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Home My WebLink AboutTown Water Tie In 2005-2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 20 PODURGIEL DRIVE Job Description: WATER SERVICE Permit Number(s): Permit Date: INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Water Service • 1"plastic coated 12/30/05 DJ copper Shut valves • 12/30/05 DJ • 12/30/05 DJ • Water system is not bonded and a bonding jumper is • 1/27/06 DJ Bonding required at meter. Backflow • prevention • 12/30/05 DJ Pressure • • Pressure set at 38 PSI 12/30/05 DJ reducing valve Thermal • • Not required expansion valve Certificate of • • approval 1/27/06 DJ Rev.Date:10/18/05 Page 1 of 1 • TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2005-0124 Date: 05-Jan-06 Map/Lot: 103/002-000 Owner ID: 5556000 Project Location: 20 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Kenneth W Mrowka Tenant Name: N/A Careof: 20 Podurgiel Ln Uncasville CT 06382- Telephone: Contractor Name: Oceanside Plumbing&Heating Telephone: (401)377-8712 DBA: Lic/Reg Type: P1 Lic/Reg No: 279721 181 Church Street Exp Date: 31-Oct-06 Bradford RI 02808- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $400.00 Plumbing Fee: $8.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $400.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.06 Total Fee: $8.06 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 ❑d 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 ❑ Certificate of Approval P. • , e of occ ..ncy Building Official's Approval: -�— V . ' • Town of Montville Building Department 0 310 Norwich-New London Tpke. Tet. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:AC.0 —8/,(y Type of Work Occupancy Type Permit Type El New Construction 44Single Family ❑Building ❑Addition Two-Family Plumbing Alteration ❑TownhouseMechanical ❑Accessory Structure ❑Electrical CRS#: Job Address: 0) 0 PO afi'.6/ ne (Number) (Street) (Unit) Job Description: L i l' A c7elf S f G/C WC- a, ?o �,C,S Ti' /Oil CC-- r/ 'A j Owner: keN/10711 #1 i i 'k{9 Address: c, , lOd p(,e` 6- 'it 49A City: CIA Cij h $4 v,�/e State: C I Zip Code: C3aj F.L Telephone: Contractor: on-40,-, $i 0, ,L/g f fi<T DBA: }� / / • Address: /'� l C h c"f 4` • City: /3` F)/ State: /4 Zip Code: Oaio'. • Telephone: e'ree/!^ )7 -I-7/k License Type:/ License No.: Ci 79 22 ( Expiration Date:la/ —C:ZC 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 thro 2 of the Residential Code. Owner/Agent Signature: L Date: /02—; 1-- —CPS Construction Value • Permit Fees Building Value: Building Fee: Plumbing Value: • lid ci Plumbing Fee: T • • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of O Fee: Plan Review Fee: State Ed Fee: O. O(, Total Fee: t- . °4 4Zfvised cDecem6er31,2005 • Town of Montville Building Department File Receipt Date: 23-Dec-05 940 Receipt No: Received