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HomeMy WebLinkAbout2006 - Town Water Tie In Field Inspection Notice Town of Montville Building Department February 16, 2006 Address: 32 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 1102/06 DJ • Water system is not bonded; bonding jumper is . Bondingrequired at meter. 01/26/06 DJ Backflow • • prevention 01/02/06 DJ Pressure • Pressure set at 50 PSI 01/02/06 DJ reducing valve • Thermal • • Not required expansion valve Certificate of • • approval 01/26/06 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: P2005-0121 Date: 05-Jan-06 Map/Lot: 103/004-000 Owner ID: 5560000 Project Location: 32 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Wayne A Nogler and Michele Lemieux Tenant Name: N/A Careof: 32 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 - •• upancy Building Official's Approval: i • • 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.:)0e29 -0427 Type of Work Occupancy Type Permit Type ❑New Construction Single Family 0 Building 0 Addition Two-Family ,Plumbing Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑Electrical CRS#: Job Address: 3).- • PO : P� ?4t (Number) �1 (Street) (Unit) Job Description: air- /n c(�f 5' (�'C- Fr-6e,--. �t At fc cCotAC' t f Owner: �/// ) Pi e A7/1J— t ` - e'G ' Gr6 �'� )(Address: 34- Pe13e am. 7(+e t v City: G V1 ei4ti S(/ s'//t l State: � f Zip Code: 0 (o,?4j 00- Telephone: • Contractor: sOee4/1-7 St 4C ,e/5 fT� DBA: • Address: 4l( 4 c b1 . City: ,e/eqo r0 State: Zip Code: Oa2fo • Telephone: 4' ?^ '?7 ---1-7/4 License Type/ License No.: pZ 792.2 2 ( Expiration Date:( /t —©,C 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 altemative 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: 41i t.,-/' Date: 4)-01 F -©S Construction Value Permit Fees Building Value: Building Fee: 'Plumbing Value: 41e5 cam— 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, 06 Total Fee: 04 • wiser!(Decem6er31,2005 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-• $0.00 Received By Joseph Summers • • Town of Montville • Building Department 310 Norwich-New London Tpke. Tel. 860.848-3030, Fxt 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL • 3Z Pau • Property Address GJA- 5iZ- LIN - 'lotJ Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector / )-. J_ Signature/ date Comments: WPCA, Administrative715 ature/ date • Comments: ❑ WPCA, Operations • Signature/ date Comments: • ❑ Planning &Zoning Signature/date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation . . • • Signature/date Comments: • ❑ Fire Marshal Signature/ date Comments: • . • &viseIAugust 5,2005 4 • .1 ACORO CERTIFICATE OF LIABILITY INSI!,JIRANCE CSR PRODUCER .��,.�_�- LS OATE(MMJDDryyy\•I T OCEANSY ' 12 14 5 THIS CEFi EIFusATE ISIS ISSUED AS A MATTER OF ONLY ANI) CONFERS NO RIGHTS UPON THE CI RT1FICATE A'oodutanaee Insurance IncON P. O. pax 246 HOLDER THIS CERTIFICATE DOES NOT AMEN13,EXTEND OR 'I' �Bg /27. 02.9.9e-0244f ALTER T. Ii COVERAGE AFFORDED 8Y THE PCLICIES BELOW. phone: 401-539-7000 Fax:401-539-7265 - INsuREp - INSURERS I 1FFURDING COVERAGE 7.___________rAt; RA Peerless Insurance I NAIL# Steven A Dubois tkStlR>Ra Oceanside r ���r 'Ph• Beacon oa 6tytu�i Iaauzpp -- I Chusr�Du reetig Ruatiaag,Int; ' INSURFJRC: — Bradford �—� .. y�srA,aJ v 7n•c rsaca <au7say l — TM—_ RI 02808 INSURER D, COtrERAGF$ NSURER E: TtppLlClfiE^}*rti5URRtv¢s I,ISTE43cLOW HMJE BH1N 15St?EDtO TH t -� ANY REQUIREMENT,'TERM r7R CONDITION OF ANY CONTRACT ME NAMEn Ag sP FDR WH P':I TN{is ANY REQ AYN,THEIEN ,l'ER AI oR OTHER DOCUMENT WITH RE r ERIOD INDICATED.NQTMITH3TAND NG +CE AFFORDED BY 1145 PQI.iCIt5 DESCRIBED 4 REIN IS SUBJECT TO ALL H WHIG,I,EJ LUSIO ICAT D SEAMED S POLICIES.AGGREGATE LIM'TE-SHOWN MAY HAVE BEEtI RED CLAIMS. C ALL THE TEAn I;� pj,CLU$IpN$AND CONDITIONS KIN.-13-1;1- •D 4- • UGED BY PAID LA161s. OF stlC.N KN-- YYPE OFIN,URAN-DE ICER POLICY NUMBER PEZ9y, !'pDATEi p�rCY1d LttOTS G$NERAL L ABILFY DATE 6166DOfyY• - DAl'ErHM1CMpD/1'r! '-- A i X I COI,4MERCWI Gl:NERA�IABfLITY COP 971456 l EACH_OCCURRFstG�E 12 DOCS r OOO CLAIMS MADE J I OCCUR) 04/30/05 04/30/06 I p acn.w,ca) 7.-i-170:00. ---1 .'. 5500 000 —1 •- -------- I 1 MED�G Yonuperson). [S 10 00fl I PERSONAL&ADV INJURY $ 1,000,000 'i GEN'L AGGREGAYI'LIMIT_APPLIES PER! GENERAL AGGREGATE _ 52 000 GOO I X I POLICY I I P•T I� PRODUCTS cpMProP nG; i; T i• Loc $2 000,000 AUTOMOBILE LIM ILI1Y r �„ .F.--_ ----.-..... ...-------i----. ,! I ANY AUTO COnfn'7W`rD SINGLE>_IMJ'p ALL OWNED AJT(Is (E)aa7u�entl ,L 1,040,000 C -� j 3C scHEarLEDFjr,aS 08745219-0 BonILYINJURY j +i i___, �,_ H+RED AvrOs ! 04/3 0/o s o /3 0/a I (Par pCrspn) I I NQN•OWNF_p i.U'fOS BODILY It+rJURY ( :.v7.dant) --"TIS (Per IXOeP�It��10AdAAGE; GARAGE LIABILI Y _ ANY AUTO AUTO ONLY F4 4 {{ ACa.(DENT IOrRER THAN EA ACt'j $ + EXCESSiU'AfiS'RELt'1 twall+fCl YY � '• AUTO ONLY: •. • AGC.I$ A. Ix ocr1°. �` li oLalraso,a,oe C'L� s7ii358 I 0�#I�0 0 i____________________ HOccuRR.ENGE-.— $2,000 000 I 04534/05 / 6 AGGREGATE $2.000,000 DEDUCTIBLE j "'- T.,.._RETENTION ;1 S I �-_' WORKERS cOmpENSATIC N MO - $ -, B ErepLOYER3•LIABILITY ..-- ANY PROP RIETOR,'PARTNI:REXECUTIVE 0000023736 12 O l / / I TORY LIMITS_ ER_J j rec;YeRI,5V ERE.DLL':JED? / /QS le'- 01 06 E.L.EACH ACCIDENT $500 000 n yea❑escr�ise under . �'111ER PSYv dSSIONSt�:yn E.L.DI$ ASE_EA EMPLOV5I� $_r5_9,,9000 OTHER �•- + . EL DISEASE-POLICY LIMIT $ SOO,000 )ESCRiP11UN OF OPERAT7()NS 1 LtIGAT1ONS/VEHICLES!EYCLUSiONS ADDE C ENOCfi5EMENT r gPE�IAL I 7� 11✓ 1'lutubing Hea*inc - ['Ravi0 .1+ eXbific tQ Fio1dez .is rioted as an Acllit ianal =naured - Project:Montville Commons, Uncasrrne,, T - Yurtbe.r Addit,lonai Snsured'a are: Second Family, LLC - The House Dept - Sto Shop �, � & Supermarket co. - �,�� : �� ERTIFICATE HOLDER !^'--- Ni t tang const ruc tion. Tnc. SAI ITANY SHOULDANY or I H AHOVE D€SCRI$5 POLICIES BE CANCELLED BET- IE E ORE EXPI 7HRATION N y:a e=.tad t u c DATE THEREOF,'I iE IS:;UING INSURER WILL ENDEAVOR TO MAIL 3O Fax: S08-285-1947 ickie DAYS QSH EN NOTICE TO THE C I I:TIR CATE HOLDER NAMED TQ THE LEFT BLIT R ULURE TO DO SQ SHALL ' 5 East Ua 1n St. -Suite #4 Norton MROS5NOOBLIL Tlor p' OR LIABILITY OF ANY KIND UPON THE INSI IRER,ITS AG EN 75 On ltd Q l b 6 •.,ffi'FR �Y T1VI3 i .. yll E .CORD 25(2001/08) nD.clmanSee '. —( / I)AC ORD i3ORPORATI ON'1988 J.0-TO 39Vd 33NvdrISNI 333NCNGDOM qgZLSES T13.b Btu:ET SG16i7.!72 I71- 0 • �i i ar t i �{,�'S` li` 1 1�' 1; �ti',l t 4 .q4717 ill `!,,''`y "!h:.,,,,,,:,,;,9 } 40 fr , ,,, 11 '7 n.' ., ,,, '''4•001,'.° :, !ig ? 1r r'.{}' r 4, lis +�I. ' ,'''y ft l I' ` , . 1 Cls{ ,I,,,.—, , I I a ca_ 771'L ' :41 ,.. F K Ft' s t Y. C 5 ^ }, b`4 , 1 t1,.5, } t to i s i �11Y.'l „�II:A�(I'{ tt, { �l 1 ,',J1)., 1� � 1 , 11 `'l �l � ,� 1 1 �7�� Ni � l t� (S� P c � ��r. ',,7..,;s,..., !-,,, t C�i-„`� � ] "id I �I '' A �.t �Ib a•,y Dta�aat'or S ' t. 4 d!�� }�n�, , ,y fn{ s{tg ,.�, -0� j�y�q��,ry�IrFd. � � Sf ry }n t ra rac. , Z i ,PodurgLeL saner, K-woka--2 u 6 l 1S Lane, 3�!};?:'it4"'; l�i�,?t ,,u'x:., y Ahlerona--29 Podurgiel Lane, 1& iloti' -- 4 lurgiel '.ne, giel Lane, Nagler/Lemieuy:-33 Podurgiel Lane. J Leon--35 Podurgie:,n Lwae,Czyzewaki-- 36 Podurgiel Lame, Alfieri--39 Podurg4.el Lane, Wallen/ :state of Wallen-- 40 Podurgiel Lane, Scopelitls--43 Pod' z-giel Zane, Ladn# --44 Podurgiel Larne, Bicknell-47 Podurgiel Lane, Ntac;Zrick--48 Podurg3.u7. Lane, Dunn-- 52 Podurgiel Zane, Barbar-..55 Podurg:.el Lane, Gonaki---:;;'I Podurgiel Lane, G&landi--63 8odur2iel Lane, Mnrphy- •#34, 7odurgiel Lane, B4cjek/Powler all in 8ncasville, CT - ATIM, i oTgT PLU 81NAgR � O4 C / c de-pip OpCON��A�� G•1 v� Sri G IjPL��IF p�0�e. O. nibCti0 27g/21 / - °R t4 S7,SIS r R '11 0 si�No 11 Ct 2808 � lox 31/20 G t � 30iZ0 39Vd -'lthlHNI-1c.FJT m Ifnnrn rrr rn , + •r