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Home My WebLink AboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 63 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 require at meter. • Water system is 1/27/06 DJ • bonded. Backflow • 12/30/05 DJ prevention • Pressure • Pressure set at 44 PSI 12/30/05 DJ reducing valve • Thermal • Not required expansion • valve Certificate of • approval ; • Rev.Date:10/18/05 Page 1 01 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: P2005-0127 Date: 05-Jan-06 Map/Lot: 103/012-000 Owner ID: 5574000 Project Location: 63 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Sandra 0 Murphy Tenant Name: N/A Careof: 63 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 w/2004 Amendment $0.00 Mechanical Fee: 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 ■ - - o Oc ..ancy 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.: p Io2 7 Type of Work Occupancy Type Permit Type 0 New Construction 44Single Family ❑Building ❑Addition Two-FamilyPlumbing Alteration ❑Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: (.;3 . Pe of '6rl4e (Number) (Street) (Unit) C- Job Description: 4crew/ S- 069G � �r k � 4r `n 2-, 'To t)((S 7i' • Alf 3-C___ CC1/ 6 i Owner: 5'4-h/J t4 0 k g ry #' Y Address: (�5' /✓U,)Liy.(moi^c� Zie17--e City: te f h-5,sC2/</ "l _ State: ( Zip Code: C9K, ?jSr.2- Telephone: Contractor: Oeelav-2 St ?c ,eA 7� DBA: • Address: M e4 c ke A City: /9` J v/0 State: AT Zip Code: Oalia 4 Telephone: (71C;(^ 7 -1-7/1- License Type/- License No.: 62 292,1 2,1 ( Expiration Date:/C2)/,./-10‘. 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: ...XDate: /02—a j-- p S Construction Value Permit Fees Building Value: Building Fee: 'Plumbing Value: gC'3 ci'— Plumbing Fee: T • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: CofOFee: • Plan Review Fee: • State Ed Fee: O, 06 Total Fee: , o 6 viced December 31,2005 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 $0.00 /2„," 7 Received By Joseph Summers / / • • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 • CONSTRUCTION PERMIT APPROVAL • 170.D0,2-41L Li2 Property Address e tA7 iz— o Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector f1amm.o k.a(a-aA 01 Signature( date Comments: . 