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HomeMy WebLinkAboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 52 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 • Water system is not bonded and a bonding jumper is . . Bonding 1/02/06 DJ • needed at the meter. 1/27/06 DJ I • Backflow • ; • prevention 01/02/06 DJ Pressure • . Pressure set at 45 PSI reducing valve • — 01/02/06 DJ Thermal • • N/A expansion • valve Certificate of • • 1/27/06 DJ approval • Rev.Date:10/18/05 Page 1 of 1 e 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: P2005-0130 Date: 05-Jan-06 Map/Lot: 103/009-000 Owner ID: 5570000 Project Location: 52 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Annette Barbay Tenant Name: N/A Careof: 52 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 Approval ❑ —� • 0 .panty Building Official's Approval: `-1—� • f • . Town of Montville ' Building Department • 310 Norwich-New London Tpke. Tet. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: r i r F a Type of Work Occupancy Type Permit Type ❑New Construction Single Family 0 Building 0 Addition Two-FamilyPlumbing Alteration 0 Townhouse ❑Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: SOI- • /Pt/f p �4i P��r 'e (Number) (Street) (Unit) Job Description: 4/477- A el ev S. 0667Ck 4_ r 2-, 7'o t (f5 7i Ali SC._ "A f Owner: J o� ,ei44 /4 ) e• e_ /54-v/541- 7 Address: 5-61 Po o(,r t'i'--.9e C.��•- City: 6/n e 19, 5 i o(((' State: - I Zip Code: 67.71jAPL_ Telephone: �` Contractor: Oet°41A--) Si Q geA 7t fir� DBA: /r/ • Address: / /h4 4.14 • City: ` 1)r State: A Zip Code: Oa2ia Telephone: Cfc/(^ )7 -I'7/k License Type/- License No.: 61 79-2.2 ( Expiration Date:ld/ —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 altemative 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/ Date: /)--) )- '-p Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: /eg c/-- Plumbing Fee: T • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of O Fee: Plan Review Fee: State Ed Fee: O, O6 Total Fee: °4 ?fvised Decem6er31,2005 Town of Montville Building Department File Receipt Date: 23-Dec-05 Receipt No: 940 Received From: Oceanside Plumbing&Heating Job Address: Podurqiel 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,F I 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 • 2. Po.D o24g Property Address . 4VAT6 Z— /vAJ ba- -r'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 Department Permit Issuance Approval Approval Tax Collector c ignature! date Comments: WPCA, Administrative Z \ - �� b 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: NcviseriAugust 5,2005 • • • Ate_ (CERTIFICATE OF LIIABILITY INSII,JIRANCE csR Ls' IMS, r--- 181 R OCEANSY _ 12114 05 Ti GEF':EIFICATE IS IS5UED AS A MATTER OF 0`1Fp tl 4TlpN maaaea il:ar.agce Inc. ONLYAI U 3 CONFERS NO RIGHTS UPON THE Cr:RTIFICATE . Rox 246 IIOLQER 7IIIS CERTIFICATE DOES NOT fc�A�ENi),EXTEND OR ng O29.9.�,_Q,Z46 ALTEt2 T.• k COVERAGE AFFORDED BY THE PCLICIES BELOW. o; 401-539-7000 Valc4401- 539-7265 - ^-- _ti__ ff3SURER 1FFORD1NG COVERAGE NAIL# • h06ifr2ER�[ PeerZeaB Insurance — St@V@II A �y�Cis, ZT1C. ---7----- INSURE/kik P . 1'.aon W�Cn.i xas fgplocean ide Pl mbi urea. co U.TG)Ei Streetn`� g' 9rlrt: INSURER j_�o r�nsa.y Y++vr+nc. ttmy.oy —� Bradford RI O I B O S INSURER D; AZA - INsuAEk t: ,FL-------„, . ---- i -._ THE40LIC1EEOP NiBIJRAtu,4 i,I 1�9ELOW HA 7E BEEN ISSUED-10 THEA I URE(NAMBO ANY REQUIREMENT,TERM,7R CONDITION OF ANY CONTRACT ABOVE FOR THE P':LILY IPERIOD INDICATED.NOTWITHSTANDING ANYPEQUIRE ENT,YSURAI OR OTHER DOCUMENT WITH RESPECT TO WHIG:I THIa CERTIFICATE MAY BEAMED OR F AFFORDED BY THE POLICIES DESCRIBED iERE1N IS SUBJECT TO ALL THE TER i,I:3,ET CLUSIONS AND CONDITIONS OF SUCH POLICAEB.AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAIR LAIMS. — LTR IN TYPE OFINc.URANCE POLICY NUnIBER I PQLICYE'K I'pOL1L4'p:>r}sT)T10 DBL.'Y-EV� GeNERat LIABILfYY - +' .. iSHwMDvmf.