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Home My WebLink About6 Window Replacements 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: 82005-0379 Date: 28-Jul-05 Map/Lot: 103/003-000 Owner ID: 5558000 Project Location: 24 PODURGIEL LANE Unit: lob Description: Replacement windows-6 Owner Name: Michelle M and Stephen M Ahlcrona Tenant Name: N/A Careof: 24 Poduel rgi _Ln 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-05 Worcester Ma 01607- Construction Value Permit Fees Construction Information Building Value: $2,670.00 Building Fee: $24.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: w/2004 Amendment $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 56 Total Value: $2,670.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: !._ Plan Review Fee: $0.00 State Ed Fee: $0.43 Total Fee: $24.43 It shall be the owners reosonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete [1] Deck Piers ❑ R Plumbing and leak test ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 11 Framing 0 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval ❑ Certificate of Occupancy / Building Official's Approv- : Town of Montville Building.Department 310 Norwich-New London Tpke. ' 848-3030,Ext 382 Uncasville,CT 06382 Fax.848-7231 Residential Building Permit Application Form Permit# a�a �' 0 0 7? 0 New Construction J Addition gACteration 0 Accessory Structure [�Sing1e' Family Two-'Family 0 Townhouse Job Address 24 Poducgi&. in (Number) (Street) (Unit) Job Description yg 11 Cc ) re c4 men+ u. irdOwS tJ� sAnt.Ctt.tc 1 change, Owner cr\tc et IP_ A hIrroc a Mailing Address 24 Pcduc— I L City UX1CASVI State CI Zip O63$Z Tel 1660 / 367 /90q � Contractor 1 q}_kaIY)e Mailing Address 345A GW_efu ood �{- City 1 C r State MA Zip Ol6O7 Tel 401 / 447 / 7172 Contractor's License/Registration Type&Number 1--tefre Imp. UC SC5S2 . Exp. Date 11 / 30 /O'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 ‘16Date 7 / (`i / 05 Construction Value Fee Building $ 33Z $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See 44-verse sideforaddiitional requirements) i 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 S - 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 $ 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 S 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ - Siding SQ $ 600.00 $ - Windows 6 EA $ 445.00 $ 2,670.00 Doors EA S 625.00 $ - Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ Enclosed SF $ 123.90 $ - TOTAL BUILDING CONSTRUCTION COST $ 2,670.00 PERMIT FEE CALCULATIONS Fee Building $ 2,670 $ 24.00 Plumbing $ - $ - Mechanical $ - $ Electrical $ - $ - Work Commenced before permit issuance $ - CO Fee $ - Plan Review $ - State Ed Fee $ 2,670 0.43 yoo� Total Fees ,..