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Home My WebLink AboutSiding and Roofing 2004 Town of Montville Building Department Field Inspection Notice Address: 53 Pennsylvania Ave. Job Description: Siding& Roofing Permit Numbers:B2004-0011 Siding—B2003-0348 Roof Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1• Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1• Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1• Fire/Draftstopping Not Approved: Approved: Comments: 1• Insulation Not Approved: Approved: Comments: 1• Certificate of Not Approved: Approved: Occupancy Comments: 1• Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Comments: Page 1 of 1 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: 82004-0011 Date: 16-Jan-04 Map/Lot: 092/148-000 Owner ID 115519 Job Location: 53 PENNSYLVANIA AVENUE Unit Job Description: Siding Owner: Contractor: Christina A Davis NorthEast Home Improvement P.0. Box 276 53 Pennsylvania Avenue Jewett City Ct. 06351- Oakdale CT 06370 Telephone: (860)376-0591 Lic/Reg Type/No. HIC 553370 Exp Date: 30-Nov-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $4,000.00 Building Fee: $22.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $4,000.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $0.64 Total Fees: $32.64 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service CRS#: 0 El Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: ��yl� / . !•' �`' -Tow*of Montville _ 310 N .N London D 848-3030,111082 Uncamille,CT06382 Pax.844231 One&Two Family Building Permit Application Form - t7*u Construction. Ji ►n - (]Aftenttionp Accessory Stnugure • Job Location .< 3 4/6.. /914- _ 044k144.1.1_, Yob Description/Materials ■ , • A •• Owner O h r i S fi al el It n N cL( i S Mailing Address S.3. . State CA— Tip D( .Tel Atli/ i S7 Contractor_ ) /C Mailing Address Po yoy c 7 )j _-.... city J( kl+ State CT Tap (�l o l Tel =/ b as J. Contractor's Licxrise/Registration Type&Number. �5 33 7l) G . Exp.nate 1/ 3.V / I hereby certify that the proposed wow WI cookout to the Basic Building Code and all other codes as adol ted by the • State of Caanecticttit and the Town of Montville and further attest that the proposed wink is • and that I am authorized to malas authorized by We owner fee for a p�for such work as descaibOd above. Owner/Agent Signature. / Construction Value Fee • Bm'kfmg ;Plumbing Mechanical $Electrical _ s $ Odier Plan - Renew Pee • s �/� State Bd - i Total _ • (SSS*item sikforaatlonalretpdnmcnts) Town of Montville Building Department Receipt Date / / Hyl Dz/ No. 0 3 4 8 0 / From: ' .'" Job Address: ...ifMfW� � ! f Amount $ v4 0. _.‘,24/ Cash Check Check # _--/ / i (Circle one) / ff / Received by ,iP i , o Permit `� 561/ NORTH EAST HOME IMPROVEMENT INC. 34 MAIN STREET JEWETT CITY CT 06351 1-860-376-0591 FAX, 1-860-376-3666 Date: / f K/.6(l Building Official: I Jim Pentland; President of North East Home Improvement, Inc. give Permission to: Claire Daniska to receive a permit for: -5-(3 (2 i n s y 1f' ;�. 