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HomeMy WebLinkAboutWindow Replacement 2016 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: 82016-0121 Date: 20-Apr-16 Map/Lot: 028/005-021 Owner ID: 5461000 Project Location: 15 PHEASANT RUN Unit: Job Description: Install One New Replacement Twin Double Hung Window in Exsiting Opening Owner Nam Timothy E and Paula L McDonough Tenant Name N/A Careof: 15 Pheasant Run Oakdale CT 06370- Telephone: (860)917-9101 Applicant Name Yost Home Improvement Inc. Telephone: (860)442-8032 DBA: Lic/Reg Type HIC Lic/Reg N 500250 1018 Hartford Tpke., Exp Date: 30-Nov-16 Waterford CT 06385- Construction Value Permit Fees Construction Information Building Value: $1,000.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,000.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.26 Total Fee Paid: $30.26 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 frami ❑ 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 ertificate of Ap. oval ❑ e 'tic. _ • Occupancy Building Official's Approval: —v `��— 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.)kp.Ql,a I Type of Work Occupancy Type Permit Type ❑New Construction ®Single Family l[Building ❑Addition 0 Two-Family 0 Plumbing 0 Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 15 Pheasant Run Oakdale, CT 06370 (Number) (Street) (Unit) Job Description: Install one new replacement twin double hung window. This window will be installed in an exisiting opening. Owner: Tim McDonough Address: 15 Pheasant Run City; Oakdale State: CT zip Code: 06370 Telephone( 860 ) 917. 9101 Applicant: Yost Home Improvements, Inc. DBA: Address: 1018 Hartford Turnpike city: Waterford State: CT zip Code: 06385 Telephone(860 )442 - 8032 Contractors -Complete the Following: License Type: H1C 0500250 Expiration Date: 11/30/16 License No.: 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 E3301.2.1 of the Residential Code, instead of the electrical requirements in r:.ters 33 thra ,h *I of the Residential Code. /0/, i9 Owner/Agent Signature: /� __ Vice Pres. Date: 4/16/2016 y/ - \ Cons o'on Value Permit Fees Building Value: fr ' Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: $1,000.00 Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Arar$d6Aurgust 23,2007 Town of Montville Building Department File Receipt Date: 19-Apr-16 ReceiptNo: 11256 Received From: Yost Home Improvement Job Address: 15 Pheasant Run Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 50.00 State Cash: 50.00 Bldg Check: 530.26 State Check: 50.26 Bldg Credit: 50.00 State Credit: $0.00 Fire Cash: 50.00 Fire Check: $0.00 Fire Credit: 50.00 Construction Value: $1.000.00 Demolition Value: SO 00 CheckNo: 5723 Received By: Carmen Kneeland 0 CnnuAn (\A. �1 �L` iPi f`E 3,f Vi ' i 0 ijr 7t,' t,tir ii../..,wit /sr,. ST ‘'l E OF (1)\NF,(111 I I HOME 1?4PKOV'', EN* *"• YOST HOME IMPROVEMENT INC 101$HARTFORD TPKE . WATERFORD,Cr Ob3854032 , - , - tit"70rtn,44 141C.OS00250 12/0 /201 1113012016 lor „ ' ,,,,.., ''''. Orr # 04,14,44,- Cenificate of Training A fz. ''. ... George Yost 102 Om egatehir lid Waterford,Cr 06,MS has SUCC*Wirly complatad an 4 hour course entaffied Lead R.R.P. —Renovator Refresher Training - English Februaty 23, 2015 , 1 Certificate Number:it,Itt 1060-tf+-02102 1 rm.fronting tonne woo conducted for renovator*.rentoiltirro„painters and other tradtspretont performing activities that nta)diotorh lead or trent('a lead&ward in Cliikl Occupied Farititict in order to tatiay tbr rectairrinento let forth in the US EPA RRP programa,40 CFR 74'5.22$ e Prosentod by ,7 v, Mystic Air Quality Consultants, Inc. , ' 1204 North Rood (rot (7,06340 OM 247-7744 , , 774,041,‹. 1Zit; , RAP Principal Instructor; ir ...,Trotochtdd RRP rraining Whiter: Richard Matey :Coursa&Ica Mac:=lams Expiration DAie:02/21,2020 . .. .., .eco D CERTIFICATE OF LIABILITY INSURANCE DATE AMM/DDIYYYY) 4/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Susan Berck-Cross LEVINE INSURANCE GROUP LLC (aC N.Ext): (860)739-4444 ( c.No):(860)739-6861 221 Boston Post Road ADDRESS:sue@ligct.com P.0. Box 339 INSURER(S)AFFORDING COVERAGE NAIC# East Lyme CT 06333 INSURER A:Acadia Insurance INSURED INSURER B: Yost Home Improvements Inc INSURER C: Yost Manufacturing & Supply Inc. INSURER D: P.O.BOX 263 INSURER E: Waterford CT 06385 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1641301167 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IANSD SUER WVD, POLICY NUMBER POLICY EFF POLICY EXP (MMIDDrfYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 250,000 CPA5087642-13 4/22/2016 4/22/2017 MEDEXP(Anyoneperson) $ 5,000 PERSONAL&ADV INJURY _ $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $ 2,000,000 POLICY X]JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CAA5087644-13 4/22/2016 4/22/2017 BODILY AUTOS ) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ Uninsured Motorist limit $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE S 2,000,000 DED RETENTION$ CUA5087646-13 4/22/2016 4/22/2017 $ WORKERS COMPENSATIONPER _ AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500 OFFICER/MEMBER EXCLUDED? N/A A ,000 (Mandatory in NH) WCA5087648-13 4/22/2016 4/22/2017 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tim McDonough THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 15 Pheasant Run ACCORDANCE WITH THE POLICY PROVISIONS. Oakdale, CT 06370 AUTHORIZED REPRESENTATIVE David Pugliese/BERCK- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r2m4nn 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. 15 Pheasant Run Oakdale, CT 06370 Property Address Install one new replacement twin double hung window in exisiting opening, not located in bedroom. Job Description Required Department Permit Issuance Approval Approval al Tax Collector -W/9// Signature!date Comments: Planning &Zoning - Signature/date + Comments: 11 Fire Marshal c/, Signature/dat¢ Comments: —1 Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ 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: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential 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 Rmisd%by 23,21311