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Home My WebLink AboutTown Water Tie In 2006 Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 64 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 • Water system is not bonded;bonding jumper is . . Bonding 12/30/05 DJ required at meter. 1/27/06 DJ Backflow • prevention • 12/30/05 DJ Pressure • • Pressure set at 42 PSI 12/30/05 DJ reducing valve • Thermal • • Not required expansion • valve Certificate of • • 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: P2005-0126 Date: 05-Jan-06 Map/Lot: 103/010-000 Owner ID: 5575000 Project Location: 64 PODURGIEL LANE Unit: Job Description: waster meter, backflow and tie to existing house supply Owner Name: Victoria Bajek Tenant Name: N/A Careof: 64 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 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 • (ica 0 u.. cy Building Official's Approval: �' • Town of Montville t 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.:6K1 26 Tyrie of Work Occupancy Type Permit Type ❑New Construction Single Family 0 Building 0 Addition 'Two-Family Et Plumbing Alteration 0 Townhouse OsMechanical 0 Accessory Structure 0 Electrical CRS#:�1 Job Address: t' ' fo1(Number) (S reet) (Unit) Job Description: ,y / A e(�/ '5- 1'G - '�i 0 _ i' I/• _ /at 3-c_ Sol' 6' f Owner: /G%+9✓( /314 J0 rc Address: 6'e PO Oct i•— C City: an C�Tit c7t ti-i'Ct( ( State: G� Zip Code:_C 7 dJ- Telephone: `'-- • Contractor: O&ii -7 S' qC ,e/.i f iltir� DBA: } / Address: /� I ch �/`'�e 4`• City: /5` ,)/ / State: .a^ Zip Code: C)92-1°.F. • • Telephone: etrGl- )7 --i-7/1, License Type/ License No.: 7i 2.2 ( Expiration Date:la/. —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. ❑ 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: ..../Z1.-7/' Date: /02—el j— Q,$ Construction Value . Permit Fees Building Value: Building Fee: Plumbing Value: 1-1,0 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: 0, 06 Total Fee: 'F. o 4 ?wired cDecem6er31,2005 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 / � /i Received By Joseph Summers/ / / ' �. • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3n30, Ext 382 Uncas'iille, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 6q Po.Dog41eL LAM, Property Address G✓AT�� L-✓Ng Zo/Jiv i -c T/o tJ Job Description I 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 Approval Department Permit Issuance Approval • Tax Collector Qc cJY1 Z L,' cj.n I� '1a-‘ a S Siasture/ date I III Comments: WPCA, Administrative iôc" 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: . RviseiIAugust 5,2005 i flCCP,. CRTIF1CATE °PLIABILITY INSII,JIRANCE csR Ls' DATEIMIwOD/YYyy1 PRoaLICER —.,—...-_____._.-7...... OGEANSY 12/14/05 THIS CEr,r wFICATE IS ISSUED AS A MATTER OF JNpoRNIATION aoctmaneae Ixxgu�:ance Inc. ONLY AMI3 CONFERS NO RIGHTS UPON THE CERTIFICATE P• O• Sox 246 HOLDER THIS CERTIFICATE DOES NOT AMEN1),EXTEND OR ' sig X 029.y�+-0,?�S ALTER T li COVERAGE AFFORDED 8Y THE POLICIES BELOW. phone: 401-539-7 004 IYaxs 441-539 7265 INsuREp — It3SURER ►FFURD1NG COVERAGE NAIL# — rAsvRA pee. rteas Insurance • • • 'USURER&: ie Deacon I[iabvsi aulueowe c cSt6Y9a �01Rs YC .nrasnide Pltmblag3RohtlAgr2mv INBURERC: P rwRelvs Ximo r nce eyyaayUrch Street Rb,Bradfard R= 02aas CQ RAGES INSURER E: _ THEQOLICIEE F W8URAIViE I,1"TEDBELOW l-txus B&I:-N ISSUEDTO THEI►ASURED NAMED ABOVE FOR THE P I LICY I? ANY REQUIREMENT,TERM,)II;CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE CICO INDICATED.NOTWITHSTANDING MAYFI'iTAW.TI'IEINSURANCEAFFORDED BYTHE POI_+CIESDESCRIBED•IEREINISSUBJECT TOOAALLTHE TEFPIIi E./CLU$1ONSA CONDITIONS OF POLICIES.AGGREGATE UNITE SHOWN MAY HAVE BEEN REDUCED BY PMD LAIMS. LTR NSRn TYPE OF INSURANCE POLICY NUnIBE�3CGCYEP !'POLE-q 'iRlCTION - - J1 GENERAL LIABILFYI DATE�l6l6L� _ DA'i'E�1McMOD1Yi}' L1.