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Home My WebLink AboutWindow Replacements 2017 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: B2017-0364 Date: 28-Aug-17 Map/Lot: 084/077-000 Owner ID: 5075000 Project Location: 55 ORCHARD DRIVE Unit: Job Description: Install Three Replacement Windows- No Structural Changes Owner Nam Michael Sullivan Tenant Name N/A Careof: 55 Orchard Drive Uncasville T 06382- Telephone: (860)822-5593 Applicant Name Southern New England Windows Telephone: (401)442-9172 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: $1,650.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,650.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.43 Total Fee Paid: $30.43 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 0 Certificate of Approv ertifi o - . O upancy Building Official's Approval: town or 1vmonivme 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.: NU4r'0309 Type of Work Occupancy Type Permit Type 0 New Construction 0 Single Family cf Building ❑Addition ❑Two-Family D Plumbing 1l Alteration 0 Townhouse ❑ Mechanical ❑Accessory Structure 0 Electrical CRS4-: Property Address: 55 Orchard pc (Number) (Street) (Unit) Job Description: (15+Ct 4 t ( 3 ) r e p(acemef 74- Lp ietiot s NC) S stri-Lcitical cdhanc3es Owner: PA l C�lw A �tl(� jcoi Address: 65 Orchard Ur • City: U(1cct-s"t State: CT Zip Code: O6-'s132 Telephone( ) -&-5N3 Applicant: St-AA-hen-1 ts3e 1-Icstaft:1 iz.)tr'Y10(e)S DBA: Address: 26 A(b tbil gCI City. li n CO in State: RI Zip Code: ()2 6 5 Telephone( `t'C`f ) -71 2 Contractors - Complete the Following: License Type: I`t IC License No.:063*5 5:7 Expiration Date: t(// 30/f 7 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: �/22/( Constructionc� —� Value Permit Fees Building Value:_Zi- -f t- —'� ii,; Building Fee: :A0-CO 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: �• , 3c0x-13 Total Fee: ..43 Xr✓ise4 August 23,2007 issim Town of Montville Building Department File Receipt Date: 72-Aua-17 ReceiptNo: 12586 Received From: Southern New Enaland Windows Job Address: 55 Orchard Dr. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: S0 00 State Cash: Bldg Check: $3 $0.43 0.43 State Check: Bldg Credit: $0.00 X0,00 State Credit: $0.00 Fire Cash: 50.00 Fire Check: 50.00 Construction Value: 11.650.00 Fire Credit: $0.00 Demolition Value: S0.00 CheckNo: 10929 Received By: David Jensen /5)eay.i /, • Rd. 55 Orchard Rd. ITEM QTY $/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 $ - Masonry w/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 3 EA $ 550.00 $ 1,650.00 Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS Solar Install n TOTALS $ 1,650.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 1,650.00 $ 30.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Plan Review Fee y $ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.43 TOTALS $ 1,650.00 $ 30.43 Figures are based on the 2006 RS Means Residential Cost Data 546828 LIMI"E _..431_iT+COMPaur [ \ [ i t ! ( \ \ [ ( F I c t' i i) t'' P -\ It •1 \II N 0 ! ( ( ) 1 ` ( (t. PRO] [ (. -1 ION p. 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&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 w1r .ct.gov/dcp to verify registrations,download applications and the booklet fa:- The Connecticut Contractor for Home Improvement and New Home Construction. STATE OF CONNECTICUT DEP4RT.t1E:\T OF CO rSL MER PROTECTIO SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROVEMENT CONTRACTOR SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 1 26 ALBION RD STE i LINCOLN, RI 02865-3752 LINCOLN,RI 02865-3752 RENEWAL BY ANDERSON H1C.06345" I /01/2016 11/30/2017 • c,;S Qv ,• ••2- -t`J .,.; S'1=\TE )t- (.. ()N\ ECTICCT + DI-P.