<„ $ 24.43— 'i Based on 2003 RS Means Residential Cost Data 7/19/2005 Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL CONSTRUCTION PERMIT SIGN-OFF SHEET Z�E POdur9iel l„(1 , u c_ x-5ville, CT oC3s2 Property Address Job Description: (6) rec)lacene(Nit wi(\dOWS The applicant is responsible for the completion of the form, no permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030,Ext.339 Approved No Permit ❑ Permit#: ❑ Required Septic System Date Approved No Permit ❑ Permit#: ❑ Required Private Well Date WPCA DEPARTMENT 848-3030,Ext 376 c No Permit unicipal Se • l 16c— 0 PeApprovedrmit#: c Required p Date Building Trap 0 Outside 0 Inside Approved No Permit ❑ Permit# ❑ Required Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved No Permit Director ❑ Permit#: 0 Required Date PLANNING&ZONING DEPARTMENT 848-3030,Ext.379 Approved No Permit Zoning ❑ Permit#: 0 Required Date Approved No Permit 0 Permit#: 0 Required Inland-Wetlands Date STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue ♦ Hartford Connecticut 06 1 06 Attanbed Is your Home Improvement Registration. This rogiotrotiou is not transferable. visit our web site at nrerw.eLdov/dq, 1 \ H f t ►f ( ( 1\NIA •-111 I moms . CRNTRACToa 'IH13 AI-2100 E SERVICES INC 3290 COBB .EBZA pA �'AY > C01L lirA STE 200 ! ,� ATLANTA,GA 30339 -zue am* sou u r;• 565522- �;„v4m ,; . 11/30/2005 r. STAVE• C OF-_ ONINECTICUT + :DEPAT . .. .. :.,. . -� ,•-.• MSNT OP-CONSUMER riturigetoN VICES NIC • CO•=:I-*sSVINICP..A'R• .E:w!Ay 1 • 21 - •HOME SMP T' a • a =C - _ CTQIt THE KomiDEPOT MSrA [sosoi. i• �;$ c Ef eeti*e: 11/01.1 • 04 - Expiratian:`11/30/2005 • _ .._-... • MARSH CERTIFICATE OF INSURANCE cI TIFICATE NUMBER PRODUCER A11-000915907-02 MARSH USA,INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AO CONFERS NO IGHTS UN TEOHETHAN THSE PPM DEC IN THE ATTN:ELIZABETH BRISENDINE (404)995-3568 POLICY. THIS CERTIFICA ETIE D ESTNOTOLDER AMENDTEXREND OR ALTER S COVERAGE OR BRENDA BOOKER 404)995-2594 AFFORDED BY THE POLICIES DESCRIBED HEREIN. FAX(404)760-5768 3475 PIEDMONT 0-5763 D,SUITE 12C0 COMPANIES AFFORDING COVERAGE ATLANTA,GA 30305 100492-IPUSA-GWA-03!04 ! COMPANY A STEADFAST EADFAST INSURANCE COMPANY INSURED THD AT-HOME SERVICES INC. COMPANY OBA THE HOME DEPOT AT-HOME SERVICES,INC. B ZURICH AMERICAN INSURANCE COMPANY HOME DEPOT USA,INC. COMPANY 2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY BUILDING 0-8 ATLANTA,GA 30339 COMPANY 0 AMERICAN HOME ASSURANCE COMPANY COVERAGES This certificate supersedes and replaces any THIS IS TO CERTIFY THAT PCLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN pS SSUEDTOly ISTHE INSUREDsd NAMED tHERENIFOR eTHE POLICdY PEIRIO INOICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE!SLED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIEiAGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE I POUCY POLICY NUMBER EFFECTIVE POLICY EXPIRATION DATE(MMIDO/YY) DATE(MM/DD/YY) . LIMITS A GENERAL LIABILITY IPR 3757 608-00 02/01/05 03/01/06 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' - GENERAL AGGREGATE I$ 4,000,000 PRODUCTS-COMP/CP AGG I$ 4,000,000 CLAIMS MADE I X OCCUR 'OF SIR:$1,000,000 PER OCC' OWNER'S&CONTRACTOR'S PROT PERSONAL&ADV INJURY I$ 4,000,000 EACH OCCURRENCE I$ 4,000,000 FIRE(DAMAGE/Any one fire) $ 1,000,000 B I AUTOMOBILE LIABILITY I MED EXP(Any one parson) $ EXCLUDED) BAP 