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Home My WebLink AboutTown Water Tie In 2006 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: P2005-0128 Date: 05-Jan-06 Map/Lot: 103/013-000 Owner ID: 5573000 Project Location: 59 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Jonnie L.Gualandi Tenant Name: N/A Careof: 59 Podurgiel Ln 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 repsonsibilit,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 LI Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation • Certificate of Approval 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.: /e j- 'Type of Work Occupancy Type Permit Type ❑New Construction Single Family 0 Building 12 Addition rwo-Family ,Plumbing Alteration 0 Townhouse ❑ Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: SI /,.� ,� 0 `;,G�� '--6 4e/(Number) f/ (Street) (Unit) Job Description: LiC✓ , A c(ev SS' clC F k- /(C- =.--, o 7 -)(f 7i /a61 k._. •CjG • Owner: c(.7,-).-1 IC L�. LYS! 0 (-4'4 / Address: / ,coei r‘/G L City: ei h C Al1! 5,Ci[-'<I`( State: C 7 Zip Code: UG 5f l Telephone: , Contractor: 0e2o/6/t---7 S, 'OC "e/3 flT� DBA: • Address: ,A f cf 4 (,.k i.` City: ` /1r State: A O Zip Code: o2.fo F • Telephone: (rrGC^ P)7 -1-7/4 License Type/ License No.: 02 79 2 (. Expiration Date:7(3/, '—O,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. 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: ....X/1 ' Date: l —01 )-- QS Construction Value - Permit Fees Building Value: • Building Fee: Plumbing Value: 'ef C a-- Plumbing Fee: • ' Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • C of 0 Fee: • • Plan Review Fee: State Ed Fee: 0, 06 Total Fee: 0 4 ftvired'Decem6er31,2005 1 • 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. Tel. 860.848-3030, Fxt 382 Uncasville, CT 06382 Fax. 860-848-7231 • CONSTRUCTION PERMIT APPROVAL .59 Po.P , Property Address G✓/�7G� L.✓Nb Co/vN tac_1-7 0 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 Approval p Permit Issuance Approval Tax Collector osn la\a1 OS CJ_ signature! date Comments: WPCA, Administrative gnature/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: viseiflugust 5,2005 • - CERTIFICATE OF I'� ABILITY INSII,IIF�ANCE CSR LI, DATEIMM, Yy,, PRont,JCER } THIS GEFI.FIFICAT SE I_______ISSUED AS A MATTER F INFOP MTJON4/05 'gPoocanaee IxLsrasance T»o ONLY ANN)CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. box 246 -17,HOLDER rim CERTIFICATE DOES NOT A"MENU,EXTEND OR ' meg 02.2S4-024$8 ALTER _la COVERAGE AFFORDED BY THE POLICIES BELOW. pies 401-539-7t10p 9ax:4Ui-'5397265 I ._ INsuRia — T t1�1SUREitS 1FFuRDINGI COVERAGE t�OvuYir7ERA NAIL# ?collide Peerlesal Snsuratzce . . • 'navels p ass.. 21C;. - INSUREt:es !tom. luaus W+buit mm• 'Jx�nbl uranc. CoL' U,rch Street . �3 AQr P; INSURER C. Jy�9r„ +R y Braord R= t72at�3 INsuRSRD; • L�Ot RAGiE3— • � • INSURER 6: TFYE4OLICIEE ftiBURAtV:S I,IST�9ELOV1 HMS BEEN N 15SlrEDTO THE t , ANY REQUIREMENT,'(ERM�7R CONDITIQN OP ANY CONTRACT URED NAMED ASovB FOR THE P LILY PERIOD INDICATED.NOTWITHSTANDING ✓ANY R€QUIRE ENT, E RAt,1CF AFFORDED BY OR OTHER DOCUMENT WITH RESPECT TO WHIt'.I THI:i CERTIFICATE NA.Y BE 7N$EENNJC1B5 DESCRIBED OLAIN iS bl1BJECT TO ALL THE TEP"I:i,ETCLUSIQNS AND CONDITIONS O OR POLICIES.AGGREGATE LIM1T5 SHOWN MAY HAVE BEEN REDUCED BY PAIR LAIMS. �- •D'' —•�- • TIONS OFSU(:H N-- YYPE OF INSURANCE POLICY NLNItIBER OY�� I.p'0[ICQ (Yc GENERAL uailiLf'Y r DATE�l6AAAr� nA•"'P 1MWM1^ODM �� `--- 7 Aa COMMERCLAI,GE:Na:FiAL LIABILITY ��;,� �'J 145 I EACH OCCVRRENCE T 04/30/05 04/30/06 -TrAfiAQt IuntNIIV— t I'044r000 -CLAW