\RI ME`1 OF CONSUMER PROTECTION Bc it known that ±) SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 1 ;� =_ LINCOLN, RI 02865-3752 is ccratied by the Dcpartmer.t of Consumer Protection as a registered HOME IMPROVEMENT CONTRACTOR Registration # HIC.0634555 t<1 RENEW'? z AND EF.SDI\� Effective: 12/01/2016 Expiration: 111301201? f +tb.rn a. t I.,rr... c= may- qllr ft �..1•440 ESLERCO-01 SANDERSO ACOROCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/Y lYY) k.......--- 05/23/2017 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 have ADDITIONAL INSURED provisions or 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). 1PRODUCER CONTACT NAME: 'CoBiz Insurance,Inc.-CO PHONE FAX ;1401 Lawrence St.,Ste.1200 (NIC,No,Ext):(303)988-0446 1(ac,No):(303)988-0804 (Denver,CO 80202 I ADDRIESS:COMail@cobizinsurance.com INSURER(S)AFFORDING COVERAGE ! NAIC k INSURER A:Acadia Insurance Company 131325 INSURED INSURER B:Firemens Insurance Company of WA, D.C. 121784 Southern New England Windows,LLC. dba Renewal by INSURER C:Liberty Surplus Insurance 110725 Andersen of Southern New England I 26 Albion Road,Suite 1 INSURER 0: I Lincoln,RI 02865 INSURER E: 1 INSURER F: I COVERAGES CERTIFICATE NUMBER: 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. 1INSR' !AWL SUBR POLICY EFF POLICY EXP 1 I l LTR TYPE OF INSURANCE I INSD WVD POLICY NUMBER IMMIDDIYYYYI fMMIDD/YYYYI I LIMITS A I X I COMMERCIAL GENERAL LIABILITY 1,000 0001 EACH OCCURRENCE 3 I' ' I I DAMAGE TO RENTED CLAIMS-MADE X I OCCUR I CPA3158728 01/01/2017 01/01/2018 I PREMISES(Ea occurrence) 3 300'0001 1 I I MED EXP Any one person) S 5,000F I 1 I I PERSONAL 3 ADV INJURY 13 1'000'000' GE'L AGGREGATE LIMIT rAPPLIES PER: I I GENERAL AGGREGATE 13 2'000'000 X 1 POLICY j� JEa ;`J LOC I PRODUCTS-COMP/OP AGG S 2'000'0001 1 OTHER: I EBL AGGREGATE ; 2,000,0001 A AUTOMOBILE LIABWTY • 1 COMBINED SINGLE LIMIT 1,000,0001 1 ,Ea accident) 3 X ANY AUTO CPA3158728 01/01/20171 01/01/20181 BODILY INJURY(Per person) 3 , OWNED -I SCHEDULED AUTOS ONLY I AUTOS . 30DILY INJURY Per accident) 3 1 HIRED I ! NON-OWNED PROPERTY DAMAGE —,AUTOS ONLY 1— :AUTOS ONLY ,Peraccitlent) , S • I A X UMBRELLA LABX OCCUR EACH OCCURRENCE 15 1.000.000' —~ EXCESSUI AB CLAIMS-MADE; CPA3158728 01/01/2017 01/01/2018 ! AGGREGATE S 1 DED X RETENTIONS 01 Aggregate 3 LIABILITY 1.000.0001 0B COMPENSATION ' X I ATUTE I 1H- AND EMPLOYERS' r/N ANY PROPRIETOR/PARTNER/EXECUTIVE 'WCA3158729-20 1 01/01/2017 01/01/2018 1,000,0001 E.L.EACH ACCIDENT s OFFICERAIEMBER EXCLUDED? N/A (Mandatory in NH) E. 1.000.000 L.DISEASE-EA EMPLOYEE S If yes,describe under 11,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B ;Worker 's Compensatio IWCA3158730-20 1 01/01/2017 01/01/2018, 1,000,000 C 'Pollution Liability TIEDE654299117 101/01/2017 01/01/2018 1,000,000 ' I I j DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) I 1 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. AUTHORIZED REPRESENTATIVE `\ ACORD 25 (2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 55 &cc=har) , locr\C / ((Q c--T- (Dr1 Property Address a rep(c-Accneil--wiry tit u,� Job Description Required Department Approval Permit Issuance Approval Tax Collector dry- — '/v - 8/„2..D.//7 Signature/date Comments: Fire Marshal V1G1. - 11 • 47° Signature/date Comments: C Planning & Zoning Required for all permits except Signature/date Plumbing. Electrical.Mechanical.Roofing.Sidina.Windows& Doors [� Health Department Required for properties with private septic or well Signature!date Comments: I I 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: I I 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 Final Inspection RevisrdMarch23,2015