HomeMy WebLinkAboutSiding and Windows 2003 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
(860)848-3030, Ext. 382
Building Permit
Permit Number: B2003-0505 Date: 09-Sep-03 Map/Lot: 001/004-M00 Owner ID 121530
Job Location: 165 PRUETT PLACE Unit
Job Description: Siding&Windows
Owner: Contractor:
Paul A and Joan P Russell The Siding Store,Inc.
408 Norwich Road
165 Pruett Place Plainfield Ct. 06374-
Oakdale CT 06370 Telephone: (860)564-7088
Lic/Reg Type/No. HIC 525387 Exp Date: 30-Nov-03
Tenant:
Self
Telephone:
Construction Values Permit Fees _ Construction Information
Building Value: $25,000.00 Building Fee: $148.00 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: $25,000.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $4.00
Total Fees: $152.00
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 0 Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: f/
r
tor Town of MontvilI Permit (t/f2213— ,,,i---5--
Building
SBuilding Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231
Application for Building or Trades Permit
Job Location I (p 5 P f tt,e H- )0 Lave. Map/Block-Lot / /
Job Description/Materials p i n S1-61.L 5i a 1 act 4-AGca„ `rr i,-,-\ - \ n 5+6_1� \- _ ;_ ,
WinoWS iil.:o t41_S-tfli9 OQri% Pi.5 •
Owner i)(1,11.1- 4.�Qa rJ IR u.3 5 eA Mailing Address I (o 3 .0c U e.)-1- - Place,
City 0 P‘ d.,le. State C-l- Zip d 6310 Tel.g(06--Lf 37-- 3 (.at
Contractor-111E SI A i 11q STM-e, 'in C. Mailing Address L{ 01 1\1(sr t,,9.,AA
City PLOLL n i €td State C T Zip 6(037(1 Tel.gb0--b b4 - 7 6?
Type of Permit
❑ New Single Family ❑New Two Family ❑ Addition ❑ Commercial ❑ Industrial
❑ Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing
❑ Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical ❑ Gas
❑ Retaining Wall ❑ Deck ❑ Pool ❑ Patio ❑ Porch
❑ Demolition ❑'Siding ['Windows El 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 44± Date g / . 7 / 0 3
Contractors License/Registration Type &Number 40me TrA fTbv5a5-eern a$ ' Exp. Date i / / 36 /63
Construction Value Fee
Building $ a 5 060, b7) $ 1 9 g, pp
Plumbing $ $
Heating $ $
Electrical $ $
Air Conditioning $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education Fee $ ' 1, 00
Total $ $ 1 5a. b 0
i
Town ofontvilie Buildin �
g epa rtm t Receipt
d D
Date - -/-2_____L
From: ,-------/ /. / . /, No. 03138
Job Address:
/ / ...a .i
i
Amount $ .. �-
---� Cash
/ ' Check #____9__O- 73
Circle one
Received by _,��, / ) '
I
-�� /, Permit # �C�jam-
••1111r
,.7,-,t.-,-'',,4.., ..`t,..... -,;1".s.,...A.....V.eil.•.:...,...1.4.-.4•.,,...-1 .;.::.....:V.,....11%.`1,,,,."..4"...;:,,x...!....;...v.,...i.,,?..I .....14.g...el:A,.1,-.4:..,.....-1,„..m....-1,4:%,...4..1.',0...x....,•fr,g...v.,1 ..., ,•, ! .„, u-
_ 7' - 17%,: .'-'44,44,—,.....4'44,,..,•!....:'!•:$U1 '...1T7P: 1•316.1r? ,41:'!•g::•:.,4::::*!0:1,1 ,t;:le*.:::••••..r4:1M:0 Ar:Olf••.4V1::'.•:•* Al4r4:41.,414.:*:4:::',.Wigh'04'•:ft*:4::',,4!$,%041*-Aii*:''''''' ''....P.A. ..i,.1".0.•4;;;•,,:ts,• --;-
_.,4...,.... :,A` ..PZ ;;PAt. 4','''',. .*:A 'le.A•` .......... 41•A '.:A 'V.'''. 41;0%, 4gA.11 *0'4, 414", 4:110k.. :::::: 'SP.'
o.,
jte<
.-. . I
C'
-:-.'
''•;;; , STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION '.
.- 1
Be it known that
SIDING STORE INC (THE)
-.. ! 408 NORWICH ROAD ,
'.).
