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Home My WebLink About8 Window Replacments 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: B2005-0663 Date: 02-Nov-05 Map/Lot: 103/003-000 Owner ID: 5558000 Project Location: 24 PODURGIEL LANE Unit: Job Description: Install Replacement windows(8) Owner Name: Michelle M and Stephen M Ahlcrona Tenant Name: N/A Careof: 24 Podurgiel 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: $3,560.00 Building Fee: $32.00 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: $3,560.00 Penalty Fee: $0.00 Permit Code: R4 C of O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.57 Total Fee: $32.57 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 --- ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Appro .1 Ce c. e •f e cupancy Building Official's Approval: Town of Montville i Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Exf 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permiqsteadai $ ' ❑ New Construction D Addition Alteration 0 Accessory Structure IX Single Eamify 0 Two-'Family [] Townhouse Job Address 2.4 Fbdurgiel Lctrle (Number) (Street) (Unit) Job Description snsta.l1 (g) c placerner L- windows No. replacernenk windauu Owner Michelle Ahlcreincc Mailing Address 24 poclunatel Lczfe City tAncnSville State c.T Zip 063$2 Tel $60 / 367 / cl'04l Contractor 'nip At- t-torre Se.Mces Mailing Address 345A Greer wjl c i s{- City Worcester State MA Zip 61607 Tel 401, / 447 / -7172 Contractor's License/Registration Type &Number i-' me lrfrp4t 565522 Exp.Date 11 / 3p / 05 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 InA Date ii / 2 / cS Construction Value Fee Building $1......5_6.56— '3 $ 3 .2- Plumbing $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ • 7 Total $_ %45--3. _ $ (See averse sidefor additional requirements) ,cvisedFebruary 25 2005 "7"."1"..........71 . Town of Montville Building Department File Receipt 804 Receipt No: Date: 02-Nov-05 Received From: THD at Home Services Job Address: 24 Podur'id Lane State Educational Training Fee Fees Collected $0.00 $0.00 Cash: Cash: $0.57 Check: $32.57 Check: Check No: 10002 Construction .ue: $3,560.00 Demo' .• .•lue: $0.00 Received By Joseph Summer 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 2.M Podunaiel Lr , uncasvi tie, cT Oa 3.32 Property Address 1ns It (S) r'eptac n-eni- windows. wo s ru.c-tural change 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 41/.2,/0 1n Signature:date DI WPCA \\I\ "` 1e'�IU� Signature/ c. to ❑ Planning&Zoning • Signature/date ❑ Health Department Signature/date O Department of Public Works Sigrra ttrj e chtte ❑ State Dept. of Transportation Signature date ❑ Fire Marshal Signature/date Comments/Conditions: 44-viseiSeptem6er9,2004 ?fa-I 8-zoa. 11:1041 FRt$4- 1*-117 P 001/001 F-226 -; STATE OF CONNEL1 luu 1 DEPARTMENT OF CONSUMER PROTECTION 1 6 5 Capitol Avenue + Hartford Connecticut 06 1 0 6 Attached Is your noma ImprOVEMent Registration. This registration Is not tran.sferable. • s Visit our web site at www.etgervidep " . S F ‘ IF t)! ( .1)\NI:CliCi I- „,,,,,, , ,„ , , , 1 r r r,• 11 I .c l'g i rr,:II :ii). HOME DIPRO1.012.1110g CONTRACTOR • ... ..t..: •••••- • run AT4iomE$iatiticrs INC Tilt)AT-HOME SERVICES INC 3200 COBS,G.4.1.111143VAILXWAY ' 1. .. 3200 COBB GALLERIA PABXWAY I ;4:int Wig 4:-;• STE 200 rot Bonin nicrcriAgraL12:D MUi ATLANTA,GA 30339 565522"---1;,,-,ntat/20)40.,,A1 -,-11/30/2005 sionio . • - . . . . ,...... .._. ..„, • a._ *it • a• • iv ...ir •,.* .*._• *2/ • /I • •... • ///_ lk * • * • b__ ..* ” • . _li.... _.._ .....0. ii74:TVOF:;CONNE CI'I. CUT.4'DEPARTMENT OF COgSUMER:PROTTCTION • - - • 4,. •:, --•::•-‘:.;•-: : • ••'••••• -*: •••.. - - • . :• - - •••B.it'Known , . • . . . _ .. (.. 4.; • .----. -... • .. '-••• "-. • - • *TIM AT-HOME SERVICES INC . . • • . --" . . .. ._ ...-:.• •..-:.-,.... , f --!