2938803-02 AOS 02/01105 '03/01/06 - B ^ ANY AUTO TAP 2938865-02 TX�ICOMBINED SINGLE LIMIT I$ 1,000,000 B 02/01/05 03/01/06 ALL OWNED AUTOS _ BAP 2938864-02_VA - 02/01/05 03/01/06 SCHEDULED AUTOS BODILY INJURY - "i$ - HIRED AUTOS (Per Person) • NON-OWNED AUTOS BCOILYINJURv I$ (Per accAoent) X /,SELF-INSURED AUTO • —12HYSICAL DAMAGE PROPERTY DAMAGE I$ GARAGE UABIUTY ANY AUTO AUTO ONLY-EA ACCIDENTI$ OTHER THAN AUTO ONLY- EACH ACCIDENT S A EXCESS UABIUTY IPR 3757 608-00 AGGREGATE I$ 02/01/05 03/01/06 EACH OCCURRENCE $ 5.000,000 UMBRELLA FORM I OTHER THAN UMBRELLA FORM AGGREGATE $ 5.000.000 1$ C WORKERS COMPENSATION ANO 5899472(AOS) EMPLOYERS'LIABILITY 02/01/05 03/01/05 WCSYATU- C 5899479(AOS) X I TORY LIMITS ERS E THE PROPRIETOR/ 1-$--03/01/05 03/01/06 EL EACH ACCIDENT $ 1,000,000 PARTNERS/EXECUTIVE E X II INCL 5899477(NY,WI) 02/01/05 03/01/05 EL DISEASE-POLICY LIMIT OFFICERS ARE EXCLi5899484(NY,WI) 03/01/05 03/01/06 1,000,000 F OTHER WORKERS 5899475(AZ,ID,MA,MD,OR,VA) 102/01/05 03/01/05 EL DISEASE-EACH EMPLOYEE S 1,000,000 F COMPENSATION CONTINUED 5899482(AZ,ID,MA,MD,OR,VA) 03/01/05 03/01/06 D 5899473(CA) 02/01/05 03/01/05 D 5899480(CA) 03/01/05 03/01/06 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES,SPECIAL ITEMS • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICES DESCR!EED HERE l BE CANCEL.EO EFFCRE THE F,Nr,cN DA a^-EREoF 1i THE 'NSLRER AFFORDING COVERAOE WV._ TO MA.L _la DAIS vq-EN,.CTCE TO 1HE FOR INSURANCE PURPOSES ONLY CERTFF'CATE HOLDER NAMED HERE,N,NUT FAILLRE TO MA,L SUCH NCTiCE SHAT:.MF, No oeuGAnoN OR 4,Aa LIT/OF AN'o,A,NO UPON THE':NS,.RER AFFOHDl U SOV=HA,;E ,Ts AGENTS JR RE oENTA'NES oR 7,,E.SSLER:F r..5]ER T,RCATE MARSH USA INC. I BY. /-!A• .t,.-1 13- MM1(3l02) VALID AS OF: 02.;1!O5 • p.4+ AT HOM bate: 7kt/05 SERVICES: bcvn Montville Location: ly 1-rale t4cLven ck / 2y Pc idurgiej Lr) To Whom It May Concern: This letter will authorize the following person(s) to act as agent(s) on behalf of THD At-Home Services, Inc., D/B/A The Home Depot At-Home Services, 3200 Cobb Galleria Parkway, Suite 200, Atlanta, GA 30339 to pull for permits and inspections with respect to the installation, maintenance and repair of windows, siding and roofing under Connecticut Contractor license number 565522. Authorized person(s): John Zuba C.'tractor of Recortyd A. Lipham THD At-Home Services, Inc. D/B/A The Home Depot At-Home Services STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this 7 day of May, 2005 by Boyd A. Lipham. C (Seal) Notary Public State of Florida Susan Shapiro - -- SHAPIRO -�- Printed Name: —1 �� to of Florida r* !25.2007 70 My Commission Expires: sN,'��+.o- Bonded r ��'' ° ��'' Bonded By National Notury .; Personally Known X Or Produced Identification "a;•'P, SUSAN C.SHAPIRO °.�.`� Notary Public-State of Florida I's11 M _t' m �3 «�, asbn Fxpires.lut25.2007 ;;,,,,t7.-0,v Commission#DD217720 Bonded By National NotaryAssn. THD At-Home Services, Inc. 3200 Cobb Galleria Parkway•Suite 200•Atlanta,GA 30339 (770)779-1300•Fax(770)984-0709•Toll Free 1-877-469-0114