-Jf u:+Cr$ A $ COMMERCIAL GFNtHatLIABILITY OCs 971456 I EACHDccURRFNOE I 1 000,000 I 04/30/05 04/30/06 IP�REMISESfee �fre-� CLAIMS iAA{4 X I OCCUR I once r i DO,0 000 _ MED EXP(Anyone Person) $10,000 IPERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGAYFLIIMIT AP GErIERALAGGP�t3ATE $2,000,000 S �R X I POLICY f RODUCT$-COMPtOP AG 3 $2,000,000 P. (ECT ��` _ AUTOMOBILE LIA$ILIIY I ANYAUTO ' I COLMBAEO Sito.a=LIMIT (ELI accident) 1$ 1,000,000 ALL O WNED A.ITUS C X iscHEntasiAtrros 08745219-0 • 04/30/05 04/30/06 {PerP oit•mn) Ry +— i; HIRED AUTOS N _-- NON-OWNED AUTOS ( avaaldenl) NOY S I (PorecRee�rtIOAMAGE', $ GARAGE LIABILITY —. ANY AUTO -- I AUTO ONLY.EA AG,IDENT S ^. OTHER THAN EA AC 4 $ f AUTO ONLY: AOC]$ �E7[CESSYlArsarr L4.4INtITY II " occur, __II C:LAIM$9JLP.DE t; 9113 Ij I '.. EACH OCCURRENCE +$2,000 00 04/3o/Q5 04130/06 AGGREGATE fl s 2,000,000 pDEDUCTIBLE RETENTION ;L $ WORKERS ETENTISATIC N ANO I --- $ B 4 EMPLOYERS'LIABILRY TORY LIMITS fL ER JI ANYPROPRIETORIPARTNIcR.IXECUTIVE 0000023736 12/01/05 1,'/01/06 IE.L.EACI•IACCIGENT naFCF,xu�5er5�RE�2Ls')E:+7 j s 500,000 ffy85,ALPr ASID I EL DISEASE_EAEMPLOYE(;(s500T000 9P cGfAL PSY�6}$1ONS�AdtG p i de I OTHER ""- - - EL,DISEASE-POLICYLIMIT J S 500,000 ! II j I )BSCRIpTION OF OPERATI 'gf�/f/ Irk�) // I 7 ` `1 ONS f 1.0 AT10N$/VEHICLES I EXCLUSIONS ADDEC ENDORSEMENT f SPECIAL PROS I ION0 Plualtlirig Heating - Certificate Bolde% is noted as an Acllitional Insured - -. P.rojeat tNontviYla CCM:Mona, MTacasvilie, T - Further Addit.Laus2 TneuredIa- a are: Second Family, LLC - The Rome Depct - Stop & Shop � Sulyarmarket co. - .�L� 0- :ERTIFICATE HOLDER "-" I ._... _ CAAICEU.ATIC til _ Ny'y rrA„py SHOULD ANY OF I FIE AHOVE OESCRIOED POLICIES BE CANC:ELL_D BEFORE THE EXPIRATION Ni any t:O,nstruction, :Cnc. i DATE THEREOF, ATTrJi;se �'� +.. i iE ISS SUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN adw•��k/3arah 3�.iokie Fax: 5 0 FI-' 5-�,5117 NOTICE TO THE C FfTIFiCATi;HOLDER NAMED T4 THE LEFT BUT F,ULURE TO DO SQ SHALL ; 6 Z East D -28n -St.-Suite #4 IMPOSE NO oa LI< ATIOIL OR LIABILITY OF ANY KIND UPON THE INSIIRER.ITS AGENTS OR Norton, fa 027E6 .c R nor .-we // CORD , EFAI.-77:" / ili,44E 4-7. cor•io-‘,41-.0:4,..... t 25(2001/08) ssntlmsg / CACORDOORPORATION'1988 r; ZO/T© 39dd 3ONVeinSNI 33SNVWQOOM q97./;EgTnt, Pb'r'T CPP • • • }: af}NQoMli �{• }. aITy „, l �1 , ti,, ,,,._ ,,,A,i„ !,,.,,,.;on „� �,,,.; 2 11„ ,(, .f11�,..1 ,1!4I , b�I �` . 4fit , ri # : � M»1 q'I + 1f,: ga ka � LL3Narator Brothera rac- . 20 PodntgiOY +ane, NI -•24 t »durgiel Lane,Ahlerona--39 Pclurgiel Lane, 1Cap31ot --32 Podurgiel Le, Nagler/Lemieux:-33 Podurgiel Lane. Jo.aneon--35 Podurgie,:, Litne.Cayaewaki-= 35 Podurgiel Lane, Alfieri-•-39 Podurlel Lane, Wallets/;:i Jtate of Wallen-- 40 Podurgiel Zane, Sco eliti P s--43 Pari rgiel Lane, Lady'i:ln--44 Podurgiel Lane, Bicknell-47 Podurgiel Lane, Nodrick--48 Podurg3.1:% Lane, Dunn-- . . . 52 Podurgiel ,,ane. Barbay--55 Podurgg:AP. Lane, Gonski--59 Podurgiel Lana, Gua1andj--63 todurgiel Lame, Rurphy.- 4 'gadurgiel Lane, Bejek/Fowler all in Uncasville, CT - ATYMA • ST 9 pLU g��J'44, OF INC N, ,, CO &ptpt� �0ATe/ AO , STF G l j�41,,, E S P*0.7,C'”�' 'fi DC toil, (ic,RF „ jet c N4 D oNr !P. ,o,,,,. ,.., :411„: ;k: �I�a�F ��I 028x8 ti /200 F It//2_, • 7c /?(,i vqnk-LI —tori '-���.� - -