HomeMy WebLinkAboutDemo of Structure 2001 Town of'Montville
Building Department
Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231
Building / Trades Permit
Permit Number BP2001-456 Permit Date 8/1/01 Permit Type Building Permit Code M1
Job Street# 26 Job Location PEQUOT ROAD Map/Lot 072/034-000
Job Description Demolition
Owner Contractor
David Waddington D. W. Transport
Address 66 Cross Road Address 33 Pequot Road
City Waterford State Ct. City Uncasville State Ct.
Zip 06385 Telephone 848-1692 Zip 06382_ Telephone 848-1692
Lic/Reg Number 1134
Lic/Reg Type Class A Exp Date: 6/30/02
Use Group R4 Code 1995 CABO Type Construction 5B
Building Value $4,500.00 Building Fee $35.00
Plumbing Value $0.000 Plumbing Fee $0.00
Mechanical Value $0.00 Mechanical Fee $0.00
Electrical Value $0.00 Electrical Fee $0.00
Other Value $0.00 Other Fee $0.00
Total Values $4,500.00 C/O Fee $0.00
Comments: Plan Review Fee $0.00
State Ed Fee $0.72
Total Fees $35.72 II
/_ 1
Building Official's Signature ' v
',t% Date ,' / / ,�` 1
It is the owners respo -il�n • s edule the following required inspections (minimum 24 hours notice required):
Footings -prior to p
oil
concrete
❑ Backfill -footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab, prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney -one flue above thimble
❑ Rough Electrical ❑ Firestopping/draftstopping
❑ Electrical Service ❑ Insulation
❑ Rough Plumbing and leak test ❑ Pool bonding
❑ Gas piping -pressure test and installation v Final Inspection
❑ Rough HVAC Certificate of Occupancy - PRIOR to use or occupancy
Town of Montville Permit # PL4--o,--IS 6
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231
Application for Demolition Permit
Job Location Z6 / t/n/ "I'd W?i,A
Job Description/MaterialsA,.v_A-h _1"---711-4./7C/t9-
Owner �,T/LI ,/,‘19:0dr /1"7v., Mailing Address 6 C ifs /4-i
City �3Z -/ State / Zip 0‘7(1),c Tel NO /SW /1691:
Contractor I G 7T�G'.{S' Vi7 f GaG'P/y 2 Mailing Address 1.7,e-51'01.
City G14G0rYl State Zip 46.3 9& Tel 86c /SW/ /6'3
Contractor's License/Registration Type&Number �AL Exp. Date / /
I hereby certify that the proposed work will conform t�+� :. B ding Code and all other codes as adopted by the
State of Connecticut and the Town of Montville. �— .�� f
Contractor Signature ����// I ie
Date 7 /J? i 61/
... ,,,,diOr
Owner Signature ___. �i�j1 Date 7 !7 / /Oi
Construction Value Fee
Demolition $ ISoo $ 35 —
State Education Fee $ e•?-4._
Total $ 1-1. 0 a— $ 3s, '7 Z
i
Town of Montville Building Department Receipt
Date _ 2___/_/o9
No.
From:
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Job Address: G
P� vvZ' 2 D
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Amount $ Z
Z— Cash (Chem
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circle one Check #
Received by
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Permit # al-.y.5t;
Town Of Montville
Water Pollution Control Authority
83 Pink Row
Uncasville, CT 06382
31JUL01
To: To whom it may concern
From: Gary Blackstone, Sewer Inspector
Subject: Sewer Disconnection 26 Pequot RD
The structure at the following address of 26 Pequot RD has been
properly disconnected from the sewer lateral. The lateral has been
capped and location recorded. This event occurred on 31JUL01 .
Gary Blackstone
Sewer Inspector
•
Town of Montville
Building Department
848-7166
Application Requirements
For
Demolition
The requirements for demolition shall conform to the State Demolition Code (C.G.S. section 29-401) and
BOCA Section 3310 & Section 110.0.
❑ Certificate of Insurance specifying demolition purposes
❑ Liability coverage for bodily injury of at least $100,000/person with an aggregate of at least
$300,000
❑ Property damage of at least $50,000/accident with an aggregate of at least $100,000
❑ Certificate shall provide that the town or city and its agents shall be saved harmless from any
claim or claims arising out of the negligence of the applicant or his agents or employees in the
course of the demolition operation.
0 Certificate of notice executed by all public utilities having service connections stating that such utilities
have severed such connections and service (Electrical, Sewer, Water, Gas)
❑ Certificate of registration from the State of Connecticut(Class A or Class B)
Exception:
❑ Historic structure disassembling, relocation
❑ Farm Buildings
❑ Renovations, alterations of single-family residence
❑ Owner engaged in the demolition of a single-family residence or outbuilding
❑ Permit to be signed by the owner and demolition contractor
IR Adjoining property owners shall be notified by registered or certified mail (min. 1 week prior to work
being performed 3310.1)
❑ Fence to be erected during the operation, min. 8 ft high; fence may be waived at the discretion of the
Building Official in writing
Required Inspections:
Minimum 24-hr. notice required
Final After debris has been removed and property regraded
Town of Montville
Building Department
(860) 848-7166
DEMOLITION PERMIT SIGN-OFF SHEET
HEALTH DISTRICT
❑ The septic system has been disconnected, inspected, and approved.
