HomeMy WebLinkAboutWindow and Siding Replacement 2005 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: B2005-0441 Date: 18-Aug-05 Map/Lot: 084/126-000 Owner ID: 5381000
Project Location: 17 PEACHVALE DRIVE Unit:
Job Description: replace 1 window and siding
Owner Name: Edward Sr and Betty Lou Tracz Tenant Name: N/A
Careof:
1482 Route 32
Uncasville CT 06382- Telephone:
Contractor Name: NorthEast Home Improvement Telephone: (860)376-0591
DBA: Lic/Reg Type: HIC
Lic/Reg No: 553370
P. 0. Box 276 Exp Date: 30-Nov-05
Jewett City Ct 06351-
Construction Value Permit Fees Construction Information
Building Value: $7,645.00 Building Fee:
$64.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee:
$0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee:
$0.00 Construction Type: 5B
Total Value: $7,645.00 Penalty Fee:
$64.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $1.22
Total Fee: $129.22
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:
❑ Framing ---- �-
❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation n Certificate of Approval
❑ . e o .ccupancy
Building Official's Approval:
Town of11[ontville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382
Fax. 848-7231
Residential Building Permit Application Form
Permit#4,02&_0.0:1—b L/q /
❑New Construction AdditionAlteration []Accessory Structure
'Single rFamify LJ Two-FamiCy [11 Townhouse
Job Address I""1 Pe-ckCh \J U e R.,.
(Number) (Street)
(Unit)
Job Description 1 u HCl -t- 1CA:t
Owner Qm Ec3
—Era CZ... Mailing Address ( 9 Per_i_o-A Val.
City UOCa. V ,tom, State
Zip 063g a. Tel
Contractor 14-3 Mailing Address3 4. Inci% � P
� .
City ( State (' Zip
Db3S 1 TelStyrj/ b5qI
Contractor's License/Registration Type&Number 55 .10 Exp. Date I I / 3o/t;`S
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.
Separate applications are required for electrical,plumbing, mechanical, etc.
Owner/Agent Signature
Date / 9 ion
Construction Value Fee
Building
Plumbing $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State Education $
Total $ $
(See averse side for additional"requirements)
.fii ea Fe6nuary 25 2005
Town of'Montville
Building Department
File Receipt
Date: 09-Aug-05
Receipt No: 502
Received From: NorthEast Home Improvement
Job Address: 17 Peachvale Drive
Fees Collected State Educational Training Fee
Cash: $0.00
Cash: $0.00
Check: $129.22
Check: $1.22
Check No: 3447
Construction Value: $7,645.00
Demolition Value:
$0.00
Received By Sandra Pandora
Permit Fee Calculation Spreadsheet
MISCELLANEOUS PERMIT CALCULATION
Address:
Pools & Spas
Above Ground Round EA $ 3,200.00 $
Above Ground Oval EA $ 6,000.00 $ _
Inflatable Pools EA $ 1,000.00 $ _
In-Ground EA $ 20,700.00 $
Heater EA $ 3,465.00 $
Hot Tub EA $ 5,250.00 $
Roofing
Strip & Reroof SQ $ 350.00 $
Overlay SQ $ 250.00 $
Plywood SQ $ 125.00 $
Plumbing
Full Bath EA $ 5,000.00 $ -
Half Bath EA $ 3,500.00 $
Garages
Attached, 1 car EA $ 10,775.00 $
Attached, 2 car EA $ 18,600.00 $ _
Attached, 3 car EA S 25,810.00 $ _
Detached, 1 car EA $ 13,850.00 $ _
Detached, 2 car EA $ 21,100.00 $
Detached, 3 car EA $ 28,350.00 $
Sheds SF $ 26.25 $
Sheds with Electrical SF $ 26.25 $ -
Electrical Service
100 Amp EA $ 825.00 $ -
200 Amp EA $ 1,500.00 $ -
Siding 12 SQ $ 600.00 $ 7,200.00
Windows 1 EA $ 445.00 $ 445.00
Doors EA $ 625.00 $ -
Decks/Porches/Sunrooms
Open SF $ 22.31 $
Covered SF $ 62.69 $ _
Enclosed SF $ 123.90 $ -
TOTAL BUILDING CONSTRUCTION COST $ 7,645.00
PERMIT FEE CALCULATIONS
Fee
Building $ 7,645 $ 64.00
Plumbing $ - $
Mechanical $ - $
Electrical $ - $
y Work Commenced before permit issuance $ 64.00
CO Fee $
Plan Review $
State Ed Fee $ 7,645 1.22
Total Fees $ 129.22
Based on 2003 RS Means Residential Cost Data
8/9/2005
NORTH EAST HOME IMPROVEMENT INC. o,Q
34 MAIN STREET
JEWETT CM CT 06351
11).)
