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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 44 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 is required at meter. • Water system is 1/27/06 DJ • bonded Backflow prevention 12/30/05 DJ Pressure • . Pressure set at 46 PSI 12/30/05 DJ reducing valve • Thermal • • Not required expansion • valve Certificate of • • approval1/27/06 DJ Rev.Date:10/18105 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: P2005-0133 Date: 05-Jan-06 Map/Lot: 103/007-000 Owner ID: 5567000 Project Location: 44 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Marybeth and Alfred S Jr Bicknell Tenant Name: N/A Careof: 44 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 0 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 ❑ Certi p. t---y Building Official's Approval: • - 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.:>a it.5 Type of Work Occupancy Type Permit Type ❑New Construction MSingle Family ❑Building El Addition Two-Family Plumbing Alteration ❑Townhouse Dr Mechanical /❑Accessory Structure ID Electrical CRS#: �( Job Address: PO .,- 4� (Number) (Street) (Unit) Job Description: á ' xi.' A c(e'/ ;5 f c* /24-- r .y, ?To z ( -S 7/ lokt Se ' A ) Owner: '>• ;ALZ ' �iii id 1 Ail I / )) Address:// Lig P004 i- /,'./Cc,...,... (/L r]Cl}n 5-1/4-1 //'{ State: L- ..I Zip Code: QC3J,0- Telephone: Contractor: O&e'lx.--7 St 4Q leA 7' fT� DBA: • Address: / /r/C/ c pig', City: 7r State: A Zip Code: oa2ia F • Telephone: (-ref^ ')7 -t7/L License Type/ License No.: O.72,...z ( Expiration Date:(C3/LX --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: 1. Date: /)—01 )-- '-© ...X Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: /C'�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: O, 06 Total Fee: .F• v 6 qOvised December 31,2005 I. 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 Uncasville, CT 06382 Fax. 860-848-7231 • CONSTRUCTION PERMIT APPROVAL Lf J70.D Property Address G✓/�-7 Z-- L✓/`i �a/oN 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 Permit Issuance Approval Approval Tax Collector (off �' �,� ► a \--aA OS S gOaturel date Comments: WPCA, Administrative kr-1)()/16\ Sign re/dat 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: • vi.ceiAugust 5,2005 i' • ' AcoRO CERTIFICATE OF iLIABILITY" INSII.JIRANCE "R yaIIDATE IMMAIDIVYYY, PRoaIIOER 7--- OCEA]►TSY 12114J0 I THIS CEFI:E'IFICATE IS ISSUED AS A MATTER OF INFORMATION woOcmLa>zaee I sar.areae Inc. ONLY AM7 CONFERS NORIGHTS UPON THE CEERTIFICATE • P. 0. Sion 246 HOER THIS CERTIFICATE DOES NOT fiAIIEN1),EXTEND OR Wyoming 721 025.x _O SS ALTER T.' Is COVERAGE AFFORDED aY TliE POLICIES BELOW. phone: 401-539-7000 Eaxs4Q1-•539-765 �' INsutx>:p – �. _� INSURERS 1FFORDINCy COVERAGE NAIC# (AMMERA Peestess Insurance — Stevan A Dp Oiq, TYC.. •• INSlS42ER e' PSS Deacon Kabuli urt►ace Co 1gC4 ide PD1+12ab3swJ1�pAtiAQ,.Imc INSURER C: .10msra�sevs i,,,,,, . y�y Bradford Church Street8 --- INSURE.R D. COVERAGES • INSURER E; T+rs4aLlc £ pi gLiRAtv'•S 1.... BELOW fit;OE B61 N ISSUED TO ma 1 UREO NAMEDT ANY