47>-CAL'A WPCA, Administrative () U> nature/ d to Comments: ❑ WPCA, Operations • Signature/date • Comments: ❑ Planning&Zoning Signature/ date Comments: ❑ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/ date Comments: ❑ State Dept. of Transportation .. Signature/date • Comments: • ❑ Fire Marshal Signature/ date Comments: ,vi.cedAuguct5,2005 • 'CERTIFICATE E Of `4AB1L'TY INSURANCE CSR L P °ATEIMminprY , PRaD+ksg �— QCEANSY YYt} THIS CEP:IJFICATE IS ISSUED A MA AS TTER OF INFORMATION 4 05 aloodmaaeee Iagiasance ImC. ONLY ANII CONFERS NO RIGHTS UPON THE CLATIFICATE P. O. Sox 246 HOER mitCERTIFICATE DOES NOT>r�MEN13,EXTEND OR W 0. E R 02$.D�i-Q�?�d ALTER T' Ie COVERAGE AFFORDED BY THE POLICIES BELOW. Pbone: 401-539 7G00 Laaxs401-5397265 j INSURED - �. i SURER LFFURD1Nc COVERAGE ! NAIC# rrkARr RR PeeM.LIMM$ Insurasxce~_ Stevan tNfiURERE. co ��o's ��jjtxt . INA Mutual. m. PC141C10 2�1b1DJ$ESA1iA�r2311; INSURER G: 181 u,rc h Street )y�9> w ._-----. Y - Hradxd�8I 112808 moo; --�- t''OiT1ERAC�£S ._ -� INSURER E: TNE40L1G1E£OF 1NSURAt4�E s,IGT�g�OW HANE BES N ISSUED TO THLI ANY REQUIREDgENT,TERM�)R CONDITIpN OF ANY CON"f RAC, uREt,NAMED A$OVE FOR THE P:;LICY iFR�1p6�Njal(`,ATED.NQTIMITFI$TANDING ANY RE URE ENT,TUFM,A AFFORDED BY OR OTHER DOCUMENT WITH RESPECT TO WHIG,1 TN CERTIFICATENAV BE1.SSUED OR TEE PEN RIES DE D BY PAID I i(LEINAIM+$8UBJE(;T TO ALL THE 7EPn I;�,ETCLU$IQNS AND CONDITpNS OF SUCH POUGE3.AGGREGATE LIMITS SHOWN MAY HAVE BEEN CIES D ED RI ED REIMS. D•LLLL'•J LTR IINSRG TYPE OF IN E�URANCE I POUCY NUMBER POLlC:Y�p 'p't7LlCY +T�e[y�pp -,--- A {GENERAL LIABILr rincrsrota DATE�l6AA6�S 'F�+wrromy Lr.rcrS X COMMERCUU,GCNERAL LIABILITY f EC CVRRENC'£ I CCSB 971456 04/30105 04/30/06 $11 0411,000 ,___....EACH i t iuHtrvtIT - 1 CLAIMS imi4 j X I OCCUR I I f PREMISES(Ee acaircnCe !i 5Q 0 000 - f MED EXP(Anyone It'°r80n) $10,000 I I PERSONAL.AIN INJURY 1$ 1,000,000 I - GEM-AGGREGAYI'LIWTAP-PLIESPERP,ER.I GENERAL AGGRGA?E_ $2 000,000 I X !POLICYI 1 PGD JJ PRDOUCTS-COMPiOPAG'a S 2 000,000 .S;Fr 'LOC AUTOMOBILE UAE ILI1Y f ANY AUTO I COM{t1 d n StHt1t=L1thIT ! ALL OWNED A.IT(tS (Ea accident) 1,000 000 C X SCHEDULED P.IJTO5 0$74527-9-0 04/30/05 04/30/05 (DICT INJURY 5 HIRED AUTOS `I NON-0WUt VTaS iSODiLY t) Y a I ' �f PROPERTY DAMAGE; GARAGE LIABILITY _ (Por°cdeenl} $ ANY AUTp j AUTO ONLY•EA Ara;G,iENT +}$ __ II I OTHER THAN _EA ACt:I$ AUTO ONLY: p_E CESS�YMIS RFLL.A LI:OkLItY '��— I AGC�� A x 4 DCc'1°. L`11 CLaIMs+aP.oe CQ 9711358 I 04{3U/05 04[10/06 EACHAOGRCATE CURRENCE__T I$2,000 000 �s2,000,000 I. DEDUCTIBLE I _ $ - I.RETENTION_ 16 L WORKERS COmpENSATIC N.0410 I _ ----Iy B EMPLOYERS'LIABILITY 11 OR S IA'I +;-ATE{. 