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Home My WebLink About2003 - Siding Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2003-0259 Date: 30-May-03 Map/Lot: 096/099-000 Owner ID 4504 Job Location: 18 BALDW N-CQMRT Unit Job Description: Siding Owner: Contractor: Ban and Kim Malls Chea North East Home Improvement P. 0. Box 276 18 Baldwin Ct Jewett City Ct 06351- Uncasville CT 06382 Telephone: (860) 376-0591 Uc/Reg Type/No. HIC 553370 Exp Date: 30-Nov-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $9,000.00 Building Fee:. $52.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $9,000.00 CO Fee: $10.00 Plan Review Fee: $0.00 State Ed Fee: $1.44 Total Fees: $63.44 It is the owners resvoncibiljty to schedule the following inspections (minimum 48 hours notice reauired)• ❑ Footing - Prior to pouring concrete ❑ Rough HVAC . ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service R/~ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: c Town aof Montville Building Department - Permit #0•~ 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncusville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form 9~f w Cmrstrucumr. ❑ AdW tion Ks4rtemtton Accessory So ucture [Other Job Location LkSl n Job Description/Materials% + tlts L L taq Owner B n V i, rn C. h e-c', Mailing Address a i aL..sL a c:t' City- Cs iState Zip Tel OLF? ~Mog Contractor f w - Mailing Address. 3 4 C-, i n 13" ~ 6 City State Zip Tel %271./, bsq Contractor's License/Registration Type & Number - Exp. Date-U--J3 0j C 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. Owner /Agent Signature . In' AA" Dated` J / Construction Value Fee Building Plumbing $ $ Mechanical $ $ Electrical $ Other $ Certificate of Occupancy $ Plan Review Fee State Education $ Total $ $ (See *Oerse side for ad4tiond a dremenfs) ~ Receit Town of M,Otville Building Departure _ p No. 0 ate E`1 1 f~~ f j i From: Job Address: r Cash heck Check # + o $ Amount (circic one) f Permit Received by'` N 11►~" __..,_,.~._..~..~..~...~...e_~....~•....,..•.w.. CONNECTICUT DEPARTMENT OF CONSI.TMER'PROTECTION STATE OF Be it known that NORTHEAST HOME IMPROVEMENT INC 34 MAIN ST 0351 i JEWETT {'I" has been certified by the Wptxrt of icer Protection as a registe 4T' red HOME IMPR NTRACTtJR Contractor aR ecorfE ENTL A ND b n 370 Effective: l2/01/2002 Expires:.11/34 2003 Ja T, Flemin ,Comm toner l__ ji: :DATE (MM/DD/YY) 02/06/03 lk~ OF -'s RD"1":.t OF INFORMATION THIS CERTIFICATE IS ISSUED AS A MATT PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BYRNES AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 108 SACHEM STREET COMPANIES AFFORDING COVERAGE NORWICH CT 0 6 3 6 0 COMPANY A THE HARTFORD INSURED COMPANY NORTHEAST HOME IMPROVEMENT INC B PO BOX 276 COMPANY 34 MAIN ST C JEWETT CITY CT 06351 COMPANY D 117 OVE!?A.....::: C : . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDNY) DATE (MM/DDNY) LTR GENERAL AGGREGATE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG $ CLAIMS MADE F-1 OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one tire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ _ GARAGE LIABILITY I OTHER THAN AUTO ONLY: ANY AUTO _ EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ _ EXCESS LIABILITY UMBRELLA FORM [:AGGREGATE $ _ S OTHER THAN UMBRELLA FORM WC STATU- TH- WORKERS COMPENSATION AND 9 8 2 X 6 7 6 6 0 2 12/2 5/ 0 2 12 / 2 5/ 0 3 X TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 10 0 , 0 0 0 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 5 0 0 , 0 0 0 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 10 0 , 0 0 0 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS FAX: 376-3666 - - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED -BEFORE ,THE- INFORMATIONAL ONLY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE C TIFICATE HOL R NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SH L IMP SE NO LIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS NT OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Bernadette Exley:.:.;:.:: D 1 :<»>::<:::>::>:::<::>:»::>:...;..::: CR...F~AI .l3!#.:: t..:...... ......::::::::::::::..............:::::::::.::::::...........:::.::::::::::::::::..............:::::::::::::::::.............::...:::::.::::.....CA:.:.:.t7:. xx. v' NORTH `EAST HOME IMPROVEMENT INC. 34 Main Street RO. Box 275 Jewett City, CT 05351 I s c4--- - President