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HomeMy WebLinkAbout2003 - SFR Town of Montville Building Department Certificate of Occupancy This is to certify that the structure at 15 ADAMO AVENUE unit: under permit number B2002-601 constructed as a Sing Famy Residence on s~ stanti y to e-requirement a - Building Code Ordinances and Zoning regulations as adopted by the Town of Montville and the State of Connecticut and is hereby approved for use and occupancy under Use Group R4 of the 1995 CABO Building Code of Connecticut. l Construction Type: 5B Map/Block-Lot: 037/002-023 Owner: Kitchen Gallery/Vintage Builders 170 Flanders Road Niantic, CT 06460 CO Special Conditions: Monday, April 07, 2003 Building fficial Signature CO Issued: Town of Montville M~ Building Department 848-3030, Ext 82 ONE & TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET e~ ro erty Address Job Description: The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have bee obtained. HEALTH DISTRICT 848-3030-339 Approved El Permit Not Applicable Septic Syst n Date ~~II Approved ~ 7 ' a J Permit Z/,S_8/ C7 El Not Applicable P k ate, W Date WPCA DEPARTMENT 848-3030, Ext. 376 Approved ❑ Permit ❑ Not Applicable Municipal Se er Date House Trap ❑ Outside ❑ Inside Approved F-1 Permit # E] Not Applicable Municipal W i er Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit ❑ Not Applicable Director Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379 In-Compliance ❑ Permit ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetl ds Date *vised 6/28/2002 03'21.'03 22:07 P4. 8487231 BUILDING DEPT [A 01 Town of Montville - DWi ing Department 848-3030, &t 82 QNE & TWO F&h= CIERTHYC-A-U OEFANCY SIGN-OFF SHWr Property Address Iob Description: The owneriager t shall be es nsible for the completion of the farm no certificate of occupancy will be issued until all signatures below have beeii obtained. HFALTH DISTRICT Mg-3030-339 Approved _ - ❑ Permit Q Not Applicable Septic Sys m Date Approved Q Permit Q Not Applicable Private ell Date: W-PCA DEPARTMENT $48-3030Ext. 976 Approved of (l i~ Permit 1 t U r~ ❑ Not Applicable imicipal w late House Trap 0 Outside ❑ Inside Approved &!nJC Permit Not Applicable MunDate 848- Ap~ved Q Permit of Applicable Dite PLAN'1 NI G A ZWO nIENT 848-303i1. Ext. 319 In-Compliance Permit ZnOZ, / ❑ Not Applicable Zonirr Date in-compliance Q Permit: ❑ Not Applicable Inland W ds Date 3 :~vtsealS/zBlzocY~ ~{x c Tow" ",of Montville Building Department Date Field Inspection Notice Permit ' c Jab Location E hpPOVeCI Type of Inspection ❑ Not Approv d - Please call for re-inspection when the following corrections have been completed: i A Z` Building Official Town of Montville Building Department Date l-I Field Inspection Notice Permit # Job Location Approved Type of Inspection 2'-Not d - Please call for re-inspection when the following corrections have been completed: Approve 6 s' O,W e, & ~q G'a'd ~ a~ 4 ~ r~."