HomeMy WebLinkAboutFinished Basement Rec Room 2004 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: B2004-0670 Date: 18-Oct-04 Map/Lot: 028/005-065 Owner ID: 5454000
Project Location: 2 PHEASANT RUN Unit:
Job Description: Finish Rec Room in Basement
Owner Name: Timothy C and Carolyn A Featherstone Tenant Name: N/A
Careof:
2 Pheasant Run
Oakdale CT 06370- Telephone:
Contractor Name: CKH Industries Inc. Telephone: (914)755-5525
DBA: Lic/Reg Type: HIC
Lic/Reg No: 562945
520 Temple Hill Rd. Exp Date: 30-Nov-04
New Windsor NY 12553-
Construction Value Permit Fees Construction Information
Building Value: $18,000.00 Building Fee: $144.00 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: $2,000.00 Electrical Fee: $16.00 Construction Type: 5B
Total Value: $20,000.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $25.00 Comments:
Plan Review Fee: $16.00
State Ed Fee: $3.20
Total Fee: $204.20
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.
❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test
❑ Backfill - Footing drains and waterproofing R Electrical
❑ Concrete Slab -Prior to pouring concrete ❑ Elec Trench-with conduit installed
❑ Framing ❑ Electrical Service CRS No: 0
❑ Fireplace Throat-One flue above throat ❑ R HVAC
❑ Chimney-One flue above thimble ❑ Gas Piping and leak test
• Firestop Draftstopping ❑ Final Inspection
❑d Insulation U Certificate of Occupancy
Building Official's Approval:
Town of Montville
Plan Review Form
Date: e2 2f Zoci-f
Street Address: "_ P)?e p -r /2-v/J
Job Description: y//VJl�-f1� $Aran /
We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute
29-263,your application is being rejected for the following reason(s)that are checked-off or commented on:
• Supporting Documentation
Plans are to be drawn to scale including dimensions of rooms and spaces and all framing information
_` Building permit application not completed,signed,dated
.4 Permit fee$ ZOO, 2_0
Worker's comp.Affidavit or worker'comp.Insurance
Copy Contractor's registration or license
Construction permit sign-off sheet
Street address of project on all drawings and documents
Field set of approved plans need to be picked up from our office
omments: _ - G,v c uPJ G ' • •.2.i Scat)
- �- 7 I she r
/ib/�Sj: 4617/1' (/W .44/1- r-
f)'! 8`c L ; ` (l
,yppr-
ding Official
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville,CT 06382
Fax.848-7231
Residential Building Permit Application Form
Permit#
❑New Construction []Addition ®Alteration Accessory Structure
Single Family 0 Two-Family Townhouse
Job Address 2. P h e-U j r.r`r Qil rJ
(Number) (Street) (Unit)
Job Description 1? 1QC-C. ROOiv trJ beks+ameh_L
t� C.
Owner-T;M oe4.}"h eszS'Tp;iMailing Address 2 Pk e.o,SA N'1
City O A c D A l State C7 Zip e 3"1® Tel 1(cv/ 3 b'7/ Os 1 g
Contractor C ►L N 37,4 D,)s~t R IFs, T'1.4._Mailing Address ;a).0 Tc Imp LE, )471—L q�
Cit' Iv EW State IV Zip I 15 53 Telg i y / q S5 / 5525
Contractor's License/Registration Type&Number Sep X.cl`I5
Exp. Date 1 ► / 30 /:ZCn ti
1-4 ow, RONT-- Cc�,.s�RAc:rd2
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 requ1 . for ele cal,pl bing, '.echan1 al, etc.
