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Home My WebLink AboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 35 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 • Bonding 1/02/06 DJ • Bonding jumper is required at meter. • System is bonded. 01/11/06 DJ Backflow • • prevention 01/02/06 DJ Pressure • • Pressure set at 40 PSI 01/02/06 DJ reducing valve Thermal • • Not required expansion valve Certificate of • 01/11/06 DJ approval Kee.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: P2005-0125 Date: 05-Jan-06 Map/Lot: 103/021-000 Owner ID: 5562000 Project Location: 35 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Thaddeus andChristine Czyzewski Tenant Name: N/A Careof: 35 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 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 ies e of pancy Building Official's Approval •` �., 111111""" — . 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.y2e0p -alb2c,-- 'Type of Work Occupancy Type Permit Type o New Construction !Single Family ❑Building 0 Addition Two-FamilyPlumbing Alteration 0 Townhouse �❑Mechanical ❑cAccessory Structure 0 Electrical CRS#: Job Address: 3 V p4,r.f,G"p_z„ L44e //(Number) (Street) (Unit) Job Description: ZI, /r A c(r'/ `5' 4 ie-r4.,... r -'4,1_7_z___,____ lam SL Sc-t/'X Owner: -74#11012€Li5 - G°Ilj r5- ilhG 0 a)17-vv / Address: 3S 3SAuct I- i rc (/ City: L CLe/4t^IC/i:/e— State: C ( Zip Code: 061 L Telephone: Contractor: Oee.thv.75i Qc ,e/4 f117/7- DBA: , T DBA: ¢+ / • Address: / f C4 c" 1' City: /3 ,96F-H 0 State: r+- Zip Code: O 2.1c, • Telephone: 4Gf^ i'?? f'7/' License Type / License No.: 61 2 22 ( Expiration Date:l(3/,."—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. 0 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: 4/ Date: /01—))— Q.S Construction Value . Permit Fees Building Value: Building Fee: Plumbing Value: i10 ci Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: CofOFee: • Plan Review Fee: State Ed Fee: 0, O( Total Fee: 2, v 6 • jvrsed Decemfer31,2005 1 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 i- $0.00 Received By Joseph Summers'' ,.' i • / • . 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 • 3s Pow o L Property Address 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 Tax Collector ‘�.1aa\ (--)Saturel date Comments: WPCA, Administrative Sig6ure/ 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: . vvi ei)4ugust 5,2005 rte—: C ERTIFICATE OF I IIABILITY INSURANCE GSR Ls' PRODUCER GATE IMIWDDIYI'yYl OCZANNSY �_— 12�]4/Qi THIS CER iwiCATE IS ISSUED AS A MATTER OFN ONLY ANTI3 