~'~J r'~ J u Official Town of Montville❑ 'Building Department Date Field Inspection Notice Permit #c--a Job Location r pproved Type of Inspection 1 V- ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: r i Buildin Official Town of Montville Building Department Date ll Field Inspection Notice Permit Job Location '41 Z~LA)44-E~~ 42, ET-Approved Type of Inspection Not Approv d - Please call for re-inspection when the following corrections have been completed: k4c-c, Jd` - v ,edl CC U" ~1l ~ Building cial Town of Montville Building Department Date 2-/~~/ Z Field Inspection Notice Permit # Job Location 1/ Al U Approved Type of Inspection c- 1. n:F ❑ Not Approv d - Please call for re-inspection when the following corrections have been completed: r uildin Official Towns' of.Montville Building Department _ Date// /d Field Inspection Notice Permit # Job Location M V JG pproved Type of Inspection ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: h r I 4 Buildin Official A f Town of 1Vontville io' Building Department /,,Z3 06 Field Inspection Notice Permit # Job Location t e C [Approved Type of Inspection t ❑ Not Approved - Please call for re-inspection when the following corrections have been completed: f 's Buil g 0 cial. Town of M ntville ! Building Department Date /l Field Inspection Notice Permit # Job Location uN T,> !-fid ® Approved Type of Inspection F] Not Approved - Please call for re-inspection when the following corrections have been completed: ,r Z I < Buiidin Official F A Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Electrical Permit Permit Number: E2002-404 Permit Date: 30-Dec-02 Permit Code R5 Job Location: is ADAMO AVENUE UNIT: MAP/LOT: 037/002-023 Job Description: Electrical & lectric Service Owner Contractor Kitchen Galle /Vinta a Builder TIG Electric 95 Yawbux Valley Road 170 Flanders Road Unit: North Stonington, Ct. 06359 Niantic, CT 06460 Telephone: 535-2889 Use Group R4 Lic/Reg Type: El Code 1995 CABO Lic/Reg Number: 183635 Exp Date: 9/30/03 Construction Type 56 Construction Value Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $0.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit _ State Ed Fee: $0.00 Total Fees: $0.00 It is the owners respons"h lity to sche Me t lowing require ' spections (m*n6mum 48 hour - equested)v ❑ Footing - Prior to pouring cone ete ❑ Rough HVAC ❑ Backrill - Footing drains and w terproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pourin ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble Rough Electrical ❑ Firestopping/draftstopping Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test Final Inspection ❑ Gas Piping and Pressure Test ❑ Ce a ccu a - Prior to use or occupancy Building Official's Signature: _ y Town of Montville Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form ❑Puumding electric if FjMechanicaf Heating. Air Conditioning Gas Piping n Other Job Location f /qxx o or« Job Description/Materials et Owner C e t; C(e~ ~~l Rl Mailing Address F4 40<,e5 z C State Zip Tel Contractor ~ r C~rL Mailing Address City 106M ~ (e;5~ State Cr Zip a3~3 iv Tel 9Z®/ sue' / ;;2~5- Contractor's License/Regis ration Type & Number Exp. Date 9 L36 / e~Qc:!~,_J> I hereby certify that the proposed work will conform to the Basic 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. Owner /Agent Signature Date/ rA l_6 °2 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ Total $ . Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Mechanical Permit Permit Number: M2002-24 Permit Date: 17-Dec-02 Permit Code R5 Job Location: 15 ADAMO AVENUE UNIT: MAP/LOT: 037/002-023 Job Description: Heating & r Conditioning Owner Contractor Kitchen Gallery/Vintage Builders Standish Heating & A/C 31 Clinton Avenue 170 Flanders Road Unit: Norwich, Ct. 06360 Niantic CT 06460 Telephone: 887-8999 Lic/Reg Type: S1 Use Group R4 Lic/Reg Number: 388945 Code 1995 CAB Exp Date: 8/31/03 Construction Type 5B Construction Values Permit Fees Building Value: $0.00 Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $0.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fees: $0.00 It is the owners responsffiffitV to schedule the following required inspections (minimum 48.hours notice requested)a ❑ Footing - Prior to pouring co crete ❑d Rough HVAC ❑ Backfill - Footing drains and aterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test ❑ Final Inspection ❑ Gas Piping and Pressure Tes ificate of Occup - for to use or occupancy Building Official's Signatu : Town of Montville Building Department Permit 4 c?,G 0 310 Norwich-New London Tpke. Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form n Pfum&ing O Efect ' 5dWechamcal pating f/leir Condiitioning ❑ Gas Piping other Job Location Job Description/Materials i4 e- Of/ T / Owner Mailing Address 120 /ljvi IClt> ~S city 100-4 7" c. State Zip 069Tel Contractor -I Mailing Address ,,3_ J ~j~~ City jG State.( Zip a Tel Lzrj "Contractor's License/Registration Type & Number a_Mk(_ Exp. Date l_ -U-/_Oa I hereby certify that the proposed work will conform to the Basic 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. Owner /Agent Signature Date /6 / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ ip $ Electrical $ ' $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ enue JANDISH 31 Clinton Av ■ Norwich, CT 06360 (860) 887-8999 Fax (860) 887-8890 ~:.0110.& -888-445- ~00o HEATING AND AIR CONDITIONING 1 4 www.s wstandis ndishhvac.com CT LIC.#309114/#388569 DATE : TO: d/~i O O~Ui Z/ 14 C n 7' SUBJECT; MY DESIGNEE - Stacy Clark TO WHOM T MAY CONCERN: I hereby designate Stacy Clark to be my agent) acquiring the Permit for A ld~ 0 1 At on behalf o Standish Heating & A/C, Inc, of Connecticut. The work t be performed will be to: (D- Thank you. kNQ4 Very truly y u rs, HEAUNG, PIPING 6;• CONTRACTOR j Standish Heating & A/C, Inc. MICHE F JQT~ICUR 77 rum Si LIC. I REG Nei.... EXPIRES ! ter' ~-~~/1`..._.. 388945 Michael F.ilicoeur r„ hsNEj . 08/31/2003 License #388945 (S-1) .SIGNED Expiration date: 8-31-03 : . DATE (MM/DD/YY) A CORD M } :::.:::::.:.::::::::::::::04/03/n2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GENCORP INSU CE GROUP ONLY AND CONFERS NO RIGHTS UPON THE -CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 16 MAIN STREET COMPANIES AFFORDING COVERAGE EAST GREENWICH RI 02818 COMPANY A THE HARTFORD INSURED COMPANY STANDISH HEATING & AIR B CONDITIONING INC COMPANY 31 CLINTON AVENUE C NORWICH CT 0 6 3 6 0 COMPANY D CCf1lERAGES<:>>::>::>::::> :......;:>::::>::>::>;::>;»:<:::»:::<:;;s;::::::;::;::>:::::;::;:::>';:.:.;:.;:.;::.::.::..:;;:.:<.;:;.;:.:.;:.;:.;:.;:.;:.:;.:.::.::.;:.::.:;.;:.:_:-;;:;:::_-}>:-:::::;.::.>::.:::.;:.;:.:.;:;.;•.::._:::.:::._::::.:::. .....................:::::.....,:.::::::::::::.:::::._::::::._.:_:::::::..........