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Home My WebLink About2017 - Patio Door Replacement 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: B2017-0409 Date: 27-Sep-17 Map/Lot: 028/003-004 Owner ID: 281000 Project Location: 291 BLACK ASH ROAD Unit: Job Description: Install One Replacement Patio Door Owner Nam Brian P.Dougherty and Rachel Dash Tenant Name N/A Careof: 291 Black Ash Road Oakdale _.1_ 06370- Telephone: (917)364-9740 Applicant Name Southern New England Windows Telephone: (401)447-7172 DBA: Lic/Reg Type HIC Lic/Reg N 634555 10 Reservoir Road Exp Date: 30-Nov-17 Smithfield RI 02917- Construction Value Permit Fees Construction Information Building Value: $4,462.00 Building Fee: $60.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $4,462.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.16 Total Fee Paid: $61.16 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 RE.UIRED UPON COMPLETION ❑ Insulation ❑d Certificate of Ap. .val • C= at- • Occupancy Building Official's Approval: Atir —- town or montvitte Building Department �� 310 Norwich-New London Tpke. Fax. g60-848-7231 Tel.860t-848-3030, Ext 382 Uncasville, CT 06382 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: _ Type of Work Occupancy Type Permit Type ❑New Construction l3 Single Family []Building ❑Addition 0 Two-Family ❑Plumbing 13 Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 2cf I 6 Iack (Unit) (Number) (Street) Job Description: 'M-)s+u 1( < < ) f"Q p iGLCeme rli- o door N© SfiruCtiCat chanc3es Owner: f if lan Rc che I pntsh • Address: 24?I 8 lctC k Ash 1 Rd City: Oa MC-11 E State: Cr Zip Code: 06370 Telephone( 1'1'17 Applicant: Sot,t l'-fi'1 t-)eti) GrIsiana toirviows DBk Address: 1 O reser vo r Rd City. m State: .I Zip Code: 02117 ._Telephone( `+O Contractors-Complete the Following: License Type: HIC -- License No 063 45 gyration Date: I i I:3O/,7 I ocertifythat the r 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 the 2005 NEC the Re hee nalteratival e compliance per section E3301.2.1 of the Residential Code. instead of the electrical requirements in chapters through Owner/Agent Signature: Date: R 10W1 7 Construction Value Permit Fees Building Value: Pi-6 2 Building Fee: Up 0'o0 Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of O Fee: Plan Review Fee: State Ed Fee: 1 , 1 Le, Total Fee: (-C I ' IL* August 23,2007 Town of Montville Building Department File Receipt Date: 26-Sen-17 ReceiptNo: 12685 Received From: Southern New Enaland Windows Job Address: 291 Black Ash Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 0.no State Cash: t0 00 Bldg Check: $61.16 State Check: $1 16 Bldg Credit: 50.00 State Credit: Fire Cash: $0.00 X0.00 Fire Check: 50.00 Construction Value: $4.462.00 Fire Credit: X0.00 Demolition Value: 10.00 CheckNo: 11197 Received By: Carmen Kneeland Court 291 Black Ash Road ITEM QTY $KNIT 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 YIN _ 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 CA $ 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 $ 4,462.00 Solar Install n TOTALS $ 4,462.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 4,462.00 $ 60.00 Plumbing y $ _ $ Mechanical y $ _ $ _ Electrical y $ _ $ _ Plan Review Fee y $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ _ State Education Fee $ 1.16 TOTALS $ 4,462.00 $ 61.16 Figures are based on the 2006 RS Means Residential Cost Data 546823 _;?AI ,3_i' ' _ ",IPA7i i I I ° 1 c , , t ,> I. I ( 1 1 ' I it-tackled is your Home Improvement Contractor registration. This registration is not transferabl-e. The Department of Consumer Protection must be notified of any changes to your registration within thirty(30) days of such change. Questions regarding this registration can be directed to the License Services Division at (86o)713-6000 or email dcp.licenseservices;(ct.gov. In an effort to be more efficient and Co 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.gov/dcp to verify registrations, download applications and the booklet for The Connecticut Contractor for Home Improvement and New Home Construction. SATE OF CONNECTICUT • DEPARTME.NT OFCONSLVMER PROTECTQ?sl`. SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROVEMENT CONTRACTOR SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE 1 25 ALBION RD STE t LINCOLN, RI 02865-3732 LINCOLN,RI 02365-3752 RENEWAL BY ANDERSON HIC.06345 + 12/01/2016 11!30!2017 !: 1 ! 