�C'T$ • A i ]{ COMMERCIAL GF<'N8lSAL LIABILITY CCP 971456 I EACH OCCURREmf..;E j____,, — gg-1-�000,000�- ICLAIMSNTADE I OCCUR it 04/30105 04/30/06 PREMISES(E&dco,rp� !s 500(000 I I I MED EXP(A^Y ono Person) S 14r 0 D O PERSONAL&ADV INJURY x1,000, 000 `GENLAGGREGA'h°Ln tIT.APPLIES PJ R GENERAL AGGREGATE_ S 2 000,000 X I POLICY P"o-T I'ROoucTS-COMProPAG3 52 000,000 �JI ' (`I Loc -_� AUTOMOBILELIREILI1 e _ rANY BILE I C4 V41rDSiNGLr>'MIT 11 ALL OWNED ANUS I (EaaOGdentl I b 1,000 f 000 C X FlJ SCHEDULED9 aS 10874521 -Q 04/30/05 04/30/06 erpe )RY 1-7 HIRED AUTOS IJ �,IRON omrr p AUTOSBODILY INJURY S • I PROPERTY DAMAGE _—$ • GARAGE LIABILRY _. (Perewliers1 AUTO ONLY ANY AUTO AG�IDENT $ _ 4 1 einteR THAN EA ACI S AUTO ONLY: i-CES^rYMASRM.LA LOAMY'? AGC $ & 'A I 0 '14. { __,I CLAIMS MADE CV 4711358 { 04/30/08 / EACHOccURREniCE_� $2,000 000 p`kf�JQ 06 I AGGREGATE `52,44fl,flO't� DEDUCTIBLE f IS RETENTION '; $ IWORKERS COMPENSATIC N MO C ) $ B EMPLOYser UA8ILRY 'TOR LIMITS. f :K ER f ANYPROPREETOR''PARLL')EIIiXECUTIVE 0000023736 12/01/05 1:::/01/06 LEL.EACH ACCIDENT $504 ncci,r, (l4beP5Ek E.\'.'-LL':E:+? ,00 0 h'•. ALPNsc4101. { J E.L.OIS $E-EAEMPLOYE';' $ 44J404 sn"c�=1ALPRCJdfStONSt�wn OTHER ( E.L DISEASE-POLICY LIMIT J$ 500,000 �EcIpTTancla oPERAT, I . 0,4,'AX 1" 9NS/LKICATIONS/VEHICLES/Ff.CLUSIONS ADDEC ENDORSEMENT I SPECIAL PRO), a10N P11x1uabing & Heating - Certificate 1 o1dex i3 'rioted as an Ac;Iltioua1 Insured - Project:Montville Commons, TTncasviller T Further Addl.t,tonal Insur ,ed' ? ere: Second Family, LLC - The Home Dept t - stop & Shop St 1)ermarket Co. - .ERTiFICATE HOLDER _ .- CANCELLg7I(II�l :_ • NITTANY SHOULD ANY OF 1 HE AHOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Ni ttany Construction, .CIC. DATE THEREOF,'- IE ISMUING INSURER WILL ENDEAVOR TO MAIL 30 ATT.-Jim CbadwIck/Sarah aickiB DAYS WRITTEN Fax5 Q FI-'� 5-1 g 7 NOTICE TO THE C HRIFI CATE HOLDER NAMED TQ THE LEFT,BUT R ULURE TO DO SO SHALL 51 East. DIa.Zn S t•-Suite #4 IMPOSE NO 06LIc iT10N OR LIABILITY OF ANY KING UPON THE INS' Norton, Fa 02766 'SER,ITS AGENTS OR n1EFft T1Vf t. Ti.• i N' E44- ' -- CORD 25(2001108) 1Dfns,re / 0 ACORD A X/RRORATION 1988 al/TO 3Edd SONVNFISNI StM 1jOOM gq?lcPGTlab O1—CT Cram? +77 Tr'T gra ' Yg1T 1.uusufiM l`VO .tA' 1; ,11'0' 4�i i,; {4 t-,..i� 1 4..111 y,'ry 4, ''', f v S.,, 1„ Jr7' >.v 1 wu a�� '' .�a ` lr...k 1t�i ; y4,h 4 '��;0;;.:1;�`;k1�}�'�1 1 1 4{ �h I C uP ,,�I' ,'{ ,. (t }I{.§ 14� S } y ''..i'}7�IS,y �:� a'1115,,,1,'i' 1, 4, . f .1"4 .l. 4 1,',{4 ,1'9_°3 z ',; x.{1 1 '4111,4% , • wi`��{141, 14�?1>jk Id41,Y�tlliflc-i1 ba4'1144,,�t�r�I �1L" '�I�b�{5 �l11� �1f1'••"�,SI�t1(� Ii is ' ` �i,a�4,` 'V,i `� t �t� �1`I!7{#I e `3' & ,',4fq { .Yal bd: , G a.G� ,, ,,Ir�z', 4, I } ltti � tf `'Iy}y r ,., iMarafort Brotherra Znc. $O !p Mx-woS+ ll�'��, 24 l';. •' 4< 4e. 'IU ":Y,p: t`i 1,s al s c 1 Podurgiel pane, Mx-woke-24 1 c3dur '" Ahlerona--39 Polurgiel Lane, Kapiloti --32 Podurgiel Lr,•ne, Biel Lane, Nagler/Lemieux-33 Podurgiel Lane, Jo:con--35 Podurgiea,:, Laue,Cay'aerwaki-- 35 Podurgiel Lane, Alfieri--39 Podurl3 e1 Lane, Wallen./;=?rotate of Wallen-- 40 Podurgiel bane, Scopelit-s--43 Po�iirgiel Lane, Ladw,l t--44 podurgie3 Lane, Bicknell--47 Podurgiel Lane, Ntec44rick--4s Podurgi4:17. Lane, Dunn-- 42 Podurgiel Lane, Barbey---55 Podurg:.e3. Lane, Gonaki---!1;51 rodurgiel Lana, Gualaxadi--63 fodur3iel Lane, 1 irphy_..14 gndurgiel Lane,. ' &jek/Pewler all in Unaaaville, ( T - ATIMA • • • s TA -NG ivPo„ 1V / AIDING t 1�roNsUi'A'' o.4C . sr� N�1 rlr , 4, I, cis�R � �R s/ "'"4 h,_ co�,rv� 279 o. LI oI� ��'IIIS AGR 2/ _ L> r S/�hO tFFFC r/ •kt 09,„ 08 /1 - 44:‹ 1/2 Op ;'. ''4'''''''4:' .. *-1 1 p ka/Rs 731/2006 • 1 1 .---,... ; t _,_,....„.. ..... ... ..] Ci17.F ___ ____ __7.-1V.II--hJr—,r-i.IT —I-,—, -,I i.-rr,r,�,,,