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Home My WebLink AboutWindow Replacements 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: B2016-0495 Date: 14-Dec-16 Map/Lot: 028/005-060 Owner ID: 5464000 Project Location: 22 PHEASANT RUN Unit: Job Description: Install Three Replacement Windows(Two Double Hung,One Circle Top)-No Structural Changes Owner Nam Patricia L Benda Tenant Name N/A Careof: 22 Pheasant Run Oakdale CT 06370- Telephone: (860)8.48_-8453 Applicant Nameg Southern New England Windows Telephone: (401)447-7172 DBA: Lic/Reg Type HIC Lic/Reg N 634555 26 Albion Road Exp Date: 30-Nov-17 Lincoln RI 02865- Construction Value Permit Fees Construction Information Building Value: $8,407.00 Building Fee: $108.00 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: $8,407.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: _ $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $2.19 Total Fee Paid: $110.19 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: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test Cl Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d Certificate of Approval • -rti' -te . •ccupancy Building Official's Approval: /. c_ 1 U W11.Ul 1VIUUL V 111G Building Department 4 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: ¢, UICe�u-�� Type of Work Occupancy Type Permit Type ❑New Construction [3 Single Family E Building ❑Addition 0 Two-Family 0 Plumbing 0 Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 22 Pi ctsci K.Q.. v 1 (Number) (Street) (Unit) Job Description: 'I(1S zi 1,1 (3 ) w t.(1Gtot.c S (2 cic,ble h un5 I c trck y 1 J tQ&& Stc'itCtCal char es Owner: P(c{l(i& Bc_r c& • Address: 22 Pheasrtn4 City: ( : 4&te State: CT Zip Code: C •.,3-2C.) Telephone(d5E:G )4Stt FS -FS S 5 Applicant: St-AA-hen-1 tieto Erta,r tole- L(OW DBA: Address: 2& A(btb1 City: L111Cot1 State: RI Zip Code: 02S'65 Telephone( `t'OI ) 44t7 -71 7172 Contractors- Complete the Following: License Type: H lC License No.:063`rs 5 5 Expiration Date: l l/3°/f f 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 chapters 33 through 42 of the Residential Code. - Owner/Agent Signature: Date: 121\Y 14, Construction Value Permit Fees Building Value: i Li-c) 7 Building Fee: j O �S•CJU Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: . l ci Total Fee: ( l D . (�1 Revised.August 23,207 Town of Montville Building Department Customer Receipt Date: 14-Dec-.16 ReceiptNo: 11936 Received From: Southern New England Windows Job Address: 22 Pheasant Run Buildina Dent.Fees Collected Fire Marshal Fees Collected Cash: $0.00 Cash: $0.00 Check: $110.19 Check: $0.00 Credit: 10.00 Credit: 80,00 CheckNo: 8889 Received By: Carmen Kneeland (2 W 1 r hAstScuil Address: 22 Pheasant Run ITEM QTY S/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ $ Full Bathroom EA $ - $ Half-Bathroom EA $ - $ GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ Hot Water n Y/N - Electric n Y/N $ _ Air Conditioning n Y/N $ - $ ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonryw/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 44.07 $ Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ Above Ground Round EA $ 6,299.46 $ - $ Above Ground Oval EA $ 7,019.75 $ - $ Pool Heater EA $ 8,984.25 $ - $ Inflatable Type Pool EA $ 1,200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical - SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof - SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows - EA $ 550.00 $ - Skylights EA $ 1,051.10 $ Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 8,40700 TOTALS $ 8,407.00 $ - $ - $ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 8,407.00 $ 108.00 Plumbing y $ - $ - Mechanical y $ $ Electrical y $ - $ Working before Permit Issuance . $ - Certificate of Occupancy Fee $ A: Plan Review Fee $ State Education Fee $ 2.19 TOTALS $ 8,407.00 $ 110.19 x' Figures are based on the 2006 RS Means Residential Cost Data 546828 _NH TEC L(A8 LI1"'COMPANY `+ 11 1 L. () I (_ ON \ 1- t Fit(. t I I) 1 I' -11 1 \1 [; N I (.) I= 4,_ ( ) N, I_ NII-' IZ I' R () I I ( [ 1 () \ . 