4 -. -�.. .._..' %'-,„:„ ,7„...--..tee>- _•__-..;\ '�' . `-... /,r-•� - `. --. . /"..,x /` `< .",. :7 - ' "`. ✓""'�. -` I _F I L ' ) 1 , - `A ' ' . I1. . . ;11 . •, ; '' 1 " 1 , ` I )1 f -{ 3s,%.I t•11 , f';. 11 1"� 1 1{ S o :3t 1C know11 that1 �. :::-:.;'- ii SOUTHERN NEW ENGLAND WINDOWS T.L,C "° 34.1V t 5'.:Ai _it. 26 ALBION RD STE 1 r t--,4 LINCOLN, RI 02865 3752 .4 t ' is cerdtied by the DLpartmcnt c.) C:onsumer Pm Colon :1:::1:: a reis-ere t f x ›) HOME IMPROVEMENT CONTRACTOR '' � ,;.:-<-41 Registration # HIC,0634555 1,t-,-44 ' lRENEWAL BY ANDERSON :, Effective 12/01/2016(. . ' ii. IP.: "r Expiration: 11/30/2017 '',' _....,___I „ "fps'61P:r _ . ';7, �.. . ''• !Al ”. 'r' -.,gyp!" �RAl -lir- '�['" 7p." ,...� �,.. _ ` .:-- _.:�___:=�_. ... ._ ._ _ _ = -.,, ,,L.______ ,,,..1 ESLERCO-01 SANDERSO ,AcoRv CERTIFICATE OF LIABILITY INSURANCE DATE 0523`2017Y) `� 05!23/2017 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(ies)must have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER I NAME: CoBiz Insurance,Inc.-CO PHONE 303 988-0446 • FAX No 303 988-0804 1401 Lawrence St., Ste. 1200 ..A/c.No,Ext):( ) ):( ) Denver,CO 80202 aoo!Ess:COMail1cobizinsurance.com INSURERS)AFFORDING COVERAGE • NAIC# i INSURER A.Acadia Insurance Company 31325 INSURED INSURER a:Firemens Insurance Company of WA, D.C. '21784 Southern New England Windows, LLC.dba Renewal by INSURER C:Liberty Surplus Insurance 10725 Andersen of Southern New England 26 Albion Road,Suite 1 i INSURER D: • Lincoln,RI 02865 INSURER E: I i 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 CONTRACTOR 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 ',ADOL SUBRI POLICY NUMBER 1 POLICY EFF I POLICY EXP LIMITS LTR' TYPE OF INSURANCE DI INSD WVD 1 I(MMIDYYYY) N (MM/DOYYY) I X COMMERCIAL GENERAL LIABILITY EACH CCCURRENCE - 1,000,0001 • A CLAIMS-MADE i X DCCUR CPA3158728 01/01/2017 01/01/2018 DAMAGE To RENTED 300,0001 u PREMISES;Ea�ccurrence) I > 1 5,0001 MED EXP;Any une person) , 3 ; LERSONAL 3.ACV N DRY 3 1,000,0001 ' GE`'L AGGRE"A-E_MIT AP°(IES PER- GENERAL AGGREGATE 3 2,000,0001 X ?OL,CY 'PEa LCC PRODUCTS-COMP'CP AGG S 2,000,000 Dr ER i IEBL AGGREGATE 2,000,0001 A 1 COMBINED SINGLE LIMIT I 1,000,0001 AUTOMOBILE LIABILITY :Ea accident) X X . ANYAu'D - CPA3158728 01/01/2017 01/01/2018 3ODILf'N�UR'(Per person) , 3 . "WNED TT SCHEDULED ' —' AU-OS DNL' ' AUTOS . 3ODIL 'INoURY;Per accident) S HIRED , NON-OWNED ',ROPER' DAMAGE AUTOS CNL, _ AUTOS CNL' I r accident) I S A X UMBRELLA LIAB X 1, OCCUR 1,000,0001 EACH OCCURRENCE 3 EXCESS LIAB CLAIMS-MADEII CPA3158728 01/01/2017 01/01/2018 I AGGREGATE S DED X RETENTIONS O� ! Aggregate 1,000,000 3 B �1'WORKERS COMPENSATION I I I X , SFR JTH- STATUTE i I ER AND EMPLOYERS'LIABILITY !lN WCA3158729-20 01/01/2017', 01/01/2018 1 1,000,000 'ANY PROPRIETOR/PARTNER/EXECLTIVE . i �. E.L.EACH ACCIDEN� S I OFFICER/MEMBER EXCLUDED I(Mandatory in NH) N/A ! E.L.DISEASE-EA EMPLOYEE' S 1,000,0001 f fes.describe under 1,000,0001 I DESCRIPTION OF OPERATIONS Cie iow I t.L.DISEASE-POLICY LIMIT S B ',Worker's Compensatio 1 WCA3158730-20 01/01/2017101/01/2018 01/01/2018 1,000,000 C 'Pollution Liability TIEDE654299117 01/01/2017; 01/01/2018 j . 1,000,0001 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more 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 WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -----====..- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • 6 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 291 Slack Ash 2d cDaKdale, GT 063"70 Property Address rep(ct_cerier} Patio door Job Description Required Department Permit Issuance Approval Approval ' 111 Tax Collector 7/(9, Signa Signa re/dat Comments: • 9( Fire Marshal /74Z,4Z, , / J \ Signature/date 9 2 1 Comments:r1` LJL�1 ❑ Planning &Zoning Required for all permits except Signature/date Plumbing,Electrical.Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: $ WPCA, Administrative c.)I pc-r- 0 i c -e (l/ate 17 (Int— Required n1t-Required for properties on sewer Signature/date Comments: El 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: ❑ 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 Final Inspection Revised Marrh23,2015