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Home My WebLink AboutWindow Replacements 2012 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 108 Pony's Lane Job Description: Replace Two Windows Permit Number(s) B2012-0437 Permit Date: October 22,2012 Not Approved Ap•royal INSPECTION Deficiencies Special Date Conditions • Final inspection and • certificate of approval 5/7/15 DJ Rev.Date: 1/18/06 Page 1 of 1 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: B2012-0437 Date: 22-Oct-12 Map/Lot: 102/038-000 Owner ID: 5637000 Project Location: 108 POLLYS LANE Unit: Job Description: Replace Two Windows Owner Nam Catherine M McAvoy Tenant Name N/A Careof: 108 Pollys Lane Uncasville CT 06382- Telephone: (860)848-8029 Contractor Nam Yost Home Improvement Telephone: (860)442-8032 DBA: Lic/Reg Type HIC Lic/Reg No 500250 P.O.Box 263 Exp Date: 30-Nov-12 Waterford CT 06382- Construction Value Permit Fees Construction Information Building Value: $1,100.00 Building Fee: $30.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $1,100.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.29 Total Fee Paid: $30.29 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-Fooling 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 framin ❑ 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 M Certificate . •.proval 3 if'•.te of Occupancy Building Official's Approval: re:„.. (-ego, Town of Montville Building Department 310 Norwich-New London Tpke. Fax. 860-848-7231 Uncasville, CT 06382 TeL 860-848-3030, Ext 382 ( RESIDENTIAL PERMIT APPLICATION FORM Permit No.: (✓O� D-04 37 nan2y TVRe Permit Type Type of Work Occu�_____— Building ❑New Construction single Family �]Two-Family Plumbing ❑AdditionMechanical Alteration ❑Townhouse 0 0 Accessory Structure ❑Electrical CRS#: PCiL CY.5 e ,4'J - (Unit) Property Address: �?� (Street) (Nummber) Job Description: 0 E.-7o'uy tZ C,'73- 6`)/kt�J-W J /4/Do 67``i T7u1 C C(C'"`'`GJ Owner: r/./Lnc.-5/it ilic 4 y Address: ICY ,, C.)6(- Y5 ( 4.---t-'—_ Q Ltd Zi Code: Telephone(> CO ) ��y�� z City. • 0/1c-7).w/ice- State: P Applicant: / c, S7---- 1--Aa-vi C /"'1/',1_,,./crc4 77� J°'( _ DBA: /� Address: + . 0 36I)6 261 y. Telephone( �� 1 yZ City: ti) / t "? C State: LL Zip Code: C ' sir Contractors- Complete the Following: License Type: N t c c 5-0c;'_s i✓' License No.: °51)U L s° Expiration Date: II Po/c'cs Z I eby certify that rtherattest work thelpropo ed work iconform to the s authorized be Building y theand ownerincodes fee and that I am athe uthorized to makeConnecticut application for a of Montville and forth 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 E33012.1 of the Residential Code, instead of the electrical requirements in ch-liters 33 through 42 of e Residential Code. Date: /0 i 2- " Owner/Agent Signature: de. Air_ Const c'on value Permit Fees Building Value: /610• _ Building Fee: Plumbing Value: Plumbing Fee: Mechanical Fee: Mechanical Value: Electrical Fee: Electrical Value: Penalty Fee: Total Value: C of O Fee: Plan Review Fee: State Ed Fee: Total Fee: ApviserL9iNgust 23,2007 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. dg gdy-, ( . Property Address gpla /n44- Job Description Required Department Permit Issuance Approval Approval Tax Collector 1 , /`�� t-s�-- v //R / � a-- /// Signature/date Comments: Planning & Zoning lo��/l 2� Signature/date Comments: Fire Marshal 09 , / 02 Si nature/ ate _ Comments: LI Health Department Required for properties with private septic or well Comments: (� 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: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: Li State Dept. of Transportation 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 Review Complete Signature/date Revisera-fa 23,2011 AC'VRL` p,s DATE(MMIDD/YYW) is +...._--- CERTIFICATE OF LIABILITY INSURANCE 10,16,12 t 5. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 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 be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statennent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER860-447-3111 NAMEACT I Waterford dba HeddenPHONE 1 FAX t Brown&Brown of CT $60-444-1205 LAIC.No.Ext): (�C,Nol_ PO Box 277 EMAIL i` ADDRESS: Waterford,CT 06385 PRODUCER Scott Shea,CPCU cusTOMtRIp aYOST-02 _ .r. . t INSURER(S)AFFORDING COVERAGE 1NAIC z, INSURED Yost Home Improvement,Inc. INSURER A:Peerless Insurance Company 124198 P.O.Box 263 INSURER a:The Netherlands Insurance Co. „24171 t Waterford,CT 06385 INSURER C: ` I INSURER D: INSURER E: I s INSURER F: 1:. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 0 R OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ) !NSR .. 'ADOL'SUBIE.W.. ......._ ..'.'. .._' POLICY EFFPOLICY EXP LIR TYPE OF INSURANCE )NSR 1'NVO POLICY NUMBER !IMMIDOIYYYY)I(HIM/DD/YYYY) LIMITS #. GENERAL LIABILITY EACH OCCURRENCE I$ 1,000,000 t —• I t1Af.IIA0E 70 RENTED _. ._..__ _. (: B X •COMMERCIAL GENERAL LIABILITY CBP8841658 04!22112 04/22113 PREMIIES IEa=wrens.) I$ 100,000 CLAIMS-MADE `XJ OCCUR ; ,__MED EXP{Any one person) $ 5,000 I PERSONAL 8 ADV INJURY i 51,000,000 s. r—_ -_ -- -t i GENERAL AGGREGATE )$ 2,000,000 k' •GEN'L AGGREGATE LIMIT APPLIES PER. ' PRODUCTS-COMP/OP AGG I$ 2,000,000 i.. • POLICY I I jam'PRO- I LOC S 4 L AUTOMOBILE LIABILITY - COMBINED SINGLE LIIMIT i. (Ea accdent) $ 1,000,000 t A X ANY AUTO BA8842858 04/22/12 04/22/13 ,"" BODILY INJURY(Per person) $ p- T ALL OWNED _.._".,_.__ --_ _�_.___ _– ._.. _._.,..,._ „;. — , BODILY INJURY(Par accident) $ L SCHEDULED AUTOS PROPERTY DAMAGE $.... HIRED AUTOS ; Ter accident) a.: i NON-OWNED AUTOS $ ` X ;UMBRELLA LIAB OCCUR I EACH OCCURRENCE $ 2,000,000 1' I EXCESS LJAB I CLAIMS-MADE AGGREGATE $ 2,000,000 I, A CU9842331 04/22/12 04/22/13 .$ r DEDUCTIBLE • X ! RETENTION $ 10000 I ! $ WORKERS COMPENSATION 7 `X _Ti�R1 MIT$! Eft, AND EMPLOYERS'LIABILITY - - A ANY PROFRIE70R/PARTNERrEXECUTIVE Y Y� N/A. WC8843758 04/22/12 +. 04/22/13 E.l, EACH ACCIDENT $ 100>000 OFFICER/MEMBER EXCLUDED .... ..___ ......._ I(Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ 100,000 {' i S'es,describe under 1 —_.... -.--._ ......._ `33. I DESCRIPTION OF OPERATIONS helm,: E.L.DISEASE.-POLICY LIMIT I$ 500,000 b h I 4 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - I f .. I; i CERTIFICATE HOLDER CANCELLATIONf. MISCELL I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Theresa McAvoyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN F` ACCORDANCE WITH THE POLICY PROVISIONS. 108 Pollys Lane Uncasville,CT AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. 1' ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD g; • STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR YOST HOME IMPROVEMENT INC 1018 HARTFORD TPKE WATERFORD,CT 06385-4032 LIC./REG NO. EFFECTIVE I EXPIRES HIC.0500250 12/01/2011 j 11/30/2012 SIGNED 4.11.11111reAll • • • • Town of Montville Building Department File Receipt Date: 18-Oct-12 ReceiptNo: 7863 Received From: Yost Home Improvement Job Address: 108 Pollys Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $30.29 State Check: $0.29 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $1,100.00 Demolition Value: $0.00 CheckNo: 3810 Received By: Carmen Kneeland C011 r'u&', iv\ k i. `� ) Address: 108 Pollys Lane 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 2 EA $ 550.00 $ 1,100.00 Skylights - EA $ 1,051.10 $ - Doors,Exterior - EA $ 601.50 $ Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon - EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 1,100.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 1,100.00 $ 30.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ - Working before Permit Issuance n $ - Certificate of Occupancy Fee $ - Plan Review Fee $ - State Education Fee $ 0.29 TOTALS $ 1,100.00 $ 30.29 Figures are based on the 2006 RS Means Residential Cost Data