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HomeMy WebLinkAboutGarage Demo 2005 Town of Montville Building Department Field Inspection Notice Address: 11 Pequot Road Job Description: Demo Garage Permit Numbers:B2004-0259 Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1• Certificate of Not Approved: Approved: Occupancy Comments: 1• Demo Final Not Approved: Approved: 3/4/05 Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1• Comments: Page I of 1 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Demolition Permit Permit Number: B2004-0259 Date: 28-May-04 Map/Lot: 072/043-000 Owner ID 116002 Job Location: 11 PEOUOT ROAD Unit Job Description: demo garage Owner: Contractor: David Waddington 'D.W.Transport&Leasing Inc. 33 Pequot Road ' 33 Pequot Road Uncasville Ct. 06382- Uncasville CT 06382 Telephone: (860)848-1692 Lic/Reg Type/No.Class-A 1134 Exp Date: 30-Jun-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $2,300.00 Building Fee: $30.00 Use Group: R4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: M1 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $2,300.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $30.00 n is the owners responsibility to schedule the following inspections(minimum 48 hours notice reauired): ❑ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑Concrete Slab-Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑Electrical Service CRS #: 0 [] Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: 1 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville,CT 06382 Fax.848-7231 Application for Demolition Permit Permit#' (9i' Job Address /! (i) .fie 1.r' (Number) (Street) (Unit) Job Description 7 C4 A- S.v 12,e_ Owner !/ -'7, 44 D/✓Mailing Address b .. C11-0X-e City 1. 47-4) 741d State Ct Zip (gZ:5).1' Tel 81 a6 l l/692-- Contractor ,../(--4 69Z Contractor�, 714aoiJ'( Mailing Address 71, --1,1--tri /7- 6.e City 1-..hG6rt..47 State Zip 6/63R2-- Tel gS6/ 8g/ I69Z_ Contractor's License Type&Number /J'1i A Exp. Date 6 / .7`° / 6179 I hereby certify that the proposed work will con erm ,: ..ic Building Code and all other codes as adopted by the 1 State of Connecticut and the Town of Montville. Contractor Signature /fit�� i Date S- / Z.4‘ / 4)9 1• , , Owner Signature `6 / Date s / 2 / a 9 Construction Value Fee Demolition $ Z 7 D D, $ 20 ,_--- i Building Department Use Only: 1 Disconnect approvals rece'ved 5)t/A)Y N� 0 Sanitary Sewer '�o 0 Water Service t Electrical ‘5 6411° /14) ❑ Natural Gas 1ti% 0 Telephone � 0 Cable Television 4 di i 1 1 Town of Montville Building Department Receipt Date /z-4 / 6 ' No. 03856 From: 12AV 1 f7 G./ADD/t,IG-ro Job Address: // B-- 2-1 Pg- V Amount $ Check Check # Circle one) Received by -Y 5—U}n re.eArA Permit # , 4tiG AIR go Mystic AirQiialityInc. oo�sut.�PO�y 1204 North Road (Rt. 117) Groton, Connecticut 06340 May 7,2004 Mr.David Waddington D.W.Transport 33 Pequot Road Uncasville,Connecticut 06382 Re: Post Abatement Inspection Pre-Demolition Review Garage Structure 11 Pequot Road Uncasville,Connecticut Dear Mr. Waddington: On May 7,2004 our asbestos abatement project monitor,Kirsten Eident,completed a visual inspection Uncasville, Connecticut for fulfillment of criteria for inspection prior to •emo ition. This site review was for the purpose of determining whether the asbestos-containing materials stipulated in the earlier survey performed by Mystic Air Quality Consultants were completely removed in order to allow for demolition to go forward,with regard to asbestos issues. ACM Materials At this time,all of the stipulated materials identified by the inspection documents are completely removed from the building and property. There is no visible asbestos related dust or debris remaining from these materials in the building, as required by US EPA NESHAPS and the State of Connecticut regulations to allow demolition to proceed. As allowed for by State standards for asbestos abatement,there were no fmal air tests performed at this site because all work was exterior abatement. Thank you for selecting Mystic Air Quality for these services. S .. -ly, r k. Richard Hat President AP Communications (24 hours): Office: (860) 449-8903 FAX: (860) 449-8860 Toll Free: 1 (800) 247-7746 .....M.,:�... ........,w.....��....�r nr.m "_mna•mnnnita,arl nnm }y" ,ss -' r• t w:rc+.�ar>rs�- . ra.-, d . ` .� NSt..v.