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Window Replacements 2017
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: B2017-0412 Date: 27-Sep-17 Map/Lot: 039/017-000 Owner ID: 2607000 Project Location: 25 GUTTERMAN ROAD Unit: Job Description: Install 15 Replacement Windows-No Structural Changes Owner Nam Willie L and Miriam Rocket Tenant Name N/A Careof: 25 Gutterman Road Uncasville CT 06382- Telephone: (860)848-3829 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: $21,881.00 Building Fee: $264.00 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: $21,881.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $5.69 Total Fee Paid: $269.69 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 REQUIRED UPON COMPLETION ❑ Insulation ►7 Certificate of Approve • ertific• - •f .` upancy Building Official's Approval: 1Own OI jyiontvlue Building Department . 860-848-7231 310 Norwich-New London Tpke. Tel.860-848-3030, Ext 382 Uncasville,CT 06382 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: Type of Work Occupancy Type Permit Type ❑New Construction Q Single Family Er Building 0 Addition 0 Two-Family 0 Plumbing Q Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 25 6 u44erman Rd (Unit) (Number) (Street) Job Description:_ $ U I( (15 ) re p iacemer- wi ndoLas ted StruCf ufa( cha • :S Owner: Miriam air-ke+ Address: 25 C.0 eanail RC4 City: Unat5V i Ile State: GT Trp Code: bC:3$2 Telephone( (fbO )V`F8 - 3$2 Applicant: SOLtA of l Net:) enStairla zoii"Y1ows DBA: Address. rG 1g�eservair Rd city: m f-t7 4 skicI State: .I Zip Code: (- 1(7 _ Telephone( 401 I 1 `47 -1.12g Contractors-Complete the Following: License Type: NIC License No:vio -TS 577 Expiration Date: i i/31)A 7 the State of I herebynt certify that the rproposed ttestwork wet conformpthework is authorizedBuildingtate ode and all by the owner in fee and that amr codes as adopted authorized to Connecticut application forTown of Montville and further attest that the Proposed 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 E330121 of the Residential Code. instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: Date: a/2617 Construction Value Permit Fees �} Building Value: it 21..'3V 1 Building Fee: 01/0(4 Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: Cof0Fee: Plan Review Fee: State Ed Fee: 5. Coq Total Fee: a CP rt.L4 c Xmiuik August 23,2007 Town of Montville Building Department File Receipt Date: 26-Seo-17 ReceiptNo: 12683 Received From: Southern New Fnaland Windows Job Address: 25 Gutterman Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 30.00 State Cash: 30.00 Bldg Check: 3269.69 State Check: 35.69 Bldg Credit: 30 00 State Credit: Fire Cash: 30.00 30.00 Fire Check: 30.00 Fire Credit: 30.00 Construction Value: 371 881 00 Demolition Value: 30.00 CheckNo: 11197 Received By: Carmen Kneeland Court 25 Gutterman Road ITEM QTY S./UNITTOTAL 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 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 $ 21,881.00 Solar Install n TOTALS $ 21,881.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 21,881.00 $ 264.00 Plumbing y $ - $ Mechanical y $ _ $ Electrical y $ _ $ Plan Review Fee y $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ _ State Education Fee $ 5.69 TOTALS $ 21,881.00 $ 269.69 Figures are based on the 2006 RS Means Residential Cost Data sas82a _,"01-a: _.-3._i'-' .IPA'di lttached is your (tome Improvement Contractor registration. This registration is not transferable. 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.licenseservicesgict.g0v. In an effort to be more efficient and Go 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.govjdcp to verify registrations, download applications and the booklet for The Connecticut Contractor for Home Improv :naent and New Home Construction. OF CO E C�TI�' .42.. , ALEIVX.O CONS ER,+,ROE.,zTIMIr;,:,.--,L4 SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROVEMENT CONTRACTOR SOUTHERN NEW ENGLANDWINDOWS.LLC 26 ALBION RD STE 1 25 ALBI ON RD STE I LINCOLN, RI 02863-3732 LINCOLN,RI 02365-3752 RENEWAL BY ANDERSON H1C.06345Sb 12/ �)1/M h 11/30/2017 fie'1 �',.