10000023736 �TDRYLIMITSf ER ANY PRUPRIETOR'PARTNI:R.'I:XECUTIVE 1 /O 1/0 1,' O1 =��FncerS6r5ERawr. vE::� / /06 E.L.EACH ACCIDENT_ x500,000 Hyes,describePPQ under E.L.DISEASE-EA EMPLOYEt:I R 5 0 Q t 0 0 0 FS'ECIAL PRCydSSiQNStKe,rt OTHER "' I EL,DISEASE-FOLICYLIMITf$500,000 )BSCRIPTLON OF OPERATIONSI I 7 1 /LOCATIONS(Vt:HICLES/I7.CLUSION3 ADDEC pY ENC40RSEMENT t SPECIAL PROS 3 aIRN - P1t7A?hirig d. Hest-.t - Certificate Solder is l]oted as an Act tit ional Insured - Project:Montvilln Commons, Tine ala vi11ek,- T - Further Adai t Lonai Insured', t are: Second Faruily, LLC - The Home Depcti - StopShop& S op Su )eraLarket Co. - �, _ T j.� ;ERTIFICATE HOLDER - CANCEL1.ATIC:el �l NITTANy SHOULD ANY OE 1 HE At1OVE DE$CRIMED POLICIES BE CANCELLED BEFORE THE EXPIRATION NiNittany construction, ,CriC. 1 DATE THEREOF,'.4E IE-?DING INSURER WILL ENDEAVOR TO MAIL 30 ATT Jime a:t, ck/Sarah Dickie DAYS wRITt$41 Adwt Fax: 50 H-285-1947 NOTICE TO THE C i HTIFi OATS HOLDER NAMED TO714E LEFT,BUT F, IMPOSE NO EXILIC>r1DI, uLURE To DO SO SHALL OR UASILITY OF ANY KIND UPON THE INSI IRER,ITS AGENTS OR 61 East Mean, St.-Suite 44 Norton, D{LT. 0 766- A1E'FR TiYI:.i . r i 01.511. CORD 25(2001108) s�ntim8xi8ee / 0 ACORD{.ORPORATION 1988 (7,0/T0 3Etid iiNvensN1 33SI\IVNGDOM G'a7_.i EP"G TIat, Pt,:r T r.pri- ;7 ,7 T typraimagiva. 11 ,,N1,,, N'' I a �� f , 4 {4 k ,, q i i rs+n L V 'YL�{� ww�{i� ��{`M� }i` t. � 1,1 it It �k'•6..�r{'�i�};?1{i 1�� H� � ��..41 ��{ .��'j}�y �,'{}��r'}i� �'1 y�:1 t.•�I• �� : •("�.'r {,{ 'I i Ali r ., t , ,, y� tc 1 e n {a ca x�.,,, aaT1{. i� '�Fati y�f14 Ira cd't y , , h ,,�`a tll 4i J� z ii � Nil{} :� ��. ��'�'�fl �. - Y >{ �t it �ITM � •vIf�j� � i � k �.t,l r �� rl SS . d' A i ' a, i �1 P ' � i. ti ni 4 1 4 i .�g ' Sid l r l r }i Maxafort Bro theme lac. , ZO .Fodor l a� ',..ci, kd!S"�i,��P �iiu � l''''.1�-11 lzuJ'+ ''',��I ili" G Y1'.alkali �'��tl;; ,h r' :i�' �'i Al1erona--39 1'arlurgiel Lane, ICa 1 oti -eI A32 orgiel t'.ne, giel Lane, � '" t Nagler/Leatieux-33 Podurgi 1 Lane, Joi ona-35dpodurgie, Luue,Cayaewaki- 36 Podurgiel Lane, Alfieri--39 Podurtgel Lane, Wallen/ jJtate of Wallen-- 40 Podurgiel Lace, 8copelit a--43 Pozi rgiel Lane, Ladyriat__44 Podurgiel Lane, Bicknell -47 Podurgiel Lane, Nedrick--48 Podurgiti7. Lane, Dunn-- 52 Podurgiel Lane, Barbay 55 Podurg;.eq]. Lane, Goneki- .,59 Gualandi--63 Eodur,iel Lane, Iturp1y --14 podurgiel Lana,' Bejek/Powleraall in IIncasville, CT - ATIMA I 1 sr t, NG& 4'4'1'Op COAt. I / AII,INC ON NS� ��+�rj S.T' PI�I41lrED �TEc� 1. 279 RFc N� � 1QW,R 0,17 rsz -4 DUBO oN� cTo s� 72/ 0� k�ST IS R /04/ FPFF 1028 s�*1 •„.,..e< ,j1/ �riv p8 X2005 Fkp4 /0j3, RFs 2006 I II 7P 7 �rfl r-1 ��YhIH Jricbi7 77rF..iF i.i frrn�a .. ,