) (9°Ai
1-860-376-0591
FAX, 1-860-376-3666
Date: � _ qJ ,2 4)-0o
Building Official:
I Jim Pentland; President of North East Home Improvement, Inc. give
Permission to: C l G� /'►� e. I e,-,17 i to receive a permit
r�
for: / Q rJ ��/ o�-
hoLc / it() Cr
Starting Date: -
Description of Work: j 'j, ;i,
r
Owner: 7Xy Ed? r.
North East Home Improvement License# 553370
Thank You
James Pentlandr‘. Ci.jt‘
...*1!'!',0•';;• *./..!::,0';.- ... } wry•
\ 41, a i a 11,..!/- 4 * w 4 a ♦ a4 a t * At- + to; -
a, __...—..__ �_- __l
Z i, ,. ,
i ,
r y
'= C f. i
V I
O ' k
r
C
U.
v UaZ N, x
i.
W -0 k +m }'
►� Z 'on G4 ate.--_'.'
C -
. .7. .44 2t
C Wz .
Y ; {{ 1
-, r1 0 1 _1c
i i { ,' '.
j O M v
N
C^
ci : ' ►7
* O f r„,41,14
J f V
i, -.t:,...wt
, ,,,,f
g.
„ _ . , - „
1 ,y,„. ...
.: Ales” ,-, , ..., .
x ; W
t
1 j ♦ L W ctt (2.4 , i'
�, W O
Z
f EP ...,
; v
i T1x M ;
�Wj 4" tom-+
1 , i ; Z t N r4 3 "*.
Z O v \ i
{ �•
+ I 'r'
I
-- 1 1 d r W �
t 1+1 ='cn ti'f
fir' s" QTR 1 'r +►: y v q. 4i a v —� r r
' a, ..,;.,:4.,......`.';,.... '..ice._'?^'' -0--" .;,.:4":,.:.
-_ .1.''l .LZ. "!_ : _....,:1;.:...e. , {'Vt. tY}}•••
O �i
_.._ ............ � �. ::.;:.;. :... . ". DATE MM/D .'i
03 10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6 CONSUMERS AVE COMPANIES AFFORDING COVERAGE
NORWICH CT 06360-7521
COMPANY
A NATIONAL GRANGE MUTUAL INS CO
INSURED
NORTHEAST HOME IMPROVEMENT INC COMBPANY
PROGRESSIVE COMPANIES
PO BOX 276
34 MAIN ST COMPANY
THE HARTFORD
JEWETT CITY CT 06351
COMPANY
I D
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.
CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER LIMITS
DATE(MM/DD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY MPS 4 8 3 71
7/27/04 7/27/05 GENERAL AGGREGATE $2, 000, 000_
X COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG $2, 00 0 r 0 0 0
CLAIMS MADE I X I OCCUR PERSONAL&ADV INJURY $1, 000, 000
OWNER'S&CONTRACTOR'S PROT
EACH OCCURRENCE _ $1, 000, 000
FIRE DAMAGE(Any one fire) $ 500, 000
MED EXP(Any one person) $ 10, 000
B AUTOMOBILE LIABILITY 02536042 2/18/05 8/18/05 100, 000
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
X SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY .
ANY AUTO
AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY:_
EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
C WORKERS COMPENSATION AND 9619A853043/01/05 3/01/06 X I ORYLMITSI
EMPLOYERS'LIABILITY IOER
THE PROPRIETOR/ EL EACH ACCIDENT _ $ 100, 000
PARTNERS/EXECUTIVE — INCL EL DISEASE-POLICY LIMIT $ 500, 000
OFFICERS ARE: EXCL
OTHER EL DISEASE-EA EMPLOYEE $ 100, 000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
INFORMATION ONLY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE •• •ANY, IT- AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
REGINA ERFE RE
D
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
v , PeQc-h \10,1e
Property Address
\ t CLt fC.A ( LQ-1 Rd c.x)
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
Approval Department Permit Issuance Approval
Tax Collector ( %\�`csS
Signat r late
gl WPCA r AS--
Signature/
date
❑ Planning& Zoning
Signature/date
❑ Health Department
Signature/date
❑ Department of Public Works
gnu e .date
❑ State Dept. of Transportation
Signature/date
❑ Fire Marshal
Signature/date
Continents/Conditions:
4cviselSeptem6er9 2004