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Home My WebLink About2005 - Vinyl Siding/One Window f 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: 132005-0468 Date: 26-Aug-05 Map/Lot: 096/103-000 Owner ID: 122000 Project Location: 36 BALDWIN COURT Unit: Job Description: Siding & i window Owner Name: John A and Margaret E Skinner Tenant Name: _N/A Careof: 36 Baldwin Court Uncasville CT 06382- Telephone: Contractor Name: Tri State Windows Telephone: (860)443-8401 DBA: Lic/Reg Type: HIC Lic/Reg No: 519110 15 Lakewood Drive Exp Date: 30-Nov-05 Oakdale Ct 06370- Construction Value Permit Fees Construction Information Building Value: $12,000.00 Building Fee: $96.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $12,000.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.92 Total Fee: $97.92 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 framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REOUIRED UPON COMPLETION ❑ Insulation Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval ?U:Ci'i FAX 8-187231 ILDI~i~ DEPT y 0= Town of Monrviile Permit 0 G L~' Building Department 310 Norwich-New London Tpke- Tel 848-7166 UncasvWe, CT 05382 Fax. 948-7231 Application for Building or Trades Permit Buildi.ne Permit Trades Permit Xm eansfrrue = ~as~sory $irruxu ❑ ~F'lurnber~g [1 Ywhianxa! ;4&fu- or+ ~Der+~oGtiort ❑~Efeetrical 7featily ❑Aa.ratwn ~RtFes Si-r)It is Air canjirAmng C~'as ~Pu'9 Job Locadou 3!~ HLDtoZt'~ C oua Z-t- Job Description Matwials Gas. aF E3 i -1) e ~SCt , ill l 1t'2%0 co Qwncr_ S k t 1. Q m < MRMng Address 3(n ~~1L~ I Vt ~t R~`~ _ CinT I~GRSI~ tLLC_ _ state CT zip Or 2-Tel G 60/ a~ 3 4 3 Contractor R 4 -~`t i E W Lt'z0U Maillag Address 15 IWEU)Qnx--~- I)Ri t C City-0 ajbPLf_ State -T Zip 06, 'Td CO! 1- z- 3 /'a 0 1 Ccxtac tcx's LicFrue(RegisQation Type ct Number 21'9 1 o Exp. Datei 11 QS New Home Constn"oa Coutractors; Have you entered into a contrlct with a consumer for dw proposed new home? 0 Yes ❑ No I hereby certify that the proposed wwk wtU C%oti (xm to the Basic Building Code and atl other codes as adopted by tie State of Connecticut and the Town of Mod4le and fw0a attest that the proposed work is authorized by the owner in fee and that I sut authorized to make application for a permit for such work as dc=Ixd above. Owner !Agent Sig Date 8 1 /81 0 r Comr<blojson Value Fee Building $ e> 0 $ Plumbing $ $ Mecbmical $ $ Otbex $ $ Cattficatc of Occupancy $ Plan Review Fee $ State Education Total $ _ Town of Montville Building Department File Receipt Date: 18-Aug-05 Receipt No: 536 Received From: Tri-State Windows Job Address: 36 Baldwin Court Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $97.92 Check: $1.92 Check No: 10946 Construction Value: $12,000.00 Demolition Value: $0.00 Received By Sandra Pandora Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ - Inflatable Pools EA $ 1,000.00 $ - In-Ground EA $ 20,700.00 $ - Heater EA $ 3,465.00 $ - Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof SQ $ 350.00 $ Overlay SQ $ 250.00 $ - Plywood SQ $ 125.00 $ - Plumbing Full Bath EA $ 5,000.00 $ - Half Bath EA $ 3,500.00 $ - Garages Attached, 1 car EA $ 10,775.00 $ - Attached, 2 car EA $ 18,600.00 $ - Attached, 3 car EA $ 25,810.00 $ - Detached, 1 car EA $ 13,850.00 $ - Detached, 2 car EA $ 21,100.00 $ - Detached, 3 car EA $ 28,350.00 $ - Sheds SF $ 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ - Siding 20 SQ $ 600.00 $ 12,000.00 Windows EA $ 445.00 $ - Doors EA $ 625.00 $ - Decks/Porches/Sunrooms Open SF $ 22.31 $ - Covered SF $ 62.69 $ - Enclosed SF $ 123.90 $ TOTAL BUILDING CONSTRUCTION COST $ 12,880.08 PERMIT FEE CALCULATIONS Fee Building $ 12,000 $ 96.00 Plumbing $ - $ - Mechanical $ - $ - Electrical $ - $ Work Commenced before permit issuance $ CO Fee $ - Plan Review $ - State Ed Fee $ 12,000 1.92 Total Fees $ 97.92 Based on 2003 RS Means Residential Cost Data 8/1712005 ~i BUILDING PERMIT AUTHORIZATION FORM I, Richard A. Deabay, President of Tri-State Window Dist. Inc., 15 Lakewood Drive, Oakdale, CT, authorizes ~~6to procure a Building Permit, this date g-« © 5 for work to be completed at The type of work to be done will consist of i DjtA < SIGNATURE OF AUTHORI2ATI S ATE OF CONNECTICUT HOME IMPROVEMENT CONTRACTOR TRI-STATE WINDOW DIST INC 15 LAKE}VOOD DRIVE OAK W E, 6r'06370 TRI-STATE WINAOW DIST INC LIC. ! REG NO. FFE TIVE EXPIRES 519,110 O1/2004 11/30/2005 06/22/2005 08:55AM PAGE 2 OF 3 Cl~ln#~~070i ~ ' ' I UAIF IMMlGU'r•YY: ACdRD~H CERT1FiCATE OF LiA~ILITY IN~Uf~A►NCE 6,22105 PRIDOUCER TH13 CERTIF!< ATE IS ISSUEC ASA MATTER OF INFORMATION Webster Insurance ONLY AND Cr.;NFERS NO RIGHTS UPON THE CERTIFICATE 914 Hartford Turnpike OT DER. TH" S CERTIFICATE DOES NbT AMEND: EXTEND OR AL, ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterford, CT 06385` - - _-T- INSURERS ArFORDING COVERAGE I NAIL C Nst kEU NA,RER M iryland2urich Commercial _ Tristate Window Distributors, Inc tria kEk c. 15 t zkev.,-, d GfiwE Oakdale, CT 06370 Ir<_~.:;Ek INSUkEK U ~T INSURER I. COVERAGES 'HE POLICIES :;r IN5LF!*K.E UJTED BELUU'J HAVE BEEN ISSUED '0 TAE1NbURE9 NAMF J ABOVE FOR 'NE I7C_ICY PER CD INDICATED. KQ7&17HS AKDK\ _ Ar:Y REQUIREMENT TERIA OR (.CNDITIUF: OF A.KY CWRAC7 OR QTFER DOCUMENT W PF+ RESPEC7 % WHICH -i-15 CER-IFIC:a,''E MAY BE ISSUED CR MAY ~ER'AIN T64E INSLRANCE AFFORDED BY -HE POLICIES DESCRIBED HEREIN IS St ~JEIJT TO ALL "HE _-ERPAS EXCLL,SIONa AND GC:NDI-TUN'S CF Sur-P, POLICIES. AGGREGATE ~rsl'S SHUVYN MAY NAVE BEEN REDUCED BY PAID C_'LAIN 5. ~ I POLICY EFFrCTIV6 YOUIitA- T~-ON jKWQMY1 I LIMITS --_--jS1 TYPE OF INSt RANCE POLICY NUMBER OAT; ATE (MMfDblYYI A GENERA: LIABILITY _ PAS41498453 110128104 10/28/05 1 EACli v.:CLkRENCE S Ui+MA:;E 7 , kENTEI X COMMERCIAL GENERAL UABILFrV ,FjFMLS`rt jrna.~ 51.0/~.~~0 CLAIMS MADE X: OCCUR i 1AK ExF ;All CI:Y VS S"r; S10,000 ^ FEk SQNr-L d ALA; INJLRY ~1 000 000 - I GENEkLLAG7,RECcTE _ S 000 000-•~ GENT AGGREGATE LIMIT APPLIES PER- PRODUCTS • COMP(OP AGO S 000 000 ~1 rk.Cl _ Poucw r 1~kCLL~ L. oC , y~ 1---------_- AUTCMOB:LE'JABII_ITT ! COM6,NEC SINGLE LIMIT AIN r AUTO ALL OadaED ALTOS 6CLIIl V I~UF..v iCt-E7ULE: -LT,-S I~YI !ash , I ` hIkEL ALV" $ 6CUILY R.:LF° c hON"0'NNEG ,WJI Q: ! (Pa. 0(00401' I- ROPEP,TY L.