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Vinyl Siding 2009 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: B2009-0209 Date: 26-May-09 Map/Lot: 101/058-000 Owner ID: 5791000 Project Location: 31 RANKIN COURT Unit: Job Description: Vinyl Siding Owner Name: Lewis and Doris Fithian Tenant Name: N/A Careof: 31 Rankin Ct Uncasville CT 06382- Telephone: (860)848-0440 Contractor Name: George Yost Telephone: (860)442-8032 DBA: Yost Home Improvements Lic/Reg Type: HIC 1018 Route 85 Lic/Reg No: 500250 P.O.Box 263 Exp Date: 21-Nov-09 Waterford Ct 06385 Construction Value Permit Fees Construction Information Building Value: $6,300.00 Building Fee: $56.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC Total Value: $6,300.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: #0,00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.13 Total Fee Paid: $57.13 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 REQUIRED UPON COMPLETION ❑ Insulation V Certificate • ••prov. • - r‘r..- of upancy Building Official's Approval: - 2t Town of Montville 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.: ,T7 2oogr— OJo t Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family ❑Building ❑Addition 0 Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Property Address: 3/ C (Number) (Street) (Unit) Job Description: it/frsyc Si (7,,,G Owner: 141,2 74' m`?j Zi'5 /ri- /.,,- Address: 3 / c nlK'4"1 r City: U'4 C r-j vi, L State: e-r Zip Code: Telephone( g160 ) SYS- 0 Y S/0 Applicant: C/. nc c ( Y6)3 7/ di C c 1-P-`:1 DBA: l U.f 7` M /vLt/'4'c'>/Cs+-•4;.-173-- /til C- �/J Address: J 0/ I i-��!,'"7Tzar,. -«< /2T' :Y_J /" . 0 ,7)c 2 63 City: tj to State: Zip Code: a3S-r- Telephone(AO ) W Contractors-Complete the Following: I I C.Os-002st) License Type: License No.: Expiration Date: 1/36/0 j 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: P/ Date: - Z " / c Constructi alue Permit Fees Building Value: Building Fee: 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: Total Fee: vite6."gust 23,2007 Town of Montville Building Department File Receipt Date: 21-May-09 Receipt No: 4532 Received From: George Yost Job Address: 31 Rankin Court Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $57.13 Check: $1.13 Check No: 1784 Short/Over: $0.00 Construction Value: $6,300.00 Demolition Value: $0.00 Received By Carmen Roberts 00/V1n � 6nt airicktv I l t- ` ► TATE OF CONNECTICUT DEPARTMENT OF CO:%".V'MER PROTECTION' HOME IMPROVEMENT CONTRACTOR YOST HOME IMPROVEMENT INC 1018 HARTFORD RD WATERFORD,CT 06385 YOST HOME IMPROVEMENT INC LIC./REG NO. FFECTIVE HIC.0500250 EXPIRES 12/01/2008 11/30/2009 SIGNED //� APR 13 2009 12:05i o8C 444 12 5 HEDDEN N5'JRANCE AGENCY #7950 P.001 /004 Aco_AQ CERTIFICATE OF LIABILITY INSURANCE CSR TJ 1 DATE(MM/Dorryyy) PRODUCER YOST-02 04/13/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Heddeu Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.ir Boa uran HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. waterford CT 06385 Phone; 860.447-3111 Fe4;860-443-8253 INSURERS AFFORDING COVERAGE NAIC# 'INSURED "" _ INSURER A. Peerless Insurance Company 24198 YOSt Home Improvsmtent, Ina. NSUREH6 - Mr- Yost INSURER C. 1018 Hartford Rd. P.O_Rox 263 �....._ Waterford CT 06385 INSURER II COVERAGES INSURER E: THE POLICIES OF INSURANCE'_ISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OP CONDITION QF ANY CONTRACT OR OTHER DCCUNEW will-,RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN,THE INSURANCE tiFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TQ ALL Tt-E YCRMS,EXCLUSIONS AND CUNOITIONTS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN R'PDuCEo EY PAID CLAIMS. INLTRRINSRD TYPE Or INSURANCE POLICY NUMBER _€FFEC I Pit PTZIOY JY,PIR.ATKMI •__ �� I DATE(MMIDD'YY) DATE IMMIDO/YY)_ LW.IT$ (iEMERaLLiABILITY EACH OCCURRENCE 72.000000 A X COmmERcud.GFISP.ALuA9 Try CSP 9842631 04/22/08 04/22/09 Pe4= 1F�r�"w`recei 100000 r 1-1 CLAIMS 41A,3'4 FX7 OCCUR MED DU'(Any me Person) 3 5090 PERSONAL aADV INJURY 9 1000000 GOELIMITAPPLJPR; GENERALAGREGATE $2000000 