From: Oceanside Plumbing&Heating Job Address: Podurgiel Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $145.08 Check: $1.08 Check No: 5225 Construction Value: $7,200.00 Demolition u • $0.00 // Received By Joseph Summerst / 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 2_0 Po.D u P-41 Property Address ‘,1A-r6v2- ,f;,/UA c P o Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. • - Required . Department ApprovalPermit Issuance Approval Tax Collector L a nature/ date Comments: WPCA, Administrative � 114nature/ ate • Comments: ❑ WPCA, Operations • Signature/date Comments: • ❑ Planning &Zoning • Signature/ date Comments: [ Health Department Signature/ date Comments: Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation • Signature/date Comments: • ❑ Fire Marshal • Signature/ date Comments: • wfviset ugust5,2005 • if tit r__ ,____________ _. ......_,___ ___ ._____ ._____,____________ CERTIFICATE OF 14ABILITY ,NSJIRANCE CSR L>' OATEIM PR08tJCER "-' •��.,�__,�- MtOD/yyy�. OCZANSI INFORMATION 05 THIS CEF1 CIFICATE IS ISSUED AS A MATTER OFINFORMATIONION Z+1ooclIItanaee I a�:ance Too. ONLYA5113 CONFERS NO RIGHTS UPON THE CIERTIFICATE P. O. eax 246 HOLDER THIS GERTIFIGATE DOES NOT FNMENi) EXTENT)OR ALTER T li COVERAGE AFFORDED BY THE PC LILIES BELOW ISTyc�iBg /2.7. 02 p•y�+_o2-41,1 Phone: 401-539-7 G00 Fax:401- 539--7265 + INsuREp – �___�_ INSURER IFFORDING COVERAGE I NAIL# rWZURERA Peertgss Insurance - -1— Steven A Dubois, Int!. lS IRERB Cb_ anac o6' 6i ---�� Oceanside Pl �•i �awaati� c.�co___ Oc Chi L•mbing Huat3.ng,Int; INsuesRc: Church Street lrvsra,asv Ynrcriac• �Ap�y Bradfazd RI 02808 INSURER D; NSIREF;t: I. .CO A ES I_ T 4JLIC14:f b4 1ti5l1RAtV. I,ISTED9_LOw SAVE B S N ISSUED 70 THE 1 ANY REQUIREMENT,YERA4 OR pONDITION OP ANY CONTRACTOR �ISUREO NAMED ABOVE FOR THE P".LILY i�ERIpD INDICATED.NQTWITi7STAND iNG MAT PatiTAIN,THE INSURAIJOF AFFORDED BY THE POI+CIES DESCRIBED DOCUMENT E4EiNIS SUBJECT TO ALL TO WHIG.I,8.X LU$IONS AND co BEASSUED OR POLICIES.AGGREGATE LIMITS-SHOWN MAY HAVE SEEr1 RED TO ALL THE TEFn I;;•ETCLU$IpNS AND CONDI �" •p Li ' --^ UGED BY PAIIJ GILAIMS. TIONS CM SUC:N N-- TYPE OF INSURANCE I I POLICYEF _ POLICY NUB IDER "f -pOL1 C9 yy� 1 i GENERAL LIA61LFY DATE{L'.,l6ArDpryY� _ DA7'EIfIiKMODlY11 Lr,rA'P$ A l XI CCAuaERC:IAI GEINZ AL LIABILITY CCP 971456 I EACH DccvRRF ce s—1,— ---_, 04/30/05 04/30/06 uW'aC? IurENllp'— 1 CLAIMS MADE OCCUR 1 PREtdt (E&acnuCnce) 5 500 004 MED EXP(Anyanm person) $10 000 —�`–—�W I PERSONAL&ADV INJURY ]- OOO a O I��GEM_AGGREGAYI'LimiT_APPLIESPER' �GlrhfERALAGG{.�r;g7F 15z OOf�,QQO jX I POLICYI I PtO I PRQOUCT$-C�7MPtOPAGS $Z O0(� ?ICT ��LOC ! OOO AUTOMOBILE OAF 11_197 ANY AUTO COAtna7WEp SINt'Lt=LIMIT ALLDWNEDAJT(15 4E0accident7 $ 1,Boa,OOa C X scHEDVLsnF}rra5 08745219-0 I BODILY INJURY III MIRED AU7O5 04/30/05 l)x/3 0/0 6 {Per Person} (_."3 NON-OWNED,`OTOS I BODILY INJURY w ( rrJdcnt) S f pNoPERTY 1 (Pa aco den1DAMAGE ,$ -- I .