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HomeMy WebLinkAboutWindow Replacements 2008 Field Inspection Notice Town of Montville Building Department October 3, 2008 Address: 141 Park Ave. Ext. Job Description: Replace 15 Windows Permit Number(s) B2008-0436 Permit Date: September 8,2008 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Final inspection for • • 10/1/08 DJ certificate of approval Rev. Date: 1/18/06 Page 1 of 1 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: B2008-0436 Date: 08-Sep-08 Map/Lot: 096/015-000 Owner ID: 5332000 Project Location: 141 PARK AVENUE EXTENSION Unit: Job Description: Replace 15 Windows Owner Name: Gary&Delores Fess Tenant Name: N/A Careof: 141 Park Ave Ext Uncasville CT 06382- Telephone: (860)848-0260 Contractor Name: Patriot Home Improvement Telephone: (413)731-8022 DBA: Lic/Reg Type: HIC Lic/Reg No: 546192 820 Union Street Exp Date: 30-Nov-08 West Springfield MA 01089- Construction Value Permit Fees Construction Information Building Value: $7,500.00 Building Fee: $64.00 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: $7,500.00 Penalty Fee: $64.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.35 Total Fee Paid: $129.35 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 INSPECTIO REQUIRED UPON COMPLETION ❑ Insulation u • e of .•roval - if- - of Occupancy Building Official's Approval: tll es," //�� 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.: 6-300S-6113t0 Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building Addition I=1 Two-Family E:1 Plumbing II Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Job Address: !g(/ �-k/1 - C,4- (Number) i (Street) (Unit) Job Description: SIU au) Z,PI - C0 ) Owner: 6a.rt c I (o e-> Address: tp IJ14 j (CZ✓1c ,&c..- CJC-- City: frCW L)p(,(s2 t Cr State: L� Zip Code: ©Ct3 Z- Telephone: ( ViO) $ - D / 0 Contractor: 4/44,/ Jo 1 p:. irvti DBA: G ,r Address: O�0 Oft cwt. - 5 City: (./t)OA- �Princ1Ctic( State: t411- Zip Code: (1/ori Telephone: 01) 73 i License Type: /VC_ License No.: trenligr7r Expiration Date: /t ire/al:6T 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 chapters 33 through 42 of the Residential Code. Owner/Agent Signature: Date: R'/gq/©/}s Construction Value Permit Fees Building Value: Building Fee: 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: Total Fee: Revised.August 23,2W7 Town of Montville Building Department File Receipt Date: 29-Aug-08 Receipt No: 3796 Received From: Patriot Home Improvement Job Address: 141 Park Avenue Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $129.35 Check: $1.35 Check No: 13384 Short/Over: $0.00 Construction Value: $7,500.00 Demolition Value: $0.00 Received By Carmen Roberts (1 CO (11 , )10 Address: 141 Park Avenue Ext. ITEM CITY $IUNIT 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 EA $ - $ - $ - Full Bathroom - EA $ - $ - Half-Bathroom EA $ - $ - GARAGE Attached SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - Under - SF $ 10.03 $ - $ Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n- Y/N $ - Electric n- Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ - Underground,new 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 $ 11,09570 $ - 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 Healer 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,Strip&reroof SF $ 4.00 $ - Roof Sheathing - SF $ 1.31 $ - Siding - SF $ 3.50 $ - Windows 15 EA $ 500.00 $ 7,500.00 Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 7,500.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,500.00 $ 64.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Working before Permit Issuance y $ 64.00 Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 1.35 TOTALS $ 7,500.00 $ 129.35 Figures are based on the 2006 RS Means Residential Cost Data 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 ____Jqi Pc-A( /Le_ ex--[- Property Address d�LC e rne.l�"�- (,x.91 r•&_%). 