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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department March 7, 2006 Address: 36 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 1102J06 DJ • Bonding jumper is required at meter. • Bonding 1 r11/06 DJ • Main panel is not bonded to water service, main panel is in garage Backflow • prevention • 01/02/06 DJ • Pressure • • Pressure set at 40 PSI reducing valve • 01/02/06 DJ Thermal • Not required expansion • valve Certificate of approval 3/7/06 DJ Rev.Date: 10'18 05 Pagel oft 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: P2005-0120 Date: 05-Jan-06 Map/Lot: 103/005-000 Owner ID: 5563000 Project Location: 36 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Rose Marie Alfieri Rosario Joseph Tenant Name: N/A Careof: 36 Podurgiel Lane Uncasville CT 06382- Telephone: Contractor Name: Oceanside Plumbing&Heating Telephone: (401)377-8712 DBA: tic/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 '' if•- upancy Building Official's Approval: • Town of Montville aBuilding_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.: 605 O/c00 Type of Work Occupancy Type Permit Type ❑New Construction !Single Family 0 Building El Addition Two-Family AR Plumbing Alteration ❑Townhouse Dr Mechanical ❑Accessory Structure ElElectrical CRS#: Job Address: 36 - PO0,,, , 4t (Number) (Street) / � � (Unit) / / Job Description: ," Cfre'/ G(r 4-- ( , 7'0 t -')(t'1 7i', Ott Sc_ tic ) Owner: tc6rtC% QoavtC) 0p j_vpA Address: An cf.Li-J-1'cL- City: &it C 5'(l v i t-P State: c/ Zip Code: C-1:1,1-L Telephone: Contractor: OC°iii 5t qe '6/5 f14/7- DBA: . /7- DBA: /r/. • Address: / /(4 4 i°'LO 4, • City: /5,46 State: A--- . Zip Code: tY9210'.F • Telephone: Cc'C^ P)7 "1-7/I License Type:/ License No.: CZ 79 2 ( Expiration Date:A3/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. El 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: ..../Z4. Date: " C7 S Date: /,)—01 j Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Lie,Cr— Plumbing Fee: T ' Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: CofOFee: • • • Plan Review Fee: State Ed Fee: 0. QG Total Fee: , 476 &vised (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 • $0.00 Received By Joseph Summers Town of Montville • • Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncesville, CT 06382 Fax. 860-848-7231 • • CONSTRUCTION PERMIT APPROVAL 36 170.Du,e4t�L LAN, Property Address L1/v4s G©/0N 6-c�-I o tJ Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. • - Required . Department Approval p Permit Issuance Approval • Tax Collector