IAAOE i X I OCCUR { PRAISES iEe een,rCnce &j00 0{J0 • -- I J MED EJ(P(Any anm c arson} 5 10 00 0 -�� J PERSONAL&ADV11d1RY s 1,000,000 GEN'LAGGREGA'ry:LuwT_APPueSPFc� GENERAL AGGREGATE_ 52 000,000 XA I POLICY LI P l pRoa COMP/OP AG X 5 2 000 JECT ��LOC _._._._._______________ AUYUMOBILEIJAPILIIY mummul -"� - ANY AUTO CDd4�ItID SINCCE LIMIT ALL OWNEDAJTUS tEamcadenU + 1,000,000 C X SCHEDULED FJJ9'OS 0845219-0 7BODILY INJURY I IIIHREDAUTOs 04/30/05 04/30/06 {FerpersonJ s 1111 D4 JTOS BODILY adI (Pee cnt Y S — __–,..PROPTYDAAIAG6i -- RAGE LIABILITY GA � – I 6peracadent) S ANY AUTO — j AUTO ONLY•Fr4AG,pjE-- $ Jtl OTHER THAN _ ACCS <rYces a4r"MBREilr1 LdaBlLITY _ I AUTO ONLY: AGCY S 8 °a=1j4 Ii CLAIMS MADE 971135 EACH OCCURRENCE s 2,000,000 04/30/05 04/30/06 j AGGREGATE —" s2,Oflfl,000 . III.DEDUCTIBLE 1 I$ RETENTION Ip II E WORKERS CO – IdP6NSATIC N AND I 5 B • EMPLOYFRq'LIABILRY ANY PROPRIETOR'PARTNIcRq:SCECUTIVE 0000023736 12/01/05 TORY LIMIT$ :K ER ��IcEJxueserSER IcX�LL15E;,7 I 1.1V01/06 E.L.EACH ACCIDENT I s500,000 II 1f yyeer;Cescrusn undrr , Fl�ECU1LP5Y.;:41S10NSbCa,n E.L.DISEA$E-EA EMPL0YE16 S 500 000 OTHER EL,DISEASE-PI)UCY LIMIT I$500,000 f ..ifgle4 ' 14A - Certificexte )ESCRIP110N OF OPERA-11QN$!LOCATIONS/VEHICLES I EXCLUSIONS ADDEC ENDORSEMSPECIAL PROL-BIO ENT 1 ( �� Plumbing Heating N`, 0 Aoldez is 'rioted as an ,ASI titianal -Insured - Projeat:Montville Commons, IIne casvil] r T - Further Add.it,Lazta2 Znauredia are: Secoud Family LLC - The Home Depatl - Stop & Sh I aP Sui7eraLaXkeG Co. - Ni. 11 •All 0— .ERTIFICATE HOLDER - CANCELLATi(..Nr NITTAZy SHOULD ANY OF I He ABOVE t]E L� Ni t tany (:[I'I1pJ t ruC t i OSl .Cna. SCWdEO POLICIES 8E CANCELLED BEFORE THE EXPIRATION �!T't Jae DATE THEREOF,' IE ISMUING INSURER WILL ENDEAVOR TO MAIL 30 actsrIc c/Sarah DickieDAYSDOSHAL Fax: SOB-285-1947 NOTICE TO THE C InI CATS HOLDER NAMED TO THE LEFT,BUT F.ULURI:TO DO 30 SHALL IMPOSENooau l,>rlo ��2"COII OR LIABILITY OF ANY KIND UPON THE NCI IRER,ITS AV EN:TS ON 61 East Dta.Ln St.-Suite #4 r fa O S!d 6 n1E'FRTiliP.•..:0, :r, ce . E .colla xs(zoovos s�nrmansee / C}ACDRD I;ORPORATION 9988 I I Z0/T0 39Cd 33N 8FISNI 33SNVNGOOM G97.._, FPqTnb pi7 7r T cram rT 17T �k�W��QyNamu41iYi111�niUF "1 Z 1 9 S • ,4 Yti +1 0,""'1 it SY, _. tr ,(�ile , » Ie ,,.e� - ,� . M�- uu"� 1 { P 1 ` ', It of 4 , p, ,;ql y y, i (s f0 ,` 1 11 r� (. S».v ft 0,i ��q1 Niyq h9 _.,,11 `_''. I` sl;l`VVK �4 114i{ �'; s�' rcr� ;If }�{� j �tii J>�1� IMe7.5 � C Aa l ��MN ti LATR16.k,,1 *,. y uy�� • , �a; r!`� , 1�� ter, . . 1C5,"i afor d �. i a0 ,,. ,,, ,� Ii+ p , ', ni l� ITI ,het. ,} Mast B e SBC , '}' couRO nzi ,, ,. it kr„.EA - f ' 1,,R ,1( ,4‘6.'‘,;y44,-, :(f,� tlho ,112,.:, ,.1 . 1�'i �, rothe r ice. , zo .Fodor' iel �, ,K, ss t' IS a1jr.:., , I��u� i� Ahlerona--29 Polurgi.el Lane, 1081 loci ane, PodurgKrwoka--24 ,,1]du 1 £ .l �i�,t I�. u ! Nagler/Lemieux-33 � 3Z padurtJie], L. ne,rgtel Lane, 35 Pods rgiel Larne, Alfieri-.-39 Podur<y.eon-Lane,35 P alieie, tate Of a Mallen-- 40 Podurgiel Lane, Sco e1it7 ei ele, Lady:ia--44 of urgien - Lane, Bicknel] �-47 'odurgiel$Lane,PNo ick--48 Lad r,% Lao 3''.i Padurgiei 52 Podurgiel Lane, Barbey--15 Podur6eki--E�9 Dane,_ Duma-- Galandi--(,3 Bo�iurgiel Lane, Murphy-145"-�l Lane, Gol La ;;,5� l�odurgiel Lane, is Qncasville, CT - ATI-MA godurg �,l Lame, B�je7t��os+rler all 1 1 8T4T AL unit t gR��L OF C C of QNN &p,.,_ Cpl 1 / s jNG t >rrli �� o7I�'}� ! i, PI 1IT T46'r V�► Fd Teo 2� iv /Rso 4o kto 'V"? DUBp co�� ,�T s� 971 ARD c4sT Is �R �1 ''Ci-11, 2808 kp�R \ 10j31z s '20OG i f 7_.171!7.3 -Rr1H,-I 7�f),� tncr ST , i,rr ,n�A