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Window 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: B2016-0488 Date: 08-Dec-16 Map/Lot: 039/093-000 Owner ID: 5536000 Project Location: 87 PIRES DRIVE Unit: Job Description: Install Three Replacement Windows-No Structural Changes Owner Nam David C and Linda Richard Tenant Name N/A Careof: 87 Pires Dr Oakdale CT 06370- Telephone: (860)848-1029 --------------------------------------- Applicant Name 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: $7,274.00 Building Fee: $96.00 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: $7,274.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: 51.89 Total Fee Paid: $97,89 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 D '- '' . - if Ap.�.val ❑ C_• . o . Occupancy Building Official's Approval 1 .LUWU Ul 1V1U11L V111G Building Department ry_ 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: ,1(j ss Type of Work Occupancy Type Permit Type ❑ New Construction [3 Single Family QQ Building ❑Addition 0 Two-Family 0 Plumbing ©Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: '7 f it (Number) (Street) (Unit) Job Description: -i(ls+ct I( C ; ) ce p Iacer'me(7E- tics sfcu c 'kis Owner: {Xt. td RI'chard Address: `��S7 Pires; (7f" City: CJ Q I``,/<a(k State: CT Zip Code: C6'370 Telephone( ' 60) � 8 - (029' Applicant: SOLt-f-f 'f n r eo Gnsianci ir'virxiowS DBA: Address: 2& AIbibi1 ,�'2C City: Li 11 CC)IVI State: RI_ Zip Code: 02 '6 Telephone( ) 447 - 7172 Contractors - Complete the Following: License Type: H IC =- License No.:O63*S S 5 Expiration Date: t i//30/4 17 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: 12/7/1 r ConstructionValuePermit Fees �{ Building Value: �R /Z,7`t Building Fee: 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: t -'9 Total Fee: C k `-Qz✓uer 2uigrtst 23,20(11 Town of Montville Building Department File Receipt Date: 07-Dec-16 ReceiptNo: 11915 Received From: Southern New England Windows Job Address: 87 Pires Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0,00 $9 Bldg Check: 7.89 State Check: $1.89 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: 0.00 Construction Value: $7.274.00 Demolition Value: 0.00 CheckNo: 8768 Received By: Carmen Kneeland 004/1 helA A..A. (y)l , A _ n 1 lA Address: 87 Pires Drive ITEM CITY S./UNITTOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF s 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - S AMENITIES Kitchen EA $ - $ $ Full Bathroom EA $ $ Half-Bathroom EA $ _ $ GARAGE Detached SF $ 71.53 $ - S 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 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 $ 7,274.00 TOTALS $ 7,274.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 7,274.00 $ 96.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.89 TOTALS $ 7,274.00 $ 97.89 Figures are based on the 2006 RS Means Residential Cost Data 546828 LIMITED LIABILITY COMPANY ti ( \ ! 1. 01 ( \ 12 ( 1 I ( t 1) 1 I' •\ 1t I \11 A' I 01 4, ( ) -\ •, 1_ '\1 I 12 I' 1t ( ► 1 1� (_ I 1 O \ 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(3o) days of such change. Questions regarding this registration can be directed to the License Services Division at(86o)713-6000 or email dep.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 www.ct.govjdcp to verify registrations,download applications and the booklet for The Connecticut Contractor for Home Improvement and New Home Construction. STATE OF CONNECTICUT DEP-1RTME.