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Home My WebLink AboutVinyl Siding 2015 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: 62035`0239 Date: 17-.liin-15 Map/Lot: 096/014-000 Owner ID: 5334000 Project Location: 145 PARK AVENUE EXTENSION Unit: Job Description: vinyl Stclinaidrim _ Owner Nam Judith C. Kirchner Tenant Name_NjA Careof: 145 Pork Ave Fxt llncosville CT 06382- Telephone: 1860)848-8120 Applicant Name The Sidinc7 Store joc, Telephone: 86015641088 DBA: Lic/Reg Type HIC: Lic/Reg N 52.5387 408 Norwich Read Exp Date: 30-Nov-15 Ploinfield CT 01374- Cons n_lctiml_Vol in FIEIMAtieftS Cone c�tion Info]nation Building Value: $5.400,00 Building Fee: $72.00 Use Group: IRC Plumbing Value: 50,00 Plumbing Fee: S1).00 Code: 2005 State Building Code Mechanical Valu S0.00_ Mechanical Fe 80.00 Electrical Value: 50.00 Electrical Fee: $�,QO_ Construction Type IRC Total Value: S5_,400;00 Penalty Fee: 50,00 Permit Code: R4 C of 0 Fee: SLL00__ Comment Plan Review Fe S0.1)0__ State Q 00— State Ed Fee: S1.40__ Total Fee Paid: $7_3.40 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation D Certifi •te o A•proval ■ ' _rtif; . e of Occupancy Buildinc7 DfficiaiiAOoLovaL - _ v� _ Town of Montville Biiii6$t7 # Oipe tar t 310 Norwich-New London Tpke. . Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 172),..7)--45-Lo 39 Type of Work Occupancy TYPO Permit TYPO ❑ New Construction S Single Family A Building ❑Addition ❑Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: /"LT/J /VAIX-lc--J/yE EXi (Number) (Street) (Unit) Job Description: 7D ./017 -- V/4, 1-3IC`//1 / /I1#-rte a/m (4' PA/21214 i-- SI dill 1--r-,rrt, p€Acs d G a rrZ,2 A-- /D 1 p,- 1 ,,Dine. - Owner: Tadti /`/k-e-h A)a- Address: // c . i/99�—/ 6 4-xr /� _ r� City: U4)/l11, V//-)- - State: (..; Zip Code:0/J.g' Telephone: e'&6 — 8-lig - 8I AD Contractor: 77-/ Cd/d e C 7 7f , :_17/11e DBA: >> Q Q/Vi�ii Address: '1166 2())c-/7 kd" ` City: /> x/ &A, State: 0/ '• Zip Code: 3 Telephone:86e-67G V--- f 0 ii License Type:#fie. License No.: 4 ..-„9.1) ,3e7 Expiration Date: 1/ -BO-2016- . _ .. .:. I O-20I6- 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 Tawe 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 Residentai Code. instead of the electrical requirements chapters 33 through 42 of the Residential Code. Owner/Agent:Signature: Goill. Date: / /' '7 /ta 'e2O/5- • .:Construction Value �Permit Fees Building Value: ' 171-, O . .C� Building Fee: t' //s r`-/-0 • Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: //CVO- O° Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: ��1 Total Fee: r vised December 31,2005 • Town of Montville Building Department File Receipt Date: 16-Jun-15 10451 ReceiptNo: Received From: The Siding Store Inc. Job Address: 145 Park Avenue Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $73.40 State Check: $1.40 Bldg Credit: $0.00 State Credit: $0.00 $0.00 Fire Cash: Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $5,400.00 Demolition Value: $0.00 CheckNo: 60924 Received By: Carmen Kneeland rLk IAA t\n, GA Address: 145 Park Ave Ext 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 SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding 800 SF $ 6.75 $ 5,400.00 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 TOTALS $ 5,400.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,400.00 $ 72.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.40 TOTALS $ 5,400.00 $ 73.40 Figures are based on the 2006 RS Means Residential Cost Data ' t"tI,M41 . . / Jul!31R[�30 2014�-f12:40:32 XD imens Iona l Tech -> Page 824 C4J � 14DATE IMMIDDNYYY) _ CERTIFICATE OF LIABILITY INSURANCE 7/30/2014 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 the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). PRODUCER �UNTAC'1� Byrnes Agency, Inc. - Dayville NAME: ................Stephen._Robert PHONE FAX 394 Lake Road L-MAI1o, ........