5 --f(-�r h© NL:� 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 Approval ■ Tax Collector "*---E &- d' �"-`"�- 9 ic>2 9 /o A7 Required for all permits Comments: _ ® WPCA, Administrative Required for properties on sewer Comments: ❑ WPCA, Operations When Required by WPCA Comments: Planning &Zoning Required for all permits ® Health Department !' Required for properties with septic systems-Not required for Plumbing, Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements 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 Comments: Fire Marshal U " v� _ \t'.S Required for all permits Comments: 4tevisedit gust s,2005 .C State of Connecticut 7A - 7B - 7C Workers' Compensation Commission LDIRECTIONS DIRECTIONS for FILING FORMS 7A,7B and 7C Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project. This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below) must file the FORM 7C with the building official.This form certifies that they have properly excluded themselves, and attests that they will require proof of workers'compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers'Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC Form 6B-1 for employees who are Members of a Partnership ACORD CERTIFICATE OF LIABILITY INSURANCE op ID MB DATE(INIWDD/YYYYI PR30(10ER --- ALLIA-2 04/07/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Neil 6 Neill Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 662 Riverdale Street Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEl OW. est Springfield ee 01089 ` Phone: 413-732-4137 Pax:413-731-6629 INSURED INSURERS AFFORDING COVERAGE Nac# INSURER A Nautilus Insurance Company Alliance Home Imp rovement- Inc INSURER B: Sergey Su runchuk INSURER C: WestBerkshire 0D1085 INSURER D. COVERAGES INSURER E: 1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RSOUIREMENT,TERM OR CONOrr1ON QF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE,INSURANCE AFFORDS 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. INNNA•• I LTR IN -' TYPE OF IN3U NNUMBER • RAtE POLICY •• • • a� • GENERAL LIABILITY DATE IMM/DO/YY) DATEZMM/D• uM1T9 A COMMERCIAL GENERAiLIABILITY NC781727 EACH OCCURRENCE 1,000,000 04/16/08 04/16/09 PREMISES Eatorence I s 50,000 1 I CLAIMS MADE OCCUR MED EXP(Any one person) $5,000 NC661266 04/16/07 04/16/08 PERsoNAL8ADV • s 1L000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,OOO OOO 1 POLICY( ' PRO- 7 LOC PRODUCTS-C I •• S 2 000,000 I IJECT AUTOMOBILE LIABILITY 1 ANY AU I O C D SINGLE LIMrT (Eae eccId eccldent) $ ALL OWNED AUTOS � SCHEDULED AUTOS BODILY INJURY (Per person) $ _ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO I AUTO ONLY•EA ACCIDENT S OTHER THEA ACC SAN AUIUONIY: AGG $ EXCESSIUMBRELLA LIABILITY I OCCUR i____ CLAIMS MADE EACH OCCURRENCE I S AGGREGATE S I DEDUCTIBLE S RETENTION S $ WORKERS COMPENSATION AND S EMPLOYERS'LIABILITY TWC LIMB$ I ANY PROPRIETOR PARTNER/EXECUTIVE JER OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ E. H ydyewFIRdescribe IL.DISEASE-EA EMPLOYEE $ sPESPECIALLPRowSIs10NS Below OTHER - _ E.L.DISEASE-POLICY LIMIT L....------ .. vescRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RESIDENTIAL, CARPENTRY SIDING WINDOWS Faxed to: 739-3332 CERTIFICATE HOLDER CANCELLATION pAq*RI-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BS 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 Patriot Home Improvement Union Street IMPOSE NO OBLIGATION OR LIABILITY OF KIND UPON THE INSURER,ITS AGENTS OR' West Springfield MA 01089 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) David R. JarXX ®ACORD CO TION 1988 :I A'1 J MIS AGENCY FAX NO. : 1 413 572 9191 Dec. 05 2007 04:47PM P1 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE WIND DrYrrY) PRODUCER 12/05/2007 THIS CERT FIT CATS IS ISSUED AS A MATTER OF INFORMATION 9ITLLIAN J NIS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 156 ELM STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NESTFI&'LD, MA 01085 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . INSURERS AFFORDING COVERAGE NAIC# INSURED - — .. __-'-AL — .._.... LIANCE HOME ZNPRO NT INC. INSURER SA ACADIA INSURANCE 148 BER/SBIRE DRIVEIINSURERD WEST$1$LD tom} 010B5 INeuRFRC: • INSURER D • INSURER S: COVERAGES THE POLICIES OF INSURANCE LISTED REI..OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR THE. POLICY PERIOD ANY REQUIREMENT, TERM OR Ct1NDITON OF ANY CONTRACT OR OTHER DOCUMENT WITH RET-SPECTO WHICH THIS CERTIFIC TETEMAY BE ISSUEDNOTwITHsTANDING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMIt;SHOWNIMAY HAVE BEEN REDUCED BY PAID CLAIMS. Wax AMYL -" --- ----... LTR wasp TM OR INSURANCE POLICY NUM9ER POucr ETF enve •'*oder E�cpGATON -'.'