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HomeMy WebLinkAboutSiding 2001 1.1=11011.111.116- Town x..16Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 MOW ,.r. Building /Trades Permit Permit Number BP2001-388 Permit Date 7/09/01 Permit Type Building —� Permit Code R4 Job Street# g Job Location PIRES DRIVE Map/Lot 039/078-000 Job Description Siding Owner Contractor Christopher Rein Custom Quality Windows Address 9 Pires Drive �_ Address 79 Gold Star Hwy. City Oakdale State Ct. City Groton State Ct. Zip 06370 Telephone 848-1815 Zip 06340 _ Telephone 448-2944 Lic/Reg Number 535933 Lic/Reg Type HIC Exp Date: 11/30/01 Use Group R4 Code 1995 CABO Type Construction 5B Building Value $7,500.00 Building Fee $46.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $7,500.00 C/O Fee $10.00 Comments: Plan Review Fee $0.00 State Ed Fee $1.20 Total Fees 1_ $57.20 1 Building Official's Signatur Date It is the owners respo - I, o -chedule the following required inspections (minimum 24 hours notice required): ❑ Footings -prior to you ng concrete ❑ Backfill -footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab, prior to pouring ❑ Fireplace Final ❑ Rough Framing ❑ Chimney-one flue above thimble ❑ Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation ❑ Final Inspection 0 Rough HVAC V Certificate of Occupancy -PRIOR to use or occupancy klitswelk Town of Montville Permit O - Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑ New Construction 0 Accessory Structure ❑Tlum6ing ❑lfechanica( 9 Action ❑gDemotztion ❑ECectricaC ting Q ACteOtherAir Cation ❑Other Air Conditioning Gas PzPing Job Location (cl1 225 �.�L Job Description/Materials'ZiMc7c 113(c, \j 1 tv`t — F fD p I.i!v OwneeRit6S4 r- •al Mailing Address q coo,... Go1L .,_ City 1 -" State C-7:- Zip Tel /Cj 18 Contractotd`'5C"ry1 ice ti kh hi•l'ou'l) Mailing Address—19 (lb A Sri" City r'LL'' v I-4 State E-'f'- Zip (cs 3 LI O Tel'€)(0`) /4+6/ 229 4 4- Contractor's License/Registration Type&Number 3 59 33 ///(2.--Exp. Date i i /30 / 1°0 New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes ❑ No 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. Owner/Agent Signature AAn Date / / Zvo 1 Construction Value Fee Building $ 7,c-C Plumbing Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ / Plan Review Fee $ State Education $ /ti2e, Total $ 75-00 $ 5 ,2 D Town of Montville Building Department Receipt i Date 7 / ("6 / p / No. GC870 _d&,..4„. From: / _ e Z, t Job Address: ,Aluji.t., .i& ... _,..e.:-- ' frR I .1, C Amount $ %" �'� .'3747(0 Cash ;Check Check # ,r (circ L __...... ,_,2? [ / / ( Received by .,0`,..-!....,_,,;-,,,,,,_ " �,er- c —, / _..._• Permit # 4' LA,1.-I04-IOW 1.3u : Ir K(JM,EIA I LEY AGENCIES INC., I P-86 044 8 1 608 PAGE 2!2 ACORD CERTIFIC "TE OF LIABILITY INSI'ANC .0 DP17 DATE M/DOlYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IM NF 10/04/00 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TIO /00 Bailey Agencies, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 178 Bridge Street ALTER THE COVERAGEAFFORDED BY THE POLICIES BELOW. Groton Cl' 06340 _ Phone: 860-446-8255 Fax:860-448-1608 INSURERS AFFORDING COVERAGE INSURED INSUPER A Hartford Casualty Ins. Co. Custom Quality Windows&1 oors INSUitERe' Hartford Fire Insurance Co 79lGoldkSttaar Hwy MSIXtFRG Groton CT 06340 INSURER D: COVERAGES INSURER E. • THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONOnON OF ANY CONTRACT OR OTHER DOCUMENT Arm-RFypEcr To WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE MSURANCE AFFORDED BY THF POLICIES OESCRIWED HEREIN IS SUBJECT TO ALL THE TUNAS.EXCLUSIONS AND CONDITIONS OF SUCH POLtCaES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIM!. 'MP TYPE OF INSURANCE I POUCY NUMBER I DDAATTPOUE Ufy� t y�E I DAmenvUMITS —~ GENERAL UABIUTY + ;EACH OCCURRENCE `$ lOOOOOO B X COMMERCl4L GENERAL LIABILITY 02SBAEP1663 ' CLANdS MADE Lc OCCUR FIRE DAMAGE(Any one Try) 3300000 If f MED EXP(Anyono peon) is 10000 IJ , 09/19/00 09/19/01 PERSOw&&AEN IUURY 1$1000000 GENERAL AGGREGATE $2000000 GENL AGGREGATE LIHITAPPLES PER: ' T —1 J�ECT J LOC PRODUCTS-COMP/OP AGG S 2000000 AU1VM09LEII UABICTTY ANY WTOI I B SINGLE LtMFf s oxidant) ALL OWNED AS --• _ - UTOSCHEDULED AUTOS BODEY INJURY —. (Per person) a HIRED AL/IQs .— NON.OWNED AUTOS BODILY INJURY S (PM ao ilert 1 GARAGE LIAPROPERTY DANA er aoddan} , S BILITY l (P AUTO ONLY-FA ACCIDENT S ANY AUTO — ,. OTHER THAN EA ACC +1 Avco OHIX A O,$ TEXCESS Li1BILTIY }I EACH i$ i OCCUR CLAMS MADE I AGORfOATE S S I 'DEDUCTIBLE5 1 - I 1 RETENTION $ rrORKERS C mama-nom AND "` — _— a WI;STAN DTH. EMPLOYERS'UAOILITYA X TORY LIMBS I IA 02WECIC1571 03/10/00 03/10/01 E.L EACH ACCIDENT $100000 E.LDISEASE.EAEMPLOYE9 .100000 DTR --- Ct.,DISEASE-POLICY LIMIT , S 500000 DESCRIPTION OF OPERATIONS&OCATTONSNEHICLEBnaCLUSIONC ADDED BY 6 Proof of Insurance with respects to work�rmed by ONS pe the insured. CERTIFICATE HOLDER 1N I ADDITIONAL INSURED;INSURER LETTER_ CANCELLATION • PROOF SHOULD ANY Ds THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ECPtRATTON DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAR -10 _DAYS wRf ITER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO 30 SHALL Proof of Insurance IMPOSE NO OBLJGATTON, NY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. i ///� AUTHOFUZED REP-. ITVE ` �' Haile • •L"_�.. ! . , � " ACORD 25S(7197) '� C ACORO CORPORATION 1988