The URL can be used to link to this page

Home My WebLink AboutPatio 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: B2017-0344 Date: 09-Aug-17 Map/Lot: 081/081-000 Owner ID: 2758000 Project Location: 19 HICKORY DRIVE Unit: Job Description: Install One Replacement Patio Door- No Structural Changes Owner Nam Roberto C and Ellen F Abutin Tenant Name N/A Careof: 19 Hickory Drive Oakdale CT 06370- Telephone: (8601848-7088 Applicant Name Southern New England Windows Telephone: (4011447-7172 DBA: Lic/Reg Type HIC Lic/Reg N 634555 26 Albion Road Exp Date: _ 30-Nov-17 Lincoln RI 02865- Construction Value Permit Fees Construction Information Building Value: $5,800.00 Building Fee: $72.00 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: $5,800.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $1.51 Total Fee Paid: $73.51 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation - ertificate of App .val ❑ Certi. ate; •ccupancy Building Official's Approval: . , (.1 W11 Ul IVIV111.V11.10 Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 0,;17-0 3141 Type of Work Occupancy Type Permit Type ❑New Construction [Q Single Family [j Building ❑Addition 0 Two-Family 0 Plumbin 2 Alteration 0 Townhouseg 0 Mechanical 0 Accessory Structure ❑Electrical CRS#: Property Address: I e3 I Ct<Ory P t^ (Number) (Street) (Unit) Job Description: I(15+Ct it ( t ) L p(aC€mef7I- ect-ho door t)O S ruCklczzi d ancjes Owner: lgc 'r+o .k- E.11kr) AbLchr-\ Address: lc( H i c kbr / �- City: rat<ctctle State: CT Zip Code: CC-3.70 Telephone(a,O )$`f SS - 7OSs3 • Applicant: S0..d- er-n 1'- 1' j G(Eitar1 1 ti'1( owc DBA: Address: 26 Alb(by d City: Lincoln State: RI Zip Code: 02S'65 Telephone( `tbt ) 44e7 -71 /2 Contractors- Complete the Following: License Type: HlC License No.:0634555 Expiration Date: I/30/i7 I hereby certify that the 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 of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. Owner/Agent Signature: Date: VSli Construction Value Permit Fees Building Value: 41. 53 00 Building Fee: -Lao° Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: 1 .5 1 Total Fee: 73, 5 Qevited August 23,2007 Town of Montville Building Department File Receipt Date: 08 Aua 17 ReceiptNo: 12540 Received From: Southern New Enaland Windows LLC Job Address: 19 Hickory Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 50.00 State Cash: X0.00 Bldg Check: S73.51 State Check: X1.51 Bldg Credit: 50.00 State Credit: X0,00 Fire Cash: 50,00 Fire Check: 50.00 Fire Credit: S0 00 Construction Value: 15.800.00 Demolition Value: 50.00 CheckNo: 10713 Received By: Carmen Kneeland aiit A4 A VI (Y.\ 01,11® Court 19 Hickory Drive ITEM QTY $/UNIT 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 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 $ 5,800.00 Solar Install n TOTALS $ 5,800.00 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,800.00 $ 72.00 Plumbing y $ _ $ _ Mechanical y $ _ $ _ Electrical y $ - $ - Plan Review Fee y $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1,51 TOTALS $ 5,800.00 $ 09.51 Figures are based on the 2006 RS Means Residential Cost Data 546828 IMI7E i3_11 1 r.ONIPR.`I I a - t f f j f l( ) .i. ( -f. I, f !- Attached is your flume Improvement Contractor registration_. This registration is not transferable. "The Department of Consumer Protection must he notified of any changes to your registration within thirty (3o) days of such change. Questions regarding tI'iis registration can be directed to the License Services Division at f86o)713-6000 or email dcp.Iicenseserrices�t c2.gtay. In an effort to he 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.eliceri&e.Ct.gov to verify,add or change your email address. Visit our web site at ww1+.ct.aov dcp to verify registrations, download applications and the booklet let fo r The Connecticut Contractor For H om.e Improvement and a-T e-,,,"t D rn,E. Co Els tr.n c ti 2191. STATE OF COQ' ECTICUT • DEP.4RTME:‘T OF CO,V"SL'MER PROTECT1O v SOUTHERN NEW ENGLAND WINDOWS LLC HOME IMPROYEMENI' CONTRACTOR SOUTHERN NEW ENGLAND WINDOWS LLC 26 ALBION RD STE I 25 ALBION RD STE I. LINCOLN, RI 02865-3752 LINCOLN,RI 02865-3752 RENEWAL 3?!ANDERSON } EC:063453? 