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Home My WebLink About2006 - Town Water Tie In Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 29 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 01/02/06 DJ copper Shut valves • 01/02/06 DJ 1/02/06 DJ • Water system is not bonded; bonding jumper is • 1/27/06 DJ Bonding required at meter. Backflow •• • 01/02/06 DJ prevention Pressure • Pressure set at 45 PSI 01/02/06 DJ reducing valve Thermal • • Not required expansion valve Certificate of •• approval 1/27/06 DJ Rev.Date: 10/18-05 Page lofl 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: P2005-0122 Date: 05-Jan-06 Map/Lot: 103/023-000 Owner ID: 5559000 Project Location: 29 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Victoria G Kapilotis Tenant Name: N/A Careof: 29 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 C :of t cupancy Building Official's Approval: �. ' 4110110."-NW" - — • 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.:�pa,_O/t Type of Work Occupancy Type Permit Type El New Construction Single Family ❑Building CI Addition Two-Family iR Plumbing Alteration ❑Townhouse pir Mechanical 0 Accessory Structure ❑ Electrical CRS#: Job Address: ) • /Po afir PL 4e (Number) (Street) (Unit) Job Description: / /, , A c(tv S-- c4 /ti- 7 lat 5.‹.._ Sr-iic' t 1 • Owner: (/7'C- t'OrrX19 (s- kilf ,'Lc 7 'S' Address: D pO O✓ It- 'C ‘f%e .P City: v[V-. (,14 ti 5vil`/`( State: 0 T Zip Code: c_73 E2 Telephone: • Contractor: Oct'e --2 5t 'OC 24/5 74 f7� DBA: • Address: M(7,4cv ke 4' City: /5` 7)r 0 State: R Zip Code: oa.J`a F • • Telephone: tre (^ ')7 -1-7/1-, License Type / License No.: al 79"22 ( Expiration Date:(6,/,. -0,‘ 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: ,...,,Zgy/F Date: A,/—,) j- C:7 3 Construction Value . • Permit Fees Building Value: Building Fee: •Plumbing Value: .19/0 ca'— Plumbing Fee: • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: • Plan Review Fee: • ' State Ed Fee: 0, 66 Total Fee: v 6 ftvised(December 31,2005 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-• $0.00 Received By Joseph Summers ' j Town of Montville • • Building Department • 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 - CONSTRUCTION PERMIT APPROVAL 29 Po.vo feL LAAJ . Property Address evA 7 dZ - 1-1/'io" oAJiv 61-(4-1 o tJ Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required . De artment Approval p Permit Issuance Approval II Tax Collector ..__ Afe,u.p.__.. /a..- .z �s- Signature/date Comments: 111 WPCA, Administrative \ _ k. 0'g -ture/d\YY e Comments: ❑ WPCA, Operations . .