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Siding 2016
TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE ONCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2016-0479 Date: 06-Dec-16 Map/Lot: 032/007-000 Owner ID: 5833000 Project Location: 376 RAYMOND HILL ROAD Unit: Job Description: Install Siding Owner Nam Leland W and Juliet L Boltz Tenant Name N/A Careof: 376 Raymond Hill Road Uncasville CT _ 06382- Telephone: (860)84.8_-_7.4.7__6 _ Applicant Name Yost Home Improvements Inc. Telephone: (860)442-8032 DBA: Lic/Reg Type HIC Lic/Reg N 500250 1018 Hartford Turnpike Exp Date: 30-Nov-17 Waterford CT 06385- Construction Value Permit Fees Construction Information Building Value: $20,925.00 Building Fee: $252.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $20,925.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $5.44 Total Fee Paid: $257.44 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: Cl Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval ❑ -'fi •t- . Occupancy Building Official's Approval: �L 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.: (p'D Type of Work Occupancy Type Permit Type Q New Construction El Single Family (g Bulking Addition 0 Two-Family 0 Plumbing ❑Alteration TownhouseM 0 Mechanical 0 Amory Structure 0 Electrical CRS#: Property Address: 376 Raymond Hill Road Montville, CT 06353 (Number) (Street) (Unit) Job Description: Install new cedar boards insulated vinyl clapbords siding on the complete house. Squares of siding: 3 / Owner: Lee & Julie Boltz Address: 376 Raymond Hill Road city: Montville State: CT Zip Code: 06353 Telephone( 860 ) 848 _ 7476 Applicant: Yost Home Improvements, Inc. DBk Address: 1018 Hartford Turnpike may: Waterford state: CT zip Code: 06385 Telephone f 860 )442 - 8032 Contractors-Complete the Following: License Type: HIC 0500250 11/30/16 Lice : Expiration Date: I hereby certify that the proposed work will conform to the Std lip Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that theoreoesed work Is authorized 1w theowner i ofes and that f authorized to main:as rm for a permit for mach work as described alcove. ❑ By checking this box,I will follow the requirements of the 2005 NEC as the alternative cow per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 th . , 42 of the Residential Code. Owner/Agent Signature: - Vice Pres. Date: 11/29/216 Conetru Value Permit Fees BuikfngValue: Doca5 Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Few. C of 0 Fee: Plan Review Fee: State Ed Few 5. Total Fee: oZ S-i twist&Arlo 25 2037 Town of Montville Building Department File Receipt Date: 30-Nov-16 ReceiptNo: 11889 Received From: Yost Home Improvement Job Address: 376 Raymond Hill Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: Bldg Check: $0 00 $257.44 State Check: Bldg Credit: $5.44 $0.00 State Credit: $0,00 Fire Cash: $0,00 Fire Check: $0.00 Construction Value: $20 925,00 Fire Credit: $0,00 Demolition Value: $0.00 CheckNo: 6065 Received By: Carmen Kneeland CailMASA a 11S2 �� � Address: 376 Raymond Hill Road ITEM QTY S/UNIT TOTAL BUILDING AREA Building Plumbing Mechanical Electrical - 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 Hot Water n Y/N $ - Electric n Y/N $ Air Conditn 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 3100 SF $ 6.75 $ 20,925.00 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 TOTALS $ 20,925.00 $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 20,925.00 $ 252.00 Plumbing y $ $ Mechanical y $ $ Electrical y $ $ - Working before Permit Issuance $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 5.44 TOTALS $ 20,925.00 $ 257.44 Figures are based on the 2006 RS Means Residential Cost Data ST VII OF CO\\ r-( ., .i( HON .Arm r Y'OST H` Of KENT INC tau fifiRTPORDAIIKE WA y EKI2 1 y.x 063854032 N ® ` C Ro CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. O16 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 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). PRODUCER CONTACT Susan Berck-Cross LEVINE INSURANCE GROUP LLC NAME` PHONE (g60)739-4444 FAX 221 Boston Post Road fA C.No.Ext) lA/C,No);(860)739-6861 EMAIL -- - - P.O. Box 339 ADDRESS:sue@ligct.cora East Lyme CT 06333 INSURER(S)AFFORDING COVERAGE NAIC# INSUREDINSURER A• cadia Insurance -_- _INSURER 8. -_. -_. .