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Vinyl Siding 2003
Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Building Permit Permit Number: 82003-0742 Date: 30-Dec-03 Map/Lot: 111/023-000 Owner ID 121524 Job Location: 135 PRUETT PLACE Unit Job Description: Vinyl siding Owner: Contractor: Richard H Armour The Siding Store Inc 408 Norwich Road 135 Pruett Place Plainfield CT 06374- Oakdale CT 06370 Telephone: (860)564-7088 Lic/Reg Type/No. HIC 525387 Exp Date: 30-Nov-04 Tenant: N/A Telephone: Construction Values Permit Fees Construction Information Building Value: $20,000.00 Building Fee: $118.00 Use Group: R-4 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: $20,000.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $3.20 Total Fees: $131.20 It is the owners responsibility to schedule the followi g 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 CRS#: 0 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test O" _ Building Official's Signatur-• ,11pr/ / 401"- Town of Montville Permit # Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231 Application for Building or Trades Permit Job Location/5 dt�Err ,, / ec Map/Block-Lot / / Job Description/Materials i ,L1r/�i� /€2OGF /AAIr'/Z is-/Z. FE, ,- / A-2.E._/t,ceF /o i>r/0r 41/-z V/N ,( 01, / Owner � i.9.) / �y..4.4 /�.e/»cu,_ ' Mailing Address 35 eaen Q./.9eE _ City 6A64249,1E-, State N• ZipDD 370 Te1.E6D -'ND - 4721 Contractor 6 1 i,y (fAee --z-weMa,.,. •.�.ng Address 408 /6ne)leh .two! City AQ/A/7C -td. State Zrp0637f Te1&0 -,z X- 708 Type of Permit ❑ New Single Family ❑ New Two Family ❑ Addition ❑ Commercial ❑ Alteration ❑ Garage ❑ Industrial El Air Conditioning Plumbing ❑ Carport ❑ Shed Roofing ❑ Retaining Wall Deck ® Heating ❑ Electrical ] Gas ❑ ❑ Pool ❑ Patio ❑ Porch El Demolition csi Siding ❑ Windows ❑ Fireplace ❑ Chimney Size Type of Heat Use 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. New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed work ? ❑ Yes ❑ No Owner/Agent Signature / L t,iLC dy 5)C_p--zk- Date / / Contractors License/Registration Type &Number545 7 'Eoeo,, E,.),- Exp. Date // / 36 / QL Construction Value Fee Building $ 2O, Da) Plumbing $ $ �� $ Heating $ $ Electrical $ Air Conditioning $ $ Other $ $ $ Certificate of Occupancy Plan Review Fee $ /0'a-D State Education Fee $ et Total $ d' D, 640 . $ IV. 9,0 Town of Montville Building Department Receipt p Date / ,7 / 01 No. 03458 From: / (7/N Job Address: RLQ..:. L C_ Amount $ /3/ Zp Cash CI ec Check #_ ___49_____L4-_ I (circle one) Received by ,Sy rv-... 1 Permit # )3'_074-Z % t•Fr.I 'i7Fr i7\ ;t�\ t•,- Ir't{tt I�:-.-....,-,1,--0-.....ta -.V....:vim•f/ t V •f, . b .� , . ' - \jtl t. ..t.. .v,%: ..n. ;;''' I...'