HomeMy WebLinkAbout12 Window Replacements 2006 TOWN JF 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: B2006-0040 Date: 14-Mar-06 Map/Lot: 084/117-000
Owner ID: 5382000
Project Location: 20 PEACHVALE DRIVE
Unit:
Job Description: Install(12)replacement windows
Owner Name: Kenneth&Monica Van Sparrentak Tenant Name: N/A
Careof:
20 Peachvale Drive
Uncasville CT 06382- Telephone:
Contractor Name: THD at Home Services Telephone: (401)447-7172
DBA: Lic/Reg Type: HIC
Lic/Reg No: 565522
345A Greenwood St. Exp Date: 30-Nov-06
Worcester MA 01607-
Construction Value Permit Fees Construction Information
Building Value: $5,082.00 Building Fee:
$48.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee:
$0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee:
$0.00
Electrical Value: $0.00 Electrical Fee:
$0.00 Construction Type: IRC
Total Value: $5,082.00 Penalty Fee:
$0.00 Permit Code: R4
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.81
Total Fee Paid: $48.81
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS
❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers
❑ R Electrical
❑ Backfill-Footing drains and waterproofing
❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service
❑ CRS No: 0
Framing
❑ RHVAC —
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation d❑ Certificate of Approval
i of cc +ancy
Building Official's Approval: )
I
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Building Permit Application Form
Permit#N p Q 6, 00 yo
❑ 9Vew Construction 0 Addition Alteration Accessory Structure
rgSingle Family E Two-Family 0 Townhouse
Job Address 2.0 PeachveLte Dr.
(Number) (Street) (Unit)
Job Description S m-i-c:tt I C 1 Z) r e.tatcpmen-- w IcdC w
1J0 si-ruciuml Cho oe.
Owner Kell + :)iiikrreritZtIC Mailing Address '20 peoc h vale Dr.
City lAncasv i t(e State CT Zip OC.382 Tel 860 / 60$ / 7157
Contractor TFtp A}_Mole See(\ ces Mailing Address 345A Greenwood s+
City Wo(ceS'k-[?C State MA Zip 01607 Tel +{01 / 441 / -11"72
Contractor's License/Registration Type&Number Home Imp* 565522 Exp. Date I / 3c /o..
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 Ail 2 Date 3 / er / 0
Construction Value Fee
Building $ s :4 T - $
Plumbing $ $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State Education
Total $ = 4'GN
(See&verse side for additional requirements)
RiviseiFe6ruary 252005
Town of.Montville
Building Department
File Receipt
Date: 09-Mar-06 Receipt No: 1078
Received From: THD At-Home Services
Job Address: 20 Peachvale Drive & 24 Baldwin Court
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $56.95 Check: $0.95
Check No: 11596
Short/Over: $0.00
Construction Value: $5,929.00
D- :ition V ,/ $0.00
Received By Joseph Summers
NOV-14-2005 05:O1PM RCM-
,
1-74 P 001/001 F-753
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
165 Capitol Avenue + Harbord Conncct Cut 06106
Attached is your Home Improvement Corsi Tactor Register stun. This re stration is not transferable.
Visit our website at w's+rw.ct.go'v,dcp.
STATE OF CONNECT YCLT
Du,iftbur..\'Y ulC on.SL•111,N Pn01I(110N
HOME IMPROVEMENT CONTRACTOR
THD AT-HOME SEAV'10ES INC
- 3200 COBB GAEL•ERIA.PFWY SUITE#200
TI-ID AT-HOME SERVICES INC I A'TI.AN7 ,G.A. 30339 A,,.:
3200 COBB GALLERIA PKWY SUITE#200 THE HOME DEPOT'INSTALLED SALES
ATLANTA,GA 30339
S./pEG NO. I EFfECYiVE.r , .: I t3TPIRES
565522' JI-;;,;,-,,42/01/2OOSr,1'. 11/30/2006
J5,
SIGNED __ lK —•-^--,-•- __ ---- --
/N� V '' I 1 1 ' 1-1 ' i/ •��M /�..%.1,1p!'"1 1 fa � �.d lil. i -�:
'fir, i �.y 6P ',1 .. A, ' *~I ', d ' '' _ i4`,f 9^ �f'..j ,07‘ 14' q� �' 1C.=_ _1� `3�! I f_' � ;?t s
7. rce
I44!i STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION r` �..
- 1 I Be it]mown that II.'
I •-'
THD AT-FI0ME SERVICES INC s
3200 COBB GALLERIAPKWY SUITE #200 '
.''' Ai 0. A{T "_` ;VA 3)339
is certified by the Depart e,nt`o yConstii(41 '';'.' " :(10 To rtZtltr Ps Lection as a registered 1 t
,~Ai HOME IMP OVE - 1T CONTRACTOR F+'
` . r i h�.. I i
gNST(� l \
( 4 THE HOME DEPOT INSTALLED SALEe -_ Cir1
�!". Effective: 12/01/2005
Expiration: 11/30/2006 --`:,1
„;' -- -- E dird o R Hodri ,Couvniudoner "^ - 1. ±1_
{c,.1j �,.� ; � A�I�A� ' .IST! jl�. .rl 7t, 1'
'��({Y �yy- -moi �,
Feb 28 06 11 : 02a Michael Bedard 1-401 -246-2868 p. 1
MAASH CERTIFICATE OF INSURANCE ATLCERTIFICATE NUMBER
'000915907--11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS
PRODUCER NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
ATTN:BRENDA MARSH USA,INC. POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
MAYA MCCLURE 404)9 5 -ER 32066 OR 2594 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
TAM)ROUSE(404)995-3430 FAX(404)760.5663 _ _COMPANIES AFFORDING COVERAGE .— -_.
