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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 48 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 12/30/05 DJ • Water system is not bonded;bonding jumper is • Bonding required at meter. 1/27/06 DJ 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 1/27/06 DJ approval • 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: P2005-0131 Date: 05-Jan-06 Map/Lot: 103/008-000 Owner ID: 5569000 Project Location: 48 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Joseph F and Therese L Dunn Tenant Name: N/A Careof: 48 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 ❑d 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 e occupancy Building Official's Approval: ���..� ..001111.1 � �� Town of Montville • Building Department r. 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:/O /cam Type of Work Occupancy Type Permit Type ❑New Construction Single Family 0 Building ❑Addition Two-Family eg Plumbing Alteration ❑Townhouse ar Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: fO21p6/e..L 44 (Number) (Street) �� (Unit) Job Description: /4x',' ,i c(7'/ ' yGt'c `,..... (es' -r -70 --)(t 7/,7`/, At C.C. SCl/'X I Owner: �0S_ti -f- Lj Pv-o n gar.4 PI Address: , Oft . iba-frit-e 49s�C (i City: ' ef4 5&i4 t(_ State: /'- r Zip Code: °COL Telephone: -.------, Contractor: 062e40t--7 St 4c ,e/3 /4/7- DBA: • • Address: /'� I(7_4 c ke i, • City: ` 7)r/J State: A-- Zip Code: CDcaer a 4F' • • Telephone: 4"?^ )7 -1'7/' License Type,/ License No.: C2-?j 2,1 ( Expiration Date:A3/x "0,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: ...,,ZL.7-e''' s Date: /0,/—,) )-- --p,,,s Construction Value - Permit Fees • Building Value: Building Fee: Plumbing Value: 1-16 a---- Plumbing Fee: • • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of 0 Fee: • Plan Review Fee: S State Ed Fee: 0, 06 Total Fee: , o 4 .cviseel.:Decem6er31,2005 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-• $0.00 Received By Joseph Summers`' �, • /. Town of Montville • Building Department 310 Norwich-New London Tpke. T.I. 860-848-3030, Fxt 382 Uncasville, CT 06382 Fax. 860-848-7231 • CONSTRUCTION PERMIT APPROVAL • 1/ T PaP uR4i L L INL� • Property Address 'A?Jd L-✓/ iZ /Q a-c.