c5,�- Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: ✓ Total Value: Penalty Fee: ` e \ C of O Fee: ` l Plan Review Fee: 71 RifsState Ed Fee: Total Fee: Rr filielgSt 23,2007 ROM :BUILDING DEPARTMENT FAX NO. :860 848 7231 Jun. 08 2006 12:26PM P2 • . . . . . Town of Montville • • . BuildInqpeparttnent 310 Norwich-New London Tpke, Tel. 560-848:3030, Ext 382 Uncasville, CT 06382 Fax, 860-848-7231 . •. CONSTRUCTION PERMIT APPROVAL. Io cit . . -7 tvnernf) hl i )1 ca.c.D . . . i .._....... .. ........ . .. . Property Ad ress q0C .._ .__,..,_..... VI A .41 b...mall. . i ___. .......______ ._....,. ,.. ,. . . 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. I Require Department Permit Issuance Approval Approval • • Tax-Collector - e.-6---.A— ,1 no-----e-- iiiia-/a 9 1:319r::7110';'1 Comments: • . a WPCA, Administrative W A i N'I. • ItIA–-4 --— • 1 k\OA° • Si c.j rohire/ dain Comments: El WPCA, Operations nature/ date . . Comments: . . . - • . . fill .• Planning &•Zonihg ' •• • . ' ,r?".',-(ki • ..,. . -,-,..43Z•---7" - -• i Signature/ date Comments: iLIA / -- -&-0E( 7 0 Health Department . ._... ....._ Signature/date Comments: • El Department of Public Works ... Signati re/I &ite Comments: __.... .„.... __ El State Dept. of Transportation Signature/date Comments: . 0 Fire Marshal ‘i rzIol. Comments: <-._ ( I\ L.._- -- -- -- "HAtilLii. . Signature/ date ..._,_ , • . qtruigerAugun 5,2005