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HomeMy WebLinkAboutWindow Replacements 2011a Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 169 Park Avenue Ext. Job Description: Replace Three Vinyl Windows Permit Number(s) 82011-0260 Permit Date: June 15,2011 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions • • Final inspection and • 5/1/12 DJ certificate of approval I I Page 1 of 1 Rev.Date: 1/18/06 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: 82011-0260 Date: 15-Jun-11 Map/Lot: 096/009-000 Owner ID: 5343000 Project Location: 169 PARK AVENUE EXTENSION Unit: Job Description: Replace Three Vinyl Windows Owner Nam Elizabeth L.Giddings Tenant Name N/A Careof: 169 Park Ave Ext Uncasville CT 06382- Telephone: (860)710-0881 Contractor Nam Power Home Remodeling Telephone: (610)874-5000 DBA: Lic/Reg Type HIC Lic/Reg No 624357 2501 Seaport Drive Exp Date: 30-Nov-11 Chester PA 19013- Construction Value Permit Fees Construction Information Building Value: $1,500.00 Building Fee: $20.00 Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: S0.00 Construction Type IRC Total Value: $1,500.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.39 Total Fee Paid: $20.39 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certific of Approval ficate of Occupancy Building Official's Approval: �/� �� Town of Montville Building Department 310 Norwich-New London Tpke. Fax. 860-848-7231 Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: i Type of Work Occupancy Type Permit Type ❑ New Construction C3-Single Family asuilding ❑Addition ❑Two-Family ❑Plumbing [Alteration ❑Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: I �G c/ �A/-LK ✓G ,��Td� 5 1v v t Property Address: (Street) (Unit)(Number) ( \ 1 u Sl C n ^ �h4 A_ .-E___ l/ - ) V 1 n7 Li !.1._. 1..J n u ....i S. - N �-UCT V 0.-^Job Description: ( A ��� C iA. ,1,a La =5 - u FR t..-v_ . V., b P AAA--%An, 3 5 1 t Owner: p1-%-3 I >`t- % �JkcS6rr1 ed, i4 1.J1., s Address: ( V 9 /6A2K 4.)e_ ex-r--R.....) s 1 o .i City: V N c-a s .., ....A.-A--. State: C---1-- Zip Code: D&3$of Telephone(r(va ) 1(D c g 3 ) Applicant: E E DBA: PC w Li p,.n 42--e-A"Do.a v..) L I Address: a 6 U t c c P e.-1."4-1- t6!-Z. - ' /� 190 111 Telephone( (' » ) s---7q_ 50i' `'' City: C #4-E S rG_2_ State:/"� Zip Code: Contractors - Complete the Following: License Type: License No.:orl.f 551 Expiration Date: 7 I - 3" - �v 1 t 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 altemative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42o f the Residential Code. Owner/Agent Signature: /X/(/.al, ' Date: 6 - /1-/-'' Construction Value Permit Fees Building Value: it I 4 tl 5 - 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: Revise&August 23,2W7 Town of Montville Building Department File Receipt Date: 14-Jun-11 Receipt No: 6522 Received From: Gofor Services -- Job Address: 169 Park Avenue Ext. Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $20.39 Check/Card $0.39 Check No: 2742 Short/Over: $0.00 Construction Value: $1,500.00 Demolition Value: $0.00 Received By Carmen Kneeland ��m �"1nik • C-P-ft a-4 Address: 169 Park Avenue Ext TOTAL ITEM QTY 5/UNIT 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 $ - $ - Halt-Bathroom EA $ - $ GARAGE Attached SF $ 54.35 $ - $ - Detached SF $ 69.53 $ - $ - - Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air Y/N $ - Hot Water n- Y/N $ - Electric n- Y/N $ Air Conditioning n- YM $ 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 $ 7,09665 $ - 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 $ 43.07 $ - - Porch SF $ 149.38 $ - i 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 Heater EA $ 8,984.25 $ - - Inflatable Type Pool EA $ 1,550.00 $ - SHEDS ado electrical SF $ 20.35 $ - wrelectrical - SF $ 20.35 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Rooting,Strip 8 reroof - SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - - Siding SF $ 5.50 $ - Windows 3 EA $ 500.00 $ 1500.00 Skylights - EA $ 1051.10 $ - Doors,Exterior - EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon - EA $ - - MISCELLANEOUS CALCULATIONS TOTALS $ 1,500.00 $ - $ - 5 - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 1,500.00 $ 20.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical Y $ - $ - Working before Permit Issuance $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.39 TOTALS $ 1,500.00 $ 20.39 Figures are based on the 2006 RS Means Residential Cost Data CPL-02 Rev 09/03 STATE OF CONNECTICUT 228056 DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue 4 Hartford Connecticut 06106 Attached is your Home Improvement Contractor Registration. This registration is not transferable. For questions,contact the Trade Practices Division at(860)713-6110 or email trade.practices@ct.gov. • Visit our web site to verify registrations and download applications at www.etfgo /deLL STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION POWER WINDOWS AND SIDING INC ' HOME IMPRQVEkIENT_CONTRACTOR • v. :.: 4 '1 ar., 5000 HILLTOP DR POWER i1)(31WS A1xTD IDING INC1. •111 5qb LL TSR BROOKHAVEN,PA 19015 �.� '' • BR'' f S: y 1.Xr y.r:,• 9015 ' LIC./REG NO“,...,:.:;w._.•1"i'tt F•ECTIVE+, •= _EXPIRES f HI C.062430,:: .112 0-11, a10• ..;.•,141)V"•• � 11:30 2011 i Y •_..._.•••_-.•.._.......••....... - .... ..._ _ ..__......_._... .. • • t •%l4 .i* , ltIfF w '..h,_ \ ..:',:t, ',.'4 -;:•••,::•'•'';.":1.....i...;".. tati Y$'.i M s,}. j'17mr-'• >N'' w• x ?� 'T` 4 "' ` �17r ai�.yj�' (' s.:':,,.•.<:••;J*/. .iu, rf.:':•,✓'w •t •; t Fa <•r " ,.�'A.r•kf� 5 . - ,.. ,w•.>, a Q1 111: 11°1 •1DEPA R .'• ''''...**•*'" :.:�a. :�' t. ..Fk i •,t- 7•:}g i:w w': .3i.'-�..: r•:z M1Yc,' 'Yf,.. �.,.x..����Q�N�:,�.:��R:.��RO.�� ryT', T ��.tr ::Y:^� v.Y'.#I'.<:.'.�31: G#iaw l.re .••a• <y`•r:T:t;ri• :'♦ ri:. .� 2' � �'W��i� \w'�.,M •� •'Y.1;:..;VZ;-+l7-s•>Y.»-r,1.;! ..'r:f: •i^ri•Y•B v,.V.`••;if •iii.. •u•k:f).!';::'....;;.7:1":::s.''' w:Y:.v...'':..'V:::�S'•a • •�: �4 r.4,7.*:1;t 1rJ .Fil:;>i.:ri.k4..._' yv. .:%Y.t.+ .' �;'. 1�` :�,.J.:.•:<a-... .::•. ...i•r.. r ir•6�•. ?Y�: :a>.x:r�.„.: •`+i i 'a.0 �• ...to'/ . 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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 endorsement(s). PRODUCER 215-723-4378 CCONTACT Chad Lacher Lacher&Associates Ins Agency 215-723-8604 PHONE 215-723-4378 _WC, 1F�nr N :215-723-8604 , )Lacher Insurance Group E-MAIL 632 E Broad St P 0 Box 64398 ADDRESS: PUOTOMER POWER-1 Souderton,PA 18964 CUSTOMER IDs Chad_Lacher.__._._.--___..— ._ .__ ___ INSURER(S)AFFORDING COVERAGE___ _ _ NAM* _ INSURED Power Home Remodeling _ INSURER A:Pennsylvania Manufacturers 41424 Group,Inc. INSURER B:Pennsylvania Manufacturers 12262 2501 Seaport Drive Suite B110 INSURER[: Chester, PA 19013 INSURER 0: INSURER E: —' ..—..