• I i?i :sCA''. f t.kt, ,is: "q.;.. �:;\ - ‘s.,,,,;,;.,, It t , F . ytf r�j' t 4y •.. v • • t y y } i4 e} r '•� 4i} it ' ,'v�::•. :.n r a r• 1 r.. , , t}at•.. r 4� t,F ;;� rrS `01i,..'i,:$(� ss s` '� jp �i, yf�';;v• ttll > f S��• :i • fik ..L-'-'- '.'STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION o,= Be it known that .4<-7,': if.:.,-.4c,, A � =`, P: SIDING STORE INC (THE) 49,, ovIgt, ,,Rai t _', ata rye.,• has been certified by the De'er. d f't of ' e� ±mer Protection as a registered HOME IMP ' I ; `t d ` IT NTRACTOR Contract:' of Rec�T� 91 PAULA CAYER _ g ; ' . 387 riV,‘'‘,- • Effective: 12/01/2003• • Expires: 11/30 } 2004 ..,:c,,, ___Ja _Fleming,.Comm sioner._ ___________ _ _ _ _ _ ___________________ _ _ _ _ v, o� t\ y r a o f 5j� 4 Ali N r-:, ::'A-?/' ,k r }h .4. n.. tt• T4 ty .. .4'y}4? 8% „y .4. ,•,.,. rt� s:t. '4 �@' �/. .I. 2. .I. . ,1. • .1.' ,I.'• 4. k.•. .1. .. 4- }w}.r:4. as•...,I,..y.a.. q. .a. ,f,..q .4. aatrt.:�. °'4. & `,4.' �.•4.4. ''�I.. T.4:-,` F.T.��` -• 76 AO, °- F6e : ve /. /A0• 135 Kelte-77 ,Lgee . 4,4y, ,9LE, 077 o43 z y-4fo- ag38- - ` rde/, OD ; /(A5r,,v//A5�6. i-Tl.EEvt�La 7 /J(571//-� ✓/NyA_ ..J/di y //9h.G//7. TR//yl. a ACORD„ CER` II`I :.:::»<::>::>:::::::>:<.:::>:: :....... SATE C)Cr LIABILITY lNSURAN <...• '>' oA(io 03 moue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOR 553 HARTFORD PIKE ALTER THE TH(S COVERAGE AFFORDED BOT THE POLICIESAMEND, END BELOW. PO BOX 739 COMPANIES AFFORDING COVERAGE DAYVILLE CT 06241-0739 COMPANY A THE HARTFORD INSURED — COMPANY ( THE SIDING STORE B ZURICH-AMERICAN INS CO COMPANY 408 NORWICH RD C PLAINFIELD CT 06374 COMPANY D THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lq I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPWATION UNITS DATE(MM/DD/YY) DATE(MM/DD/YY) r' GENERAL LLABLLlry 0 2 S BALE 4 4 31 8/03/03 8/03/04 GENERAL AGGREGATE 1 82, / 0 0 0 0 0 0 }{ COMMERCIAL GENERALLIABILITY PRODUCTS-COMP/OP AGG i CLAIMS MADE rX OCCUR ----- _-- PERSONAL 6 ADV INJURY $ OWNER'S.6 CONTRACTOR'S PROT EACH OCCURRENCE 81, 0 0 0, 0 0 0 it FIRE DAMAGE(Any one fire) i MED EXP(Any one person) AUTOMOBLLE UABIIITY iiANY AUTO COMBINED SINGLE LIMIT 1 (ALL OWNED AUTOS -- - --- _SCHEDULED AUTOS BODILY INJURY $ (Per person) --- HIRED AUTOS ---- - NON-OWNED AUTOS (Per accident) o�i RY $ PROPERTY DAMAGE i GARAGE LLABI.RY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE i I EXCESS LIABILITY EACH OCCURRENCE i UMBRELLA FORM AGGREGATE $ I OTHER THAN UMBRELLA FORM - _ -------------- • WORKERS COMPENSATION AND 6ZZUB191X623101 7/06/03 7/06/04 X ORPLMTIUTS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100, 000 THE PROPRIETOR/ PARTNERS EXEC'.TIYE INCLI EL DISEASE-POLICY LIMIT $ 500, 000 I OFFICERS ARE: I EXCL EL DISEASE-EA EMPLOYEE $ 1 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE '.HOLDER . SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 310 NORWICH-NEW LONDON TPKE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY UNCASV I LLE CT 06382 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kimberly J. Hickey KH A ACORD 25-5 (1/95) ©ACORD CORPORATION 1968,,