- - , 3200 COB ; - -,- : A • PAILICWAY -- - • - . •. •• • • - - ii cerarlalby the b ••. - , 41!k • . ••• .. - •• •- den as a registered 4r. :‘,. .. -. • ..'' : 1. :. .• • --/•' ; i-jOidi..:.•;' 6. 4:. !4 . : a'' .- • OR• ;: -...:••:- -•-•.:. ' - •. '• •-: .• • •-••• : •7'. • 1. '• . • ,.. ,.. : . . -_ - • • - * ' - -- • ••• '': •.---::. --Re• , - • THE HOKE DILIPOT)74711.1..ED SALMI . • ai.."-frtiut- • • \ V :.'.1 . .' Effective: '-12/01/.2004 -1 - -' - -. :• . ... • . • . •.. • ie 1 - . . -. • N. •i • 1. an! Expiration: 11/30/2005 . • ... . .. . . •; _. ..40.•!•:-.di:..,,/....5r•-5:i':--... . • - - iti.•;;I wif40..,:"cmimileime. MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER PRODUCER ATL-000915907-02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ATTN: ELIZABETH BRISENDINE (404)995-3568 POLICY.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE OR BRENDA BOOKER 404)995-2594 AFFORDED BY THE POLICIES DESCRIBED HEREIN. FAX(404)760-5768 3475 PIEDMONT ROAD, SUITE 1200 COMPANIES AFFORDING COVERAGE ATLANTA,GA 30305 COMPANY 10C492-IPUSA-GWA-03/04 A STEADFAST INSURANCE COMPANY INSURED COMPANY THD AT-HOME SERVICES INC. B ZURICH AMERICAN INSURANCE COMPANY DBA THE HOME DEPOT AT-HOME SERVICES,INC. HOME DEPOT USA,INC. COMPANY 2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY BUILDING C-8 ATLANTA,GA 30339 COMPANY D AMERICAN HOME ASSURANCE COMPANY COVERAGES This certificate supersedes and replaces any previously issued certificate for theolic p y period noted below._, 1 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MMlODIYY) GATE(MM/DO/YY) LIMITS A GENERAL LIABILITY IPR 3757 608-00 02/01/05 03/01/06 GENERAL AGGREGATE $ 4,000,000~ X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS PRODUCTS-COMP/CP AGG $ 4,000,000 CLAIMS MADE X OCCUR 'OF SIR:$1,000,000 PER OCC PERSONAL&ADV INJURY _ $ 4,000,000~ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE(Any one fire) $ 1,000,000 MED EXP(Any one person) $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863-02 AOS 02/01/05 03/01/06 B X COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO TAP 2938865-02 TX 02/01/05 03/01/06 B ALL OWNED AUTOS BAP 2938864-02 VA 02/01/05 03/01/06 BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ _ NON-OWNED AUTOS (Per accident) X SELF-INSURED AUTO 0HYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ A IPR 3757 608-00 02/01/05 03/01/06 EACH OCCURRENCE $ 5,000,000 X UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND 5899472(AOS) WC STATU• II OTH- EMPLOYERS'LIABILITY 02/01/05 03/01/05 X TORY LIMITS l ER C 5899479(AOS) 03/01/05 03/01/06 EL EACH ACCIDENT $ 1,000,000 E THE PROPRIETOR/ X INCL 5899477(NY,WI) 02/01/05 03/01/05 E PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL 5899484(NY,WI) 03/01/05 03/01/06 EL DISEASE-EACH EMPLOYEE $ 1,000,000 F OTHER WORKERS 5899475(AZ,ID,MA,MD,OR,VA) 02/01/05 03/01/05 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 OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 1,1) 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 OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE ISSUER OF THIS CERTIFICATE, MARSH USA INC. .. BY: i�lte4-i..,.f.E..f3YArr>Iit44.-' . iuMi3raz ( ) VALID AS OF: 02/01/05 1.,+• You can do it. We can help.- __J, Date: To: TOM Of M 0ri1V11 le Location: z4 Pbctu-9iel Ln 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 ofR -Boyd 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 I qday of October 2005 by Boyd A. Lipham. _r (Seal) Notary Public-State of Florida Susan Shapiro _ _ _ `_ Printed Name: SUSAN C.SHAPIRO ♦�FY P�j. 7/25/07 2o`; Notary Public-Slate of Florida ,••`r. Commissbn Ex*es JtA 25.2017 My Commission Expires: .��o Commission#DD217720 °,�„ Bonded By National Notary Assn. Personally Known X Or Produced Identification Type of Identification Produced THD At-Home Services,Inc. 207 Kelsey Lane, suite G•Tampa, FL 33619 813-383-7000•Fax 813-630-4112•Toll Free 866-653-8438