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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 24 PODURGIEL DRIVE Job Description: WATER SERVICE Permit Number(s): Permit Date: INSPECTION Not Approved Approval Date: Deficiencies pp Special Conditions Date Water Service • 1"plastic coated 01/03/06 DJ copper Shut valves • 01/03/06 DJ Bonding 1/03/06 DJ • Bonding jumper is required at meter. • System is bonded.• d1/27/06 DJ Backflow • prevention _ 01/03/06 DJ • Pressure • • Pressure set at 38 PSI • reducing valve • 01/03/06 DJ Thermal • • Not required expansion valve Certificate of • 1/27/06 DJ approval 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: P2005-0123 Date: 05-Jan-06 Map/Lot: 103/003-000 Owner ID: 5558000 Project Location: 24 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Michelle M and Stephen M Ahlcrona Tenant Name: N/A Careof: 24 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 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 111,C;00; • upancy/ Building Official's Approval: Town of Montville Building Department File Receipt Date: 23-Dec-05 Receipt No: 940 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 i Received By Joseph Summers.' // / / F' r Town of Montville i 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.:pliqqaA-5--d/,23 Type of Work Occupancy Type Permit Type ❑New Construction 45Single Family 0 Building ❑Addition Two-FamilyPlumbing Alteration 0 Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: Q pepaipie-z- -d. 4e(Number) (Street) �-✓r / (Unit) Z1,477---Job Description: , Ai C( 9 S- c e f'�`a,� 7(re-- .2.-, -To i iS 7 "all S.C__ CC17,C / Owner: Agt-Ct{ii. hi 5 44C 2- /44 /¢,7 1GJrthh /? Address: /fit (. Pa 0c4�-I1f6 L.(:City: akl rAri St(// Ii - State: 0(� Ifs G t Zip Code: Telephone: -�- Contractor: QCi-7 St QC 2c/. - 7- . DBA: / • Address: �C 4 ..i-e City: ` ' State: A Zip Code: 0.21,7 Telephone: cr' V - )7 --i--7/4 License Type/ License No.: 61 792,1 22 (. Expiration Date:A3/.. ----0:4- I 3/ —Q,4I 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. L,_ Owner/Agent Signature: „,, Date: 7,/—))-- QS Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: 110 c-- Plumbing Fee: • O • Mechanical Value: Mechanical Fee: • Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of O Fee: Plan Review Fee: State Ed Fee: p, pG Total Fee: % o 4 wised December 31,2005 3 / - . Town of Montville • . • • Building Department 310 Norwich-New London Tpke. f Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL • 2q Po.p oR4i c- L Aiv, Property Address (A-r4i-ce.- L✓/vX o/JN,- i-t o tJ 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 111 Tax Collector �.