Signature/ date Comments: WPCA, Administrative �(1/� \ � Or I )( Si ture/date Comments: ❑ WPCA, Operations Signature/date Comments: • ❑ Planning &Zoning Signature/ date Comments: [ Health Department Signature/date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation • Comments: Signature/date ❑ • • Fire Marshal Signature/ date Comments: ?pvi.ced August 5,2005 CERTIFICATE OF OATE(MIWCI47/Yy�.1� 11AB L' Y INSURANCE CSR LF' ) PRODUCER THIS CEFI CiFICATE IS ISSUED AS A ATTER OF 1NFORMATJON4/05 ONLYANIi)CONFERS NO RIGHTS U P. O. ax 24 6 HOLDER THIS CERTIFICATE DOES OT A�NMENi)PON THE R Woodmanaee InIci ance Inc, EXTEND OR Y%'yc�isg P-.-r. 02S.9d_024 ALTER Ti Is E COVERAGAFFORDED BY 711E PC llCIES BELOW. 121vone: 401-539-7000 Fax,:401-539-7265 INsuRep — I1+SSURERS IFFURDING COVERAGE -------- !WO/ERA: NAIL# _Pee __ Insurance ---1--- StE;VBn /� IJYI.70irInc:. It LIRER& `Ph. 9�acon nsutu•- ins — 1 Oceanside P1t�utbing Hr+ef-iu ___ co 181 Church Street g,Int INSURER C: lysasre asv Bradford RI O2130g INSURER D; , s,,. :�c. �,,•alay _� COftIR.4GE3 -- INsuREk t: I i T41£40L1C1EE'34'rTi5llft;dV,',�S,1vTFF�BLOW}ii•,'pE B61 iJ ISSUED-To THS-1'I�� ANY RECaUIES,ty rI TERM,,R,DNDITION OP ANY CON''RACT Py>URED NAMED A$OVE FOR THE P LILY I.ERl06 MA VANN REoT IRE THE INSURAI OR OTHER DQCUMENT WITH REINDICATED.BEASSL iySTANDING �10E AFFORDED EY THE POLICIES DESCRIBED TEN IS SUBJECT TO ALL TO WHI(:I,EXTRI: LUSIO SAPCONDITIONS O S POLICIES.AGGREGATE LIM T5 SHOWN MAY HAVE E✓_Er;REDUCED BY PAI(1 6LAIMS. C ALL THE TERn I;� EXCLUSIONS ANO •D'U — — OF 3UC.H NSR• TYPE OFIN.S.URANCE POLICY NIf�IHER IQ?I/1=E,, EI:F��'..I•p'QLl„ - G$Nl`cRAL LIA61Lf'Y -"--- J)ATE 5AAI.+D �y,,F p }TIN L.I.�G' 44I A I CO:',4h1E4Cl!•.t GF:N13NAL LIA8ILITY CC..? 971456 i EACH OCCURREme.,F S 2 Q4Cl 706 CLAIMS I,IADE A X I OccuR 04/30/05 U 4 3 0 0 6 �t 1 u RtN rt�— _ . / / PREIIgISES(Eedcaucnce) 5 tjQ7 070 IMED EXP( y onto person) $ 10 0 0 0 — .. PERSONAL B,ADV INJURY $ 1,007r 007 GEN'L AGGREC,AYI'LIIU.IT APPLIES P , GENERAL AGGRe�gTE 5 2 0 00 — ,X I POLICY j JFCT LCk PRODUCTS COMP,OP AGa — X52,000,000 AUTOM081LEL1APILi1Y _ ANY AUTO ! GOWNED yiNULr LIMIT _ ALL OWNEDAJT(1S i (E0;oxidant) $ 1,000,700 IX SCHEDULED F>n':�S 0874521e-0 + BOOILY INJURY f HIRED AUTOS l I 04/30/0S 04/30/06I (Par Pnrxony 13 I r� OWNED��U'fOS ! ( j BODILY INJURY— , (Pe,xrt4crn) S PROPERTY DAMAGE GARAGE LIABILITY - I per eminent) $ ANY AUTO _—. AUTO ONLY.EA ACCIDENT-I $ IMUER THAN VA ACC-1 $ Ii EKCLSSC'AA6RE1L1Laa13rC(TY' - AUTO ONLY. AGC I$ A X OCCUR rr CLAIMS'MADE ' CII 9 7113 5$ j EACH OCCURRENCE 1 $2,000,000 l. .r 04/3Q/o5 i 04f30/06 A�(;aecaTE $2,000,000 1 DEDUCTIBLE _±.. .