~.~:::::::::::::::~::r:-:::.;.:.;•:;•::.:.;:;;•}:::;c:.•::;.;}r;::•:;•;:;;•;:.;:.;:.;;:.;:.;:;.;::;:; .•»s_x.;::::.::;:.;'::;i........... THIS.I...TO:.::::..................... S CERTIFY THAT THE POL CIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING AN REQUIREMENT, TERM OR CONDITION OF. ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AY 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. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DO/YY) DATE (MWDO/YY) LIMITS GENERALLIABILITY 02SBANF7874 04/01/02 04 01/03 GENERAL AGGREGATE 52,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS • COMP/OP AGG $2, 0 0 0 , 0 0 0 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Anyone person) $ 10,000 AUTOMOBILE LIABILITY 2 UEC FC 5 218 04/01/02 04/01/03 1,000,000 X ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND 2 vVECGP 6 5 2 3 04/01/02 0 4/ 0 1 0 3 TORY uMITS X ER EMPLOYERS' LUMUTY EL EACH ACCIDENT $ 500,000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 5 0 0 , 0 0 0 PARTNERS/EXECU77VE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 5 0 0 , 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATKNNSJVEM PECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE STANDISH HEATING & AIR EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CONDITIONING, INC. 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 31 CLINTON AVENUE . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY NORWICH, CT 0 6 3 6 0 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE }}r RICHARD A. PADULA CIC CB A ~+1:'r.{-~ vn :.:::..i......:.........::.~:........__.....:::i...:.~::::::::::::r:rw::::.v:r:}:•v: ii::.:.i$:•iiry: w:::: v::•}} i:Pii:-}}iv :ii:?~:L6:::::-::: :v.:~::.~ _ Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Plumbing Permit Permit Number: P2002-164 Permit Date: 17-Dec-02 Permit Code R5 Job Location: 15 ADAMO AVENUE UNIT: MAP/LOT: 037/002-023 Job Description: plumbing Owner Contractor Kitchen Gallery/Vintage Builde Nordic Plumbing P. 0. Box 192 170 Flanders Road Unit: Niantic, Ct. 06357 Niantic, CT 06460 Telephone: 739-7787 Use Group R4 Lic/Reg Type: P1 Lic/Reg Number: 203919 Code 1995 CABO Construction Type 5B Exp Date: 10/31/03 Construction Values Permit Fees Building Value: Building Fee: $0.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Other Value: 0.00 Other Fee: $0.00 Total Value: $0.00 C/O Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fees: $0.00 It as the owners respons! b"lity to schedule the fdllowina requwred inspectoons (Minimum 48 hours notice requestojak ❑ Footing - Prior to pouring co crete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouri g ❑ Fireplace Final ❑ Rough Framing ❑ Chimney - One flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation Rough Plumbing and Leak Te A ❑ Final Inspection ❑ Gas Piping and Pressure Test ertificate c an - rior to use or occupancy Building Official's Signatur : Town of Montville Building Department' Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form RPfumding F]Ekc ' al' FlMechanicat Heating Air Conditioning Gas Piping R other Job Location a a Job Description/Materials Owner ailing Address 170 FL's City 10t W"VII'r-i C- State ~I Zip _ 7 Tel Contractor f~•~~~~ G Mailing