CONFERS NO RIGHTS UPON THE I� T1F1 A E 1+1ooc�nanaee Ing;j�;ance inc. P. O. aox 246 HOLDER THIS CERTIFICATE DOES NOT AMENt)�EXTEND OR �}'tssing R� 02�.9d'-Q 2-4 6" ALTER T,' I:COVERAGE AFFORDED BY THE PC LlCIES BELOW. phone: 401-539 7CIOp Vaxs4C1Z- 539 7265 INsuRap --- - _ _ INSURERS AFFoRDING ____. GE rhSilRER t — _ NAIe# Peerless Insurance '_`-I-----�- 5teven A Dubois Itas�ReRa Oceanside ��C'. CLe Leo-con Idutua2 innuv000e co '— Oc ChurchPl in'`T Beating,Inn ; INSURER Street G: 1>rasravasys 7anrczc• <tmy.ny Bradford RI 02809 NsuRERD; •--�- -- CO(rt-RAGES - INSURER E: T49E40lIGIEE JF(NSURAty„E I,ISTEL? ^cam 1L3 0p u;lE SEK'N ISSUED To THE,l w!_______________________________L__________-� ANY REgUIR!<MEII TERM ;pNDITIOL OF ANY CON'!'RACY N�SURED NAMED FOR THE p`�rCY i�ERIOO INDICATED.NQTYJrTrySTAND TNG YP6RTArN,THE INSURANCE' OR 0`fNER DQCUMENT WITH RESPECT TO WhIK.i THIS CERTIFICATE N 'BEASS(lED ORMA ' POLICES.A aCE'AFFORDED BY THE POI.CIES DESCRIBED i REIN IS SUBJE T AGGREGATE LIM.TE SHOWN MAY HAVE BEEN RED C TO ALL THE TER,I;g•E>CLu$IQNS AND CONDITIONS OF SUCH +- ' D'L ' ---- REDUCED BY PAID CLAIMS. LTR N.-. TYPE OF IN 5 LIRANCE POLICY NLRIHER CY-EF' I'p'OL! GENERAL LIABILTY DATE 6146LrD 1Zd7'10 A X COMMERCIAL GE:N64gLuABruTY C(;g 971456IEP CHOCCORRE E -7.7i__________ 000,000 I LL 4/30105 04/30/06 �'Q 'G`IURtIVl EV- 0 c -- CLAIM$MADE J I OCCUR I PREMISES{EE aca,ron�e) 5 50 0 000 j - ,MED EXP(Ally Luico r erson) 5 10 0 0 D II PERSONAL i ADV INJURY $ 1,000,QQQ GENERAL AGGREGATE 2 000,QUO__ LPGEN'L AGGREGAn!LIMIT-APPIES - R. X 1 POLICY I JET -- LOC PRODUCTS•GOMFroP AG� I $2_000 Atl1OM081LELL4PILItY -y =s 000 .__ �- AMQ LE CQ6ry N D SINGLE LIMIT ALLDANEDAJTOS (Ea acadunll ,Ix 1,000,000 C 1 —� _i_______________ X SCHEDULED all+'py - 08745219-0 BODILY INJURY HIRED AUTOS i 04/30/05 0$/30/06 tear perxonyI a NQN-OWNE>?IiUTaS 8401LY INJURY �` I _- � ( nrP7ldcnr) S PROPERTY DAMAGE. �� GARAGE LIABILITY - - (Per accident) 1 5 ANY AUTO i AUTO ONLY•EA AQI.WENT-r$ li I AUTO THAN E+4 ACC- $ f EXCESStiv'APSRELL1 r_4sertine •••,,��- I AUTO ONLY. - ACC��I$ A �X 4 ocr .P. _I c�aM3�aa,oe CC 9711359il I EACH OccuRRENCE $2,000 000 04/3Ly/05 04[B0/06 30/Ob I AGGREGATE 52,000,000 1 I DEDUCTIBLE S RETENTION 4. WORRERs compEREATIC N,p,NQ - -- i T--” B EMPLOYERS'LIABILITY 5 ANY PRGPRIETpR,'PARTN!EFi'I:XECUTIVE 0000023736 12/01/05 TORY LIMIT$ 1 1-6-J n, c;,r`eR;lA S5r9ER c.Y.