197/e_- G Starting Date: f// 1 t)Li Description of Work: h5 / (i 4k" S/(J/( - Owner: ( fl 1/ / (t1 t atitr) ✓,s North East Home Improvement License # 553370 Thank You James Pentland roti,"J .5:4 �,;' Y' t.,, `,y . -�ii 't," t.,..„ .,;,fit a r _ .w it' t d � k •> 2p a,r y�`- ;T.1 � I' `t gMSI 4,471 W O ! , 'a`.. .. r.:,:-'--2t1 Z . H At,..,t:'-', 0 C:)Yt � Z • N. � (4 Z O W 1 y W , `i Q Zi efl — aW ' 111 '40 E. as � rt f ,-Us. i � d VO •/y O � � , ( J � : s U W clONO 1, Z o z a/ 0 o 4 � i Q O c� O cp O , U 'u ^. ® > y „r: E...4W W �' * .A'-��^ _„_-yy,, .- g 4 `► 4 ► 4 '; i �t,, "ah, FY P sl, app”""Le''' i,' l'.' .a ie• �/ '' v T.. 5J'y 'As, - ••' '''': Dee 29 , 09 : 48 EST by: DREREGINA ERFE (09 : 48 ) Page 1 of 1 n Leh K � ? � 12 29 03 ........... PRODUCER ..... TRIS CERTFICATE 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 06350-75211 COMPANY A PROGRESSIVE COMPANIES �� MENINED COMPANYTHE HARTFORD NORTHEAST HOME IMPROVEMENT INC 1 PO BOX 276 r COMPANY — 34 MAIN ST C JEWETT CITY CT 06351 l[ coR�AHY D Citi :4-.mii- -_t-_,_ -,__,: ..}•,::_..;. -}_-}�:?�Su;?•..�{:v::}.} }..r.. {{;:: _ ..}•:.::=:�i::.v::t::::-Iry::•. :�:_..-r_..::�.�.�-:.:::�i::i:::�:�s::�ti�::�s•. - :.� :c•ti::::i:•:•:.•:-:ti;•:.•:::•: i THIS 16 TO CERTFY TWAT TGE POLICES OF MANCE LISTED BELOW HAVE BEI 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 WHEN THIS CERTIFICATE MAY BE ISSUED QR AMY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANDCONDITIONS OF SUCH POLICES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' ROL=EFEus LIOucY XPATO1O TYPE OF RltPANCE CMTB UNITS *LTR` l DATE LIMATORII DAZE GINGDITTI t---- I !oeiwAOGREGATE I s;OERAL LIABILITY I awasmon.GENERAL.LIABILITY'I j PFIO@ICT3.00MI OP AGGI$/7+1 CLAWS MADE OCCUR jj PERSONALa ADV MANY y s i OWNERS 4 CONTRACTORS FROT1 1 1 EACH OOalI�IcE 1 S !j FIRE mumElE(Amy ono We)i!S i 1 MRD EXP(Any aro person) TI iAUUTOUC .EL NT 021229700 11/01/03 5/6f7-04 ! 1 100,000 1 { I COIIeMEII 31HOLE LIMIT I s IANT Auto I s t AU.OWNED AUTOS I I BODILY n us Y i i$ 1X'SCHEDULED AUTOS i 1l� S PV r I I _� �HAUTOS i I 180t>I..Y',Luny NON-OWNED Atmos I P"+*.caalrn s I f--' 2 ! PROP6iTY DAMAGE _ i ,GARAGE UABLTTY AUTO ONLY-EA AMMON Ni .... ANY AUTO OTYER THAN AUTO Ol.V: 1 ;_J EACH Accirst T S i f AOtTE I s i Z EXCESS LIABILITY 1 EACH OCCUR EME $ 1 LIUMSREU.AFOM AOOTTFAATE __ Is I OTHER THAN I.MIBRE31A FORM i Is 3 °WORKERS COAPENSAWON NIO 982X676602 12/25/02 7/11/03 X Ti ! ie' .. EMPLOYERS'LIASIUTV B.EACH ACCIDENT s 100,000 I iS THE PR+oP TOP+ II 1 1 INCL 1 I EL o19EASEPO.Rcv Law a 500,000 .OS AAE I loom I a.DISEASE•EA EMPLUYE E IS 100,000 1 OESCR7PTLON OF OPERATIONS/LOCA11ONNYENCLES,SPECJAL TRW 1376-3666 3MDIR.B ANY OF THE ABOVE DESCANTED POUCTES BE CANCELLED BEFORE THE INFORMATIONAL ONLY ; ETIFIRATIOR DAZE THEREOF, THE ISSUING COMPANY W LL ENDEAVOR TO MAL DAYS WRITTEN NOTICE TO THE CERYFICATE HOLDEN RAND TO THE LEFT, BUT FARANIE TO MAA SUCH NOTICE SHALL MPOSE NO ONIJGATION OR LIABLRY OF ANT MEAD UPON TIE COWAN/It, NS AGENTS OR AFPRES N ATIVES. AMINDINEED REPNESENTATNE REGINA ERFE RE D