• Signature/date' Comments: ❑ Planning &Zoning Signature! date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation . • Signature/ date • Comments: ❑ Fire Marshal Signature/date Comments: - .. cviserIAugust 5,2005 • - ACCIRO CERTIFICATE OF i'..1ABIUUTY INSiL,IMRANCE CSR LS' PRODUCER DATE(MM/DD/YYYYr) OCEANSI 12/14/OS THIS CEFI,iIFICATE IS ISSUED AS A MATTER OF 1NFORMATJON W0odulanaee IY18;ar ance Inc. ONLY Alli 3 CONFERS NO RIGHTS UPON THE Ci:RTIFICATE P. O. 390X 246 HOLDER THIS CERTIFICATE DOES NOT',MEW),EXTEND OR la'yc>tssBg Ri 02$.M-024$ ALTER T 1:COVERAGE AFFORDED BY THE PC UCIES BELOW. Phone: 401-539-7LIOp ITaxs4Q1-•5397265 — msuREp --- i INSURERS ►FFURDING COVERAGE rb�� RA _— I HAlC# Peer�sss T318i3Ta11Ce -`!-T`---�- Steven A Dubois, Inc:. IRSURERB' Ph. 6ea,:on hila tin ti —�— OCeanaid,� P1 nbin g� ____. + co 181 Chu.rc-h Street'' �I' ati,n inr: INsuRERc: 7 faSrM.a7 va Smacasnca G•AUDauy Bradford�RI 02808 INSURER D. ---- GOOtftAG£s -' INSURER E: THE4oLIC1EE04 trt5urs;,rv,,�LISTED aacw 1-A BEL N issvecTG TKR,IP URED NAMED ABOVE FOR THE P -L ICY I, I ANY REQUIREMENT,TERM.5R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO ERIOD KATE E y NOTWITHSTANDING NLIYPIRTAIN.THE INSURai,PCF AFFORDED BY THE POI.+CIES DESCRIBED 4gREIN 4SBUBJECT TO AL/THE-WHIG,i TE LUSIQ ICAT)CONDITIONS B TIONS O S POLICIES-AGGREGATE LIMITS SHOWN MAY HAVE 8EEN REDUCED BY PAID CLAIMS. TES'.I;i,P>.CLU$IQNS AND CGNOITgryS OFsL7C.H ��.��.r •D'C ' ��.a N N . TYPE OF IN 6URANCE POLICY NL n I6ER I POLiGY-EPFE- I'p'ptl Oy- _ A i +GENERAL LIABILFY DATE�lM6P.'LDNPy` . .DAIE141ifWlUD/Y11 it LP,�G'!'S �}+�. COMMERCIAL GF:N6tiAL LIABILITY CC;� 971456 I EACH OCCURRFEWW --i 000,0 0 O`- 04/30/05 04/30/06 pREMIGSES(E&dca �a] S 500 000 CLAIMS MADE �X 'OCCUR 1 � JC 1 MED EXP(.Anyynm person) IS 10,000 I I PERSONAL SADV INJURY J 1,000,000 II GEM.AGGREGAYI_LIIUPT_ApauESFFR I GEPVERALAGGREGATE �z��OO,ODO POLICY P' PRODUCTS•COMP/OP AG 3 13 2,000,000 X JI Ri- /7 LOC AUTOMOBILE LIAE 1111Y -I~—• ""-- - .I,�, - ANY AUTO + COAM7WEDStNtr=LPMIT ALL OWNEDAJTOS 1 11730DILY (E , S 1,QDQr OOQ C X scHEDt)fFnrtn',�S , O87452T9-0 rper INJURY . ______i_______ HIRED AUTOS I 04/30/05 O 1/3 Q/O ty (Per person) 8 i NON-OWNE.A',UTOS BODILY INJURY {�x��dcnl? I $ I`QPECIRt1et�DAA4AGE� 5 I I GARAGE LIABILITY - I� ANY AUTO _______ — 4------1 AUYCON____0-_-„ 13 j OTHER THAN EA ACt i$ j FXCES�YlAA6RELL•1 tf rCf YY' AUTO ONLY. AGI.I$ A. X '.a. [7_ II CLAIMS1/ADE ' CC 9711358 EACHOCCURRENf�-_— I s 2 400 00{7 04/317/05 ': i I r 04J30/ObIAGSiRECATE 52000,000 DEDUCTIBLE I� RL•TE=fVTIQN_ :> II I w E • WORKERS CONIPE i NSATIC N.g.NO $ B EMPLOYERS'LIABILITY ANY PROPRIETOR.'PARTNIERIIXECUTIVE j 0000023736 Thj TORY LIMITS j -K I OER n�er�u.sr6e45�RcKr� ;)E::� 12/01/05 1'-/01/06 E.L.EACHACCIGENT $5001000 1f yea,Cescrlbe under { F-- FR cCfAL PRG',,`dSSipNS tC�ry li EL DISEASE-EA EMPLOYE;;' 5500,000 OTHER "' - _ r E.L,DISEASE-POLICY LIMIT 5 500,000 _. I . 