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Home My WebLink About2003 - Window Replacements Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: B2003-0670 Date: 24-Nov-03 Map/Lot: 103/058-000 Owner ID 120012 Job Location: 31 POLLYS LANE Unit Job Description: Windows Owner: Contractor: Jeffrey C. Brehler And Lori E. Lathrop Tri-State Windows 15 Lakewood Drive 31 Pollys Lane Oakdale Ct. 06370- Uncasville CT 06382 Telephone: (860)443-8901 Lic/Reg Type/No. HIC 519110 Exp Date: 30-Nov-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $3,500.00 Building Fee: $22.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $3,500.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $0.56 Total Fees: $32.56 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill -Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑d Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: s / - �� Town of Montville Building Department Receipt Date // / /7 La_,..7 No. 03356 From: Job Address: c / lO 7/2 9. ; Amount $ . _ - Cash Check Check # _____9_27/ Received by �, /�1-.at.#....' ,� Permit # 11!10!2003 00:38 860436135 - UJ. l6•Us �u: 4 kA,�, y4 72 TRIETATE WINDOW DIST PAGE 02 en 2 Town of Montville Building Department 310 Norwich-New Permit# - ��` Td. 848-r'� _ __ London Tpkc. UneestnTie, CT 06382 --,- F . 848-723 l One ce Two Enmity LF-Gag rermit Application Form ---� • Job I ocati k.— —, --- C) `` \--a. Job Descriptive/Materials �•e. .� Owner t,�_ La. a` �Mailing Address �\ Q01. - ^... City—.�s._�-sState Cl Zip �Ro'?��5� Tel Tfoto d i ll___ _ Caatractor��t �� Mailing Md e \ _ `L City Stain Zip Qte,"" C) Tel Sc Co CP 9k3 /Tr Contractor's License/Registration Type&Nutnbcr 'S t ` _ . Exp, Date t x / 3o / Q 3 I hereby certify that the pt w9s3x w ilk conf � . I Statelerof cr tfy that t.t pte Town nfMansvilla vs to she Basic Building Code and afl other oaks as adopted by the and that l am authorized to make application for furtherid fuch work shot thedescribed izposal��arrthor;��c! by�,} owrr�►- r fere CT O / . gmrt Siere ' -t �� ___� ; of Date t i t 3 Whet. File Building S Plumbing e nicht � $ ... Rtex i a1 S 5 --- — Other $-- $ Other SSo ._,22,_____ S �/ Plan Review Fee 5 �-� Certificate of Oceupartc) State Education S Total S S ,, 11/10/2003 00:38 8604436135 TRISTATE WINDOW DIST PAGE 06 BUILDING PERMIT AUTHORJZATION FORM I Richard A. Deabay, President of Tri-State Window Dist. Inc., 15 Lakewood Drive, Oakdale,CT, authorize F.-j R., ._ to procure a building permit, this date %i A 0 1 v a _for work to be completed at -5‘. c c \` .c [—art, _ The type of work to be done will consist of 1,.t..Q,aS SIGNATURE OF AUTHORIZATION _._. 11/10/2003 00:38 8604436135 TRISTATE WINDOW DIST PAGE 05 1,1:1•11U111 \'l (,l (u\u .tin I PRO 1I,(/lay HOME 1.M.i'ROVLMENT CONTRACTOR TRI-S:rAm W1N1•ow X)iST INC 1495 HART.JO.RDTURNTPIKE On.1i 1LE.CT 4370 Comra^toi of RteiwaC$1CHARIa A DEABAY —.,.1 '7 AEG NO. EFFECTIVE: '' y EXPIRE$ 519110 12101/2002 11/30/2003 ta42 N. . . .... . . . .. 1:t.e. ,, . . . . ... . .. ., . ._ .. _ .. 