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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 40 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 12/30/05 DJ • copper Shut valves • 12/30/05 DJ Bonding 12/30/05 DJ • Bonding jumper required at meter • System is bonded 01/11/06 DJ Backflow • • prevention 12/30/05 DJ Pressure • • Pressure set at 40 PSI 12/30/05 DJ reducing valve • Thermal • • Not required expansion • valve Certificate of • • 01/11/06 DJ approval • Rev.Date:10/18/05 Page 1 of 1 TOWN OF MON1VILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2005-0135 Date: 05-Jan-06 Map/Lot: 103/006-000 Owner ID: 5565000 Project Location: 40 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: George and Elizabeth A Scopelitis Tenant Name: N/A Careof: 40 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: w/2004 Amendment $0.00 Mechanical Fee: $0.00 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: $8.06 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing- Prior to pouring concrete R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approval • - i i�of Or u.. cy Building Official's Approval: �c �< • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:04 /�3 Type of Work Occupancy Type Permit Type ❑New Construction R Single Family 0 Building ❑Addition Two-Family At Plumbing Alteration 0 Townhouse Dr Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: ya - poaf ' I' L4445/4e (Number) (Street) (Unit) Job Description: axerr- A c("ey ;s ,69c-n, 7-r-04,-- 7 - €- 7-0 .-)(fS 7i'1 /Ott Sc cCO/ A- 1 Owner: g-erj''9-1 ej,2-/4-/S.fl1-1 //- S o j - j'$ Address: qo foiOci#i` yaC L.49z,c. /� City: (s[Di (A In SI 7/' State: e?, Zip Code: �3C I Ci-- Telephone: —' Contractor: Oelz°atik--7 51 : ,;)eA 74 /7T DBA: • Address: /I c ti (.,,l's°4, City: ` /)r State: A Zip Code: cnala f • Telephone: e-frf^ P)7 -1-7/L License Type/- License No.: 01 79 ,1 ( Expiration Date:(0/x —CW 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: ....,,ZDate: /c, —) J^ 4..5 Construction Value • Permit Fees • Building Value: Building Fee: Plumbing Value: 7 6 cam'— Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of O Fee: • Plan Review Fee: State Ed Fee: O, QG Total Fee: , o 6 • fgvised(Decem6er31,2005 Town of Montville Building Department File Receipt Date: 23-Dec-05 Receipt No: 940 Received From: Oceanside Plumbing&Heating Job Address: Podurciel 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-• $0.00 Received By Joseph Summers j/ • Town of Montville Building Department • 310 Norwich-New London Tpke. Tel. 8B0.848-3030, Fxt 382 Uncasville, CT 06382 Fax. 860-848-7231 • • : CONSTRUCTION PERMIT APPROVAL • )o 7c ,U 6I L LANL7, • Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. • Required Department Permit Issuance Approval Approval Tax Collector ' co Va\a •.\OS Signature/ date Comments: WPCA, Administrative ill'4ature/dateate Comments: ❑ WPCA, Operations Signature/date Comments: • ❑ Planning &Zoning Signature/ date Comments: C Health Department Signature/date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation . . Signature/ date • • Comments: • ❑ Fire Marshal Signature/ date Comments: • . vviserf)uguct 5,2005 • V ' • • rpReAoucCia!illirl 'CERTIFICATE OF L ABILITY JNSI(.JIRA_NCE CSR LI' DATE(MM+oprvYYY) -I— OCRANSY 12114/05THIS CEFI:FIFICATE ISIS ISSUED AS A MATTER pF JNPORNIATJON anaee fur.encs Ina. ONLY AIII13 CONFERS NCO RIGHTS UPON THE Ct RTIFICATE Solt 246HOLDER 1'NIl;G£RTIFIC ATE DOES NOT M4 ENi�,EXTENT DR ALTER T,. li COVERAGE AFFORDED BY THE POLICIES BELOW. g R 0 g.l?4-Q it4S — 2401-539-7000 L8=4401-539-7265——� --- f INSURERS LFFURDINCs COVERAGE ----T__________ AlC# fAMIRER A,' peerless Insurance Steven INSURER B: urowa• co A �}1�07.6 Int!. A. ease= Ntitoma ice Oceansidre PluSttenC,DT/Roat3.ng,IItl: i INSURER C.: .1�msriwaw ia.waaaC• �y.ay Bradford"RI 02805 INSURER D. L"Otrtfti AGES — . -iNSUREk E: THEIPOLICIEB'Or