�e-.,-______/. t(��,___ / L/.L Via_. Signature! date Comments: II WPCA, Administrative \ w Dad,' gnature date Comments: ❑ WPCA, Operations • . Signature/date Comments: • ❑ Planning &Zoning Signature/ date Comments: E Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation • Comments: Signature/ date ❑ Fire Marshal Signature/ date • Comments: . QivisedAugust s,2005 • C CO I -- _ CERTIFICATE�t11TE OF i:ilABI>L(TY INSURANCE CSR L:' DATE(MM,DWyYyy. PRooUCa:R —�—. 1 OC ANSY 12 14 05 Woodmaaaee THIS GEFI:IIFICgTE IS I.S5UED A3 A MATTER OF INFORMATION Insurance Inc ONLY AN 3 CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Is OX 246 HOLDER 7Hlb CERTIFICATE DOES NOT'MEM),EXTEND OR Ny i�g 020.M-0,24•5'Pho ALTER T. II,COVERAGE AFFORDED BY THE PC�LICIES BELOW. �ae: 401-539-7000 Pax:401-534--7265 .— INsURER --- .�_ .__n___________ INSURERS �1}"FUIZD1NCy COVERAGE hO•SVrRA PE9rtess Insurance NAIL p Steven A Dubois, lit:',. _Phe Deacon Mutual EasuYoxCo Co —'-- 181 0ceanalde PlUmbing/Floating,Inr INBURERc: Bradford 1�RI$02808 treet tNSURERD, yj—°9ra�csays x......-... �y�y �r COt AGES INSURER E; TMEKtLICIESW R18URRtv,7.EI,1 8ELOW}xoS t_NISSUEi�70TML1 SURED NAMED ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WhVE FOR THE ig,1 MC:.CERTIFIGATE,�A,gY BEA ED 04 ARAYPTAIN,ThEINSURAIJCF AFFORDED BY 'PERIOD INDICATED.NOTWITHSTANDING THE EI�IREDDESCRIBEDi�LAJ i8SUBJECT TOALL THE 7EPn13,ETCLU$IQNSAND CONDITIONS OFgUC:N POLICIES.AGGREGATE LIMITS.SHOWN MAY TH ROL CIES D ED BY PAIL/ M3. LTR ND TYPE OF IN_URANCE Imo. POU$YEp I' _ POLICY NUM1IBER POTaIi�eCT10 GBNERAI.LWBIiI'Y DATEtG6Md . pAtpt:•N10MOD/YiF Lfi+E'7`.S '� A 'X COAdMERCL41.GF:NEIiAL LIA8tL1TY Cap 7 ¢5 6 EALYi occuRFtet0E tt 04/30/05 04/30/06 �tIVRtNIE.1•-- 1 00'0.000 — CLAIMS iAAt.tE OCCUR MED X E$(Ee n____ n I b 50 Q 000 E'xP Wynne Person) $10 000 __ � PERSONAL 8 ADV muURY 1,000,000 GENII AGGREGATI_ZAT_AP— p> GFNERALAGGRE6gTE SZ 000,000 X POLICY n d ^�r �LOC + - pROauc1S•COMP OP AG 3 ( —�----- x 2 000,000 AUTOMOBILE UAPILII'Y ""i ANY AUTO f C04 {t 'p,yINl�1 M LItv11T ALLOWNEDAJT(IS I (Eo accident] ,000 QQQ C 2[ SCHEOLlt>=n,J.r S 087452��-0 04BODILY INJURY HIRED AUTOS /30/05 04/30/06 li'arpCrsonj IS KOPI�WNEDhUTOS • (O LYINJtURY S PROPERTY DAMAG6; GARAGE LIABILITY _ (Peracdtlent} $ I AUTO — II AUTO ONLY-EAACa,WENT _ 11 I OMTHAN EA S SXCES^YMASRE L i LioNke r' --.1--. _ 1 AUTO ONLY; r AGC E A lC !OCCUR 1.