12/01/2016 11/3{)/2017 7//:r4 /fi ; v. j,ik ---... - ..Ai. oA.-. - .. `�,.. `'k ms.'-. n ,•,-„f' � 'St .. .,- t' ..,;%---.q.,--.4.:; ,,---::-4,4,7:;; :--,..;;.. .y .. }„ F ..i J�.. tee+ f , 14 ; t a 0 . i I i ( Hri',. F ik, ', I ' t \yam ' " ` ' 1 ; l+ r' { ,_, I f .{ ` tirV ? 1 .. . PR Be it known that 1 , i.--7- r ; SOUTHERN NEW ENGLAND WINDOWS EC :« 2 ALBION RD STE 1 ` "C, LINCOLN, RI 02565-3752 -sof is certified by the 1)enartment of Consumer Protection as a regis-ered -4' - HOME IMPROVEMENT CONTRACTOR 1'- .` -4Registration # RIC..063 555 4 • : RENEWAL BY ANDERSON ` Effective: 12/01/2016 i , Expiration: 11/30/2017 mat ` i 1 ott..min a. !Lens,C.f.:nm .: :. ,.anet Y.:, I ',-,-._L�• ',.._,-; ..-;-4/1 .--,,,��.-I ``,-a-i • , L�.s-./4y A_. -..i.t\_1• \ :- .1, 1:,.,,l ,____ �..IN ESLERCO-01 SANDERSO AC"ORO DATE(MM/DYWY) k...----k...---- CERTIFICATE OF LIABILITY INSURANCE D(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). I PRODUCER I CONTACT 'CoBiz Insurance,Inc.-CO PHONEFAX (ac,No,EA):(303)988-0446 ,(AIC,No):(303)988-0804 1401 Lawrence St.,Ste. 1200 !Denver,CO 80202 ( DDRIEss:COMail@cobizinsuranCe.com INSURER(S)AFFORDING COVERAGE NAIC S I INSURER A:Acadia Insurance Company 31325 INSURED 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 I 26 Albion Road,Suite 1 INSURER D: ' Lincoln,RI 02865 INSURER E: 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 I 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 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! IADDLISUBR POLICY EFF POLICY EXP ' LTR' TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD(YYYY1 (MMIDD/YYYY} LIMITS I 1 A X 1 COMMERCIAL GENERAL LIABILITY ❑ I 1 r000,0001 f _ACH GCCURRENCE $ 1 1 CLAIMS-MADE I X OCCUR CPA3158728 01/01/2017 01/01/20181 DAMAGE TO RENTED 0001 300 I PREMISES(Ea occurrence) $ ( 1 1 I I MED EXP:Any one person) 1 S 5,0001 1 1,000,0001 I I • ! PERSONAL 3ADY N.,U R" S OEN'L AGGREGATE LIMIT APPLIES PER: ! GENERAL AGGREGATE S 2,000,0001 —� � �RO- I 1 ! OL;CY I JECT (LOC _ ! PRODUCTS-COMP/OP AGG 13 2,000,000 OTHER: I EBL AGGREGATE 2,000,000) 1COMBINED SINGLE LIMIT 1,000,000) A AUTOMOBILE LIABILITY I Ea accident) I S I X ANYAUTO !CPA3158728 ! 01/01/2017 1 01/01/2018! BOC2Y'IfJURY(Per person) , —,OWNED ,n,SCHEDULED I I AUTOS ONLY I I AUTOS BODILY INJURY(Per accident)' b I i HIRED I NON-OWNED I I ! PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I(Per accident) I > , i_ ) I i A X UMBRELLA LAB r'X I OCCUR1 ! 1,000,000' EACH OCCURRENCE 'S —a EXCESS LAB CLAIMS-MADE CPA3158728 01/01/2017 01/01/2018 I AGGREGATE S ! DED X RETENTION 3 0 I Aggregate 3 1.000.000 B 'WORKERS COMPENSATION X STATJTE I ERS I AND EMPLOYERS'LIABILITY Y(N 'WCA3158729-20 01/01/2017 01/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ) l E.L.EACH ACCIDENT I S OFFICER/MEMBER EXCLUDED? I N/A ((Mandatory in NH) E.L.DISEASE-EA EMPLOYEES 1,000,000 Ill yes,describe under1000000 I DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT S ' ' B 'Worker's Compensatio I ! 1WCA3158730-20 01/01/2017 01/01/2018 1,000,000) C !Pollution Liability TIEDE654299117 01/01/2017 01/01/2018 1,000,0001 , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1 I i 1 1 I I 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. I I AUTHORIZED REPRESENTATIVE - ACORD 25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Iii Hickory ix, Oakdale, CT C637O Property Address 0) replacen lr*- perh'o door Job Description Required Department Approval Permit Issuance Approval 1111 Tax Collector s!s'i Signature/date Comments: Fire MarshalD 1 D/l ?Pci.---,/ Signature/date Comments: ❑ 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: 1 WPCA, Administrative • _it _ Per 0‘cuj ASO 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 RevisedMarch 23,2015