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2010 - Replace Four Windows
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: 82010-0294 Date: 06-Aug-10 Map/Lot: 103/023-000 Owner ID: 5559000 Project Location: 29 PODURGIEL LANE Unit: Job Description: Install Four Replacement Windows Owner Nam Victoria Kapilotis Tenant Name N/A Careof: 29 Podurgiel Lane Uncasville CT 06382- Telephone: (860)848-3486 Contractor Nam THD At Home Services Telephone: (401)447-7172 DBA: Lic/Reg Type HIC Lic/Reg No 565522 345a Greenwood Street Exp Date: 30-Nov-10 Worcester MA 01607- Construction Value Permit Fees Construction Information Building Value: $2,000.00 Building Fee: $20.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee S0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $2,000.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: S0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.52 Total Fee Paid: $20.52 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-Fooling 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 framin ❑ 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 © Cern ' - - . ••prov. Certi' . - of 'i. upancy Building Official's Approval• /f�2�'�/ CCC v 'Sob * 50‘75`15Y 75y5. Town of Montville Building Department 310 Norwich-New London Tpke. • Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: t, C-Oa Type of Work Occupancy Type. Permit Type ❑New Construction g/Single Family p'Building ❑Addition ❑Two-Family D Plumbing I]Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: '29 POducjieI L (Number) (Street) (Unit) Job Description: S1‘-)sia11 (9) 2O0.Cery -t- wl(l4Quu t slue-ural than Owner: \ltC: Dlr1Ct le,Apilokis Address: 29 Pcxlursiel t_--a City. uneas\J, I le State: C--T Zip Code: 6,6•3K2 Telephone( O )13"4.1‹ - 3'I Applicant: t A4--tion a SPANAces DBk Address: 3LtSA '— 1 City u..)OrCY f State: 1•01A Zip Code: O ICCY7 Telephone( 401 )447 --71-k_ Contractors - Complete the Following: License Type: HI G License No.: 565522 Expiration Date: t1/3O/t6 I hereby certify that the proposed work will conform to the State 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.21 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: Date: X/3/6 r Construc-fion Value Permit Fees Building Value: '72(40 Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revised August 23,2007 Town of Montville • Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 79 Podurcie I Let , Unrasv i I IP , cr- o 3$z Property Address 1 C4 rip► windows Job Description Required Approval Department Permit Issuance Approval Tax Collector C�.�C�-+�. f�6-4.,,`e-- �Q/3 // 0 Signature/date Comments: Planning & ZoningJA lxv ` 3 u / /A Signature/date Comments: P' ( fes 1y� ck,Se Z4 Fire Marsh A( 03 Comments: ` \ ��� Signature/date Health Department Required for all permits except Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Comments: Signature/date ❑ WPCA, Administrative I-)0 10 Required for properties on sewer Comments: ignature/date ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100.000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised a 19,2010 AcG CERTIFICATE OF LIABILITY INSURANCE DATE ;z9, YY1 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR homedepot.certrequestOmarsh.