PLAINFT.pc;-,9374
'--- '
.e. . .
has been certified by the De;Nrtrrielit ol:Q6stait' er Protection as a registered
,----- I i
•,*._ i HOME IMPRTEir
ql\ NtcONTRACTOR
,,.:
..---tf
,-(
ContractOp%f iee44-14A'1514'-'4R CAYER
nn ,
-----A 1 L---J.-..
• \\ • 0 ...: '...
Rgis.tra_.,- Uoti- tk.;$---S25387
-..) , , ,,,. _., 1 _ /
,--, I - -- -fq ...._ _ •.,.,-: .. -. ,...----
.....
-)y"--/, '
4- 11
Q.1_4ANST ''‘-lif
Effective: 12/01/2002 ------7:-/
•,_•=s- , Expires: 11/30
,
i...t. 1
_ ...„... 1 , 2003
.,.
..:
. . .
,......
-- - 1 Ja T. Fleming,Comm sioner
' - L _ ___ _ __ ___ •
4 , . . , ' ' • .-/Iii•
.•;':.fils'. ::Iiiii. •fklik' ; : ; '4. :...:11b,:•:th,l•kil 4..,Akfifk• •NIP : V,' • VII,',...Atilf".":":111,....,Mi /
kl:,::110.:,; = l'.,..,`•,,A''.'•; -` ,
- .....- ;9*:••:::: „.,......,_..tk: *ie,....,•,..,,....:A....i.., ::::0:‘,.:: .0,...;,.....,..• •••••••• 7 7\ •••:-• -....w:vit.,.Peice *,:joviiii.., :;•10;•.,,if.• .4,......./:.44--::.0.,,innitA,NI:in.:,-.wimp vowvii?-,,",,,iin...,v.v.,.,„••••-7 '-------'
, -Ann' -:-in-,4. ..._, ,,,,:_nxn.•*,4.%QOM../.'"Z•ag.1.''''''X'. ,',.....--- . '''''S.4.''....II. .1*•"4. ,'4.'9.v.':•''4. •X''4 4.-''' '''.44 4.4...,...".4.',' •-',4. -.:--''4. ,j---..11.'A:- '. . '':' 11
DATE(1.41A/DO/YY)A�ORD„ RTIFIC TE OF` LIABILITY N' JRANCE 07/10/03
............ .................:.::.:..::.....:
PRoouCEA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
553 HARTFORD PIKE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 739 COMPANIES AFFORDING COVERAGE
DAYVILLE CT 06241-0739 COMPANY
A THE HARTFORD F`
uBURED
COMPANY
THE SIDING STORE B ZURICH-AMERICAN INS CO
COMPANY .
408 NORWICH RD C
PLAINFIELD CT 06374 COMPANY
D
COVERAG S
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.
l TYPE of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION mins-- — ±
LTA DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERALUABIUrY 02SBALE4431 8/03/03 8/03/04 GENERAL AGGREGATE :2 , 000, 000
X COMMERCIAL GENERAL UABIUTY PRODUCTS-COMP/OP AGG $
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE(My one Ire) $
MED EXP(Any one person) $
IAUTOMOIDLEUABUTY
COMBINED SINGLE LIMIT $
ANY AUTO
AU.OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Per accident) i: _ -- - -
PROPERTY DAMAGE I$
OAAAOE LIABILITY AUTO ONLY-EA ACCIDENT $ _
ANY AUTO OTHER THAN AUTO ONLY;
EACH ACCIDENT $
AGGREGATE I$
EXCESS LIABILITY EACH OCCURRENCE 44�
UMBRELLA FORM AGGREGATE +:
OTHER THAN UMBRELLA FORM ' $
B ;WORKERS COMPENSATION AND 6 Z Z U B 191 X 6 2 3101 7/06/03 7/06/04 X 1 ORY L MTTS
EMPLOYERS'LuaurY
EL EACH ACCIDENT : 100, 000
THE PROPRIETOR/ EL DISEASE-POLICY LIMIT $ 500, 000
PARTNERS/EXECUTIVE --' INCIL
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
•
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
TOWN OF MONTVILLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
1]l_ 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
UNCASVILLE CT 06382 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORED REPRESENTATIVE
Kimberly J. Hickey KH A
;ACORD 25.S '{3l1i8y ®ACORD CORPORATION 1988