-7 0}J Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. • Required Department Permit Issuance Approval Approval Tax Collectorc�wZ A a\a-l_j os ngnaturel date Comments: WPCA, Administrativea� Si aturel da e • Comments: ❑ WPCA, Operations Signature/date • Comments: • • • ❑ Planning &Zoning Signature/date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation • Signature/date • Comments: • ❑ Fire Marshal Signature/ date Comments: • • ftvisedi)ugust 5,2005 • • e CERTIFICATE __ -- PRODUCERC'ATE OF J 11ABlLITY INSURANCE E CSR LF' 1 GATE(MMlDDITYy�. OCEANSY 12114/45 THIS GEF.CIFI('ATE IS ISSUED AS A MATTER OF JNFORMATJON alooc3utanr3ee Irig:asanca Inc. ONLY AI`li)CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. eon 246 HOLDER THIS GERTIP(CATE DOES NOT>,MENi).1 EXTEND OR 14'ytsszag RI O2S.ve-0.245 ALTER T. Ic COVER. AFFORDED 8Y THE PCIICIES BELOW. Phone: 401-539-7G00 Vex:401-539--7265 INSURED – __ iTSSURERg �FFURDING COVERAGE j NAIL# r� ��eRR Peerless Insurance - f zQst.ce Co Steven A Dubois, Ino. IDLSISRERB' rye Beacom ►+�b�Ai ran Oceanside plriusbin f 9r ______ 181 Chltrch Street �� Int, INBURPJ4 C: L raSrsu as va Y�r�:aac� <+auy�ay Bradford RI 02808 'INSURER D. - — COVE-RAGES$ tet'---��; INSURER t: - - T1iERQL1C1EE'J4 INEURATV.,E I,1GTE48ELOW NFVi7E SEEN ISSUEDTo TH�_i*UREO NAMED A$OVE FOR THE P',LICY la �_ ANY REQUIREMENT,TERM OR:ONDITION OF ANY CONTRACTOR OTHER DQCUMENT WITH RESPECTTOEEIOD INDICATED.NOTWITHSTANDING--. -- . 1LAYPGZTAiN,THE INSURAIaa;E AFFORDED BY THE POI.ICII S DESCRIBED i REIN IS SUBJECT 4T RI,I IS,V...T LUSIC:NS T POLICIES-AGGREGATE LIM,T5.SHOWN MAY HAVE BEEP'RED �+ A4Y BEASSd16D OR `1 C TO ALL THE 7EFn ETCLU$IpNS AND CGNDITpNS OF SUCH i.roti- •D•L --.— REDUCED BY__ CLAIMS. - N-- YYPE OF IN 5.URANCE -- POLICY NUMBER POLIGI EFFEer/VE rlatiq 4 GENERAL LIABIL -Y iPAT } DATE ISfre? DA•,'era irtTIO,N i u.m• A +,1'. COMMERCIAL.GE-:NERAL LIABILITY CC.? 971456 1 EACH OCCURRE'.N.GE i-r ODO,00 0 I QC i U RtN Le, _ CLAIMSIAADE 1 04/30/05 04/30/06 PREAgISEs(EBdGarCn�aJ �s500 000 — X j OCCUR� —' 1 I mED EXP(Any to person} S 10,000 _ O.INJURY _ill__ ~� GEN'LAGGREGATI�LIMIT APPLIES PER-: GENERAL AGGREGATE 162 000,000 X (POLICYI 1P:o j PRODUCrs•COMP/OP AG; 5• 2,000,000 Jf T I` LOC I 1 AUTOMOBILE UAPILI1-I -I IANY AUTO �COMITAE $INCL LIMIT (E0 accident) , 1,000,000 ALL OWNED AJTUS C X scHrDVIcnAtl'?S` 08715219-004/30/05I BoDILYINJURY HIRED AUTOS 04/30/06 1 (Per perxony i 1111 tdQN-OWNED.,U'(OS • I 840iLV INJURY (Pe' drnt) S F jc PROPERTY(Por acc aenIOAMAgL, GARAGE LIABILITY� 1 ANY AUTO II AUTO ONLY-EA ACGIDENT_1 5 II 11111 1 OTHER THAN EA AC I S EXCESSeTiMSREL4.14444 iTV )AUTO ChLY: j ` AGC, $ IK occua. r+ — GLaIMa�aaDe CII 4712358 li EACHOCCURRENC $2,000 000 IX I [�__I 04/1U/05 j 04/S0/06 I AGGREGATE 52,000.000 LJI DEDUCTIBLE S I RETENTION ;5 § �� I ,...__,d WORKERS COMPENSATIC N ANO -- --- IiiT $ B EMER PLOV3'LIABILITY TORY LIMITS, ER,J. 0000023736 I 12/01/05 1: ANY PROPRIETORPARTNIMI XECUTIVE I ^...F.,cJz4:b:z BERLY,r"t)ED7 './01/06 �.L.E crlAccictNT_ s500f000 h&�Gy95 IACescrA54lbea ro'nt ts , I E.L.OI$B E_EAEMPLOYE!,! 