Address City /Cl/ z G= State' Zip 4<-23S-2 Tel 5F4-e5/2DE -2 Contractor's License/Regi tration Type & Number , O l Exp. Date b /2_/0 I hereby certify that the proposed work will conform to the Basic 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 t make application for a permit for such work as described above. Owner /Agent Si atur Date Z Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ Total $ $ I PLUMBIN G & PIPING UNLIMITED CONTRACTOR CHRISTOPHER A SAMUELSEN PO FOX 192 NIANT IC, CT 06357 TYPE: PI LIC.✓REG NO. EFFECTIVE EXPIRES 203919 .11/01/2002 10/31/2003 SIGNE Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 860-848-3030, Ext. 82 Building Permit Permit Number: B2002-60 Permit Date: 02-Oct-02 Permit Code R2 Job Location: 15 ADAMO AVENUE UNIT: MAP/LOT: 037/002-023 Job Description: Single Family Residence Owner Contractor HARTENS POND LLC Kitchen Gallery/Vintage Builders 170 Flanders Road 183 QUARRY ROAD Unit: Niantic, Ct. 06357 MILFORD Cr 06460 Telephone: 691-0758 Lic/Reg Type: NHC Use Group R4 Lic/Reg Number: 3829 Code 1995 CAB Exp Date: 9/30/03 Construction Type 5B Construction Valu s Permit Fees Building Value: $170,034.00 Building Fee: $1,024.00 Plumbing Value: 10,615.00 Plumbing Fee: $64.00 Mechanical Value: 9,917.00 Mechanical Fee: $58.00 Electrical Value: $ 1,818.00 Electrical Fee: $70.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $20 ,384.00 C/O Fee: $10.00 Comments: Plan Review Fee: $102.40 State Ed Fee: $32.38 Total Fees: $1,360.78 It"s the owners responsi ~~~dule the followiflng required *nspecdons (minimum 48 hours notice requested): Footing - Prior to pouring co crete Q Rough HVAC W 'Backfill - Footing drains and waterproofing ❑ Fireplace Throat Rj Concrete Slab - Prior to pouri g ❑ Fireplace Final ❑d Rough Framing ❑ Chimney - One flue above thimble 0 Rough Electrical W Firestopping/draftstopping W Electrical Service W Insulation W Rough Plumbing and Leak Te t [;,Final inspection ❑ Gas Piping and Pressure Test V Ce to o cc cy - Prior to use or occupancy Building Official's Signature Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 82 Fax. 860-848-7231 September 27, 202 Kitchen Gallery Vintage Builer 170 Flanders Ro Niantic, CT 063 7 RE: 15 Adamo Drive We have receive a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, your application is being rejected for the following reason(s): ,1. Construction permit sign-off sheet not submitted c ~ R values in the MEC c eqk do not correspond with the values on the plans, information needs to be corrected. 40 1 Fee due $1,3 60.78 We will keep all documents received to date on file and renew your application when you have finmished all the required data. Thank you, Joseph J. Summers Asst. Building Official Cc: File Town of Montville f Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form New Construction Addition ACteration Accessory Structure Other Job Location Job Description/Materials Ownerling Address City i ` Stat Zip Tel G7:2' Contractor ° ailing Address -flue, r City State Zip Tel Contractor's License/Reg stration Type & Number AZ&Z Exp. Date/;a I hereby certify that the proposed work will conform to the Basic 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 t make application for a permit for such work as described above. Owner /Agent Signatur Date-Z-% l Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ To n o 'l ontville.Building Departr nt Receipt No. 02227 "Date r _ c From: _ Job Address: Cash C-hc Check # Amount Permit # Received h` - STATE OF CON ECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that KITC N GALLERY VINTAGE BUILDERS ~h . 170 R ANBERS RD NN 06357 { has been certified by the Departr4ent of Ciansikmer Protection as a registered NE HOME CONS ! tT ` ' DN CON'I'l~ CTOR: Reton .3829 rt h6ective; On 01:: Expires: 09!30 - 2003 T Flenimg, Comm ~ s lip WMW FROM : FALLON INSURANCE AGENCY I NC FAX NO. :8607396861 Sep. 17 2002 02: 24PM P1 r At CC) ERT 1 ' OF "LiA~►1~ ITN( INSSUPR . I a~ t~2 moOUCER C1Ff#S C1+i~'?7F .E J~w~i"" 1fz7 AS A MATTER OF INFORMATION Fallen Insurance 'T1Cjr"r znc. t7NI.Y AND CONFERS NO RIQHTS UPON THFI CERTIFICA OR R HOLUM. THIS CE"tYFICAIS 11109S %OT l~AR>rNQ !F~IEI~ 211 1300ton. Post Rod a-J rgF TM I+CVr npogE AFFORDED Vf THE POI CIPS SEL P . U. Box 33 %S13M%8 A'f' "M#4COVIEVAGE East /0,63-7 n iw6U~oM ?,T~ i~ Rrdl dPT Y $t VINTAGE SLDR INSURE~I7=nw-w, :1~l~RLANKA S :SCE4C+.r`iat''R~4'- PETER VINE R©BEpT VINE, MA rNSUr~eotsMA~'~'Z+A~«iit CAq ;rte ~C> . _ 170 Px,,A=ER RD . ,UNIT #C3 iINSU"R C. NIANTIC, CT 06357 COVERAGES TT4 P0L(QW OF tytvaue~ drLST L+ AF.l.DW K4'VF BESN.ISSUEQ TO THE INSURELI NAMP ABOVE FOR THE POLICY PERIOD WDICATED. NOTWnSTANDING ANY REQUiMMENT, TERM OR CONDITION OF ANY CONTRACT OR CTKER pQCUM9N1"VYl•ITt' A0PE'Ci ii.1' t0'mW ThWX'M)F=4TF MAY AE ISSUED OR MAY KRTAIN, THE 1I{C$'0MN 't T+ f0Mgrrz SY Try& IPOLCC .80$$C111IWD HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONVITIONS OF SUCH POLICIES. A GRWATE LIMITS SWO N MAY HAVE SEEN RIEDUCED BY PAID CLAWS. rF" NFUMAI II bR~ _ POLICYfwmwR~ - t diNILSf TYPE' OP IN$IJpANCE . d~IERAL LlASIL(TY 4ifiICCtdBPNG6 - s5 b b000 COMML°RVAL OFNMAL LIAR 11-1TY Gitt@ ORM1 t (AsW one firm 9 b { b . . t MCD ExP IAnV W* p9r-I CLAIM% MAM I. E: P Oc A SC'n95 X4319 5-1-02 ;5-1-03 PEF=NAL&AD.VINJURY 45.00,00.0. ^ aCNCAAL AGGREGATE L1, akTa, CI'V 4.3 . ao!wP~114'3fl , t5b~3 . I WN'L AGGREGATE LIMIT APPLI0 PER POLICY PR LC 71 AUTOMONA9 LIAGILM { ( COMIMNEO SINOS-19I mry 4 c 4 ire woid6m) ANY AUTO l~^,-,^,,-,-- ~k %WC AY 0. ALL OWNED AUTOS '6 3L4itU taLt.Ai q MirparsDn) µ~ypq A4II sSa NQNF ! 800ILY IN; URY 4 NON.-OWNED AUTOS fear ecaf4exsn _ . « 91~ I FROPEW7•Y DAM4040 ,t ftr. ACCida tI, GAnAGN UASILITY AL+F1 M y EA AY -t1 &97 9 t ~~6A ACC I ANY AUTO ' AlteL NONE: ONLY, A03 BdFGf.8Gd1AMi1TY EACH OCCUPMENCE 8 OCCUR 0 CLAIMS MAD E~ NONE DEGUCTIEti.E ~ ~ 3 RETENT04 4 # YvfyfgltCR6 COMPENSATION atsliT X. rot3r~*a^ Eq CMPLOYE"O' 0AMWVY 5-1-02 5-1-03 E.L. EACH ACCIO"T 0 41 fl 0 C+ O . $j C993Q11f31 . PART RS I f H.L.DISEASE '£AEMP40YU $100,000. . EXCLUDER %J.- CI MASE . POLICY LIMIT $50 01 000 OTkEA NONE I t pril:w"gir v'Y°v"P1 .4. 2Ct~QSfS191~1 GS}f3RNSSFliIilAbS bAWVArtWWW,%&RFrfA1-P11AY1#KSAIS C-.rpemtry .and .xel ted orerat ions Project- 15 ,Adam Drive, Oakdale Ct CERTIFICATE HOLDER ADDITIONAL W!l 0. INSUafta tErTSa: CANOE LAT'IIM SHt=V ACAW W Mg AMf6'WWMKW A7UCt',£Sr ar CAM=40 KW W ,POE E1t0ISt?rl %V. Town of 94AT1 vj 11~ vaXt aa.