___ s RETENTSQN ; i S �_'^ WORKERS COMPENSATIC N rA0 5 B EMPLOYERS'LIABILITY er ANY PROPRIETOR'PARTNIZR9:XECUTIVE 0000023736 12 O 1 TORY LIMITS ER � �Fax:er 56r;ER aW���i,�E:,? 1 /0 5 13 /01/06 E.L.EACH ACCIDENT-___„_____L_______ 15500 000 h yea aeascrlbe at F,Q�CIAL'TR[yd1S10NSYA'TIrI i ( E.L.DISEASE_EA EMPLOYE;;I 6 570 77O OTHER ""� EL,DISEASE-POLICY LIMIT j$ 500,000 J}I I ' ° )ESCR11, -OF OPERATIONS/Lt)(.ATIONb/YEHICLES/EY.CLi1SIONS ADDEC II 0.7 � 1h1u,Opb7.ng Hea*lziC - n ENOOR5EMENTISPECIALPROLialPN PY016ctaMontvilie �Garitmons3 4ncasviRo1d is mated as an &,13 2242 Il Insured Insure( are: Second F3rui1 LLCrther Aaazz ta233I Insured'a S . - Tisep Home Dept - Stop & Shop Su')errnarket co, - ‘'NX y) I i•� :ERTiFICATE HOLDER - ��- CANCEL1.gT1<:I�1 --. „Z________] DIittany C.C�Ostruction, 'CnC. NITTANY SHOULD ANY Off IH Aa1ov scR1 DPOLICIES8ECANC:E11_FDBEF�^ f.,l', t DATE THEREOF,'F IE PStWING INSURER WILL ENDEAVOR T ORE THE El(PIFtATIpN� ATT.-Jim adw. ck/Sarah �,1c ki e O Mut 30 Fax: 508-285-1947 NOTICE TQ THE C I ern GATE HOLDER NAMED TODAYS WRITTEN 61 East mall).In SC:. -Suite # TME LEFT BU7 F.ULURE TO DO SO SHALL IMPOSE NO 061.1[,%TION OR UASILITY OF ANY KIND UPON THE INSI IRER.ITS AGENTS OR Norton, BO. 02766 ASR - TI VE i W.• 1'I#, N CORD 25(2001/08? • 'i c)DfiHpAfl$ ���*"�` ©ACDRD I;ORFORATION 1988 R17.1/Ttri Boyd 3DNk-rd-I5NI 3ASNt+'NUDOM 597?Sfi5T01, ut,:fiT GG[i7. ./77/7T • 1ii‘,a 1 4 W it it tY 1 1 t ) '. ,, ,.,t �y {ta�;t' 14{'� '�Ak,f IN i� {'S �1, •�.�', 4:l �' It k`�..i+ �li}?{a� � ���, _�}�t11t1 1{R4+,u.t,� � i'"N �(i . qp r ; "r�.�tl. "��' - 4, 4 f „1�t1I t 1.. v,� , � h�4iy t 1, a ,�Ob�tc-S .ItSC. wl �rt4 I�1,�y�,�d�i�`� r. 1 � � �' t�� e�1, {'f r������. �i a�, �„ 2O ,Pe du4a 9 ,'� ir,, ��1�< ki,. Ahlerona--39 Pc�3urgjel Lane, rllot pane,..-3Pidurgiel 1; e, ! :" Nagler/Lezaieu) 33 PodUrgi e1 Laat�`ie�l,T4l Bona_3odur sea rgtel Lane, 35 Podurgiel Lame, Alfieri- `� Padl n/::, tate Ca3"aeallen-- 40 Poc3urgiel I.aue 39 Poduz���el Lane, Wa1lQn� t�tatex of Mallen-- 40 Po�3 alien-- Lane, Bickne13 --47 Podurgiel Lane, Nodrick--48 _44 Pe7d nn-- 52 Podurgiel Zane, Barbay-.-,5 Podurg:.e�l. Lana Gon .,9 Lane, Dunn-- 52 todurgiel Lane, bSvrphy- $4 aadur skine, .1 T�adur9iel Lane, in Vncasville, CT - ATI gi�,l Lana, S�yek/Pow1er all 1 ST9 ALUM �Fpgp � Op 41:01 '`.,f11.47, & ANT o� earl T 1 / PI-Pr ("943'1 VN 1 S NGU I G43��oli I AI �rjT- -IJ TF�TJ d 0 0 2, RF0�o: � F(70-0.1: coIs N °R :-fit' .� Fq 0 I.� :27:0;s5 2808 '444 zo,/ RFS /200G I Z0/Z9 ]Vd ��,r.IHNn 47 Vic"mi-1.1nnnm . rn,!rrrTn,_