HomeMy WebLinkAboutAbove Ground Pool 2006 Field Inspection Notice
Town of Montville
Building Department
July 21, 2006
Address: 81 Polly's Lane
Job Description: Above Ground Pool
Permit Number(s): B2006-0156 Permit Date: 5/8/06
INSPECTION Not Approved Approval
Date: Deficiencies Special Date
Conditions
ELECTRICAL 6/5/06 JS
TRENCH
ALARM 7/19/06 DJ
7/19/06 DJ • The convenience GFCI receptacle is defective, •
ELECTRCAL replace and schedule. 7/21/06 DJ
'
TIMER •
7/19/06 DJ
BARRIER • 7/19/06 DJ
CERTIFICATE OF • 7/21/06 DJ
OCCUPANCY
Rev.Date:1/18/06
Page 1of1
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382
Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
Property Address
44oc.r, 6747a ,'r1 ft L
Job Description
No Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required -
Approval Department Certificate of Occupancy Approval
❑ WPCA
Comments: Signature/date
EK Planning &Zoning7//?/CM G
'
Comments: ,.)t�!C� Signature/date
-1 °'« Health Department
Comments: Signature/date
El Department of Public Works
Comments: Signature/date
❑ State Dept. of Transportation
Comments: Signature/date
❑ Police Department
Comments: Signature/date
41( #5.4,,///
Fire Marshal I le2-1 1ZY
I V (A
Comments: — J IVc0L_ If► LL! Signature/date
4pviseditugust S,2005
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number: E2006-0154 Date: 25-Jul-06 Map/Lot: 102/031-000 Owner ID: 5630000
Project Location: 81 POLLYS LANE Unit:
Job Description: wiring for pool&bonding
Owner Name: Joseph Tempesta and Michelle Pope Tenant Name: N/A
Careof:
81 Pollys Lane
Uncasville CT 06382- Telephone:
Contractor Name: K&N Electric Telephone: (860)885-8463
DBA: Lic/Reg Type: El
._. Lic/Reg No: 190818
P.0. Box 133 __,... _ _ ...._,... Exp Date: 30-Sep-06
Bozrah Ct 06334-
Constriction Value__,_ _ Permit Fees _ Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: IRC
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee Paid: $0.00
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 i 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
❑ Certificate of Occupancy
Building Official's Approva
STATE` OF CON ECTICUT
DEPARTMENT OF C I NSUMER PROTECTION
ELECTRICAL i3i+JL4M1TED CQNTRACTOR
NATHAN M OAMS
60 RAWSOI' RD
WOODSTOCK,CT 06281
LIC./REG NO EFFECTIVE
190818 EXPIRES
1q/01/2005 09/30 /2006
IRS
SIGNED __ dr , •
•
■rmmr
JUL, 20. 2006 11 : 05AM SUMNER&SUMNERNO. 0168 P. 2
AG.O M CERTIFICATE OF LIABILITY INSURANCE 07/20/20 0
PRODUCER (860)423-7733 FAX (860)450-7240 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Sumner and Sumner, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
757 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 187
Willimantic, CT 06226 INSURERS AFFORDING COVERAGE NAIC#
INSURED K & N ELECTRIC, LLC INSURERA Hartford Casualty Insurance Co 29424
60 RAWSON ROAD INSURER B V
WOODSTOCK, CT 06281 INSURER G:
INSURER D;
INSURER E
COVERAGES — -
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADO. POLICY EFFECTIVE POLICY EXPIRATION LIMITS a
._ TYPE OF INSURANCE POLICY NUMBER DAT I DATE IMMIDDNYI
GENERAL LIABILITY 02SBATJ2442 06/17/2006 06/17/2007 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY C)AMAGE TO RENTED S 300,000
aRPMISPR(Fa r,Ea,ntnce)
1 CLAIMS MADE X OCCUR MED EXP(Any one worsen) $ 10,000.
A PERSONAL I ADV INJURY $ l l 000,000
GENERAL AGGREGATE $ 2,000,000
--
CEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 2,000,000
POLICYn JEPRCO-T n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE UMIT S
(Ea accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person)
�, SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
'Per acddant)
NON-OWNED AUTOS _
•^— __— Per eccdool)DAMAGE
$
GARAGE LIABILITYAUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC $
AUYOONLY: AGG'$
EXCESS/UMBRELLA LIABILITY _.EACHOCCURRENCE $
OCCUR ' I CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE - S
RETENTION $ S
WORKERS COMPENSATION AND 02wECNM2128 08/15/2005 08/15/Z006 - ORY MTS TH-
ER
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT s 100,000_
A ANY PROPRIETOR/PARTNER/EXECUTIVE - -
OFFICERAIEMBER EXCLUDED? E.L,D'SEASE•EA EMPLOYEE 5
100,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,000
OTHER
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Joseph Tempesta, 81 Folly's Lane, Montville. , CT
AT H• _P : CikC LLATI•N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Town of Montville BUT FAILURE TO MAIL SUCH NOTICE_SHALL IMPOSE NO OBLIGATION OR LIABILITY
310 Norwich/New London Turnpi k OF ANY KIND UPON THE INSURLR,rrs AGENTS OR REPRESENTATIVES-
Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE
Victor Ebersole Jr. ext 236, -
ACORD 25(2001/08) FAX: (860)848-7231 ItACORD CORPORATION 1988
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
3 Poi ty s Lane
Property Address
j f i r1 Ct / 0db i Y\ above I .
J 9ruvncl oo� •+ tns-1-o-1i q se.r`�1ce eecep cJe
Job Descri tion J I
� ,(-C r. fool \
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 I
Approval Department Permit Issuance Approval
• Tax Collector
� �
Comments:
Signature/ date1
i
0 WPCA, Administrative r
ignaturc, date
C WPCA, Operations
Comments:
Signature/date t.
❑ Planning & Zoning
Comments:
Signatu e,%date
t
❑ Health Department
Comments:
Signature/date
Department of Public Works
Comments: Signature/date .
❑ State Dept. of Transportation
fi}:
Comments: Signature/date
Iii Fire Marshalr
*6")_
Comments: N .N. __? (IL�� .t�-,, � Signature/date
&viredAugutt5,2005