65 001000 FL ^v d pn OTHER '--� f"'--- - E.L.DISEASE-POLICY LIMIT Ij 5500,000 l ,Ii i� �I )ESCRIPrtCkOF OPERATIONS/LtQATONS!VEHICLES I EXCLUSIONS ADEC By ENOOt 5EMEIfT f SPEOIALPiotii.IONP1+itD]irig & Heating - Ce ti£ice„ Holder ds 's3Qted aS an Aei litianal Insured Pralect:Montville Commons: Uncesville+r OT - Purtke - Add/t10274/ Iasrzred'a are: Second Family, LLC - The house Depict - Stop & Shop Super-market Co. - '\ i i \\X ) :ERTIFICATE HOLDER ""-- 1 :7,__--------_. I CANCELLAT1C.iV NITTAI1y SHOULD ANY OFIHEAHOVEDESCRIBED POLICIES BECANCELLED BEFORE THE ExPIRATmQr.1j NittHriy c.`tr,nstruction, 'Cnc. R:::Jigs r DATE THEREOF,'I 4E fS R WILL ENDEAVOR TO MAIL 30 SUING INSURER adwia ck/Srah LrC SuzeC+Arswwr=N I Fax: 5 0 f l-295-1947 NOTICE TO THE C I IITIFN CATE HOLGER NAMED TO-me LEFT,BUT F.ULURE TO DO SO SHALL �'�' :East ble�.�11 SC.-Suite #4 IMPOSE NO OELII'%TION oR LIABILITY OF ANY KIND UPON THE INSI IRER.ITS ADENTS OR Norton, P{1?. 0276'6 r n1EFR MeV i.� AU ' •-, 1lSEN' E CORD 25{2001/08) 9dbS{ffigrlS£�G Rf• _• TJ ACDRD I;ORPORATION'1988 To/T© 30Cd 3DNCl6r1SNI A3SNCNaDOth q9715F'gTC)b Pfi:C'T GGI!i? +77. /?T • • (i 4��y �`N°�M ,t �ti�1�+yiL`F ry�i °S }(R ,i -{�� ! f l; i��f 1 r w,,, 1 0r ¢,� v,.` • ,,' 11 �a ,1I, 4 .i� (�s� }.;'I 1 i ,`i i;il�f ' I' S 1 L'".411♦! '2$j� y 1 1., 0 A .ii' ,:f+ sii..A Ni � f i i�h Ii 1 i t�4 i s� i, }+S "P # WA C i as^ r . irk dd}L' .$ Jl , ,;��41sA. c 5 :', Yi• L- -,,,gg; t ttY' • is . . 4•! 1( 1`,li Up.io i It i,.+'1 `� ,4ATi, 'y'ct - .7.0Yv ,Sys . �i „�'^ All4'�d 1 1 ,1 i, t v: ,d !1,ZIO4 1,Eltl k;L,„t `n`�f ll.Lii 1A ��i�.li �� g II �tk.:r . (.r,}It 1 , , ,Uaxa:eort Brothers Zoo. , 2d Podu G , ot8;,,,h ka--24 E t 'y 1�! �'^ ne, iq k',.rgie2 pane. DQrwoka--24 Etido � �s1u .�+ , t}i' i,,,..:4 w. , Ahlerona--39 Pcilurgiel Lane, ]tcapiloti --3y Podurgiel L; ne rgiel Lane, Nagler/Lemieux'-33 Podurgiel Lane, Joanson--35 Pedurgie:, Lane,Czyaewaki-- I 3e Podurgiel Lama, Alfieri--34 Podur;*el Lane, Wallen/: tetat:a of Wallen-- 40 Podurgiel Dae, Scopelitis--43 Poti z iel Lane, Ladycet--44 Podurgiel Lane, Bicknell--47 Podurgiel Lane, Nodrick--48 Podurgit:l7. Lane, Dunn-- 52 Podurgiel bane, Barbay--.55 Padurg:.el Lane, Goneki---551 Podurgiel Lane, • landi.--63 todur3iel Lane, Murphy--•14 godurgi€el Lane,. Setjek/potwler all in Vncasville, CT - ATIMA • . • sT PL U4Z�off' .t. Oj NG Top CoPip Cb A Sr, n LI1�I *.i ,i,je ?' �P F�c �T,o v 27�RF�"'� ger 4 . DLTBO oNr-lc), 9�, , Oi? l-/s IS k 1 T S/CNe�...� j j\�_ o`X08 '1414t::, ,401/20,, \ 10/31/2006 • • I 7P/7Q -Ir-J