(_860) 779-8599..........—. AlC.N01_.... PO Box E-MAIL arober.6lb rneea DAy'viller CT 06241^0739 A4pR u�.t+..............._..._........................... .._..._..,._ enc,........X:.cos ........ ..........._.__..._......_. ,... INSURER(S)AFFORDING COVERAGE : NAIL 6 ......................—...—.............................._....._.___.......... ......... �.. INSURER A:NOM Insurance C an 14788 INSURED (BDb) "59.7=4 3.A d' The Siding Store INSURER 8!Zurich-American insurance .fool INSURER C:Graphic Arts Mutual Insurance L.25984 40 Norwich Rd ..._.._..._..._._....... INSuRER0;...�.._. Plainfield CT 06374 INSURERE: --.•.•• _.....___-_. - ---INSURERF: • COVERAGES CERTIFICATE NUMBER:Cart Ti' 13343 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, LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER .... .... .PbVDDI RYY'....MMIDDNY P •..._--...—....... _...._......-.__....._._..._...........---...._ C X COMMERCIAL GENERAL LIABILITY {MM1D(a'YYYY) (MMIDWVWV): Lime .....__.............. EACH OccUFRENCE $ 1,000,000 DAMACt,TO RT NT(Ci _..._...._.._............__._._._._.._._ CLAIMS-MADE x.,OCCUR N N 9399995 e/3/2014 8/3/2015 PREM( EaS..( 4ommr*NEL ___x.._...__.........100,000 __._.................... .. 1 MED EXP(Any oneperson) S 5,000 _.__...__.. PERSONAL a ADV INJURY S 1 GENT,AGGREGATE LIMIT APPLIES PER: ...EN.RA.....AG..._.EGA........._.........-........_..._._. ,000,000.......... ...x. POLICY jam: LOG GENERALAGGRt;fA'rE...... ......f....._......._�r000,000........_. ---�� 7 [.... PRODUCTS-COMP/OPAOC $ 2,000,000 OTHER $ AUf4Mc>81LELIA81LIry rl COMBINED:NGLELIMI7 _. acc nenh.._....................._...._._..$ 1,000,000, , A ANY ALIT° N N N1056379 4/19/2014 4/19/2015 BODILY INJURY(Per parson) S ALLOVMvtn X 3CHFL711LEp ..,....... ....__...............__........................ ......_......_.................,,..........._......_.._ AUTOS __„ AUTOS BODILY INJURY(Per eaidrnt) S NON-OWNED ._X. HIRED AUTOS X AUTOS PROPERTY DAMAGE S..._...__..._......._.._._.._....__.__ lee!.4.ceictctrA1 $ LA LIAB OCCUR EACH OCCURRENCE S EXCESSLIAR .._._.._. ....................._...._.._.._. ._...__..._........................_..._.._.. CLAIM$-MADE AGGREGATE .. »....................__..��............_............M..... .........«...._.....»...._..._....__........_ DEC RETFNTIUNS S WORKERS COMPENSATION • H AND EMPLOYERS'LIABILITY Y/N: N 4117P031-13 7/6/1014 7/6/2015 .x..,..CN.1.A1.V1S :.E.R... . ANY PROPRIETORJPAFONEN/tXer:.UNVE OFFICER/MEMBEREXC:L.UOED? NIA ,E.L..EACHACCIDENT _.., 100,000 (Mandatory In NH) " E L DISEASE•EA EMPLOYEE$ 100,000It yft,deunbc undo! _..._..._ ._.�..._ ........... ., .._.... . .. Dc2::ICRIPTION OF OPCRATIONS below E.L.0I8EASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Romurks Schedule,mdy Do attached II mar*spied lb rugUIred1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Montville ACCORDANCE WITH THE POLICY PROVISIONS. 310 Norwich-New London Tpke AUTHORIZEDHOREPRESENTATIVE Unca.svill• CT 06382 �+T�� 01988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Pa9o.'.. 27 of. .. 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 /Lir 54--w Property Address /9/ik_rle,9k_5WI-kJ-pi t. )b 7�G'/ti?S ,L,c,Yih yl: !/t`c��j sin, r.0,'r» 61,4:-7-7E/2 �r pip / 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 Approval Permit Issuance Approval Tax•Collector �: �--�J ��._ //_5- Signature/ /sSigr ture/ d ste Comments: ` ❑ WPCA, Administrative '1<)/()14.e_ 4 j n �j� �� O Signature/ dare Comments: ❑ WPCA, Operations Signature/ date Comments: - ❑ Planning &Zoning Clieb "- — (Ql,t, i/ Signature/ date Comments: /Jd N%,. ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation Signature/ date Comments: i fx ip Fire Marshal �� ,iJ I N date Signature/ Comments: 15__I • 9 p. rviseIitugust s,2005