Ownergent ignature Date
Construction Value Fee
Building $ /g 60(D
Plumbing $ $
Mechanical $ $
Electrical $
Certificate of Occupancy $ 2-.OUCH $
Plan Review Fee $ ao
State Education $ /6
Total $ 3 • z_
$ �� i' O 0 $ Zc7L/, Z(--)
(See&verse sickfor additional-requirements)
A!v as,prsm&r 9,2004
nuuuing uepartment
848-3030, Ext 382
(� CONSTUCTION PERMIT APPROVAL
1 1 ck t,i 7 R u i.) OA CrV.1)^
PropertyAddress
Qui1d;,s( Rcc. Room Rgs£dvxeNl
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
Department p Permit Issuance Approval
® Tax Collector
k.,. .3.r, G\a�\oy
date
WPCA
`z 14-94 41
Signature/date
Planning&Zoning L z,o C 9/z Voy
Prier' c1 frt � Signature/date
❑ Health Department
Signature; date
❑ Department of Public Works
Signature/date
❑ State Dept.of Transportation
Sizmatu,•er date
❑ Fire Marshal
Signature/date
Comments/Conditions:
4rvfseiSeptem&r 9,2004
CLQ b`.JOO bbLbb71:7b LI-ori veJrJL. vl a»
Sep 21 04 12! SSp B. I . S (973) 659-9405 p. 3
ACORDD„ CERTIFICATE OF LIAE3ILITY INSURANCE DATE
09/21/2004
PRODUCth THIS GERTIFICA TE 13 ISSUED A8 A MATTER OF INFORMATION
Business Ineuraaco Services ONLY AND CONFERS NO RIGHTS UPON THE. CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6 Emery Ave Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Randol.h NJ 07869-
INSURERS AFFORDING COVERAGE
,
INSURED INSURER.CNA Inldurance Companies
CKS Induo trice, Inc. INswIrA s:Ameri cI In Home Assurance
INSURER C:
520 Temple Rall Boni INSURER D.
Now Windsor NY 12553- INSURER E.
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE NSUREO NAMED ABOVE FOF THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED 8? THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TER q15. EXCLUSIONS ANO CONDITIONS CF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
MR TYPE OF INSURANCE 1 PD LILY NUMBER Policy'Munn FOLIC,EYPRATION
CI; DATE Lk*. L 1 ;11HIDO^rYl LIMITS
A GENERA,LIANUTY / / / / ACM OCCURRENCE 1,000,000
X L1OMMERCIM.GENERAL LikilirTY PIREO►MAGE(Any meItrc) 1 100,000
I CLAW MADE 0 oCCUN 3072100263 10/01/2003 10/(1/2004 MED EXP(Amy one pecan) 1 10,000
i PERSONAL SADV INJURY / 1,000,000
---1 / / / / GENERAL AGCn@GATL s 2,000,000
GEN'LAGGRE^GAIL LIMIT AP POE i PER PRODUCTS•COMP/OP AGG b 2,000,000
POUCr I L1EGT n LOC / / / /
J
AUTOMOBILE LIABILITY
—T / / / / COmeINE0 SINGLE LIMIT
ANY AUTO
-- Ee ecaaenll s
ALL OWNED AUTOS / / / / BODILY INJURY
SCHEDULED AV= (raw person) b
HIRED AUTOS / / / /
5001.Y INJURY
.. . NI AUTOS - at AO[!SBnU S
.� --- / / / /
PROPERTY DAMAGE
der mown) Y
tiARAGE UA81LrtY AUTO ONLY•EA ACCIDENT S
r
r
j_"Il ANY AUTO / / / / Olt ttH 1rW4 FA ACC t