%M.a;,E 5 feel ecc4el,t) GARAGE U.4&L'TY. AUTO ONLY- EA ACCIDENT 5 iU10 ! OTPIER ThfN: EA ACC f,L.T0 ONLY ACC EXCESWUMBRELLA LIABILITY Eai v OCCUFkENCE S j OCCUk El CLAIMS MADE AGGREGATE 5 I I < UELUCTIELE S RETENI;01, -S _ i A WORKEHS COMPENSATION AND NC4 , 49854502 10/28104 10128105 `X i i C0.Y LIMIT ENFtOYERS' UAB!LTY WY FRCPRIETO%UP,%PTNEk,E),ECUTIN'E i b.l. enCN AC;IUENI S100,000 OFF 11,M1EMFsEkExCLUJECr E.L.DISEASE •EA EMPLOYEE 5100,000 P 66. :YSl'i ~GY ~ltiel ' s_~~eu,L PROwsIONS WOW _~E.L utsEASE • Power uMrr I SS00, 000 i i _ -D£.SCRIKHON OF OPERATONS I LOC ~I IONS I VEHICLES I E%C.,U SIONS AUUEL BY ENDORSEMENT I SPECIAL PROYISIONS CERTIFICATE HOLDER CANCELLATION BHDtILO AN fY OF 7MABOVE DE8CRi8ED POLICIE8 BE CANCELLED BEFORR, THE EXP RATION Town of Montville DATE THEREOF, THE83WNO INSURERWILLENDEAVORTO MAI, _1A.., UAYSWkF-,EN 310 Norwich-NIL TPK NOTICE IC THE CERTIFICATE HOLDER NAMED T O THE LEF-, B07 FAILURE TO DO $O SHA:L Uncesville,CT 06382 IMPOSE NO OBLIGATION ORLIASIJTYOFA.NY4NDUPON THEINSURER, ITSAGENTS OR REPHESENYA'IYES. AVTHOWEUREPRESENI TIYE - - &142 , ACORD 25 (2001108) 1 of 2 #M53732 NPJ ACORD CORPORATION 1988 WINDOWS R DOORS ,TRI-STATE WINDOW- DISTRIBUTORS INC. • VINYL SIDING hjjjok~ • ROOF NG 15 LAK.EWOOD DRIVE, OAKDALE, CT 06370 ontracior R strauon (860) 443-8401 TOLL FREE 1-800-538-3160 FAX (860) 443-6135 o s)9))o Contract submitted to Work to be performe Name O Street Street CY1 City, State City, State Phone 8tf8_ Yy Phone We hereby propose to furnish the materials and perform the labor necessary for the completion of the following: 4k PnuAe&u40!011 tit 11 be- -sie-L,16uer 6in "e- 6&t-k- epr 44- "tile- C~ / r t 1'e VC .-j/ L 0 s 1 e(cnr e- 4 / 3 ' NOTES: TO 6 t-do,4¢ S pGr o., ~-atJ 4-r'QL k mwi cit/a.6 ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED 1. PRICE $ ~7. S5-00. 00 AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE 2. DUE ON STARTCDXY6P) $ 7, 260 ' MANNER FOR THE SUM OT I y, Too. o,, 3. FINAL PAYMENT $ 7• Z5"0•~ DOLLARS ~nur'~reh~iay~en~ ~.`/u~ Glun~rcd NOTE: ALL DATE OFTHIS TRANSACTION ` DS BY D WORK WILL BEGIN ON OR BEFORE FINA TO BE COMPLETED BY 1Dda~/sor-~cssFro~.S~"f COM THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE, WHICI OF THE HOME SOLICITATION SALES ACT. THIS INSTRUMENT IS NOT NE NOTICE TO THE BUYER: 1. Do not sign this contract before you read it or if it ct to a completely filled-in copy of the contract when you sign it. Accepte RI-STATE WIND ISTRIBUTORS INC. Imo( Her Signature of Buyer Signature and T' Signature of Buyer CUTAND DETACH BUYER'S RIGHT TO CANCEL: YOU, THE BUYER, MAY CANCEL THIS TRAM NIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION - (Date of Transaction) You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. 0- -AID.. .,.',i t... .rr. r... r