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Chain Link Fence 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: B2005-0429 Date: 09-Aug-05 Map/Lot: 070/080-000 Owner ID: 5450000 Project Location: 9 PETER AVENUE Unit: Job Description: Install 7'chain link fence Owner Name: 3HB,LLC Tenant Name: N/A Careof: P.0. Box 392 Uncasville Ct 06382- Telephone: Contractor Name: Arrow Fence Inc. Telephone: (860)267-6636 DBA: Lic/Reg Type: HIC Lic/Reg No: 537503 P.0.Box 86 Exp Date: 30-Nov-05 East Hampton Ct 06424- Construction Value Permit Fees Construction Information Building Value: $4,000.00 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: $4,000.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00_ State Ed Fee: $0.64 Total Fee: $32.64 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 d❑ Certificate of Approv. ArØ . OPanc yBuilding Ocial's Approval: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 44e uic1e l Building Permit Application Form Permit# jo7b0j--- D /2 9 ❑ New Construction ❑Addition ❑Alteration ❑Accessory Structure ❑ Single(Family ❑ Two-c'amily ❑ 'Townhouse Job Address q P.e Poe_ (Number) (Street) (Unit) Job Description LA.S I 1 t y.R Ci. an 2 S k CU akin n 1 k ylk v�['A_ Owner Jvo, ILC_ - jam mar Mt5bi,P, Mailing Address Pa 60 X 3q 2 City Acks\ 1 t.e_ State C'f Zip 0(,312 Tel '40 / K4& III 3 Contractor P rro vJ lk.a C. Q A C Mailing Address Pa 60 x Vo City CJs-v- N-a m plbrl State Cr Zip Olay 24 Tel ZOO / 267/ (0631, Contractor's License/Registration Type&Number 53-7503 Exp. Date 11 / 30 / 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 req 'r d for electrical,plumbing,mechanical, etc. Owner/Agent Signature OVA I Date I / A /06 Construction Value Fee Building $ �vG� $ 3 Z Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ n 61") Total $ Vooc.- $ 3Z .eci (See 1 verse side for additional requirements) fvisedTe6ruary 25 2005 Town ofMontville Building Department File Receipt Date: 02-Aug-05 Receipt No: 478 Received From: Jammar Manufacturin. Job Address: 9 Peter Avenue Fees Collected State Educational Trainin Fee Cash: $0.00 Cash: $0.00 Check: $32.64 Check: Check No: 10789 $0.64 Construction Value: $4,000.00 p olition Va $0.00 Received By Joseph Summe •. / ` ,r3 / t • Building Department 848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL Pitts IU.e tilncaov ► I l_ Property Address txkt jaiLJ 1 ' n CL C ehd r LAA ( c \ 2 S 1,dito 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 %1-k\OS ttJJ ` <; I:11-e:(hoc WPCA a I3t C.) Sid nr titre'`date [ Plannin & Zoning p,.� -_. 7/29/33Signatui c;date ❑ Health Department Signature/date ❑ Department of Public Works Signature/date ❑ State Dept. of Transportation Signature/date ❑ Fire Marshal Signature/date Comments/Conditions: JUL—27-20,£ 5 12:25 Pf4 grRRON PEWCE' INC_ •••rsw�� 96& 267 7851 P'. .0.3 Page 1 of 2 limlamtanquitat gbanessett-► tr A ) ems— Certificate Of insurance IaFir StKva`-- Ternplets Datee: _ 4/13/2005-4/9312005 This cenifioste Is Issued ass matter of Information only and confers no rights Stone Insurance Agency oa poIlcl holder.This certificate doers not amend,sartsrrdcrsAtartheo Upon f 88 Street the pollcles below, ,aQa atft�r F-O.State Street Insurers Affording Coverage Meriden, CT 06450 Transcontinental Ins CO Valley Forge Insurance Co Arrow Fence Inc1122311111111111111111111111111111111111 _ Continental Casualty Company Company D POBox 86 lEttEZEI 192 East High Street East Hampton, CT 08424 Coverages THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE RM=AND.ICA' NaTV17TFISTANt]lNr3 ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIG F CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO f TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Type of insurance Policy Number Policy Pally T i Effective Date Ex•Iration Date Limits I •neral _ablli I C 2083229592 4/13/2005 4/1 © 3/2008 m Clan Liab Each Occurrence 1.•urns•a to -anted Prami.-a Ea occurenos' j onr •:rsanane :I -r .ate 01M111111t ION 111,EF.,11 ay 1 M���� G 2083228558 4/1312005 4/13/2006 iEERF i Bo 11131;:m1 s ' I Owned Autos ! dily InJUry Pet •arson Oily Injury • Q on-t7wned Autos I .Bo :Par 5CCident rocerty •:muga NI ,Per acciden 1111111111 Autoo OM -Es• her Than uto On a Acc i� C 2083229808 4/13/2005j _ 4/13/2006 Each Oceurrenee illa (�' ( �••m•ste �D*duofible ©Retention 10000 I' wirers Compensation andi WC283228513 4/13/2005 4!13/2008 m• • era'Liaise y.- y PraprtaRorlPaer 1 , xeeutive/ORIcame mbar eluded? ,L-Each Accident E.L.Disease Ea E •lo ae • �� L.Drama a --1f Lin* https://ww2.i-cur.net/active&A25-2001,asp?CertKeY 4&CertTemplateKey=977321216&FI... 7/27/2005 07/27/05 12:47 TX/RX NO.3402 P.003 111