11/10/2003 0@:38 8604436135 • TRISTATE WINDOW DIST PAGE 04 PROPOSAL PreparaV 8y. Tri-State Window Distributors inc._ 1495 Rout: 85 Oakdale, CT 06170 W30) 443-84(11. FAY,5860)443-81.35 CT Reg# P 11M Prepared For Jeff & Laurie Bre trre r 31 Poiiys Lane Uncasville, CT 06382 1860) 367-0058 L. Items and Description WE HEREHY PROPOSE TO FURNISH THE MATERIAL AND PERFORM THE LABOR NECESSARY rOR THE rir LE TION't.OF i H.E FOLLOVV1NG 10 Newtown series 2300 White Vinyl Replacement windows with 1.12 sGree,ns and 616 Coion,i,p.i gr+dc with Tote Cast �3,5Q�.00 Terms are 1 00% payable upon the day of completion to be picked up by installers. Job wii'i begin on or before October TOttr1, ZQ�7'3 Prepured By Butt,' Accepted By Date 11/10/2003 00:38 8604436135 . TRISTATE WINDOWI DIST PAGE 03 Cllentlf: 30701 _ , TRISWIN ACORD. CERTIFICATE OF LIABILITY INSURANCE I DAT!(MMNEVYYYY PRQDUGER 1�1Q41O2 Webster Insurance-CIL -mktc:ornFIF;,ATE IS%SUEL3 NS A MATTER TER iR'INFORMATION I ONLY AND CONFERS 91-4"Hartford Turnpike I (Nt7L'L7ER rHIS CERTIF CATEDOCERTIFICATES UPON THE EB NOT AMEND, EXTEND OR yhsrlsrfoTT V3 ALTER THE COVERAGE AFFORMED BY TME FOLIr.:AES 4Tc OW, IUP-444,3SISID NNAILRE13 INSURERS AFFORDING COVERAGE NAIC# Tristate Window Distributors, Inc [NN8URER A Ma land/Zurich Commercial �" 15 Lakewood Drive I INSURER B: Oakdale,CT 08370 +'II'I k1r<c. — �INsvFiER D. �_�..� INSURER E COVERAGES -- -- I THE POLICIES F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR OON.DIXICINC1F,ANv,ON1:g4VrT n WERCL,L,ti1YE-r0'i Jdr;N RLFSF+E"t r TtSWIRTCH THIS-CERTIFICATE MAY BE ISSUED OR EXCLUSIONS PERTAIN,THE INSURANCE AFFORDED ay THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONSQF SUCH_ 'OUIJFS.$G.Q.I$P-<-1$,?EI.JS4.?c,Sri^v'fN4111N`f Ytkft'BEEN?CEV UCEDTit PAIL]t:LANS. J.FR p - ?7!RFS1`ALNI - DCF POCll T IKII:I'WETtl1' !PDUI`v�ih-'�CT73� SVl)CdS.Y4i F T .�� i..act IMM10Dh'Yi I DAT!IMMfDO7 ] I LiMITs A GENERAL LIABIUQ4TS3. I0l1tra T•41)12$7tIS -EACH out URRENCE Ey COAAMFRCIAL GENERAL LIABILITY I I I $1,000,000 D A E TO RENTED ■ CLAIMS MADE J OCCURNLRYf1G9: J S�IIf\}'(J,Q>N — II I ! I IimEDEXP'AoYone pnnnn /1!300 I I PERSONAL 8 ADV INJURY J$1,0,00,0110 Gt'N'L AGGREGATE LIMIT APPLES PER II GENERAL AGGREGATE $2.000.000 PRO- F-1. I I I PRODUCTS-COMPrOPAGG f2,QOQ,OOO II I AUTOMOBILE LIAAILI'IY tl -�- IANY AUTO I 2MisE431NGLE LIMIT $ 7y ALL OWNED AUTOS SCHEDULED AUTOS I II II I(P rpe I (URY 4 --- I MIRED AUTOS - - ' NON-OWNED AUTOS Ik]4lLY U1U.1Pv. I. 1(Perocatleny,.. $ f•— I I I !PROPERTY .caa.nl, PAMAGE I t CIARAME LIABILITY I I ANY AUTO I ( I I AUTO ONLY•EA ACCIDENT f T —111 I OTHER TIKAN IA A__ 3 ._ AUTO ONLY AGO S BXCES&UMBREL A LIABILITY I ! I I EACH OCCURRENCE J f I I I OCCUR I CLAIMS MADE I AGGREGATE - f I 1 f A RKER$COM PEN3A710N AND IWC414985450Q 10128/02 10128/03 i we srATv- +oTH_I I EMPLOYERS'LIABILITY I -J TORY LIMITS ER AMY PFItIPRIfSC19fRARIT6l5?Gc�1LSrSSTVC I II I RJ $Acy,a^..^d7EN7 f� Q 1 OFFICER/MEMBER EXCLUDEO7 N'rw,tnberhe Ln I I E_I_.DKEAkE-EAEMP,':YEE S'IM1430O I SPECIAL PROVISIONS below (}I r E L DISEASE-POLICY LIMIT 4500..000 FC GrriY 1 I II �I DESCRIPTION OF OPERATIONS:LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPlcJAJ.PRO{IRICJNS '• GE4iTW IC A,1 4QLS{�R CANCELLATION I POLICIES BE CANCELLED BEFORE THE EXP'RAT1Or Town of Montville 4AT£TNrt9LEDF,*NFc,'gtiUN+R,'Mh IbURE 'WI.LENDEXWRMAR. -IQ_ bAYEwRITTF4 310 Norwich-NL Tpk 'NOTICE TO THE CERTIFICATE HOLDER NAMED TO EHE,HP$7,BLITAWLwgF,SO.D0 SO JI � Uncasviile, CT 06382 'IMPOSE NO OBLIGATION OR LIABILITY OR ANY RIND UPON THE INSURER-TTS AGENTS OR I REPRESENTATIVES. I+A THORIZED REPRES NT TIVE tiLkACORD 25{24011081 of �IluIIRno �