2000000GENLAGGRECAT CCPODUCTS COMPRFAGG 3 2000000E T 7L7_.flrcucr7 OMOBLE UABILITY I A )(�ANY AUTO COMBINED SINGLE LIMIT HA 9841931 04/22/08 { 04/22/09 (E"9Q w'g ,$ 1000000 'ALL,OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per weal) $ HIRED ALTOS 'NON-OWNED AUTOS i BODILY INLAY $ A (PerEcOdv1) (x comp $1000 bed FG, PROPERTY DAMAC,E A X Coil $1000 Dad ,(Por accodenD S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO �..._._,_ ,._- OTHER THAN EA ACC $ AUTO ONLY: AGC S EXCESSIUMBRELLA LNuaLr Y _ EACH OCCVRR$NCGE $2000000 A •OCCUR 1 I CLAFISNADE CU 9842331 04/22/08 ; 04/22/09 A3GREGATE $2000000 s F^ DEDUCTIBLE S Ix I RETENTION $10000 WORKERS COMPENSATION AND I I WC STATU- OTS 8 M SMPLOYGRi'LIABILITY X TORY LINTSL ER A duo'PROPRIETCR/PARTNEWEXECUTIVE WC 9842231 ! 04/22/38 04/22/09 jE.L.EACH ACCIDENT 3100000 OFFICERJMEMBER CXCWOCD - r--__,...._ N eD,dc5c.i G n sr L.DISEASE-EA EMPLOYEES 100000 SPECIAL PRQV,$ION$b@IDW E.L.DISEASE LIMIT OTHER 3 500000 II I I f DESCRIPTION OF OPERATIONS)LOCATIONS/VENICOE~STEXCLUSIONS ADDED BY ENDORSEMENT/SPECAL PROVISIONS CERTIFICATE HOLDER - CANCELLATION MI SCO01 SHOULD ANY CF THE a13OvE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX%RATION DATE THEREOF,THE ISSUING INSURER WILL ANDL'AVOrt TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER MANGO"M THE LEFT,BUT FAILURE TO DO SO SHALL Mr. b M , Lewis Fithian IMPOSE NO OlkO,q‘TIFIN LIR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR 31 Rankin Court EP�,E NTAY 4 Uncesville CT AITTH DREP� GTA lyE �, lEl ACORD 25(2001!08) (1\ >II 0 ACORD CORPORATION 1988 l `1 \ Address: 31 Rankin Court ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ Basement,Finished SF $ 22.96 $ - $ Basement,Unfinished SF $ 12.40 $ - $ _ Crawl Sapce SF $ 9.30 $ _ Interior Renovations SF $ 35.09 $ - $ - $ _ MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ _ $ _ Basement SF $ 12.41 $ - $ _ $ Crawl Space SF $ 9.31 $ - $ $ _ AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ - $ • Half-Bathroom EA $ _ $ - GARAGE Attached SF $ 54.35 $ - $ _ Detached SF $ 69.53 $ - $ _ Under SF $ 10.03 $ - $ _ Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N _ • Hot Water n Y/N $ _ Electric n YIN $ _ Air Conditioning n Y/N $ ELECTRICAL SERVICE Upgrade Amps $ _ Overhead,new Amps _ Underground,new Am $ Ps $ _ Subpanel EA $ 599.50 $ - 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 $ 40.00 $ - Porch SF $ 149.38 $ - Sunroom SF $ 17690 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ _ Inground Pool EA $ 21,373.44 $ - $ _ Above Ground Round EA $ 6,100.00 $ - $ _ Above Ground Oval EA $ 6,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - Inflatable Type Pool EA $ 1,550.00 $ - SHEDS w/o electrical SF $ 22.00 $ - w/electrical SF $ 20.35 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.00 $ - Roofing,Strip&reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding 1400 SF $ 4.50 $ 6,300.00 Windows EA $ 600.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 625.00 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 6,300.00 $ - E $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 6,300.00 $ 56.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 1.13 TOTALS $ 6,300.00 $ 57.13 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department • 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 3) E,gc✓/<i(✓ (4,2-0-/ r/eCC C-7 Property Address yC $ice/ 6- Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval Tax Collector Signature/date Comments: J ® Planning &Zoning ; ' 2_---iett-ct_eter2L,/ S/2//c:) Signature/date Comments: ® Fire Marshals ,_ " \t/ 1 1C7) Comments: �n, `` -' C �1 /�n�,�-�-«—� Signature/date ` l (UVL Health Department Required for properties with septic systems—Not required for Plumbing, Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative 7;/ G 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: ❑ State Dept of Transportation Required for Structures over 1 D0,000 sq. ft. or with more than 20Qparkinq spaces- Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date 'fvired fv"wemfcr 5,2Oo