REQUIREMENT,TERM,)R CONDITION OF ANY CONTRACT ABOVE FDR THE P':I.ICY PERIOD INDICATED.NOTWITHSTANDING OR GING £ YPERTAIN.THE-INSURANCEAFFORDEDBYTMEPOLICIESDESCRIBED 14REINISSUBJECENT WITH TTOALLTTH0ETRnIii ElCLLUSIONSAND AC NDITIOONSOFSUC.H POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED Sy PMII LAIMS. LTR INGXENERALTYPE OF IN 5 URANCE A LII61iIY , . POLICY NL1B€R I COMMERCIAL GPNEI-1ALLIAatL1TY CCP 971¢ S JI POLICYEx -I•POLCYC y10 +, DATE¢NAIaA•E¢llOD1Y} ---.------ LA.C$ EACH OCCURRENCE IIT� 1____,___,000, 0 0004/30/05 04/30/06 6 (E=.+! ce IS500,.000i CLAIMS AAOE j X I OCCUR1MO ExP(AItiYonm Peso) S 10 000 PERSONAL&ADV INJURY Y1,00a,000'."-- GENERAL AGGREGATE Q0GEL 'r'GATE S Q000 000 GEN'L AGGREGAn.!LINITAPPLIES PEA n LOC PRODUCTS-COMPIOP AG a" s 2,0 0 a,0 O Q X I POLICY n C ."'��� AUTOMOBILE LIABILITYI ANY AUTO I i (S ac dED 31Nt3Lr uMIT aaccient7 ALL OWNED AJTaS +b 1,OOQ f 000 C 7C SCHEDIllFDi1J ?$ 0874E219-0 04/30/05 04/30JOfy (BODILY Lpersvny INJURY $ HIRED AUTC+S � SON-OWNED AUTOS1 j fBODILYPee ItIRY S 1 (Per aacEcident}RTY°' "GF; S GARAGE LIABILITY - -_ ANY AUTO -- - I AUTO ONLY.EA ACCIDENT S —, i ATO THAN 5 S AUTO ONLY; AGC' S '�EXCESSrIUdABRE7.41 Lw�?iCITY A. '^ 'OCCUR. I CLAIM$71LAOE l 97a.i35e EACH OCCURRENCE-_—, $2,000 c.�00 "'- ( U4/�O/OS ' 04/3o/o6 AGGREGATE 1 S2,000.000 .DEDUCTIBLE — + f$ RETENTION IC l!I I E WORKERS COM1II'ENSATiC H,6,ND I VHI:a 1,./;'fl $ B PzAAPLOYFRs'UA8ILITY TORY LIMBS i - ER"J ANY PRGPRIETOWPARTNI:RIIx cUTIVE 1 0000023736 /O1/O5 1:'/01/06 E.L.EACH ACCIDENT igAICERUPEV.RERE. 2.1.4)X,7 _ I s 500,000 If yy8e5I,d89Cdbe undrt E.L DISEASE-EA EMPLOYEE!$500,0 0 0 _yes. PPQMSIONS Wert I OTHER -- - E.L,DISEASE-POLICY LIMIT f$ 500,000 .•� I , LIr I )ESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES I EYCLUSIONS ADDECp(ENOCRS MENT!SPECIAL PROL I i101 ,, P1umJai.ng & Beating - Certificate. Balder- is natelias an c _ .0 7 Project sMontville Commons.. IIncasville T - Further Addie tonal Insured a- lit lanai -Insured are: Second Family, LLC - The Douse Dept - Sbo & Shop Svl)armarket Co. - \. .ERTWICATE HOLDER CANCELLATIC:I hj� _.-. ZpT1�'ii-y SHOULD ANY OF 1 HE AHOVE OE Nit t$n�► Construction, ,CYLC. i SCI7tt8ED POLICIES RE CANCELLED BEFORE THE EXPIRATIONN t a DATE THEREOF,'I IE ISMUING INSURER WILL ENDEAVOR TO MAIL 30 IAdteiCk/Sarah Dickie I DAYS WRITTEN Fax: 5011-285-1947 NOTICE TO THE C I IRIFICATE HOLDER NAMED TO IRE LEFT,BUT F.ULURE TO DO SO SHALL 1 Eas bla.ln S t.-S .t6 # '�, IMPOSE NO°ELK,aTION PR LIABILITY OF ANY KIND UPON THE INSI IRER,ITS AGENTS OR 6Norton, &A 02766 I A.SrcPRTiliE E1777111 -1' i� E CORD 25(2001/08) nora imanste / ID ACORD 1,ORPORATION 1988 Z0/T0 3Edd SiNktd(ISNI 33SNVN000M 597_.?6E'q TcIt+ !qtr:r•T G A n 7 "7 7 +?T . . itlinft,421211haa kA 41;7 - ,i I ,,o is{,f,.,•z,'•,,, ,,,,,,Ili.,$•;,,I, Y.,: ,:i4.`,4 .,ir',".,1 V`1,$Vi ' 0'Alg. '4 ' ft,' EIV ,',11 '• '"• P.•% ,", •117"1". ..,,, i.. y,,-ft3 „q.kAphror• ., A,., ,,,i,i,Ii;,1„1317,777„ .4i, iiis- 111„ jr 111?W4nkT qi i lit d il:',,J‘t\,'% ?:4,',1,.,_Ai:r. 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