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Windows and Door Replacements 2000
Town of Montville Building-Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2000-549 Permit Date 10/31/00 Permit Type Building Permit Code R4 Job Street# 150 Job Location Park Avenue Ext. Map/Block-Lot 096/088-000 Job Description bow window,slider& bathroom window Owner Phillip L. Deschamps Mailing Address 150 Park Avenue Ext. City Uncasville State Ct. Zip 06382 Telephone 848-7781 Contractor Yost Home Improvements `Mailing Address *City Waterford *State Ct. *Zip 06385 _ *Telephone Lic/Reg Number Lic/Reg Type Expiration Date Use Group R4 Size Type Construction 5B Building Value $8,936.00 Building Fee $52.00 Plumbing Value $0.00 Plumbing Fee $0.00 Heating Value $0.00 Heating Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 A/C Value $0.00 A/C Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $8,936.00 State Ed Fee $1.43 C/O Fee $10.00 paid check ____ Plan Review Fee $0.00 Total Fees $63.43 I Building Official's Signature f''`� Date /,` I / / C;� Required Inspection Footings-Prior to pouring concrete ] Rough Heating and Air Conditioning Footing Drains/Waterproofing - Prior to backfill _] Chimney -One flue above thimble El Framing L] Fireplace-Throat j Rough Electrical Fireplace-Final LI Electrical Service Firestopping/Draftstopping 'i Rough Plumbing -Leak test required Insulation J Pool Bonding and Electric ® Final Inspection for Certificate of Occupancy - PRIOR to Use or Occupancy Town of Montville Permit # 3pzoo0 ,94 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231 Application for Building or Trades Permit e.-r: Job Location j so en R (-( 6 V E E X 1 U ac.A5v(L.i.1.Map/Block-Lot d 9"6 / b ss-/do o Job Description/Materials Bo W W ID a VI S L I A )( ._1" – b o WW_STiii Rs D g T W R a c AN W(N Q 6(Al Owner f ili,L( p L • b•E S c N A Alf- Mailing Address 1 S o r f A.v E. E,KT City V 1nl C.. 6 SV I LL(: State c'T Zip a63ga Tel. 866 - /IF - 77 LI Contractor f o ST Mailing Address City w RTS.R f o R 6 State Zip Tel. - - Type of Permit ❑New Single Family ❑ New Two Family ❑ Addition El Commercial ❑ Industrial ❑ Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing ❑ Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical ❑ Gas ❑ Retaining Wall ❑ Deck ❑ Pool ❑ Patio ❑ Porch ❑ Demolition ❑ Siding ❑ Windows ❑ Fireplace ❑ Chimney Size Type of Heat Use 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. New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed work? ❑ Yes ❑ No ,�Q,,,Owner/Agent Signature , 0.gyp c5\_ U Date / 0 / 3 I / ,o C C Contractors License/Registration Type &Number Exp. Date / / Construction Value — Fee Building $ '/ 36 .- $ z ."-- Plumbing $ $ Heating $ $ Electrical $ $ Air Conditioning $ $ Other $ $ Certificate of Occupancy $ /0— Plan Review Fee $ State Education Fee $ Q- ?9 Total $ 4`236` $ .37.• 79 k Town of Montville 13644m Department Receipt Date /_3/___1 orD No. L , ,. P. 40. t , From: PRA___ L 0 Job Address: /Cp PA V 1 C Amount $—__3_7__-• 2__ _ Cash IltiM Check # �$' Circle one) Received by , • _c---iiMG 1Z Permit # ,�y9 JOLLEY PRECAST FF;X 8607N-2131 PAGE 02 rca3is cspocec . 33/1 " (-)1 reser T - 3-6Atif Mil t 3ctv . 1:111 7 \\ IJ` fc'\ a 5ca \Q.- Qui n 3 JOLLEY PRECAST, INC. 463 Putnam Rd. Danielson, CT 06239 -act: Philip Oe.3 _,Y)a rn Pi c)Of Pe. - uc'c.0(5 )1 e.. (L± 12/19.'00 11:20 FAX 860 414 1207 REDDEN COMMERCIAL Z 0 01 ACORD CERTIFICATE OF LIABILITY INSLRANC SR P-PDATE(MM/DD/Yr 0 8 ST2 •• PRODUCER I THIS CERTIFICATE ISLE SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hedden Insurance Agency Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P. 0. Box 277 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterford 07. 06385- Phone: 860-447-3111 Fax:860-443-8253 IMSURERS AFFORDING COVERAGE INsJRED , NsURe;A_ General Accident Insurance Co. INSURER B; Yost Home Improvements Inc. INSURER C: - 1018 Hartford Rd. P.O.Box 263 IN5URER a Waterford CT 06385 I -- 1 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH FCLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS- ILTR TYPE OF INSURANCE ' POLICY NUMBER 1 DATE{MMDDm)E DATE(MMM/ODI YI N LIMITS GENERAL LIABILITY EACH OCCURRENCE : 1000000 A X COMMERCUILGENERAL LIABILITY MCP110093500 04/22/00 04/22/01 I FIRE DAMAGE{Any ono See) S 50,000 I- - CLAIMS MADE X OCCUR MEO EXP{Any DnC person) $ 5000 PCRSONAL S ADV INJURY : 1000000 -i GENERALAGGREGATE �$3000000 GEM_ PRODUCTS-COMP/OP AGG $1000000 POLICY—1 PRO• )ECT LOC AUTOMb91LE LIABILITY Is COMNEDSINGLEMIT 1000000 A X ANYAUTO MA028796100 04/22/00 04/22/01 (Ea accident) - ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Par person) HIRED AUTOS —r' BODILY INJURY $ NON-OWNED AUTOS (Per ac.ldent) PROPERTY DAMAGE S (Per accident) TI GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I S 7 ANY AUTO OTHER THAN EA ACC E AUTO ONLY: AGG S EXCESS LIABILITY EACHOCCURRENCE 52000000 A _I OCCUR 1 I CLAIM5MADE CUD015613500 04/22/0004/22/01 AGGREGATE I S S DEDUCTIBLE S X RETENTION S 10000 -15 WORKERS cOMPENSAnON AND „„, WI:STATS orlf-, {TORY LIMITS J ER A EMPLOYERS'LIABILITY WC036033300 04/22/00 04/22/01 El_EACHACCIDENT Is100000 E.L.DISEASE-EA EMPLOYE $ 100000 _ EL DISEASE•POLICY LIMIT 1 S 500000 OTHER - DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS Job: Phillip Deschamps, 150 Park Ave Ext, Uncasville, CT I CERTIFICATE HOLDER I N 1 ADDITIONAL INSURED;INSURER LETTER: CANCELLATION MOt1T002 SHOULD ANY OF THIS ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATI. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Towns of Montville NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHAL Fax #;860-848--7231 Building Official ail IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON-me INSURER,1T5 AGENTS CR REPRESENTATIVES. Montville CT 06382 _CHRISTOPHER M. REDDEN ACORD 25-5(7197) ©ACORD CORPORATION 1961 Town of Montville Building Department Receipt 14, Date 6 l 3 I J of=- No. 00235 c From: PH/(-1 p L . ,C6Sc,-)A/"t PS' Job Address: /5o pA/Z titAmount $ Cast Check Check # Received by Permit # S PZ-o�0-Sy� r c.