9. Attached is your Home Improvement Contractor registration. This registration is not transferable. The Department of Consumer Protection must be notified of any changes to your registration within thirty(30) days of such change. Questions regarding this registration can be directed to the License Services Division at(86o)713-6000 or email dcp.licenseservices,(a ct.gov. In an effort to be more efficient and Go Green,the department asks that you keep your email information with our office current to receive correspondence. You can access your account at www.elicense.ct.gov to verify,add or change your email address. Visit our web site at www.ctgry/dcp to verify registrations,download applications and the booklet for The Connecticut Contractor for Home Improvement and New Home Construction. STATE OF CONNECTICUT DEP4.RTMENT OF CONST MER PROTECTION SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROVEMENT CONTRACTOR 26 ALBION RD STE 1 SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 1 LINCOLN, RI 02863-3732 LINCOLN,RI 02865-3752 RENEWAL BY ANDERSON HIC.06345- f /01/2016 11/30/2017 4.,,a r7 - , _ '�f,.v. .7..-i. . '1, f :•-•:;;, ..`,x w t +' '',.1',i," 1 '� ''''- .1--:.'''';''-n f �5o '. _ ,.',?::t' r 1 a.'� a.�r2 , t 1-,'•':'7' •;•''';.4;'''n-- • ,;(115- .A. • . .^2; p 1 !) 5v. . :,:i. e /. lJi` t •L 'I •jj v .2 ) 1_1I`[ ()1-- t ()\\ Ff TI{'I. T 1' + fF \I I \II \ OF ( fl:SE \11-:k MOIL/ 11(1\ 1 , ft- 't. 41 41Be it known that ."'l SOUTHERN NEW ENGLAND WINDOWS LLC 4- ^_` 26 ALBION RD STE 1 LINCOLN, RI 02865-3752 ; 1 lc certified be the i)epartme^.t o'. t_onsumer Protection a a re�nsrered 2.` HOME IMPROVEMENT CONTRACTOR Registration # ' HIC.Ob34555 , --'' 1 RENEWAL BY ANDERSON A : Effective: 12/01/2016 ' Expiration: 11/30/2017 /1„66603--- joiatllan:k. I hum,C.,..m !..,.:RT _ -2• P t , L ' ii. K' ..',r4.f. Y.l�-` ' -. ..------1 SOUTNEW-01 CZOLLINGER DATE(�swDDiYYYn ACRO, CERTIFICATE OF LIABILITY INSURANCE j sr29I2ory 16 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 pollcy(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 endorsements): CONTACT PRODUCER I NAME: CoBiz Insurance,Inc.-CO acoNN,eat.(303)988-0446 ;FAX No);(303)988-0804 821 17th St. Denver,CO 80202 Amu,CoBiz)nsurance@cobizinsurance.com INSURER(S)AFFORDING COVERAGE NAIL N ! INSURER A:Continental Western Insurance Company 110804 INSURED INSURER B: Southern New England Windows LLC INSURER C: DIBIA Renewal by Andersen 26 Albion Road INSURER D Uncoln,RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW-HAVE BEEN ISSUED TO THE INSURED NAMED-ABOVE FORME POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL�SUBRI I POLICY EFF POLICY EXP I UNITS INS wvo POLICY NUMBER '(MMIODIYYYY) (MMIDD/YYYY)i A I X COMMERCIAL GENERAL UABIUTY ' EACH OCCURRENCE 3 1,000,000 I CLAIMS-MADE X OCCUR CPA3136080 07/01/2016 07/01/20171-PREMISES(Ea occurrence) S 100,000 ! 1 MED EXP(Any one person) ' S 10,000 1 PERSONAL&ADV INJURY $ 1,000,0001 I GEN'L AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE s 2,000,000 X POUCY ,jeer 7 LOC I I PRODUCTS.COMP/OP AGG I S 2,000,000 OTHER: I (EMPLOYEE BENEFI s 2,000,0001 AjUTOMOBILE suust rr I I.! i ( BINEDsSINGLE LIMIT I 5 1,000,000 A X ANY AUTO i CPA3136080 07/01/2016'07101/2017 BODILY INJURY(Per person) C s ALL OWNED I SCHEDULEDI BODILY INJURY(Per acadent) 5 — HIRED AUTOS , ANUON-GOWNED Per aeldent AMA 3 7 $ X UMBRELLA LIAR X.I OCCUR - EACH OCCURRENCE S 5,000,000 A EXCESS UAB �, CLAIMS-MADE CPA3136080 07/01/2016 07/01/2017 II-AGGREGATE $ 1 DED X I RETENTIONS 0 Aggregate I s 5,000,000 WORKERS COMPENSATION I, R $STATUTE I ETH- AND EMPLOYERS'UABIUTy A ANY PROPRIETOR/PARTNER/EKECUT1VE YIN NI WCA3136081 07/01/2016 07/01/20171 E.LEACH ACCIDENT 5 1,000,000 OFFICER/MEMBER EXCLUDED? I 1,000,000 (Mandatory In NH) I E.L DISEASE-EA EMPLOYEE(f I yyes deatnbs under I 1 EL DISEASE-POLICY LIMIT I 5 1,000,000 1 DESCRIPTION OF OPERATIONS oeloa I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltlonel RemaAo Schedule,may be attached B mon space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORrZED REPRESENTATIVE ®1988-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 2Z Phecsan+ F-uv Property Address 3 co i (5 t,wS Job Description Required Department Approval Permit Issuance Approval Tax Collector % 7 ly / f t' Signature/date Comments: Fire 62,s l� — Signature/Signature/date Comments. [-M91\-1 ❑ Planning & Zoning Required for all permits except Signature/date Plumbing.Electrical.Mechanical, Roofing.Siding.Windows&Doors Health Department Required for properties with private septic or well Signature/date Comments: WPCA, AdministrativeOk.ij l� l.Required for properties on sewer Signature/date Comments: WPCA, Operations When Required by WPCA Signature/date Comments: (T 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: Copy of State Dept. of Transportation Certificate 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 ,"sinal Inspection Reviseda fnrch 23,2015