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Five Window Replacements
Field Inspection Notice Town of Montville Building Department May 22, 2017 2016 Ct Building Code Address: 22 Partridge Hollow Job Description: Install Five Replacement Windows Permit Number(s) B2017-0091 Permit Date: March 31,2017 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions 6 Windows 5/22/17 DJ Final inspection and • certificate of approval • 5/22/17 DJ • 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: B2017-0091 Date: 03-Apr-17 Map/Lot: 028/005-076 Owner ID: 5367000 Project Location: 22 PARTRIDGE HOLLOW Unit: Job Description: Install Five Replacement Windows Owner Nam Laura Pringle Tenant Name N/A Careof: 22 Partridge Hollow Oakdale S-T 06370- Telephone: (860)848-0698 Applicant Name Southern New England Windows Telephone: (401)447-7172 DBA: Lic/Reg Type HIC Lic/Reg N _ 634555 26 Albion Road Exp Date: 30-Nov-17 Lincoln RI 02865- Construction Value Permit Fees Construction Information Building Value: $9,049.00 Building Fee: $120.00 Use Group: IRC Plumbing Value: 80.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $9,049.00 Penalty Fee: 50.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $2.35 Total Fee Paid: $122.35 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 frami ❑ Electrical Service CRS No: 2 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation . ❑d Certificate of Approval • .cote of Occup•-cy TJ Building Official's Approval: �:��% town oI ivtontvme 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.: WOO _60c1 Type of Work Occupancy Type Permit Type ❑New Construction Single Family Q Building ❑Addition 0 Two-Family 0 Plumbing [Alteration ❑Townhouse 0 Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: Por4-ri Cit9c? kO li nto (Unit) (Number) (Street) Job Description: 'I(lSSLt« < S ) CeP latCew er- - ce w 5 j ) s1 ruC-JCa( chaff c es Owner: Gary t Laura. E )C ( Address: r Z2 far+nd9 440. ((OW City: Oc t'*e(e_ State: CT Zip Code: 06376) Telephone( v�(:) ) Fi4V- Applicant: C)1.1.-0 er- NiP £fCJlarti W r'Y.OlePS DBA: Address: 2& Atb(tyri (2 City. 1.j o co l r'1 State: IZ1 Zip Code: O2. '6€ Telephone( q-0 l ) 4447 -7172 Contractors - Complete the Following: License Type: HiC :. License No.:063*S55 Expiration Date: it/3°A1 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: 3/3047 Construction/ Value Permit Fees Building Value: CIv� i 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: Rcriud august 23,2X7 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 22 Pc tnd e Hollow (Oa Kdate`) Property Address inSititt ) 'epi c€wen}- tut`r ows Job Description Required Department Permit Issuance Approval Approval 7 Tax Collector -/ / Signature/d e Comments: Fire Marshal 3 30' 0 Signature date Comments: Li Planning & Zoning Required for all permits except Signature/date Plumbing, Electrical.Mechanical, Roofing,Siding,Windows&Doors I I Health Department Required for properties with private septic or well Signature/date Comments: [ WPCA, Administrative Ol i �� ' p Required for properties on sewer Signature/date 71 MP" Comments: n 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: Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: Li Copy of State Dept. of Transportation Certificate 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 Final Inspection Revised 14tarth 23,2015 Town of Montville Building Department File Receipt Date: 30-Mar-17 ReceiptNo: 12138 Received From: Southern New Enaland Windows LLC Job Address: 22 Partridge Hollow Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: 10.00 Bldg Check: 1122.35 State Check: 12.35 Bldg Credit: 10.00 State Credit: 10,00 Fire Cash: 10.00 Fire Check: 10.00 Fire Credit: 10.00 Construction Value: 19.049.00 Demolition Value: W.00 CheckNo: 9557 Received By: Carmen Kneeland e_(tA m in. t ( A Address: 22 Partridge Hollow 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 SF $ 6.75 $ - 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 $ 9,049.00 TOTALS $ 9,049.00 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 9,049.00 $ 120.00 Plumbing y $ - $ _ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance . $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 2.35 TOTALS $ 9,049.00 $ 122.35 Figures are based on the 2006 RS Means Residential Cost Data , 546823 IMF7E2 GABi_I1 1 COMPANY I I \. I I ( j I 4 t , \ \ 1� 1 III1 1 { I E ) i' 1 i %I f ti ! t , } N, I \ I I ' I' } I ) I \ y Attached is your home improvement Contractor registration. This registration is not transferable. The Department of Consumer Protection must be notified of any changes to your registration within thirty(30) days of such change. Questions regarding this registration can be directed to the License Services Division at(860)713-6000 or email dcp.Iiccnseservices ct.gov. In an effort to be more efficient and G+ Green,the department asks that you keep your email information with our office current to receive correspondence. You can access your account at vs.elicense.et.;ov to verify,add or change your email address. Visit our web site at www.ct.gov/dcp to verify registrations, download applications and the booklet for The Connecticut Contractor for Home Improvement and New Home Construction. STATE OF CONNECTICUT DEP-tRTME''T OF CONSUMER PROTECTION" HOME IMPROVEMENT CONTRACTOR SOUTHERN NEW ENGLAND '1N1�0"�'S LLC SOUTHERN NEW ENGLAND WINDOWS.LLC 26 ALBION RD STE 1 26 ALBION RD STE I LINCOLN, RI 02865-3752 LINCOLN,RI 02365-3752 RENEWAL BY ANDERSON HIC.06345 i 1 /01/2016 11/30/2017 4 r J.. � .--. C'-'— ----.::''>. ..;•'' '',- 4.,: .,fr',,p -!y'� y `21 "'`\. ti 'N ;. _‘ I t)I ( c )\\Ilk it. i I + `i)1I'.tIti1 '1IL\i I +. )1 (_ ()`kNi_ NII ' I R1i I ( I I0)% i'Ex Be it known that .; SOUTH EBN NES ENGLAND WINDO S SLC IL -i 26 ALBION RD STE 1 ` s='a LINCOLN, RI 02865-3752 }. — i; cerdticd b}• the��ep utme^t o Consumer Protection a. <3 re istered � HOME IMPROVEMENT t)VEMENT COT'�TrI' �,C' {j :...' Registration # HIC.0634555 RENEWAL BY ANDERSON ` r, Effective; 12M/20'15- Expiration: 11/30/2017 4,...1.......:- �' ..than a. !I irrt>, .cm n :...❑nrr ��...,40 SOUTNEW-01 CZOLLINGER ACOR O' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONTYY) Ikkaai.../' 6/2912016 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 I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 CONTACT NAME: CoBiz Insurance,Inc.-CO PHONE 303 988-0446 FAX (303)968-0804 821 17th St AIc,No,Ext):(303) (AIC,No): Denver,CO 80202 �Ao"AIL CoBizinsurance@cobizinsurance.com INSURERS)AFFORDING COVERAGE I NAIC K INSURER A:Continental Western Insurance Company 110804 INSURED INSURER B: Southern New England Windows LLC INSURER C: � D/B/A Renewal by Andersen 26 Albion Road INSURER D Lincoln,RI 02865 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 CONTRACTOR 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. INSA .ADDL�SUBRI POLICY EFF I POLICY-1M ' UMC LTR TYPE OF INSURANCE !INSO WVD' POLICY NUMBER (MMIDOIYYYY)I(MMIDD/YYYY) A X I COMMERCIAL GENERAL UABILRY1,000,000 - EACH OCCURRENCE 3 j CLAIMS-MADE I X i OCCUR CPA3136080 07/01/2016 07/01/2017 DAMAGEES{S()EaRENTED ca) �3 100,000 PREMIS MED EXP(Any one person) 13 10,000 I ' PERSONAL 3 ADV INJURY 13 1,000,000 I GEM_AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE : $ 2,000,000 I X POLICY�Ii JECT I LOC PRODUCTS-COMP/OP AGG i 3 2,000,000 I OTHER: EMPLOYEE BENEFI 13 2,000,000 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT 13 1,000,000 (Ea accident) A X'ANY AUTO CPA3136080 07/01/2016 07/01/2017' BODILY INJURY(Per person) C 3 ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS ' NON-OWNED j PROPERTY DAMAGE 13 HIRED AUTOS _1 AUTOS l I (Per accident) 1 i 3 I X UMBRELLA LAB X I OCCUR I I I EACH OCCURRENCE 3 5,000,000 AEXCESS UAB A . CLAIMS MADE CPA3136080 10710112016 07101/2017 AGGREGATE 3 I DED X RETENTIONS 0 Aggregate s 5,000,000 WORKERS COMPENSATION PE�E 0TH- AND EMPLOYERS LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y(�( NIA WCA3136081 07/01/2018 07/0112017 E.L EACH ACCIDENT 3 1,000,000 OFFICER/MEMBER EXCLUDED? l I I Mandator/ 1,000,000 Ifyandatory In NN) E.L DISEASE-EA EMPLOYEE 8 IDESG �RI OFdescribe und�OPERATIONS below _ I E.L DISEASE-POLICY LIMIT,5 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace le required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE © t988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD