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Home My WebLink AboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department March 7, 2006 Address: 33 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 01/04/06 JS copper Shut valves • 01/04/06 JS 1/02/06 DJ • Water system is not bonded;bonding jumper is • Bonding required at meter. Backflow • prevention 01/04/06 JS Pressure • • reducing valve 01/04/06 JS Thermal • . Not required expansion valve • Certificate of • approval 3/7/06 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: P2005-0119 Date: 05-Jan-06 Map/Lot: 103/022-000 Owner ID: 5561000 Project Location: 33 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Mingcan and Fitz Johnson Tenant Name: N/A Careof: 33 Podurgiel Lane 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 ❑ Dec 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: p ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Appr.val .f• cupancy Building Official's Approval: `a--'` 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. .:::0,5--61l y Type of Work Occupancy Type Permit Type ❑New Construction Single Family ❑Building ❑Addition Two-Family At Plumbing Alteration ❑Townhouse ErMechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: 33 to 0,,,,,.,G, H 4e (Number) (Street) (Unit) Job Description: /-1,477-- A c(ev '5- c 4 fro,,-- r -To 75_.:_:____,___ At SC_ c--,' C )( Owner: tillh elfinFt - )i-l01.5041 Address: po/J“1,,K,i'rc (--ii- i-,f City: n i64,, f,-t We State: C7 Zip Code: CC,3/L— Telephone: —____— Contractor: On-4 h—, Sr 4C l/LA 7L 1417-� DBA: Address: //c4 �,f'LO L' City: . ,62A46 r O State: Zip Code: OoZ t�+ Telephone: C'ree'l^ P)7 r7/' License Type /- License No.: l 29 22 (_ Expiration Date:(C3/X —O,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 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: ....,,ZDate: /0?—01 j— --Q Construction Value Permit Fees Building Value: Building Fee: •Plumbing Value: 216 c --- 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: , o 6 • Revised(Decem6er31,2005 Town of Montville Building Department File Receipt Date: 23-Dec-05 Receipt No: 940 Received From: Oceanside Plumbing&Heating Job Address: Podurqiel 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 - $0.00 Received By Joseph Summers j' i Town of Montville • • Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Fxt 382 Uncasville, CT 06382 Fax 860-848-7231 • CONSTRUCTION PERMIT APPROVAL 33 Pc%P. ,e4 Property Address G✓�.?'��L L✓Ng o/vN 62-41-7 o tj Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. • Required Approval Department Permit Issuance Approval Tax Collector Signature/ date Comments: Mk WPCA, Administrative ,S )-aloe/ ature/date Comments: ❑ WPCA, Operations Signature/ date Comments: • ❑ Planning&Zoning • Signature/ date Comments: Li Health Department Signature/ date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Signature/date Comments: • ❑ Fire Marshal Signature/ date Comments: • .. . RevisedAugust 5,2005 CERTIFICATE �i -- ' R�lFlCATE QF LIABILITY INSURANCE CSR Ls PRODUCER DATE{MMlOD/1+Yyy THIS CEFt rIFICATE IS� ISUED AS A MATTER OF ATJOazs p10o�lanaee insurance Inc, �I ONLY ANIi 3 CONFERS NO RIGHTS UPON THE CI RTIIFIICCATEON P. O. Box 246 HOLDER THIS CERTIFICATE DOES NOT F,MENi),EXTEND OR h"}'G�iB� R� 02 p.y�,'-0 2�6 ALTER T' IE COVERAGE AFFORDED BY THE FCLICIES BELOW. Phone: 401-539-7000 axs 4a1-•539 7265 — wsuREp —— �_ INSURERS ►FFUTZDINCS COVERAGE I NAtC# r�WCaERA Peerlss — s Insurance 1 - - Steven j� Dubois, Inc. IKsuRER fL BLS 8encoa Mytu�2 xnau: V r Oceanside Plt-.mbin � 181 Church �i)]gr Inf' INSURER ]roSrnra3 ve 4,,,,,,,,,Z:,-----------4.. Bradfa3:d RI O28808� `�� INSURER D; i �.