�. :�E::7 12/01/0 5 1:V01/06 E.L.EACH ACCIDENT n a� as�:yl e .. ' 5500(000 :REGAL AS*G;;d1S10NS'cIC�N I E.L.DISEASE-FA EMPLOYEIc� 5500,000 OTHER ,,... I - .. - —. EL,DISEASE-POLICYI,UMIT_$ 500,000 T� 1 ? �'T aescarPi�aN of oPERAT, i ty� / ONS/Lt1;rAT10NS/yEIiICLES/EY.CLUSIONS ADDEC EIIOO EMEHT fSPECIAL P1133ubi.ng t Heating - Certificei to Holder .is rated aPR s,AiN --I Pro-I act:rr>Ontvilla Cbtfanons; Vncasviller d8 an At'litianal Insured - Z' - ]hanker Addi are: Second Fatally, LLC - The Home De,c )Ermae22.22 Insured,- P - Stop & Shop St 7ercnark�t Co. - �A 1 :ERTIFICATE HOLDER --�_ CANCELI.4Tlf:l ,,,* N ;‘*--./.______j �I NITTAyY SHOULD ANY OF 11-15 ABOVE DESCRIBED POLICIES BE CANCELLED REFORE YHE E?IPIRATIpN Ni ttany construction, trio. AT.T ,7j� „�4fBt DATE THEREQF,'I iC65%:UING INSURER WILL ENDEAVOR TQ MAIL 30 Fax: 500-285-1947n;ah Dickie NOTICE TO THE CIIrn LATE NOLOER NAMED TDAYS SO SHALL 61 East b QTKELEFT,BUTF.ULURETOD03pSHALL IB 2 8 $L• �vIL1 tQ #4 IMPOSE NO O6LK,5noN OR LIABILITY OF ANY KIND UPON THE INSURER.IT3 AGE:�;Tj OR Nor-ton, DijA. 02-766 66 C EFR ;mho JIVE i AU 'iT.I , �j E CORE x5(2001(08) •+ i c�t,cimansae s :w�++�'a---�+. / 5J ACDRD i.'OR OP RATION 19881 ZE^I RE) 3ECd 33N 'eJrlSNI 33SNCI'VQO01`h , 59TL5F'ST(3b Rt,:FT qGICi7 „7. 17T • r r 1,t: i 'iV; gF� .� ` j�', S1V, 14., ,,,y� ;.�• I��,i,�,i(' �i 4e.'{; I, !uair�z r i+ �F,Aij,_, t,.,7 q, t»..o� oil .. " .1.1,.i{IS' ;r y,,,A a "I, k`M6..�T✓'klr`� C L� ,11A,�M �,,,, � ifkln.oi fkl4�',P'�� ;r1y1 i< j_`, j f,„„r ;:,, t4 ai ..�, ,ii,�jt,;''{' L g,,, " ,, ,.•:, .,:.1ttft c s .. , ' ,>S:'" t .`, ,mb I I 5,� i , l , a_ , '1 14 +CA:, a, ,i ,-. 'Iv,,•'b , ,., - 1 ,,f,I:. 1 1, 4. t j '1 ,11 i AIL 1d 4,1'1 '� 1 tS � �i ' • ''i - , I.•4 ,3 i , ,' kg ',[ �i � IX11; 'i.4 .4 C �� .1 �, Y• leo1'' � I' d'�� ti ,� j t 31 .Mazafort Protra�ra Zac.�, ZaPodu giel pane' YA,d �- 24 Yb , 'n 111 ,tet �� ,'I��`,, `l� w 1� rg' � rse, �oka--24 t;odurgiel Lane, Ahlerona--29 Po3urgiel Lane, 1Capiloti --32 Podurgiel Lazne, Nagler/Lemieux:-33 Podurgiel Lane. Jc iaon--35 Podurgie,:, LL.ne.Cayzewaki-- 35' Podurgiel Lame, Alfieri--39 Podurge1 Lane, Wallen/;:iutate of Wallen- 140 Podurgiel Lane, Scopeliti$--43 Podafrgie1 Lane, Ladyy;tae_-44 Podurgiel Lane, Bicknell-47 Podurgiel Lane, Niec;irick--48 Podurgiu7. Lane, Dunn-- 52 Podurgiel Lane, Earbay--55 Podurg:.al Lane, Coneki---59 rodurgiel Lane, Gualandi.--63 Eodurgiel Lane, Murphy-_ $4 gndurgiel Lane, Sf jek/Dowler all in Qncaeville, CT - ATIMA i I I STS T ip n4U4B NC RTM4N� CO F �T 1V / &pi, L'�,oNst/4 4 R l,, S rl�i oT rE rl IrED . -,7/4 tic SRF 413.14t—, �' 4 D CANT 27g�2� °. F �crls liar) -,GNFo ` F '/1/ 02808 , ;:09 � ZQ� • / Fkpi ,1T I�/31/2� �G I 1 7A r 1a en d -1'lf`.IH?.InCAIT 77r•F.11-.11..itTrvnn., ,-,-,— � .r.:. - - --