L AUTO ONLY: AGG S
excess UABIIITY / / / / EDI OCCURRENCE 16
J OCCUR CLAIMSI.UOE AGGREGATE I
B
DEDUCTIBLE / / / / s
RETENTION U _
B W +acG ry LOFJA D WC 3832S51 02/03/2004 02/113/2005 x 5 T's� TO a' _
E.L.EACH ACCIDENT S 100,000
/ / / / EL,DISEASE-EA EMPLOYEE t 100,000
E.L.DISEASE•POLICY LIMIT E 500,000
' OTHER
/ / / /
I
I
DESCRIPTION OF OPERATIONSIL0CAT1ONflME10CLEU/EXcLH.ION8 ADM BY EN DORTIEAIENTtSPCCULL PROVISIONS
Basement Finiebigg
CERTIFICATE HOLDER ( _ ADDITIONAL INSURED]INSURER LETTER: CANCELLATION
eMOULD ANY OF THE Above UfSCISBED POLJCIEB BE CANCELLED BEFORE 111E
ETPIRA1OH DATE T1•ERFOF, THE ISSUING INSURER WILL EIDEAVOR nu MAIL
10 DAYS wRlrrt-ll NOTCC TV THE CERTIFICATE HOLDER NAMI.D TO THE LEFT,BUT
Town of Monty:al a FNWRF TO DO So$W LL Ii1PO&E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Building Dept. INBUR ' RRAcENr5D.tREPR +Aisur
310 Nor.-N.L. Tyke AvrnoR2tuHcrnyi AnvE '
Unvasville CT 06382- --
ACORD 25.5(7/97) AC RD CORPORATION 1888
YS,„-1N30253 MC110).O1 ELECTNDMC LASER I,ORM6.INC.•16001777-0646 Pogo 1 el l
Z2 20Cd H>n GF,CC. QCCHB IC :/Q HQQ7/117/CP
BASEMENT ADDENDUM =' 'v"
:Eels VA
L:-
CORNING ® ,1 Q ►+k.h►-
4 5 6 7 6 9 10 1 112 13 1 15 16 17 16 19 20 21 22 23 24 25 26 27 26 29 30I
3 NICIIIIIIEMEME 111111 -*----T----11-- -- -' 1 1 - BEL
4I
1 -.. ._.!_iim..mmoilliPnomilOur. 4 - L ! _1_ 74 . A
e - Milling - .
__- arra=
I - N
I 'Iv v av
II
III
( - ii
' `
12 --}----- - -C - - j
� L
- _ . -L
1N■■ ■
13 T MINIM III
- -- - _ - �- - �
14 PAN . __ N
•
' I �
15 I 111111111110111111- -
16
NM &
MEM. IN
17 1 i- U■`� _ - -- ■
� ■■
.__.. . '■■ _
18 #-- �■■■■_■
.radll
20 - - '- 11
1. iI___ __i
i 21
ME f
.111 111
22 n■ ■___�_I _ 1 I.__- �__-_.___. _ ■■ ■
S4 :-1-
'� . I'M=�■
t..TJ _ - - ___ ___ _ __
. .__L___ IF
ammo i
P 25 151.0 C •._+._ ,■■■■ ■
26 1
' 1 ! 1 . i'1 Ell
27
- -1 --• MIME INI' --.-i----_- i At -
29 I
Ell
: - .. ' 1i!1'
- .- ► - 1 I ,
�' I :1111
31 III1 ! 1 I j
{ f
33 I
1 21 III
(II34 • -I --- r_ � '47 -_ 1
35 ■
� i i II i III
_ .- ._-1...___1_..._.._.. __.._.. __..._..___-L_.__._- 1. .. ._�-_ _.i-_.....I.J _L_-.__,_._.__. __
NOTES:
X
DATE
BASEMENT ADDENDUM zs Agri:
NS "NAlit_L__
CORNING ® 0 r2,ZW.).- ... ,....
1 ' . 4 5 6 7 8 9 10 11 12 1 14 15 16 17 18 19 20 21 22 23 24 2526 27 26 29 30
_
I - 4 ._ 11.111111 11111111111e. ,. _ ___ _ 477 , 1
2 II MMIZIMIIIVIMIIII , : I ,
3i
3 1 1111.1 • 111';'' --I__ I 1 Ti- ___ ' , -
! Ill
4 inirnamalli 1 ;
I t-k I 1
-Z • I ll it I 111111111011
-- -t-- mom i re r --7- -"-
_ ____ __-__ _ la - • •
t . 1 - t--- - ,. .._ ., _ __ ! • . .
iu 9 ' 1 -
III I 111 ill
:
II
I MIME
. _.._ _ . . _ .. ..