-------._—_—_ —. _ INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR •TYPE OF INSURANCE a eo 5:-, POLICY EFF PDL CYE P - LTR INSR VND POLICY NUMBER (MMID0/YYYY) (MMIDDIVYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE r 1,000,000 A X COMMERCIAL GENERAL L IABILrI Y 821000-66-20-96-7 09/22/10 09/22/11 fi El ES I-a Lu enas) f 300,000 CLAWS-MADE I X I OCCUR MEDEXP(A,:yone peibon) i 10,000 —^ --_—...---._._ --_-- PL"RScr1ALSADV;rIJ_IPt T1,000,000 GENERAL AGGREGATE $ __ 2,000,000 GEN'L AGGREGATE L AllI AP PLIES PER PRODUCTS-COMP/DP AG t 2,000,000 3-0 POL C r I%-9i 1 I LOC I I i ....— AIJrOMDBILELIABILITY COMBINED SINGLE LIMIT l i 1,000,000 AN'i AUTO 151005-66-20-96-7 09/22110 09/22111 (Ea acciaem) aPDILt•IN.URY(Fe,person) $ ALL OVvrIED AUTOS 'BODILY INJJPY(Per accdenl) S A X SCHECIJLED AUTOS .—.. .—. ___ PROPERTY DAMAGE A X I HIREDAUTOS (Peraccoenl) ' A X I NON-OWNED AUTOS t: I I r UMBRELLA LIAR %OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR I CL As.15-MADE AGGREGATE 5,000,000 B 651000-66 -20-96-7 09/22/10 09/22/11 — — — — $ DEDUCTIBLE $ X RETENT.OIt $ 10,000 WORKERS COMPENSATION WC STATU- C)TI I- AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS F F A ANYIPR PRIIF OR EXCLUDED'?ARTNRECLITIVE Y I N 1 A 201000-66-20-96-7 09/22/10 09/22/11 E.L.EACH ACCIDEN? i 100,000 (Mandatory In NH) 7 C L DISEASE-GA EMPLOYEE $ 100,000 II yes describe tinder ---- —.-- DESCRIPIION OFOPERATloris below EL DISEASE-POLICY LIMIT r 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CERTIFICATE HOLDER CANCELLATION MONTVNY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Montville THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 310 Norwich-New London Pike Uncasville,CT 06382 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ROWER r , Home Remodeling Group WINDOWS • SIDING • ROOFING • DOORS DATE: (p .- i 3 -- // TO: D 4 '1:-ts��� ATTN: Town Building Inspector RE: PERMIT AUTHORIZATION LETTER Dear Sirs: In accordance with Public Act 91-95, this letter serves as written authorization and notification that GoFor Services, Inc. and it's employees and agents have the authority to represent us in the procurement of permits and pertinent documentation on our behalf. This letter or a photocopy thereof may be regarded by any building official as it's authority to recognize GoFor Services,Inc. as our authorized Agent to sign on our behalf applications for permits and any other related documents that may be required by you, and we agree that,for all purposes,we and not GoFor Services or it's employees and agents shall be deemed to be the signer of any such applications and related documents. Project Type: 4,e_tot c L�/r-✓oc ,�: �'� Location: Cj o G_4-I .g T" Gi /6 l ei` 7C74--42/4- 41-11.&-. Ex r ( ) '? IO- / 7 Authorized Agent Gofor Services,Inc. A1'/ r c/44-6 t LZ. -4 5 Service Agent Name Very truly yours _ Licensee Signature Printed Name & License Number 2501 Seaport Drive • First Floor • Chester, PA 19013 888.REMODEL • PowerHRG.com Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. ( PA A.r_ A - �xr & .i c 2 Property Address p Ac-e J (A) I ..i ..4-- Job .4Job Description Required Department Permit Issuance Approval Approval Tax Collector ` r-� a ` - c -f t Signature/date Comments: Planning & Zoning C.9- QQQJ ' fis._ Signature/date Comments: / _ L Fire Marshal . 1 fr-)1( Signature/date Comments: I Ni ( L Mitt A Health Department Required for all permits except Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date 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 Signature/date Building Department Review Complete Signature/date 7trrd March 19,2010