HomeMy WebLinkAboutSiding and Windows 2002 Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville,CT 06382
860-848-3030, Ext.82
Building Permit
Permit Number: B2002-681 Permit Date: 05-Nov-02 Permit Code R4
Job Location: 220 RAYMOND HILL ROAD UNIT: MAP/LOT: 087/001-A00
Job Description: Siding&Windows
Owner Contractor
DAVID C+ DIANE M HADDON The Siding Store,Inc.
408 Norwich Road
220 RAYMOND HILL ROAD Unit: Plainfield,Ct.06374
UNCASVILLE CT 06382 Telephone: 564-7088
Lic/Reg Type: HIC
Use Group R4
Lic/Reg Number: 525387
Code 1995 CABO
Exp Date: 11/30/02
Construction Type 5B
Construction Values Permit Fees
Building Value: $14,000.00 Building Fee: $82.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $14,000.00 C/O Fee: $10.00
Comments: Plan Review Fee: $0.00
State Ed Fee: $2.24
Total Fees: $94.24
It is the owners responsibility to schedule the following required inspections(minimum 48 hours notice requested;
❑ Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab-Prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney-One flue above thimble
❑ Rough Electrical ❑ Firestopping/draftstopping
❑ Electrical Service ❑ Insulation
❑ Rough Plumbing and Leak Test 0 Final Inspection
❑ Gas Piping and Pressure TestCertifica- .f•- pa. -Prior to use or occupancy
Building Official's Signature: a 11 -
Town of Montville Permit #
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, Ct. 06382 Fax 848-7231
Application for Building or Trades Permit
Job Location 1,240 )6y/70/2 ,deL . Map/Block-Lot / /
Job Description/Materials T //Jri9LC 1//AfyI 07,4 q /y d,Ceot////ee i/7 J.4'.
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Owner?4V/ -Ji9A/E / 49...3.0.04/- Mailing Address a&0 e Ao r/d ,4///rd-
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City a-A/gi�Y�.eF . State - Zip4 & Te1.S4,O _66.e,-
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City Ai9//t/7Eid, State (Y7--- ZipDlo�7./ Tel.&O - 5/- 7 ff
Type of Permit
New Single Family ❑ New Two Family ❑ Addition El Commercial ❑ Industrial
Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing
_ Air Conditioning ❑ Plumbing ❑ Heating ❑ Electrical El Gas
Retaining Wall Deck Pool
❑ Demolition Sidin ❑ Patio ❑ Porch
g Windows ❑ Fireplace ❑ Chimney
Size Type of Heat Use
I hereby certify that the proposed work will conform to the Basic 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.
New Home Construction Contractors: Have you entered into a contract with the consumer for the proposed
work ? ❑ Yes ❑ No
Owner/Agent Signature( , ti L. eze..7 -z"___,"4:__ Date /D / n9 /C),�
Contractors License/Registration Type &Numbers`/E--/11XeeYExiEier-.5JZ&5'87 Exp. Date / /
Construction Value Fee
Building $ /'/,OD• °"° $ e .4
Plumbing $ $
Heating $ $
Electrical $ $
Air Conditioning $ $
Other $ $ /0,01)
Certificate of Occupancy $
Plan Review Fee $
State Education Fee $ A •ay
Total $ //71-0040-6 $ (pi,Az[
Town of Montville Building Department Receipt
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Date ___//___/ /4&_2_?_ No.
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11 STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION y)�'
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' Be it known that �!
SIDING STORE INC (THE) '1-441
viti:: , i 408 NORWICH ROAD,
PLAI:j�JFIELD,,CT 06374 `
has been certified by the Dep4-tment of;�onsmer Protection as a registered
_, : HOME IMPROV MENT,CONTRACTOR
"t1 � Contracts ,;of ReCord:TAUL R LAYER
R.e�gist ation # ;,525387 1
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Effective, 12/01/2001
r' Expires: 11/30 ��
r ;
2002 .
Ja T. Fleming, Comm sioner ;' �
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.eoer: $ /1/ GSD•
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SEE = .$ 944
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CORD.• . ............. ::.,.. ....:::;::
. :; ERTIFIC TE O:F` LIABIU'ry NSURANC 07/22/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BYRNES AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
553 HARTFORD PIKE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 739
DAYVILLE COMPANIES AFFORDING COVERAGE
CT 06241-0739 COMPANY
INSUREDA THE HARTFORD
COMPANY
THE SIDING STORE
B ZURICH—AMERICAN INS CO
408 NORWICH RD COMPANY
C
PLAINFIELD CT 06374
COMPANY
COVE.' ,._>:z:»>:> «'z?::• :: »<.[::: >::::::ia:;» :<<«:::::.;::;<..;., ..;:;:;:.::::....:. ....,......... .,. ..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
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.
CO TYPE OF INSURANCE
LTR POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION
DATE(MM/DD/YY) DATE(MM/DD/YY) MRS
A GENERAL UABIUTY 0 2 S BALE4 4 31 8/03/02 8/03/0 3 GENERAL AGGREGATE I S2, 000, 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE x OCCUR PRODUCTS-COMP/OP AGG S2, 000, 000
OWNERS&CONTRACTORS PROT PERSONAL&ADV INJURY S1, 000, 000
EACH OCCURRENCE $1, 0 0 0, 0 0 0
FIRE DAMAGE(Any one fire) S 300, 000
AUTOMOBILE LIABILITY MED EXP(Any one person) S 10, 000
IIANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
i SCHEDULED AUTOS BODILY INJURY
I HIRED AUTOS (Per person) S
I
�_NON-OWNED AUTOS BODILY INJURY
i
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO AUTO ONLY-EA ACCIDENT i
OTHER THAN AUTO ONLY:
EACH ACCIDENT i
EXCESS LIABILITY AGGREGATE $
f UMBRELLA FORM EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM AGGREGATE $
I $
R WORKERS COMPENSATION AND 6 Z Z UB 191 X 6 2 3101 7/06/02 7/06/03 X1 ORY UM TS I I ER i
EMPLOYERS'LIABILITY
THE PROPRIETOR/ EL EACH ACCIDENT S 100, 000
IRS/EXECUTIVE
OFFICE INCL EL DISEASE-POLICY LIMIT $ 500, 000
OFFICERS ARE: EXCL
OTHER EL DISEASE-EA EMPLOYEE S 100, 000
II
DESCRIPTION OF OPERATIONS/LOC.ITIONSNEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF MONTVILLE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
310 NORWICH—NEW LONDON TPKE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
UNCASVILLE, CT 06382
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORED REPRESENTATIVE
Kimberly J. ck
KH A
,Y11 flR CORPORATION f988