ININION
12 ---f----"--
- - - 1 ____,_ 1
-1-- IIIIIIIIIIIIIIIIIIII
1 __4i-
-7 III ill ' 1 1111111111111111111111
i
13 11111_
14 111111PA a ' -- 7_ 1 ---'-.---- .---.-- . CT
ill - --t 11111111
15 ,
.--+ i ---- 1 IIIIIIIIIIIIIIIIIIIIIII
16 T t iii
-1--
17 MN INN
_ ._
18 'AM ,
1 1111111111111111111
I -41
! 1111.11111111
20 i II f
t . f._ _1 MIME
4 21 1 ill
ti
1 . 1.. - - -
1_
millillEll 1 I
23 0. E-----'-‘, -------- ------ ------- -1- iiiiii
I , V I
24 - - 111111111=...11 - L , -
.- .. 1 1 11111111111111111111
r.p-/ ; i 1111111111111111111
, ismii - -___ to_t___ _ ,___,_
tr-
26 I la 1
0 t--ciT-f .. ,.. 9
, ,,. 1111111
27 1 4---i- _T
_.-.-
28 1 ! • 1 il I I I I
,
! ' 1111M1111 HMI ,
EiMINIM
3° . MAIIIII1111.1111 31 -' - -
ji.
31 1 , III III •
,
'
32 E. ! 1 II
. . I_ • ii:
j
C...4 i .
III
in ,
I
34 -----i-- 4--- _ 1 ; .---t-•\
• •,-- - L i
1111 T
I1- -
J •
1 --
III
_
NOTES:
X
DATE
CKH Industries, Inc.
520 Temple Hill Road
New Windsor,NY 12553
Town Of Montville
Building Department
3010 Nor.-N.L. Tpke.
Uncasville, CT 06382
October 1, 2004
Dear Building Official
Enclosed you will find the additional information you requested for the building permit
application for the Feathestone's at 2 Pheasant Run in Oakdale, CT..
If you need anymore information please feel free to contact me at 860-982-0963. Thank
you.
Sincerely
aul H. Hintz
To: Town of Montville
Building Department
310 Nor. —N.L. Tpke
Uncasville, CT 06382
From: CKH IND. INC.
520 Temple Hill Road
New Windsor, NY 12553
Date: 9/29/04
CKH IND. INC. Home Improvement# 562945 authorizes Paul Hintz to pull building
permit for 2 Pheasant Run, Oakdale, CT, 06370.
Ke d) Cline President CKH IND. INC.
347
17170
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
165 Capitol Avenue ♦ Hartford Connecticut 06106
Attached is your registration. Registrations are non-transferrable.
Such registration number shall be displayed in a conspicuous manner on all printed advertisements.
To report an address change, please contact the Department of Consumer Protection, Licensing Division at(860)713-6000.
Visit our web address: www.dcp.state.ct.us/licensing/for information and applications.
STATE OF CONNECTICUT
D/:PART31E.VT OF CO.\"sI tli:R PROTECTION
HOME IIlISPRO :.: CONTRACTOR
CTI(H INDUSTRIES INC
C K H INDUSTRIES INC 520'MOLE HELL ROAD
520 TEMPLE HILL ROAD I NEkci wdelticit, 12553 l
K
NEW WINDSOR, NY 12553 cO°"�O1Or CLINE
LIC./REG NO. FFEC'tIVE4%•' J. EXPIRES
562945 " it /0iP200 ,,t►1:t 11/30/2004
. ,LaN
rtrr a
SIGNED
,,,,_,,,,,/,..„\./.,,,,,,,7,,,,,,/_.,,,_,,,7,..„:„
i w a 4 i - b a i b' i a ,t a b a r a i a At a •r It a b a b a b 4 b a b a b a b
STATE OF CONNECTICUT + DEPARTMENT OF' CONSUMER PROTECTION
a i ,,. , x. Be it known that ." � `ez r ,fl , y_ ' ,4..,4
��}y� eeeyyy... �.y�w+ �`��j. ,y��y�K�`
4* tik1 taxa :1 J., «►r -
I 4%e ` r; C K H INDUSTRIES INC -g _
1 _ Zig 520 TEMPLE HILL ROAD,,.. - x , T . "%
t� at� w .-, NEW WINDSOR, NY 1 .553 f ., , `:�
%
r ..