. . ----I—----_. DATE(AIM/DDrvr) DATE(MM/DO/YY) •LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ; r -DE'71:1XE TO RENTFTT-- CLAIMS MADE I - I OCCUR PREMISES(FA OCC,yreAC S S L.. MED EXP(Any one maw) f — .. _. '— PERSONAL&Ap•V INJURY $ GENT.ACGRCGATE LIMIT APPLIES PER GENERAL AGGREGATE ; - �O' •• POLICY PRODUCTS•COMP/OP ADD I - IECT LOC _ .... -'- ._. AuTOMOBLE LIABILITY -_ ANY AUTO COMBINED SINCE LIMIT AecISMI) f ALL OWNED AUT03 -_ SCHEDULED AUTOp BODILY INJURY HIRED AUTOS Tor!maw) f NON-owNED AUTOS BO(NLY INJURY (Por nccldenp e PROPERTY DAMAGE GARAGE t,I B LI7V (Per IeoIdonp f 1 ANY,uYo AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ ,ESS A uAEILITY 1 AUTO ONLY: A" i - OCCUR I 1 CLAIMS MAGE EACH OCCURRENCE ; - AGGREGATE ; OEbUC.TIBLE _ f - --- RETENTION S $ A fMOKESOOMPWBAnONANP 9C-20-20-0O0B39-00 12/05/2007 12/05/2008 X TORY uM'Te ERmici.. 8#5.LuaalTy ANY PROPRIETOWPARThLR/EICECI RIVE .... - _._ OFFICERIMI?MEER E%GLD7 .E.L.EACH ACCIDENT g100,000 !rpm,delcnbe under • .-. - _EFECIAL Pf20V18pN$ye(oa, [.L DISEASE•EA OMPLOYEE $ 500,000 OTFMR C.L.018ERBE•POLICY LIMIT f lull,00 0 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADOBE SY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION PATRIOT HOME IMPROVEMENT SHOULD ANY OP THE ABOVE DESCRiBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION 820 UIRICTT STREET PATS THEREOF, THE ISEUINO INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN WEST 8PRINGFIELD MA 01089 NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 60 SHALL IMPOSE NO 05 IGATIO OR LI ITV Of ANY RIND UPON THE INSURER, ITS AGENTS OR RIPRESENTATI B, • AUTHOMEED -III A IVE ACORD 25(200+/08) , C ACORb CORPORATION 7888 CPL-02 Rev ON/U} STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your Home Improvement Contractor Registration. This registration is not transferable. For questions, contact the Trade Practices Division at(86o)713-6110 or email trade.practices@ct.gov. Visit our web site at www.ct.gov/dcp. STATE OF CONNECTICUT I)1.P,1Rf,IIE.\-I OF(O\'SI.ITER I'ROi!("TIO.\' HOME IMPROVEMENT CONTRACTOR FOR-U-BUILDERS INC FOR-U-BUILDERS INC 820 UNION ST 820 FJNI4N ST I WEST SPRINGFIELD, MA 01089 WEST SPRINGFIELD,MA 01089 LIC./REG rt'4.T IOT 11e9WIMPROVEMEIg,IREs H I C.0546192 12/01/2007 11/30/2008 SIGNED •:, •tom 'tom• `I b" S t" t v •v N •!: %:.v.• .t, .t, .t, .t, ; •t, �t. •t, .tom. •v t y.t : :r r .5. •}tit% .r•:. Ir \ (a STATE OF CONNECTICUT 4 DEPARTMENT OF CONSUMER PROTECTION ` » a:„�« Be it known that ».>: :` < FOR-U-BUILDERS INC 820,.IJN '+ NttST r WEST SP I GFIELD?NIA 01089 .fif:, is certified by the Depart%ent rr: it tection as a registered _ I HOME IMPRQVFMENTwCONTRACTOR - Regrst tion HI054f 192 :) , � - y ) AMS ii, � R �! i ' . PATRIOT HOME IMPROVEMENT - ' - Effective: 12/01/2007 ---at\! ('.•.::= Expiration: 11/30/2008 t j ( �..- cmc. , `i eft , Pr F'�ifi' r f nrYtinicc Alter - / , r ?��%at5•'. r ' ' • : rlr • • ' J5r ) • W •l' ir . h:S'� ;e r •'.1�r. .vlA• • ji ••• 'rQ 8 4♦ :%..... v.:Al .:k.. e '1;::'y �.rry , e;;••.. litYe �. y♦��: ; �•.S..tM`�4OY . .{,/ :.t:Z�sfY n•W8 'sui���K- 3'i ...,.....4.4•• Patriot Home Improvement 820 Union Street West Springfield, Ma 01089 Telephone 1-800-458-8082 Fax 413-739-3332 I, Ray Foucher authorize Ted Burns to sign the building permit application as my agent to perform work at: Address: lit ( 1rk Are- x f VIL1cas ' IL Cr , Job name and descript'on &-GQ ry ±--De0 res Fe cc w V)c(oLas- Starting Date: 9 IC License Private Corporation: Agent signature I Licensed Contractor signature _