- I l GARAGE LIABILITY ANY AUTO ! , AVYOONLY•EAACI.tDENT-I $ IorseR THAN EA ACC O I $ EYCESSiYlAAGRettA ZN;aBtLfYY - •• AUTO ONLY. _ ' . AGC I g OC��UF. _ CLAIMS WADE CQ 9711359 04j30/05 .. .EACt/OCCURRENT{ j$2,dQO 000 { I DEoucrlBLE ' Of 30/06 i Ac;c;aecArE I $2 p 0 0 0 — 4 1 RETENTION ,; I $ WORKERS courE I IJSATIG N,CJVD 5 B EMPLOYERS'LIABILITY ANY PROPRIETOR'PARTNISRYXECUTIVE � 0 0 0 D O 2 3 7 3 6 TORY LIMITS -� ER J n�=cEu;IrSersER�^�� E::, 12/01/0S 1.'-/01/06 EL.EACNACCIDENT 4500c000If yy85.Cegc!'1be ltndCf j 1--:, FFcCCIAL?STC;;6SSIQNS LCTN I7 1 I E.L.DISEA$E-EA EMPLOYEE 5 500 000 OTHER "- - } ' E.L,DISEASE-POLICY LIMIT $ 500 r 000 111 I r� . off' )1:SCRlPTION OF OPERATI �� ONS r uicATrotis r yE1iICLE5 r EXCLUSIONS ADDED ENDORSEMENT r SPEOIAL PRO),,;IDN0_ P11=1:ting & Heating - Certificate. FIoldes is doted as an AC litianal Insured - Proj ec t:Montville Commons, rine asvi11e, dT - 7urther Ada , k": are: SecondPanda ,'I- LLC - The Home De,c t - g #'Lana.2. TnsuCo. `- I Stop & Shop Supermarket Cu ;:i .)!-------,..___II :ERTIFICATE HOLDER - _ CANCELLATION/ NZTTANy SHOULD ANY OF T HE AtiOVE DESCRINED POLICIES 8E CANCELLED BE Nittany Co struetion. uric. PORE THEE?[PIRATIprJ FLT i:.7:un =�:ddWJ:��G/Sa'�dY1 ,�, DATE THEREpP+'I'iE iB::.UiNG INSURER WILL ENDEAVOR T ' O MAIL 30 �j�zeDAYS INRITT-eN I FaX: SO/1-285- 7 NOTICE TQ THE C I:tTIWC;ATi;HC)LOER NAMED TQ THE LEFT,BUT F,>.ILURE TO DO SO SHALL r 61 Fax t �Ii9.Ln S t.-7St@ #� IMPOSE NO OBLII',MOH OR LIABILITY OF ANY KIND UPON THE INSIIRER.ITS AGENTS OR ENorton, sio. 0276'6" CSR TrvE.r. &Oil• . -, :7 ._---------f •••"" ','II' - ea••••-•,•4 02.4„--CORD 25{Z401Ji]8) .1ne•imansee I / kt)ACORD t:ORPORATION 9888 JI=B,.In 39 d t 'i i NI 338NHI-JQ0001 59a:L6s=5 T1317 RP:TT S0fa7/7.7/:_7.T 4, • i t f gi`+`r' , '.• t',R� k,it!',:,70572.71;,.,,'444 ��t 'Arlp`iE1y.' 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Lane, �woka--'24 ti odu j, 1 :Lane, 3 1y»£ t"��?1°i tiu..,, �� Podurgiel Lane, 1Lapiaoti --3a Podurgiel L„ne,rgsel Lane, Nagler/Lemieuy_-33 Podurgiel Lane, .Tta;,]pean--35 Podurgie,: Luna,Czy'zewaki-- 35 Podurgiel mane, Alfieri-•-39 Poduri3*el Lane, Wallen/:aeetate of Wallen-- 40 Podurgiel Inane, Scopelitie--43 Pod rgial Lane, Lady'pee_-44 Podurgiel Lane, Bicknel]. -47 Podurgiel Lane, No4rick--48 Podurgio% Dane, Dunn-- 52 Podurgiel Zane, Barbey-..a5 Podurg:.e1 Lane Gons ki---59 Gualandi-.-53 Potiur3iel Lane, Murphy_..6k Pdurgi�sl bane, $ jek�Pttek/F l Lane, in uncaeville, CT - ATImA oowlar all Sr P4'kg"Ar„q�T4.4,4„OF C &A• IpI�G FCpNO j�T74, �C siz,17: t piAlt_qi 41:P cats „ %,...,,,' N4 D T coNl s, 2�j�21 No F ''Cil I S �.410 coR ,GNF� ` F I>'I 0 �, - -/J/ F TiF 28 8 ` 0 7 yam 2pQ� _i FXp�R I i 4 1 7.0/7_.9 R1Hd 7-)Nt-a.4fcNT - rinnm .