�.i r.--'1 ----77--77----- 7,------7/'r--». c!--,7/--',77--- f.--'.nom ---;----T7----:,:,------.:------7:;----7. —' .7"-'5,7---<7-- \. Yom.`-`. ,"..'... ..--.^y/"_...-.— .. - <7— - .. ; ' . . Y 5 . - { '"s. :ye 2 r. ...41 . ... , „...,.. . _ -. ,..„.,.e�.>-...,,:a.t .s -r... eket.,',..y<:,_ _ma , a. .w _-.5-1, a:kt.../ `` ti / e'*. - ... lit_ -1 A 1� ., i 1 k t .. aN. t t {{ r •i t .‘ e ! \I w 1 f1 '` V' \i f' :ilIf Ht 1% BL It ..i.... i t..at t {i SOUTHERN NEW ENGLAND WINDOWS LLC A1 --„,* 26 ALBION RD STE 1 LINCOLN, RI 02865-3752 ,s ccratied by the llepartmc.c e; (:e>nsumer Pr)tectiem a; a reg1:;-ere .)-- ; ›. HOME IMPROVEMENT CONTRACTOR Registration # HIC.0634555 .0 r<I ''. RENEWAL BY ANDERSON . T ," ...);' i -1 ! Effective. 12/10112016 t i _�' Expiration: 11130 2017 --'' '' ' , r 1..r,,r t 4� r :�m',.n:nrr a :, ty. __:, , ... ism. .._ � 1'�_ —_ ti .� .... ....._ .', „-:ti ,: _;% - ..,. =... ...-L..__ :. -- ___—......40 ESLERCO-01 SANDERSO ACOR D DATE!MMJDDIYYYY) 14.....------ ' 71 CERTIFICATE OF LIABILITY INSURANCE 05123/2017 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 NAME: CoBPHONE 303 988-0446 FAX 303 988-0804 1401 LawrenceInsurance,St.,Inc. -CO (NC,No,Ext):( ) INC.No):( ) Denver, Ste. 1200 -MAIL COM ailkcobizinsurance.com CO 80202 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Acadia Insurance Company ',31325 NSURED INSURER B: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 INSURER D: ,, Lincoln,RI 02865 INSURER E. 1 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 CONTRACT OR OTHER DOCUMENT'•MTH RESPECT TO`M-IICH 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. INSRADDLISUBRI POLICY NUMBER I POLICY EFF I POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD1 WVD IMMIDDIYYYY):(MMIDD/YYYY) 1,000,000 A ! X COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE > ,1 CLAIMS-MADE 01/01/2017 01/01/2018 I DAMAGE TO RENTED 300,0001 X OCCUR •CPA31$8728 R_MISES:Ea accurrence) I 3 5,00011 MED EXP;Any une person) S , 1 i' V PERSONAL 3 AD ',N.;URY 1 3 1,000,0001 _ENL AGGREGATE-:MIT AP°L.ES'ER. GENERAL AGGREGATE i 3 2,000,0001 oqa CC PRODUCTS COMP,OP AGG 3 2,000,0001 X ?OL c — ;EG - EBL AGGREGATE 2,000,0001 ; OTHER'. 1 COMBINED SINGLE'.UMIT 1,000,0001 A AUTOMOBILE LIABILITY :Ea accident; X ANY AUC CPA3158728 01/01/2017, 01/01/2018 30DIL( N.;UR',Per person) , 3 . OWNED ----1. SCHEDULED 3CDIL''.NuURY;Per accident) 3 • AUTOS ONL AUTGS 'RGPERDAMAGE —~ HIRED NON-OWNED : °R ccloent; AUTOS ONL-' __ AUTOS ONL-! I > 1 1,000,0001 A -' X 1 UMBRELLA LABX OCCUR EACH OCCURRENCE • EXCESS LIAB CLAIMS-MADE CPA3158728 01/01/2017 01/01/2018 AGGREGATE . _ ,Aggregate 3 1,000,0001 DED 1 X RETENT!GN 5 V i I I PFR _0TH- 01 it 1B !WORKERS COMPENSATION i X1 SERT..T= I AND EMPLOYERS'LIABILITY R t 1,000,0001 Y N WCA3158729-20 01/01/201711 01/01/2018 _L.EACH AGO DEN' 1 ',ANY PROPRIETOR/PARTNER7EXE U,.I�/E 'N/A 1,000,000: I OFFICER/MEMBER EXCLUDED? • �.L.DISEASE-EA E"dPL GYEEI > (Mandatory in NH) 1,000,0001 ',. f/es.describe under I ! L.DISEASE-?OLICY LIMIT 1. i DESCRIPTION OF OPERATIONS oeiow I ! 1,000,0001 B ,Worker's Compensatio WCA3158730-20 101/01/20171 01/01/2018 C Pollution Liability ;TIEDE654299117 01/01/2017 1 01/01/2018 1,000,0001 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached,1 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(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Montville •tSuildinq Department CONSTRUCTION PERMIT APPROVAL 25 6u 1-f e_rryt an Rd, (ACcctsv i'l le, cr. Q(&S2 Property Address 6 5) r ceiren-f- W indou-15 Job Description Required Department Permit Issuance Approval Approval ' • 111 Tax Collector zt-// _ Signature/ aQ to Comments: R ('Zb Fire Marshal ❑ Comments: � JS PlJSignature/date 9 p i 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 KVA- 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: ❑ 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 1oisedMarch23,2015