1 0.4e,C::Di:--7 )E$CRPPttON OF OPERATIONS r LOCATIONS I VEHICLES/EXCLUSIONS ADDEC EB NDoRSEMENT fP Plumbing $c Heating. $ ECTAL PROt 's10N �--I - Ao13ez 'is mooted as an Act itianal Insured - Proi ect:Montville Commons; /Inca svi,ller dT - .Further A13d. t,Lpna2 Insured`a are: Second Fatally, LLC - Tete Moore Dapctl - Stop & Shop Supermarket Co. - “ I j(.. e::------J ;ERTIFICATE HOLDER •- _____ i CANCELLAIlC14t - N,ITTAKY SHOULD ANY OF I HE ABOVE D€SCRIFaED POLICIES 8E CANCELLED BEFORE THE EXPIRATION' Nittany �Onetruction, Znc. r ATT,-,71,m �.` a DATE THEREOF,' IE fS:�UING INSURER WENDEAVOR TO'NAIL 3O ILL dwic�C/So'rh ick ie �7S4tH DAYSWRITT N Fax:: 5 Q II-'�85-1947 NOTICE TO THE C I II TIFICATE HOLDER NAMED TO NE LEFT BUT F.IILURE TO DO SO SHALL 6 East �[l�. n 2 8 5 L'. Suite #4 ' IMPOSE NO OBLle,i TION OR LIASILfTY OF ANY KIND LEON THE INSI IRER•ITS AGENTS OR Nos-ton, BO. 02766 .1 ,R -all IT VE i W.' -,;°1 lorFi. E - C.7.----oll-%.1Lgi., CO (2001/08) RD 25 nOrimans I / ]ACDRb i;l?RFORATION 1988I `'0'TO 39Cd 3DNt'JrISNI 3�SNVNUD0t4gg7�, 5S5 Trab 817:S ?'?7.{?T ana31111042201rOF 6,t '0,' �' � [1 P ""Y Il �Y. f # �1 1 :il� i l -��i �f 5 �l{ '' 1 '�` I� ;ii�y f 5l � '1 t,� S7' {- ) � YN ,''V� � ..+..4 a, t 1 p +# { , it 11 *tl4 ' ,.�p' ss+ •'V• �q Mt + �{{ „ ch+ 4'{s i. )1 i.t;+l " s ;>, *�r • it f. T i j '4 i . y 11.741. O. 4At h: 4q.'i� {N I if e 1Iv; r ,. ) P J "R�.+< f'id !Sai ) 11f I'�:.u01��,� 3 vu ' } ttt S i 1� 4a+„# a 1� 9� st 1 M1h i y�I�f#4 ff a DlasaItoz' erot��1rrs rac. . o Pad t . MAWR y 1 - :li# 'iU"tl # r l ' '.. I w.. 1 , , urg aI Lane, oka--24 Codurgiel Lane, Ahlerona--29 Podurgiel Lane, Kap11oti --32 Podurgiel Lne, Nagler/Lemieux-33 Podurgiel Lane, Jo.vryson--35 Podurgie,;, Ltae,Csyaewaki-- 35' Podurgiel Lane, Alfieri--39 Podurqel Lane, Wallen/: utate of Wallen-- 140 Podurgiel Lane, Scopelitis--43 PodOrgisl Lame, Lady'pa--44 Podurgiel Lane, Bicknell -47 Podurgiel Lane, No rick--48 Podurgi.i:f7. Lane, Dunn-- 52 Podurgiel Lane, Barbey---55 Podurg:..0. Lane, Gonski---:::9 Podurgiel Lane, G ,alandi._-F3 Eodurgiel Lane, Murphy-•..$4 Bodurgiel Lane, Bajek/Fowler a1], in BncasviLle, CT - ATIMA 1 I I ST 9 Pt,-, i, q�, 0�, NG T of C0N� 1 / &PIPING 0A,c�Ndo �Cy� 1LI pyo IC}}_, I SrE PI IPE C TFCPi-,1 ti;;' - 8 ti GNr,92 - Ok- BQ�s. CrO� 'RI ''�9NFp v0 ,....4 ii, 02808 it: •,,,l< '':440#"/ ' I 10. FkpiRFS /37/20 OG 7P/7(1 �CiH� �.,. ��tp.l-'!-J riC'F IT �7rLiHl:,I- rima — —- - - _