3475 PIEDMONT ROAD,SUITE 1200 COMPANY —
ATLANTA,GA 30305
100492-IPUSA-GWR-0310 — A STEADFAST INSURANCE COMPANY __ —— — — —
-----
INSUREDD IN UR -- COMPANY
_--THD AT-HOME SERVICES INC. B ZURICH AMERICAN INSURANCE COMPANY
--
DB
HO THE HOME DEPOT AT-HOME SERVICES,INC. COMPANY
HOME DEPOT USA,INC.OC NEW HAMPSHIRE INS COMPANY
BUIL PACES FERRY ROAD NW _ _--^—--.—.—---- — — -- —— —
ATL NT ,C-8GA I COMPANY
ATLANTA,GA 30339 0 AMERICAN HOME ASSURANCE COMPANY
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 3
HEREIN HAVE BEEN
UED TO THE
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE
ANY REQUIREMENT,TERM OR CONDITIONEOF ANY CONTRACT OR OTHER SDOCUMENT WITH RESPECT NAMEDRED HEREINPERIOD
TOWHICH THE CERTIFICATE TE MAY BE ISSUED OR M INDICATED.
NO
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __ T---——.—. — —..— ----- -
- POLICY EFFECTIVE 1 POLICY EXPIRATION
POLICY NUMBER LIMITS
LTR TYPE Of INSURANCE CE DATE IMMIDDIYY) DATE IMMIDDIYY)
A 03!01!06 03/01/07 _ I$ 4,000,000
GENERAL LIABILITY IPA 3757 608-01 GENERAL FGGR_GATE _ _,_ .._.
X1 COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUcrs_cOX1P/00AGG $ __ 4,000,000
L—^ PERSONAL 8 ADV INJURY S 4,000,000
—7 CIAUlS MAGE r. J OCCUR 'OF SIR:$1,000,000 PER OCC --
EACH OCCURRENCE $ 4,000,000
OWNER'S 8 CONTRACTOR'S PROT
—- FIRE DAMAGE!Any one lire) $ 1,000,000
__ ---
MED EXP(Anyone person) $ EXCLUDED
I
B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03!01/06 03/01/07 I COMBINED SINGLE LIMIT $ 1,000,000
ry
X_I ANY AUTO -- _
ALL OWNED AUTOS .BODILY INJURY(Per parson, TS
SCHEDULED AUTOS Ir --• — -- —
BODILY INJURY $
1--I{HIRED AUTOS (Per accident) — — — —
I SELF-INSURED
N —
t X IIISELF-IURED AUTO-- I I PROPERTY DAMAGE $
�HYSICAL DAMAGE
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT .$ ______ __-_.
I ANY AUTO OTHER THAN AUTO ONLY: _ _ _—
__
`I EACH ACCIDENT. $., _.
I---- — — — AGGREGATE $
I I
EXCESS LIABILITY t EACH OCCURRENCE —$ ____ .— _
1_1 UMBRELLA FORM I AGGREGATE I$
-- _ OTHER THAN UMBRELLA FORM I$
WORKERS COMPENSATION ANDWC STATUS 1 ER
G 6610998(AZ,ID,MD,VA) 03!01!06 03/01/07 -X I TORY LIMITS ER. ___
EMPLOYERS'LIABILITY 6610995(AOS) 03/01/06 03/01/07 EL EACH ACCIDENT II _ 1.000,000
C — — -- - 1,000:000
G THE PROPRIETOR! ,X INCL ,6611326(CTR) 03!01106 03/01/07 E. OISEASE-POLICY LIMIT _$— —_
PARTNERS/EXECUTIVEI• 6610999(NY,WI) 03/01/06 103/01/07 EL DISEASE-EACH EMPLOYEE!$ 1.000,000
E OFFICERS ARE: I EXCL
OTHER WORKERS
E COMPENSATION CONTINUED 6610997(FL) 03/01/06 03/01/07
D (6610996(CA) `03/01/06 103101/07
DESCRIPTION OF OPERATICNSILOCATIONSNEHICLESISPECUIL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR 70 MAY 30.DAYS WRITTEN NOTICE TO THE
FOR INSURANCE PURPOSES ONLY CERTIFICATE HOLDER NAMED HEREIN.BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY CF ANY KIND UPON THE INSURER AFFORDING COVERAGE.RS AGENTS OR REPRESENTATIVES,OR THE
ISSUER OF TINS CERTIFICATE.
MARSH USA INC.
BY: Walter Gllstrap 9/444` ''- ' "r
MM1(3102) VALID AS OF: 02/27/06
• 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
20 Preachvale Pc) U.ncacsV^i l le , GT a63R 2
Property Address
=nstall (tz) rep►ace_nnen4 windows. No sfttctural ch3pees
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
Depth talent Permit Issuance Approval
Approval
Tax Collector �/4 X3/9 /0
Signature/dale
Comments: l
El WPCA,Administrative 1�I pc
Sitmaturei da
Comments:
❑ WPCA, Operations
Signature!date
Comments:
❑ Planning&Zoning
Signature.'date
Comments:
❑ Health Department
Signature;dale
Comments:
❑ Department of Public Works
Signature!date
Comments:
❑ State Dept.of Transportation
Signature`date
Comments:
,71/I
Fire Marshal
gnaturei date
Comments: MIA- ' ►,, (L\-I
viseiAugust S,2005