HomeMy WebLinkAboutStrip & ReRoof
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B2004-0237 Date: 19-May-04 Map/Lot: 030/076-000 Owner ID 4001
Job Location: 2 -AZALEA-LANE tl Unit
Job Description: Strip & Re-roof & Siding
Owner: Contractor:
Barry M. & Nadean E. Rudolph The Siding Store, Inc.
408 Norwich Road
9 Azalea Lane Plainfield Ct. 06374-
Uncasville CT 06382 Telephone: (860) 564-7088
Lic/Reg Type/No. HIC 525387 Exp Date: 30-Nov-04
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $4,000.00 Building Fee: $22.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $4,000.00 CO Fee: $10.00
Plan Review Fee: $0.00
State Ed Fee: $0.64
Total Fees: $32.64
It is the owners responsibility to schedule the following inspections (minimum 48 hours notice required);
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service CRS 0 F-/~ Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signatur
i
Town of Montville
Building Department Permit # I3
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
F] New Construction ❑ Addition F~ Alteration F-I Accessory Structure
other
Job Location Z~9,~:`~ ~.tJ .iii/ GCE • 38a, .
Job Description/Materials, /D o-~72,e4g ROOi; 1A(41;V11 4f/K 7;-17' ~~F .P~~`•
/D /,tJv~rrIL.C Y/~ y~ a~ld~~ 4 ~ •4/u.~/i~~+/ .
CYf /~D/NE GCG~O~ h . Mailing Address q AZAkeA
Owner /r
City 1 fva. V 11-L E - State._ ("L • Zip 04,36A Tel
Contractor i~ D.L°E Mailing Address X08 NOkwl~h .
City A~/~/~ E, State L" Zip, 0,9` -Tel 660 7,0if
Contractor's License/Registration Type &Numbef#0/rtYtnPk0~tEm~r Jl~387 Exp. Date &0 / 04Z
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 L Date 0
Construction Value Fee
Building $ /~a, bDD $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ 10 OID
State Education Ob $ A
Total $ GIrD
(See Reverse side for additional requirements)
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Town of Montville Building Department Receipt
No. U3S17
Date .r ~V
From:
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Job Address:
Check #
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~ Permit #
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STATE OF CONNECTICUT t DEPARTMENT OF CONSUMER PROTECTION
F Be it known that
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SIDING STORE INC (THE)
Y 40 ORWl; ROAD
has been certified by the Dep#rt,~Opt of C gn$umer Protection as a registered i
HOME IMPR -j 1i T CONTRACTOR
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Contractd, of Reuor.d:, PAUL, CAYER
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ReglstratIDS! 537
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Effective: 12/01/2003
Expires: 11/30
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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
553 HARTFORD PIKE FALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 739 COMPANIES AFFORDING COVERAGE
DAYVILLE CT 06241-0739 COMPANY
A THE HARTFORD
COMPANY
THE SIDING STORE B ZURICH-AMERICAN INS CO _
COMPANY
408 NORWICH RD C
PLAINFIELD CT 06374 COMPANY
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE'BEE1416SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 0R 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.
CO TYPE OF INSURANCLr POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYY) DATE (MMIDONY)
GENERAL LABLrTY 0 2 SBALE4 4 31 8/03/03 8/03/04 GENERAL AGGREGATE s2,000,000
X COMMERCIAL GENERAL LIASKM PRODUCTS • COMP/OP AGG $
CLAIMS MADE D OCCUR PERSONAL d ADV INJURY $
OWNER'S l CONTRACTOR'S PROT EACH OCCURRENCE $1 00-01-0-0-
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per P-)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Par accident)
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PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
F CESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND 6 Z ZUB 191X 6 2 3101 7/06/ 0 3 7/06/04 X T RY L,ITS
EMPLOYERS' LIABILITY EL EACH ACCIDENT 10 0 1 0 00
1 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ _rJ O 0 O O.U
PARTNERS/EXECUTWE
OFFICERS ARE: EXCL EL DISEASE EA EMPLOYEE $ 100,000
OTHER
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DESCRIPTION OF OPERATIONS/LOCATKINSIVEMKXESMPECIAL ITEMS
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
I..y- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
310 NORWICH-NEW LONDON TPKE BUT FAILURE TO MAR. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLmy
UNCASVILLE CT 06382 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORED REPRESENTATIVE
Kimberly.-J. Hickey KH A
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'ACOAA_ CARP. 4 9