—_l CLAIMSmADE CU 971.1358 ; EACHoccuRFeENCE $2,000 000 04/30/05 04/.30/06 AGGREGATE Ia2,000,000 DEDUCTIBLE j S 1 i RETENTION ;p yj WORKERS CD - M1a'ENSATICN,6ND $ 33 EMPLOYERS'UABILRY ANYPROPRIETOR/PARTNIAIIXECUTIVE 1000002373612/01/05 r�Y RS K ER ���'cEuur�ntsER E��.i;'�Et,a 12/01/0 5 1.17101/06 E.L.EACH ACCIDENT j'500,000 IAL�`PFY.:HssroNS t ----- EL DISEASE-EAEMPLOYll: S 500 000 OTHER J-- .------"*---------------E.L,DISEASE-POUCYLIMIT $500 000 ) SCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADM ENDORSEMENT t 07 Plu4ahing & Heat.io,lT - Certificate Roldex is noted sPEeu►LPR Re! PYOjact:Montville Coml:Ions.. IIncasvil1d- T - as an it. Litianal InBur�td - are: Second F31ei1 Furthest Addit,Lana/ TrsarirBd a 1 , LLC - The Home Depc - Stop & Shop Su rntarite_t Co. - alERTWICATE HOLDER CAR[CELLIgTIC:'•t ti NITTANy sHouLo ANY OF I HE A*IOVE DESCRIED POLICIES SE `� Nittany c:Cn>gtructian, ;Cnc. C+►Nc:taufneEr>oREYHEexPlRaroN I ]r T ran ;�tAdw ruc/Baia!! I��.ck�.e DATE THEREOF,' 1E IS:-1UING INSURER WILL ENDEAVOR TO MAIL 34 Fax: 50SI-:285-1947 NOTICE TO THE[ ItUFICATE DAYS WR$I AL 61 East Main St.-Suite #4 MDLDEI7NapIEDrpTNE1 E�BurP,uLURETODOsosHalL IMPOSE NO OULit'�i TION OR LIABILITY OF ANY KIND UPON THE Nvrtan, Bim. 0276'6 ASR INSURER,ITS AGENTS OR s ...A rrtrr:.a AW:rrp r e +FA.eI;R:t„�a } coca 2s{zao��osa _. — :oadmax see , / k 112)ACORD CORPORATION 19$8 I, ZO i TO 39 d 30N 1NFISNI 33SNCW000M 59ZL6fiS TOb Rh:E.T GCdCi? +??./77 • }z VJpilIiagt)F �� r at ‘.0 ur �.111 { Y. ��{i, 114S14t� , �,,,p l� ,i 'If �., + .1�... •n t + +v�-1 t kl. 1 S ;� l, 'A %` 0S`� 4IIH,: .li 1.vins, ;1� , ry+•ti 11' 'd ;1,9_ • it mit ` + f�� , R"";;— ` �tN•�' j}+ ,`�f111�'AI' , t r —m�y� h r t ! ;Gi, , n fl. p 1_ �: Yf, i �1'� - {d i ' to,,, •I'J i 1 1 �i "•f fl i i;g i1 ti � , + a4,i4,, ^ .r aii ,,,ig:•, %, n e{` ' c( �4�'' Nattatoa?, Sro. ,'I , 6 raC. : � t , �s(I ri(;rs,:„'t� d"� 1 !W•... l9l'i �`�l6 ivid ym,.1M ��44�; iiyu • ,f y 20 Podu ie1 pa Miwoka--2 Lane,�..P,. C :l '• ': . m3, 4 };»durgiel Lane, Ahlerona--Z9 �'c+3usgiel Lane, Kep33otit�--3Z Podurgie7. T.,a',rie, . Nagler/Lemieu,c-33 Podurgiel Lane, Jo: aon--35 Podurgie':, LiAue,Cayaawaki-- 35 Pcdurgiel Lame, Alfieri--39 Podurg el Lane, Wallen/:_,:Mate of Mallen-- 40 Podurgiel Lane, Scopelitis--43 Poli rgiel Lane, Ladyl;le--44 Podurgiel Lane, Biaknel3 -47 Podurgiel Lane, Nodrick--48 Podurgiu7, Lane, Dunn-- 52 Podurgiel Iane, Barbey-- 55 Podurg:. ll Lane, Gonski--;.,9 radurgiel Lane, Gualandi--63 Eodurgiel bane, Murphy-..64 Podurgiel Lane, Beijek/Dowler all in Vncasville, CT - ATIMA 1 1 1 ST pLU B�Fp R , o� { I�(, `vl Opp �QA r�r kr j pIpI�G Cz A.;�NsU1`ife CTjC 1 SriT I,I �l�pl�� �oTb c �c�� � s 2,921 No F R��s B IS CrOR Si, 0 11„,`. . ,41,1/FDF ti, 02808 ' /40 -, FXp/ Ip/31/2o OG 1 Zel/70 )Hd -.-.4,1tNncn{T -1-7c1.{r+t:.{rTnn n