\T OF CO NS( PROTECT IOv SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROVEMENT CONTRACTOR SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 3 26 ALBION RD STE I LINCOLN, RI 02865-3752 LINCOLN,RI 02865-3752 RENEWAL BY ANDERSON HIC.06345 ' /01/2016 11/30/2017 � :�}+ r t �r t ui ! ¢ 'r '✓i- K tr� � . ; • } { " 1=A1L OI ( f)V\1 (.�11Cf 1 + DIP PRI N1I N [ 01' CO\SI. v11-.I2 PRO Be it known that SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 1 LINCOLN, RI 02865-3752 is certified by the Department of Consumer Protection as a registered (. HOME IMPROVEMENT CONTRACTOR Registration # HIC.0634555 RENEWAL BY ANDERSON rte'}. Effective: 12/01/2016 '= z i a Expiration: 11/30/2017 v" • Jo athan:t. Harrt.,Commty.ienrr , .i: ti. : �w , \.72- ra t� .i. .t. . .t. - .i. i. I: i, t. t. .h ____—,...4, SOUTNEW-01 CZOLLINGER AWRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `„../ 6/29/2018 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(les)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 iCONTACT NAME: CoBiz Insurance,Inc.-CO IRA N,E,�).(303)988-0446 FAX 821 17th St (Ac,No):(303)988-0804 Denver,CO 80202 I SSS:CoBizfnsurance@cobizinsurance.com INSURERS)AFFORDING COVERAGE MAIC N ENSURER A:Continental Western Insurance Company 10804 INSURED I INSURER 3: Southern New England Windows LLC i INSURER c D/B/A Renewal by Andersen 26 Albion Road INSURER 0: Lincoln,RI 02865 j INSURER E INSURER F: 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. INSR TYPE OF INSURANCE • ADDL.SUBR'I ICY OF I POLICY-Mx- UMITS LTR W !NW' VO' POUCY NUMBER (MM/DD/YYYYL(MMIDD/YYYY) A 1X1_COMMERCIAL GENERAL UABILJTY EACH OCCURRENCE 3 1,000,000 I � j CLAIMS-MADE X I OCCUR CPA3136080 07/01/2016 07/01/2017 pREMISESGEa ocaarence 3 100,000 j MED EXP(Any one person) 3 L.__ 10,00 1. �— ' PERSONAL 3,ADV INJURY 5 1,000,00 r GENT.AGGREGATE UMIT APPUES PER: GENERAL AGGREGATE :5 2,000,001 I XiPOLICY EC fl LOC PRODUCTS-COMP/OP AGG '3 2,000,001 I OTHER: EMPLOYEE BENEFI 13 2,000,000 I AUTOMOBILE LIABILITY ' !COMBINED SINGLE LIMIT j 3 1,000,000 _ I (Ea accident) A 1 X ANY AUTO CPA3136080 07/01/2016 07/01/2017 j BODILY INJURY(Per person) 1-$ ALL OWNED AUTOS I BODILY INJURY(Per accident) 3 AUTOS r NON-OWNEDUTOI PROPERTYaccident) 3 HIRED AUTOS _ I AUTOS I _I I3 X UMBRELLA LIAB I OCCUR I EACH OCCURRENCE 1 a 5,000,000 A EXCESSLIAB I CLAIMS-MADE ICPA3136080 07101/2018 07/01/20171 AGGREGATE 3 I DED X RETENTIONS 0' a Aggregate s 5,000,000 RS!WORKERS COMPENSATION i I ! 1 �y RTU7E I(671- ! AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE YN/A ' WCA3136081 07/01/2016 07/01/2017 E.L.EACH ACCIDENT 1- s 3 1,000,000 OFFIndatory In NH)EXCLUDED? (Ma yy EL DISEASE-EA EMPLOYEE'3 1,000,000 'DESCRI OF OPERATIONS below I E.L DISEASE-POLICY UMIT;3 1,000,000 I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Addlttonal Remarks Schedule,may be attached If 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 WRH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/011 The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 7 " fes t>r ecti<cla e. C . 370 Property Address install C 3 ') c-epioce n-}- windows Job Description Required Department Approval Permit Issuance Approval Tax Collector ` g2/7 f" Signature/ ate Comments: ,i Fire Marshal `//. L U �- i �y� Signature/date �7 Comments: ; ) �!�_A_ Planning &Zoning Required for all permits except Signature/date Plumbing,Electrical.Mechanical. Roofing,Siding,Windows&Doors (_I Health Department Required for properties with private septic or well Signature/date Comments: [ WPCA, Administrative N/". 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: U 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 Pinal Inspection 1teviEedMarch23,2015