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
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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
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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
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.1, C Amount $ %" �'�
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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 $2000000
GENL AGGREGATE LIHITAPPLES PER: '
T —1 J�ECT J LOC PRODUCTS-COMP/OP AGG S 2000000
AU1VM09LEII UABICTTY
ANY WTOI I B SINGLE LtMFf s
oxidant)
ALL OWNED AS --• _
- UTOSCHEDULED AUTOS BODEY INJURY
—. (Per person) a
HIRED AL/IQs .—
NON.OWNED AUTOS BODILY INJURY S
(PM ao ilert
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GARAGE LIAPROPERTY DANA
er aoddan} , S
BILITY
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AUTO ONLY-FA ACCIDENT S
ANY AUTO —
,. OTHER THAN EA ACC +1
Avco OHIX A O,$
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