t - �has been certified by the Department of Consumer Protection as a registered j
tet_ �� `
: HOME IMPROVEMENT CONTRACTOR ms;µ, f , ,
y— sR 74Contractor of Record:KENNETH CLINE -` ; -# t� �
----_,,:„.,4-. 3-4A-17,,,zpt '. - Re istration # 562945 � ; { '
t' ".. _ -- --,..„.„---0,-A:-.,..‘ti . ,_44.„., -'• y�411' ' -'
gitr Y
g
Effective: 12/01/2003 a
Expires: 11/304.*:".;:. . h � � a v'�,4 ,� ,,;,
' t5#- �. 4„ w4-9 'c_ LSA"'- /e. fiil
441I `y 1 2004 xr, . , ;.
�'• �,. , Frlwin P PnrfrinNP7 f:nmmiccinnPr ,
Sep 21 04 12: 55p B. I . S (973) 659-9405 p. 3
ACORD,x, CERTIFICATE OF LIABILITY INSURANCE DATE
09/21/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Business Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6 Emery Ave Suite 1 ALTER THE COW:RAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Randol.h NJ 07869-
INSURED INSURER A:CNA In,:lurance Companies
CKH Industries, Inc. INSURER B:Americim Home Assurance
INSURER C:
520 Temple Hill Roal INSURER D: _
New Windsor NY 12553- INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED NAMED ABOVE FOF THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
REQUIREMENT,TERM OR COND;TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED B( THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER AS, EXCLUSIONS AND CONDITIONS CF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLIO EXPIRATION LIMITS
LTR DATE(MM/DDIYY) DATE,14M/DD/YY)
A GENERAL LIABILITY / / / / EACH OCCURRENCE £ 1,000,000
X -COMMERCIAL GENERAL LIAI 9LIlY FIRE DAMAGE(Any one fire) S 100,000
CLAIMS MADE X C.CCUR 2072100263 10/01/2003 10/C1L/2004 MEDEXP(Anyoneperson) £ 10,000
PERSONAL&ADV INJURY S 1,000,000
/ / / / GENERAL AGGREGATE $ 2,000,000
,---..GENT AGGREGATE LIMIT APPLIE i PER: PRODUCTS•COMP/OP AGG S 2,000,000
POLICY n PELT n iLOC / / / /
AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT
ANY AUTO (Ea acddent) $
ALL OWNED AUTOS / / / /
BODILY INJURY
SCHEDULED AUTOS (Per person) S
HIRED AUTOS / / / /
BODILY INJURY
NON-OWNED AUTOS (Per accident) $
/ / / / PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO / / / / OTHER THAN EA ACC S
AUTO ONLY: AGG S
EXCESS LIABILITY / / / / EACH OCCURRENCE S
OCCUR I_ I CLAIMS(JADE AGGREGATE $
$
DEDUCTIBLE / / / / $
RETENTION $ $
B EWM KLOF-YRERSS' BILITY NAND WC 3832551 02/03/2004 02/(13/2005 X 70aYLIAiu�rrS 1°N
E.L.EACH ACCIDENT S 100,000
/ / / / E.L.DISEASE-EA EMPLOYEE$ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
/ / / /
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Basement Finishing
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: , CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE TE EREOF, THE ISSUING INSURER WILL EIDEAVOR TO MAIL
10 DAYS WRI I TEN NOTICE TO THE CERTIFICATE HOLDER NAMI'D TO THE LEFT,BUT
Town of Montv:.11e FAILURE TO DO SO SHA LL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Building Dept. INSURER,ITS AGENTS CRREPRESE•
310 Nor.-N.L. Tpke AUTHORIZED REPRESENATNF \ A /
Uncasville CT 06382- ��`/`�—J
ACORD 25.S(7/97) o ACORD CORPORATION 1988
ft,_INS025S(9910).01 ELECTRONIC LASER FORMS.INC.•(800)327-0545 Page 1 of 2