HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice
Town of Montville
Building Department
March 7, 2006
Address: 39 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
copper 01/02/06 DJ
Shut valves • •
• 01/02/06 DJ
Bonding 1/02/06 DJ • Bonding jumper is required at meter. •
1/27/06 • System is not bonded
Backflow
prevention • 01/02/06 DJ
Pressure • . Pressure set at 40 PSI
reducing valve 01/02/06 DJ
Thermal _ •
expansion • _ • Not required
valve
Certificate of •
approval 3/7/06 DJ
I
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: P2005-0136 Date: 05-Jan-06 Map/Lot: 103/019-000 Owner ID: 5564000
Project Location: 39 PODURGIEL LANE Unit:
Job Description: waster meter,backflow and tie to existing house supply
Owner Name: Russell A Est and Claire P Wallen Tenant Name: N/A
Careof:
39 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 Aeproval
• . Occupancy
Building Official's Approval: ����
G/i
•
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.:p /0 4
Type of Work Occupancy Type Permit Type
❑New Construction Single Family 0 Building
❑Addition Two-Family N Plumbing
Alteration 0 Townhouse
Mechanical
❑Accessory Structure 0 Electrical CRS#:
Job Address: 2efoiL.
/'✓T44
(Number) (S ret) �- (Unit)
)
Job Description: az/f,--- A c(ev c/' f rak-- /(c 7'o )((5 ti
/at Sc_ I' A
•
Owner: f to S.S eil 1- F5 7- -f-- C` 1,�c j �J //, ,
Address: 3 po ow:4�a� z_.el A e
City: eil/1C.i4+--Pl i(.Cl/t/ State: e� Zip Code: .4j
Telephone: .r.„,----,
•
Contractor: 061)46//-7 St 'QC '4/5 71 ,Ci7 •�
DBA:
• Address: /`� /c4 c1'€'
City: ` /.0 State: Zip Code: Oafa
• Telephone: (71 ^ P)? -1-7/1- License Type/ License No.: c2 7922 ( Expiration Date:(a/ —OC
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: 4/...."L.,_
Date: ! -,? )- p
S
Construction Value . Permit Fees
Building Value: Building Fee:
Plumbing Value: IiC a----- Plumbing Fee: T
Mechanical Value: Mechanical Fee: '
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
•
C of 0 Fee: •
Plan Review Fee:
State Ed Fee: 0, pG
Total Fee: o 6
•
•
R virer1 Tlecem6er31,2005
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
//3// /"Received By Joseph Summers /
7
Town of Montville •
Building Department
310 Norwich-New London Tpke.
T.I. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax 860-848-7231
CONSTRUCTION PERMIT APPROVAL •
39 Pop z4
Property Address
G✓/�?�� J/vim -e4-1 o fJ
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 ` 0c3,� lgal DS
S c aturel date
Comments:
WPCA, Administrative J
Signa re/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:
vised-August 5,2005
ICERTIFICATE OF L4IABI
Pacat�ogR
THIS CEP.LIT'Y INSURANCE DATE CSR L5 tMlwaDmri)
--- .__. OCEANSY 1 14Q2
RuodmaJaeea IFICATE IS ISSUED AS A MATTER OF
fur.anee IAC. ONLY AfkII)CONFERS NO RIGHTS UPON THE CERTIFICAINFORMATE
P. 0- SOX 246 HOLDER THIS CERTIFICATE DOES NOT/II1MENl),EXTEND OR
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ALTER T Ii COVERAGE AFFORDED 8Y 711E POLICIES BELOW.
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phones 401-539-7000 Pax:401. 539•-7265
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)ESCRIPTION DF OPERATIONS/LOCATIONS t VEHICLES/EXCLUSIONS ADDED ENDORSEMENT I SPECIAL PR01,i 310N 07 ��,
P1120)bing & Heatfn,cr - Certificate Bolder is noted
Projeat:Montville Commons, tincasvilj.e,. T �H an Atl9ixt.:22 Il = ed'4.Cl -
are: Second FOmil � - Further Add,i#.Lonas Insured ra' �
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:ERTIFICATE HOLDER l V
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NOTICE TO THE C IF
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61 East Dta.ln St.-Suite #4
IMPase NO OBLI('IDON OR LIABILITY THE
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