RISURN IE I,ISTEDBELOW HK2E BEEN ISSt)EDTO THE It LURED NAMED ABOVE rOR THE P::LICY i� ANY REQUIREMENT,TERM,A.ONDITIQNOFANY CONTRACTOR OTHER D CUMENTWITHRE CERTIINDICATED.BEISSUED ANDING LlAYPERTAW THE-OVSURAI,IrE AFFORDED BY m RESPECT TO WHI(:1,EX LUSIONSgJ MAYCo BE CONDITIONS OF S TFIE MEN DE D BY PAID 'OLEIN a$SUBJECT TO ALL THE TEP''Ifi,EXCLUSIONS AND CONDITIQNS OF SUCH POLICIES_AGGREGATE LIMITS-SHOWN MAY HAVE BJ=EF7 REDLIGED BY PAl(J CLAIMS. �IICSAC7taD•. . LTR IN TYPE OF IN5URANCE POLICY NUMBER 'POUCY�PF� i•FOLIC.Y11EdTION DATEe....D DAl'P1i0114f+DOMp Lfi�G'7$ GENERAL LWBIiIY .. A COMMERCIAL GF:1'16NAL LIABILITY EACH OCCURRENCE I E 1 040) 000 CCP 971454 ^� 04/30/05 44/30/06 - A-ekiUntNrt�"— + r i CLAIMS IAALIE 1 1 OCCUR+ PREMISE$ma aca,rcnce I s 500(000 JMED EXP**run;i'ef'60n) $10,0 00 —� PERSONAL a Aov INJURY I$ 1,00 f0,000 GENT.AGGREGmTLIIYHT.APPLIES F,ER� GEFIERALAGGRE6Are $2,000,000 . X I POLICY pi fl LOC PRODUCTS.COMProPAG3 2,000,000 AUTOMOBILELIAEILIIY ��'_ ' ANY AUTp ( I- GOWNED SfNGCEt(MIT W (Ea occident) $ 1,000,000 ALL CANED A JTUS C X I SCHEDULED AUTOS 0$745219-0 04/30/05 04/30/06 (weDILperw") Ry } H1RED.Wf•OS NON.01NNEp AUTOS 80 ILYwzr-INJURY $ i1 o PROPERTY DAMAGE; $ (Paswami}aami} GARAGE LIABILITY I I ANY AUTO — Atm ONLY-EAA(I)IFENT $ OTHER THAN $ {�KCESS iVAA8Rft41 Li UAICf TY AUTO ONLY: AGCY $ h. IK 4 occuR CLANSIAP,DE CO 971235eil I EACH OCCURRENCE s 2,000�D00 ['-'-i 04/30/O5 04330/O6 AGGREGATE I$2,000,000 pDEDUCTIBLE S' l RETENTION 3, .` $ WORKERS COMPS ESATIC N.11A10 - — $ B EMPLOYERS LIABILITY 1 TORY LIMITS ER,� ANYPROPRIETOJPARTNIER,IIXECUTIVE 10000023736 12/01/05 1:'-101/06 Et.EACHACCIGtNT x$500,000 L F/CIHRU0 SHS'HR✓AC,1L4')EL%7 11ff yyeess, f — E.L.DISEASE-EAEMPLDYEI:� $50Q�000 4IPECw PRCv`Oi$IQNSbCwx ' Ijl E.I„DISEASE-POLICY LIMIT $ 500,000 OTHER - jj I , I )BSCRIPTION OF OPERATI 1 - I l oNs LOCATIONS a VEHICLES I EXCLUSIONS ADOBE ENDORSEMENT i SPECIAL PRO'l SON. 0.7 Pluinbing & Reat.iac7 - Certificate Holder is noted as an Aci 9,itianal Insured - Projact tMontville Ccumnonsr Mac asvi11er T - -Furt.her Ada,i#,lanai Insured's 9 are: Second Family, LLC - The Home Depc - Stop & Shop Supermarket Co. - CERTIFICATE HOLDER _ ^ - CANCELLATIC:II Ni ttany Construction, .C1LC. NITT�IY SHOULD ANY OF INS ABOVE DESCRII}ED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,'I IE ISMUING INSURER WILL ENDEAVOR TO MAIL 30 RS°:rJiae .:ti.a+3ia'iCk/8arah Dickiei DAYS WRITTEN Fax: 50E1-'285-1947 NOTICE TO THE CI IRIFiCATE HOLDER NAMED TQ THE LEFT,BUT FAILURE TO DO SO SHALL 6 East Dtaln St.-SA1 to #4IMAQSE NO MLR iTION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Norton, 401, 027E6 mapii .M TrW:.r. rm .CORD 25(2001108) Riti177":"' e�nrlmansee / (0 ACORD i.ORPORATION 1988 ZI3/T© 3Etid 30NVelf1SNI 339,MACIOOM gg7L6FSTIabPr T cr��? ?? ?T - . , • • •i .' 4Y� l4m¢1paF i{ 1 ,'. i'+,-,y1., l4 4`ik 141Lr4 1',��{ f'.,':: ''41., 1.1t1' fs%1, i a "1 ifi :14:;. f ��l : � I � . ,\04-11'-`1' � .V r utl,i€Y 1❑A�„+. ;. yil lora* ui'litp -,6 � 14 � JIn .411-'.. 1rtPS �' ft t' Iaatl �d ;II td q ,II ,1, � 1_ .f _ Ss 7LI tA�41 � t ':f,wil hfi t� s . t,u + t, Jarafor-t 8zOt�ltS 2GC. , ZOPodurgiel Lane Mrwoka--24 ! odurgel Lane, Ahlerona ri 3urgiel Lane, lapj1oti -_32 pallor %e ' . ,NagleriLenie=-33 Podurgiel Lane, JQeon--35 PodalLe.Cayaa -- 35 Puduigiel Lame, Alfieri--39 Podur; el Lane, lien/ utateofMallen-- 40 allen -40 Podurgiel bane, Scopelit7$--43 Pil8ne, Lad3u -a4 Podurgiel Lane, Bicknell--47 Podurgiel Lane, Noeltrck -4odurl. Dane, Dunn-- .52 Podurgiel Lane, Barba --55 Polluxg`'�1 Lane. Gon$ki-- 551 Podurgiel Lane,Cuaiandi--b3 Eoiur3iel Lane, Murphy—14 godurgiel Lane, BEdak/Powlar allin Vncamville, CT - ATIMA • • .T9T I, � AL1q�� O�U8irvNG&AIplCON S e�/ �Gp 446.4. r� c�r04, '° °TtTiTSr .� ,iNE�C�<cSIBI 4 I -vr �R & PRU3UBO �1oaR2�gtio °C1jjs�2RI sS/Q EFX28Q. ECT 0"L y„2....,......< p FXp�R r FS , 1��3//200 G • • • P i I 11 Z0/70 - •I .._ 1