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 Fax (212) 948-0902 INSURERS AFFORDING COVERAGE 'NAICO -- -- "— — -' -- INSURED INsURERA:Steadfast Ins Co ___________.j.26387 _ __ _,_ The Home Depot, Inc. `16535 Home Depot U.S.A., Inc. INSURER B:Zurich American Ins Co _ 116535 2455 Paces Ferry Road NW INSURER C New_ Hampshire Ins Co ___. 1 23841 ___-__ Building C-20 Atlanta, GA 30339 INSURER I2 NATIONAL KION FIRE INS_CO-O PITrs1 445 I INSURER E Illinois Union Ins Co 1 27960 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDI)lON 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L POLICY EFFECTIVE 1 POLICY EXPIRATION LIMITSITR NSR( - TYPE OF INSURANS CE POLICY NUMBDATE(MM/DD/YYVYI DATE PIVOT 1YYYY1 A GENERAL LIABILITY GL04887714-00 I 03/01/10 03/01/11 EACH OCCURRENCE 54,000,131:737:—_ _ DAMAGE TO RENTED Iii51,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea omarence) - CLAIMS MADE X OCCUR MED EXP(Any one persei) S EXCLUDED .___, PERSONALS ADV INJURY S 4,000,000 __ GENERAL AGGREGATE S 4,000,000 GEWL AGGREGATE LIMIT APPLIES PEW I • PRODUCTS-COMPA3P AGG'S 4,000,000_—___ �POLICY nLOC - B AUTOMOBILELIABILnY BAP 2938863-07 03/01/10 03/01/11 COMBINNEDSINGLE LIMIT 51,000,000 X ANY AUTO IF_a accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) -- - �— HIRED AUTOS BODILY INJURY S (Per accident)_ NON-OWNED AUTOS -- X SELF INSURED AUTO PROPERTY DAMAGE S (Per accident) PHYSICAL DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 — I EA ACC S ANY AUTO OTHER THAN - --- AUTO ONLY: AGG S A EXCESS/UMBRELLA L►ABRITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE S5,000,000 X OCCUR I I CLAIMS MADE AGGREGATE S 5,000,000 S — DEDUCTIBLE - _ S RETENTION S S C WORKERS COMPENSATIONWCO20342355 (AOS) 03/01/10 03/01/11 X WCSTATOT1-1- AND EMPLOYERS LIABILITY TORY LIMITS ER D ANYPROPRIETORIPARTNERIEXECUTNE Y/N WCO20342356 (CA) 03/01/10 03/01/11 EL.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? (N I I E (Mandatory in NH) WCO20342357 (FL) 03/01/10 03/01/11 ELDISEASE-EA EMPLOYEES 1,000,000 H yes.desate under SPECIAL PROVISIONS below EL DISEASE-POLICY MOT S 1,000,000 OTHER E TX-Employers Excess TNSC46242373 (TX) 03/01/10 03/01/11. Occurrence/SIR 30M/2M D Workers Compensation WC0910566 (QSI) 03/01/10 03/01/11 C Workers Compensation WCO20342358(EY,M0,NY,WT,W) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS , RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLEDBEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURE32 WILL EI4DEAVOR TO MAIL 3 0 DAYS WRITTEN THE HOME DEPOT, INC. HOME DEPOT U.S.A., INC_ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR 2455 PACES FERRY ROAD NW BUILDING C-20 REPRESENTATIVES. ATLANTA, GA 30339 AUTHORIZED REPRESENTATIVE I USA Q ACORD 25(2009/01)Jthornton_hd ©1988-2009 ACORD CORPORATION. All rights reserved. 14481889 The ACORD name and logo are registered marks of ACORD 'L-02I - - "-.-- 186793 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your Home Improvement Contractor Registration. This registration is not transferable. • For questions,contact the Trade Practices Division at(860)713-6no or email trade.praeticesialct.gov, Visit our web site to verify registrations and download applications at www.ct.govf dcp. STATE OF CONNECTICUT' • DEP.4RTi 1E:l-T OF COjSL:.JER PROTECTION • :,. - HOME I PROVE_ MEN�__C_ ONTRACTOR - THD AT-HOME SERVICES INC ~` - THD ATfiME SERCES INC CUMBERLAND OFFICE PARK -2-:.