%u!s."WAIL k%W^W +4t" ENtRAS O" -fft WAL C*y& 4CrN"%N Route 32/Building Department N*ra TO -rHE CMMCATO HO.OIM NAMIM TO "0 f.SFT, BUT FAI6UIFE TO PO 80 SmU Montville C WAMSE NO 0OU"TION OR LIABILITY OF My KIND UPON THE INS MfL ITS AGENTS Op Rks+pf?¢EI4TATIVBS. ' f aX ; 848-72-31 TA ACORi? 26-5 471971 4 AC:ORM CORKMATIOU 4.%M *410 Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (2 STORY) House Construction (E=Economy, A=Average, C--Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area " 240T SF $ - $ 70.55 $ $ 169,813.85 Finished Basement SF $ $ 13.10 $ - $ - Unfinished Basement 1008 SF $ - $ . 5.05_ $ - $ 5,090.40 Plumbing Full Bath 2 EA $ - $ 3,531.00_ $ - $ 3,531.00 Half Bath 1. EA $ - $ 2,247.00 $ . $ 2,247,00 Garages Attached, 1 car EA $ $ 8,054.00 $ - $ - Attached, 2 car 1 EA $ - $ 13,676.00 $ $ 13,676,00 Attached, 3 car ~ EA $ - $ 18 938.00 $ $ - Detached, 1 car EA $ - $ 10,547.00 $ - $ - Detached, 2 car EA $ - $ 15,809.00 $ $ Detached, 3 car EA $ $ 21,072.00 $ - $ - Under, 1 car -EA $ $ 1,226.00 $ - $ Under, 2 car EA $ $ 1,673.00 $ - $ Fireplace & Chimney Prefab EA $ - $ 3,480.00 $ - $ - Masonry, ederior EA $ - $ 3,555.00 $ $ - Masonry, interior EA $ - $ 3,330.00 $ - $ - W/2 fireplaces EA $ 2,520.00 $ - $ - Dormers Gable SF $ $ 22.00 $ - $ - Shed SF $ $ 00 $ $ - Breezeway/Decks Open $F $ - $ 19.50 $ - $ - Enclosed SF $ - $ 82.80 $ - $ - Porches ^ Open 180 SF $ $ 25.20 $ $ 4,536.00 Enclosed SF $ $ 111.55 $ $ Heating Adjustment 2407 SF $ $ (2.67) $ $ (6,426.69) Air Conditioning 2407 SF $ $ 1.45 $ $ - Electrical 2407 SF $ $ (4.91) $ $ (11,81837) Plumbing 2407 SF $ - $ (4.41) $ - $ (10,614.87) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 170,034.32 Y is air condrtroni in uded /N ? $ 3,490 PERMIT FEE Building $ 170,034 $ 1,024.00 Y Plumbing $ 10,615 $ 64.00 Y Mechanical $ 9,917 $ 58.00 Y Electrical $ 11,818 $ 70.00 Other $ CO Fee $ 10.00 Plan Review $ 102.40 State Ed Fee $ 202,384 $ 32.38 Total Fees $ 1260.78 Based on 2000 RS Means Square Foot Costs 9/27/02 Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: The owner/agent shall b responsible for the completion of the form, no construction permit will be issued until all signatures below have ben obtained. - HEALTH DISTRICT 848-3030, Ext. 882 ❑ Permit Not Applicable Septic Sy, tem Date a ❑ Permit &4i y ❑ Not Applicable P ate Well Date WPCA DEPARTMENT 848-3030, Ext. 881 Permit E] Not Applicable Municipal ewer Date ❑ Permit # ❑ Not Applicable Municipal ater Date DEPARTMENT OF P LIC WORKS 848-7473 ❑ Permit Not Applicable Date PLANNING & ZONING DEPARTMENT 848-3030, Ext. 81 E:Vz,~- ~j Permit X62 - ~ 7 ~ ❑ Not Applicable Zoning Date Permit ❑ ❑ Not Applicable Inland- et ands Date Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: VIP_ R-)C~ The owner/agent shall responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030, Ext. 882 ❑ Permit Not Applicable Septic Sy tem Date ' Permit #:~e PS El ''IBC! N9 ❑ Not Applicable ate ell, Date WPCA DEPARTME848-3030, Ext. 881 t: Permit ❑ Not Applicable Municipal ewer Date f , 5 ('0 v ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 F~-Z&)x / Q ❑ Permit Not Applicable Date PLANNING & ZONING DEPARTMENT 848-3030, Ext. 81 J '~S~ [NPermit Z7V.- ❑ Not Applicable Zoning ate ❑ Permit ❑ Not Applicable Inland-We lands Date