- _... , _--- -- - Yost Improvements Inc INSURER C: --- --_--- -- `--Yost Manufacturing & Supply Inc. URE O.Box 263 INSURER E: INSURER D: --_- Waterford CT 06385 INSURER F — COVERAGES CERTIFICATE NUMBER:CL1641301167 NUTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED EN MEED N ABOIVEBFOR THE POLICY 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, INSR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE IADDLi`SUBR` - -- - - -- -- ----- .-- ____ (NSD'WVD POLICY NUMBER , POLICY EFF 1 POLICY EXP- - -- -- - -- - - LTR` X COMMERCIAL GENERAL LIABILITY (MM/DD/YYYY) (MMIDD/YYYY)I LIMITS A CLAIMS-MADE X - OCCUR DAMAGE TO RENTED EACH OCCURRENCE $ 1,000,000 - -- -------- ' PREMISES(Ea occurrence) $ 250,000 CPA5087692-13 4/22/2016 4/22/2017 _ MED EXP(Any one person) $ 5,000 i PERSONAL 8 ADV INJURY '$ 1,000,000 OTHER. AGGREGATE LIMIT APPLIES PER 'EN POLICY L X , JECOT ; LOC I GENERAL AGGREGATE $ 2,000,000 I $ 2,000,000 j AUTOMOBILE LIABILITY I $ 4 PRODUCTS COMBINED SINGLE LIMIT A X_ ANY AUTO 4/22/2016 I(Ea accident $ 1,000,000 SCHEDULED ALL OWNED -- i BODILY INJURY(Per person) $ i_ AUTOS -;AUTOS CAA5087699-13 � _---- X_: HIRED AUTOS x - NON-OWNED4/22/2017 BODILY INJURY(Per accident) $ -._ AUTOS PROPERTY DAMAGE -- - X . UMBRELLA LIAR X OCCUR Uninsured Motorist limit $ 1,000,000 EXCESS LIAR CLAIMS MADE' A EACH OCCURRENCE $ 2,000,000 DED RETENTIONS AGGREGATE $ 2,000,000 CUA5087646-13 4/22/2016 4/22/2017 -_- - WORKERS COMPENSATION $ --- OFFICER/MEMBER EXCLUDED? X I PER ER OTH- AND EMPLOYERS'LIABILITY Y/NI ANY PROPRIETOR/PARTNER/EXECUTIVE ( STATUTELER N/A A (Mandatory in NH) E L EACH ACCIDENT $ 500,000 If yes,describe under �' NCA5087648-13 4/22/20164/22/2017 __-- ---9/22/2017E.L. -- ---- DESCRIPTION OF OPERATIONS below DISEASE-EA EMPLOYEAT$ 500,000 E.L.DISEASE-POLICY LIMIT i $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may, be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION Lee & Julie Boltz SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 376 Raymond Hill Road ACCORDANCEION WTHDTHEEPOLICYPROVISIONSNOTICE WILL BE DELIVERED IN Montville, CT 06353 AUTHORIZED REPRESENTATIVE David Pugliese/BERCK- ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All rights reserved. ©1988-2014 INS025 r7nt4nn Building Department Town of Montville CONSTRUCTION PERMIT APPROVAL 376 Raymond Hill Road Montville, CT 06353 Property Address Install new cedar boards insulated vinyl sides on the comlete house. Job Description Required Ap'royal Department Permit Issuance Approval O Tax Collector � A Comments: Signature/date ❑ Planning &Zoning Required for ail permits exce cal.Mechaniagmbinslisacal Roofing ngwi doves&Doors Signature/date ❑ Health Department Reauired for properties with prlvate septic or well Signature/date Comments: 0 WPCA, Administrative Rpt wired for propertle�a nn Signature/date Comments: ❑ WPCA, Operations when Required by WPCA Comments: Signature/date • Fire Marshal L Comments: Lb- 2 r ► V Signature/date �-_ nn (LI ❑ Department of Public Works R ui w r ' I drivewa work or certain drains e Comments: uiremenrs Signature/date ❑ Montville Police Department Required for all pannus EXCEPT one anti �'"O family recui�.,sfel -- Signature/date Comments: Ft- uired 0 Copy of State Dept. of Transportation Certificate CGS 7 31fr Structures over 700 r , .ft or with ore than f0.= '' s•aces-pElcial •. of 'c=,-o 0*- :tion r,! i -. _ ._ Signature/date 3uilding Department Final Inspection Fvised reh23,2015