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HomeMy WebLinkAboutGarage Demo 2005 Town of Montville Building Department Field Inspection Notice Address: 21 Pequot Rd. Job Description: Demo Permit Numbers:B2004-0258 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: 1,4 )>z) Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Comments: Page 1 of 1 Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext.382 Demolition Permit Permit Number: B2004-0258 _ Date: 28-May-04 Map/Lot: 072/042-000 Owner ID 116007 i Job Location: _21 PEOUOT ROA 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: $2,000.00 Building Fee: $25.00 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: $2,000.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $25.00 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ 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 0 Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature:il, 7 ,. t 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 e ,J Job Address Z/ r7e,Ci0 T /2G/ (Numb (Street) (Unit) Job Description Z:rq 0 / G4• . lyp.,,e,e_, (S) _) Owner del/./- 01...,raid/1071" Mailing Address 6 b G .1 /rot" City diu -e-1-7 / State C'' Zip D676)2- Tel 86a/ (SW/ /192_ Contractor 4-P0/90 Mailing Address J..? rt ...,,-1-45V/7e, City /Y ,5'!/J � e. State Zip ZIC-si — Tel AsS $'i Contractor's License Type&Number /f f Exp. Date 8 / Jo / e Lf I hereby certify that the proposed work will conform �// * . Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville. / Contractor Signature ‘P / 4,7_ Date .3 / Z6 / O 17 It Owner Signature "�/�/ Date / Z6 / 1�� Construction Value Fee Demolition $ Zd�� - $ ZS Building Department Use Only: Disconnect approvals received fA ❑ Sanitary Sewer /11A ❑ Water Service /t/A E Electrical /y/k ❑ Natural Gas di/gyp 0 Telephone ///00 ❑ Cable Television 3.. _ am ,, .,7. ^` G S�Gi,,,k,-wl ."v ti rc``-' -----" .—';,+rlxh�r �£•C +ers• yt?K',,,.s, .hw 1tit6.N14#,+� ,N•,-...�.-et-' ,3.._ ] ?.-.t.v.Y 4-te W 'n�. s'yZw1't'vsT�'"-t3 - ' CONNECTICUT Department of Public Safety, Division of Fire & Building Safety �"` <�. =f._ ,� : DEMOLITION CONTRACTORS CERTIFICAT -111 E `,nsry , NO:113 4 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) t. ISSUED TO: D.W. Transport & Leasing, Inc. 33 Pequot Rd Uncasv e C 2 AUTHORIZED BY: . ...................„,_ > { SP-981-C .„:„. 4 3 wk, Z L ,rC Cv ;'G +P < 9 r'; , : + a s�.:. _ }ro a w °c c .,cr : ; c ". ti (4`cAIRq Mystic AirQtkality Conu1tnnth, Inc. • Ifi►r�S i+ c 0o�su. Pry 1204 North Road (Rt. 117) Groton, Connecticut 06340 L May 7,2004 Mr.David Waddington D.W. Transport 33 Pequot Road Uncasville, Connecticut 06382 Re: Post Abatement Inspection Pre-Demolition Review Garage Structure 21 Pequot Road Uncasville,Connecticut Dear Mr. Waddington: On May 7,2004 our asbestos abatement project monitor, Kirsten Eident,completed a visual inspection allaillioad Uncasville,Connecticut for fulfillment of criteria for inspection prior to demolition. 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 final air tests performed at this site because the only materials removed were stored supplies that were not installed or requiring abatement by State definition. Thank you for selecting Mystic Air Quality for these services. y, Ric ar•-Haffe , • President Communications (24 hours): Office: (860) 449-8903 FAX: (860) 449-8860 Toll Free: 1 (800) 247-7746 uktnheitn• unnnAt mvetinoir rnm a-mail.manr9 Cdr and rnm ACCIRa CERTIFICATE OF LIABILITY INSURANCE ? LATE(MMIDD/YY) 03/23/2004 PR°aucHR. Serial# B3092 THIS CERTIFICATE IS ISSUED 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 0; 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.NOTwJTHSTANDING 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. LTR TYPE OF INSURANCE�� pOWCY NUMBER POLJCY EFFECTIVE POI_CY EXPIRATION GENERAL LJABILJTy •+ ,...0 .: •38110 LIMITS EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(My one fire) 3 CLAIMS MADE l OCCUR MED EXP(My one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICYFI j�a LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LMAIT (Ea accident) ALL OWNED AUTOS • SCHEDULED AUTOS BODILY INJURY $ (Pet pens()) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pef acct) PROPERTY DAMAGE $ (PerecdGent) GARAGE LIABIL( —� - ry . AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE 5 OCCUR l I CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ • RETENTION 3 • $ WORKERS COMPENSATION AND TRH-UB-100D8752-04 02/28/04 02/28/05 X TORY LRL4[R °ER' A EMPLOYERS'LIABILITY E.L EACH ACCIDENT $ 1,000,000 EL DISEASE..EA EMPLOYEE\$ 1,000,000 • E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER • DESCRIPTION OF OPERATIONS ocATIONSNEHICt•>:S/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS • CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCEL{JED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVnR TO MAIL .10a DAYS WRITTEN NOTICE TO THE CERTIFICATE'HOIJEEB►AMED T FT-RUT FAIL C TO DD 50 SHALL IMPOSE NO OBLIGATION OR UA LITY F AN t) N THE IN REB,ITS AGENTS OR REPRESENTATIVES. F '; IJi p t AUTHORIZED REPRESENTATIVE ' II t ACORD 25-S(7l97) 1 ;EI AC6'tW CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AM DATE(MM/DD/YYYY) PRODUCER DWTRA-1 04/14/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OKL`.'AND :ONI-ERS 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. INSK AMYL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A UAMAGE IU HEN IEU X COMMERCIAL GENERAL LIABILITY LWI 100365 04/15/04 04/15/05 PREMISES(Ea occurence) $ 50,000_ CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 X PERSONAL&ADV INJURY $ 1,0 0 0,0 0 0 GENERAL AGGREGATE $2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,0 0 0,0 0 0 —1 POLICY X JECTPRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10 0 0 A X ANY AUTO LWI 100366 04/15/04 04/15/05 (Ea accident) ,000 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: AGO $ 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 STA1 U- 01 H- EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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 OR11,BfLITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. , �C! '1 • AUTHORIZED ORIZED REPRESENTATIVE gts........ Jim Bradaninii ACORD 25(2001/08) ©ACORD CORPQ TIO 1988