+L ,ayiv -` . : .. -- - +▪ K h H • ItIlli CONNECTICUT Department of Public Safety, c Division of Fire & Building Safety Ta: Nfyry• YtSe ''` ,,^: !is:. DEMOLITION CONTRACTORS CERTIFICATE "1 NO: 1134 CLASS:A � . DATE ISSUED:2003/07/01 EXPIRES:2004/06/30 Certification as a Demolition Contractor is hereby granted to the person or firm named hereon. Name of Designated Technical Expert : David Waddington SIGNED (DTE) ISSUED TO: D.W. Transport & Leasing, Inc. p. 33 Pequot Rd Uncasv e C 2 0)rf AUTHORIZED BY: SP-981-C {L .R►{. i . ,, tr _. �, ?.. <} .tr e'. f ,C fr<X44^ .r.re-" S?_! C '�• - r '..w r. y •: t a .,,, ' '' •.-rte a4 a " ti 4 . r " �} a,%�. ,r t .fi ,.'�3.as+se z •l A.CQRD,. CPR ,, !F!C TF OF LIABILITY INSURANCE (MMIDD 0123/2004 PRODUCER Serial# B3092 THIS CERTIFICATE IS ISSuEp AS A MATTER OF INFORMATION TYLER UNDERWRITING SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 330 ROBERTS STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EAST HARTFORD, CT 06108 INSURERS AFFORDING COVERAGE INSURED O.E.M.OF CONNECTICUT,INC./D.W.TRANSPORT&LEASING, INSURER A: THE PHOENIX INSURANCE COMPANY INC. INSURER B; 330 ROBERTS STREET INSURER C: EAST HARTFORD,CT 06108 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. i TYPE OF INSURANCE-1 POLICY NUMBER POLICY EFFECTIVE Poi_CY EXPIRATION GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any ono fire) $ I CLAIMS MADE LI OCCUR • MED EX?(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ y GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY n jE y LOC AUTOMOBILE LIABIUTY COMBINED SINGLE LMrf ANY AUTO • (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per PeroM) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer accident) PROPERTY DAMAGE $ • (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 • ANY AUTO OTHER THAN EA ACC $ _w AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE• S $ DEDUCTIBLE $ • RETENTION $ • $ WORKERS COM PENBAT7ONAND TRH-UB-100D8752-04 02/28/04 02/28/05 X TT RY IMITS ER'. A EMPLOYERS'LAN LITY £.L EACH ACCIDENT $ 1,000,000 EL-DISEASE.•EAEMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER • DESCRIPTION OF OPPRAIIONSILOCATIONSA✓EHICLES/EXCLUSIONE ADDED BY ENDORSEMENT/SPECIAL PROVISIONS • _ I CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlEI)BEFORE THE ExPIRATION DATE THEREOF,THE ISSUING•INSUIF.f WILL ENDEAVOR TO MAIL •10 DAYS WRITTEN NOTICE TO THE CERTIFICATEJHOI._OR►AMED T ' FT,BUT FAIL IF TO DO SO SHALL IMPOSE NO OBLIGATION OR UA L.ITY' F,A7 KI N THE IN EER,ITS AGENTS OR CfI REPRESENTATIVES. ( 1 AUTHORIZED REPRESENTATIVE ' ACORD 25-S(7/97) r .0 AC• •• CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AM DATE(MM/DD/YYYY) DWTRA-1 04/14/04 PRODUCER _ I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CPM Insurance Services, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 90 Hinman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cheshire CT 06410 Phone: 203-272-3521 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Lincoln General Ins Co INSURER B: American Alternative D. W. Transport & Leasing, Inc INSURER C: Evanston Ins Co 33 Pequot Road INSURER D: Great American Ins Co Uncasville CT 06382 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 AVIA_ POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 LAMALit I(.)KEA X COMMERCIAL GENERAL LIABILITY LWI 100365 04/15/04 04/15/05 PREMISES(Eaoccurence) $ 50,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 X PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 A X ANY AUTO LWI 100366 04/15/04 04/15/05 (Ea accident) r 0 00 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) • PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 B X OCCUR CLAIMS MADE CU75910 04/15/04 04/15/05 AGGREGATE $ 10,000,000 $ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND WC S I A I U- O I lir EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER C Contr Pollution 02CPL00227 09/17/03 09/17/04 Contr Pol 5,000,000 D Contr Equip MAC1341058 04/15/04 04/15/05 Equiment RC Valuatio DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION BLANK-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sample Certificate IMPOSE NO OBLIGATION ORlIA,SJLITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. cy...b..42eu,..b.: Pl AUTHHRORIZED REPRRESENTATIVE Jim Bradanini it ACORD 25(2001/08) ©ACORD CORPORATION 1988 MR-26-2004 WED 02:04 PM CLP WATERFORD FAX NO. 860 447 5755 P. 01 fliii-U4-ZUN TUE 03:32 P11 CUP FAX NO, 877 285 4448 P. 01 MAY-03-2004 MON 09:13 Ali OL&P WATERFORD • FAX NO. 860 447 675S P. 02 I--- 68- CLO - Ye3? 0. 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