�Q{It�J��lc$— INSURER t:: T4Ye4ULICIE£JF lN5uRRTV,,E 1,15T2p 9cL0 9J H i4E 8111:N ISSUED TO TH 1 ANY REQUIREMENT,'PERM,)R CONDITIGN OP ANY CON I4URED NAMED ABOVE FOR THE P`,LICY PERIOD INDICATED.NOTWITHSTAND,NO ANYREQU R EN INrERh4,J f AFFORDED BY RACTOR OTHER DQCUMENT WITH RESPECT TO WHI(;1 THAI CERTIFICATE NAY SEJ,SSIJED OR POLICES.A THE POI.,CIES DESCRIBED'I REIN IS SUBJECT TO ALL THE TERJ,1;3 ETCLUSIQNS AND CONDI AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIR LAWS. TIONS OF SU[.H lia'N-- TYPE OF IN E.URANCE .� POLICY NU'f11BER ICYEF I'ppL1 IU � �` A }' GENERAL LIABILFY laATEfI',M161+� - DAl'E(fIMtIDf7/T'ef LT.1n.r5 X coriMERcu r GE:NtcNAL LIABILITY CC s� 971456 I L�ea;cTH occuRREHce �— - 04/30/05 04/30/06 AGcIURtNII� T-409O,000— CLAIMS IAA13E j X I --{ . OCCUR I PREhgISE5{E&aea,r�nca] 5 500 (J0 MO Exp(/,nr`arm parson) $ 10 00M--T----1 1 - -- PERSONAL&ADV'NARY '$ 1.000,000 GEN'L AGGREGA'fI'LII4tITAPPLIES PER. GENERAL AGGREGATE 5 2 000,000 X 1 POLICY! P-'O- J I I PRODUCT$"COMPIOPAGa .iF CT l�-f LOC j $2,000,000 AUTOMOBILE LJAPILI1"Y I "'"i 1 IANY AUTO ,I GOWNED SINGLE LIMIT ALLOWNEDAJT(IS j �E�CKud6nt] b 1,000r 000 C I i X I'SCHEDULED Ftn'7g 08745219-Q BODILY INJURY 1HIREDAUTOS 04/30/05 04/30/06 (ParpCrson) f NON-owNCO AUTOS BODILY INJURY I I (Pe+aa7.donl) �..- -- (Pot PROPERTY DAMAGE', +S 1 GARAGE LIABILITY _._�- I, i ANY AUTO j A!!'I'O ONLY-EA gOI;tDENT I S jl (OTHER THAN EA AC(-I S il OXCESSAINGRELLA L4ar?+ trY •• I AUTO ONLY. AGC I S °C' .m —I CfalMaonn•OE g7yZ358 � EACHOCCURRENCE--- $ 2,000 000 DEDucnBLE 04f 34/05 s2,000,000 04f�T]/06 AGGREGATE r-_' RL•TF1VTiprJ .; 5 WORKERS COMPENSATIC N.C,NO ; I �y-' B EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNIER9:XECUTIVE j 0040023736 12 O 1 } TORY LIMITS -ill:ER 11�yyB8S5c�x;er5er5ERek^tLv)EUa ! /05 1;./01/06 1 L.L.�crlAcciceNT I x500(000 I,£�ECIALATCS`4tSiONBtre n I E.L.DISEASE-EA EMPLOYEIp�s500,000 !OTHER _ - Y _ i E-L•DISEASE-POLICY LIMIT $ 500,000 i )ESCRIPTION OF OPERATIONS l LOOATIDN$'VEHICLES I EXCLUSIONS ADDEC ENDORSEMENT f$pECyLL 7 1 7. Pl+uubir3g Heating - r PRotiislRNa �" —y ertific to Roldez 'pis 'noted as an AC3itianal =naured - Prolect:Montville CaYtnnons, !Mc asvi1lec- CT - Irurthgr Add.i#,lona2 Insured'a are: Second Family, LLC - The Bone Depcb 'u Stop & Shop St 1) Co. - ! NX i — :ERTIFICATE HOLDER "— •,......_.-- \\.:.— ,,7__________,- CANCEU-RTIC i hI NITTANy SHOULD ANY OF II-It A11OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Ni ttH11y Construction, .[na- DATE THEREOF,'I 4E f5'WINGIti$IJRER WILL ENDEAVORT ]sT::JYI2p ;:r,;adwIck/3arah Dickie O MAIL 30 DAYS WRITTEN Fax: 508-21j-1 g 7 NOTICE TO THE C I IRIFicATE HOLDER NAMED T4 THE LEFT.BUT F ULURE TO DO SO SHALL 61 East DI9.131 $t. -$til to 44 . IMPOSE NO°SLI1',iTlori OR LIABILITY OF ANY KIND LEON THE INSI IRER.ITS AGENTS OR Norton, zai, 02'6'6' c R nvrsi-ili . AUT . -. iN TI E •,I r a c ....c --'L..-- CORD 2b(20Q1l08) 1 s)Dr1IDan5pe / 5J ACDRE i:ORPORATION 19881 RC1/Ta 39Cd 3DNC6fSNI 339NHNGD001 597_.L6CS TtAb pi,:r T Earl? r??/7 r , ippouramplopuir 4.1 , .4,1„,,, „ „r 4,: ,,,,,•,.1.,.,14.7,,,,,,Ilitv', 't:ib.4 fi'; ...,'Itt;''‘.1'. i''.,';047,.' il. t‘s '37' !''' 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Gualandi--b3 Eodurgiel Lane, Murphy--q4 Podurgiel Lana, Be all in Unoaville, CT - ATIMA I I 1 I I Sp I (-1-4%NG 4f4, 47.,,Op CoAr (t-.p,_ co , 'V 4.1).A, .F.S ,. / 'v°0- -74'R 1/51 4 leb S 'I., ./6„ I -•/,k-G,,, 134y,,_, c`,t,1-76. ei•.&0 -Lie,. AQ4/ -Y72,/ 4Z- S8_t•.0 /:2005 1 I II IT ---171,72HIPn ,