___ ..rQ CUdBBEFCE PARK - _r _ 2690 CUMBERLAND PARKWAY,SUTIh 300 2690 CUMB F�$HAY SUITE 300 ATLANTA,GA 30339 - _ ---'- - THE HOME- DEPQI`INSLAt�-ED SALES - - �_05b55 __--7=112-- /2009 30 ?A10 SIGN •Y k 'a at- 4.k V"Jr- =i'1• J1.Al... -I k- 4 1 1 1 1 t -'t f' 4 k 4 L• -1 1- 4 1 --4 I 'A ` a 1. A h. ` • r 4 1 _ - - -- -__ `iii•`__ ^-: 3 7%_aj_..c--'•: .-_y Zj-}:s. _'ti. _...fes.-_ F_;%-:.- --.3Y-- _ - _ 4 'Z !r Ste.,-----, _`•r:' .-..m....,-,-,_•‘=-.47-=;;----,--,-i�._r��-�?tr{�L -- _,--C..[**arr -f__-_-t; _�s--__ _._f_- . .k z�,7.•-=- --.*/:?_7--� 3z. - - - -�•--- ♦ _ -,-...,...,,,_,-„..--...c.,� ram-i.,,-.- ---,_...,..4.---ex-,-1.--t_ 5`?' Y'i-*:'---40-::*"...". -'�=ZTs:-.r-._ ____&--.1,,,,;:e.---asc`'- -~-=4` "r.:•=-' ';2.''..--,--. --1r_-.7/ :,j ';. .Ys= ' y sem- _ - .-. -'.- - • - - _._' :- __ _�-q-L— -• `v'.... - --- _s-8 vhf _-i - •�_t : -=�.z-r>-._4ty �_-=-h1 -{ 'a: _' GYt-�i0a�l:• -- ?� .t V-�t'':' --w--_".'r'-�='==`...ar-:. E �._ _. -=-trrc Aix''..-'•- :�•-r�- .-__=s._.� =':� %.v.:,tet' mJ_r� _:i. _ .= �:a_ �•_-.+.�=a-c'- -.12.--•}. ~: '. -nl , - mss_{- i - - .'.a=_Pt=.._--��.:J-;—. "-• �+. V _ _ - i3- . r__ -_ ...:.--.••-,...-----.._ _ _ _....'......:•;',..- -r' r �- •ria_ Via:?.- •L _ - _ _ •"�-'��� =Y�-'x+�-} _ 1-ir-'s-Z•:,..t•-•c:+_�� •{_'.:_�".",g,:-.......-----:,-_._,=::...•s w:-ti-"�-- 3 --;::3.--;' :'1. - ---:-.A...=---.-"::••-•'<-''''''_ _ '-- ___ ' -r-" - c_ --.-—` �,r:_ _=+.�v r`.'?>� mak-__ r _ ~= - - _ •ham- - s•.= ___ _ _;-.V"▪-S,.� - -,.: Town of Montville Building Department File Receipt Date: 03-Aug-10 Receipt No: 5641 Received From: Thd Home Services Job Address: 29 Podurgiel Dr Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $20.52 Check/Card $0.52 Check No: 30980 Short/Over: $0.00 Construction V. e: $0.00 Demos '.n Val =• $0.00 Received By Vernon D Vesey II Address: ITEM OTY StUNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ Basement,Finished SF $ 22.96 $ $ Basement,Unfinished SF $ 1240 $ $- Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ - $ Basement SF $ 12.41 $ - $ - $ - Crawl Space SF $ 921 $ $ $ AMENITIES Kitchen EA $ $ $ Full Bathroom EA $ $ - Halt-Bathroom EA $ $ GARAGE Attached SF $ 54.35 $ - $ _ Detached SF $ 69.53 $ - $ _ Under SF $ 10.03 $ - $ Carport SF $ 19.89 $ -- MECHANICAL Warm-Air YM $ - Hot Water ___y__ V/N $ - Electric n V/N AU Conditioning n Y/N $ - $ ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ - Underground,new Amps $ Subpanel EA $ 599.50 $ Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2fireplaces EA $ 11,095.70 $ - Wood Stove,tree standing EA $ 2,692.25 $ - Woodstoveinsert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ _ Inground Pool EA $ 21,373.44 $ - $ Above Ground Round EA $ 5,099.46 $ - $ _ - Above Ground Oval EA $ 6,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - - Inllatable Type Pool EA $ 1.550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical SF $ 20.35 $ - $ RENOVATIONS Roofing,Overlay SF $ 3.00 $- Roofing,Strip&retool SF $ 4.00 $ - Roof Sheathing SF $ 1 31 $ Siding SF $ 5.50 $ - Windows 4 EA $ 500.00 $ 2,000.00 Skylights EA $ 1,051.10 $Doors,Exterior EA $ 601.50 $ Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 2,000.00 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 2,000.00 $ 20.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance n $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.52 TOTALS $ 2,000.00 $ 20.52 Figures are based on the 2006 RS Means Residential Cost Data