❑ This structure is not served by a septic system.
Signature Date Agency
❑ The well has been disconnected, inspected, and approved.
❑ This structure is not served by a well.
Signature Date Agency
MUNICIPAL SEWER/WATER
❑ The municipal sewer line has been disconnected, inspected, and approved.
❑ This structure is not served by a municipal sewer system.
Signature Date Agency
❑ The municipal water line has been disconnected, inspected, and approved.
This structure is not served by a municipal water system.
Signature Date Agency
ELECTRICAL (Letter from utility company required)
• The electrical service has been disconnected, inspected, and approved.
❑ This structure is not served by the electric utility.
Signature Date Agency
NATURAL GAS (Letter from utility company required)
The gas service has been disconnected, inspected, and approved.
❑ This structure is not served by natural gas.
Signature Date Agency
Jul 31 01 03: 42p DLI Transport 860 848 2669 p. 2 '
ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR TD DA.E(MI,,DD,,.,I
DWTRA-1 04/17/01
PROOHCEE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS N0 RIGHTS UPON THE CERT)FICAXE
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
INSURED INSURER& V'aste Insurance Network
NEMER B. Diamond State Insurance Co
D. W. Transport & Leasing, Inc INSURER C:
33 Paquat Road INSURER 0.
Uncasville CT 06382
INSURER E:
COVERAGES
THE POLICIES OF INSURNeE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIEPOUCV PERIOD NOIOATEO.NOTMTIBTANDHNG
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA YIE ISSUED OR
MAY PERTAIN.TYE AGURANCE AFFORDED ST TE POUCRS DESCRIBED HEREIN IS SASJECT TO ALL THE reams.EXO U&ONS AND CONDITIONS OF SUCH
POLICES.AGGREGATE LIMITS SWAN AMY IAYS BEEN IEDUCEO BY PATO CLAM.
OM POLICY EFFECTIVE Pato,BWNAT1OU
LTR TYPE OF INSURANCE PMJCY NUMBER DATE IMWJ YY) DATE IRMIUOMY) LIMITS
GENERAL LAMM. EHTN OCCURRENCE 1 1,000,000
A X C0A•11ERCMLOENOMLLBEBILOY 0861-00-031104- 04/15/01 04/15/02 FIREDNA+GEcAAYOI»eret a 50,000
7 CLAIMS MADE X 1 OCCUR Aso IDE CNN am Arson) i 5,000
- PERSONAL aADYINJURY $ 1,000,000
MERSA.AGGREGATE a 2,000,000
OENt ArGalREDATEUMtTOFPUES PEN PROOOOTa-DOMPIOP AOC $ 1,000,000
7. n; n L G __
AUTOMOBILE UABILTY I.
COMBINED SINGLE LIMIT
A X ANY AUTO 0821-00-031104 04/15/01 04/15/02
lEB.aoaEq i 1,000,000
NO.OWNED ALIKE
BODILYIHI{IRY S
SCHEDULED AUTOS (Pt perm*
X HIROO AUTOS
BODILY INJURY S
X RqE Vl$&DAUTC6 PH. t1
GARAGE 11AMUTY ` CE
PROPERTY OAMAi
PTA=MHO
PERAUTO ONLY ACCRONT s
AW AUTO OTHER RAN s
AUTO ONLY. AGO s
EXCESS LABILITY EACH OCCURRENCE i 8,000,000
A g 1 OCCUR LJ GLADSOME 2571374 04/15/01 04/15/02 AGGREGATE i 8,000,000
A
DEDUCTIBLE i
1
X ,RETENTION $ 10,000
i
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WORKERS COMPQITATLON AND
TORT SLENJMII01L7_
S ER
EMPLOYERS*'Assure E.L.EAtl1ACROEW • I
Ei DISEASE-Fl.FlWIDYEF i 3'.
I El- MABB-POUCYLWN • i.
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OE$CRVTION OF OPRIATIONBROcAT,NSNtHCLBSACLUSIONSADEiD EYENDOEN G*TEPECIAL PROVISIONS
I.
CERTIFICATE HOLDER y y ADDTOONALHNSRE6.NsoRERLETAER: CANCELLATION
—
t
CONNR-3 SHOULD AWYOP THE ABOYEOESCREBMACMES BE CANCELLED BEFORE TIF EXPIRATION 4.
UNTO THEREOF.THE ISSUING INSURER WILL ENOEAYOR TO MALL 30 DAYS DIRRTEN
NOTICE TO THE CEATYICATA RNAAiE TO THE LEFT.RUT FAILURE TO D0 UO VIALS
iUPOSE NO OBLIGATION OR OF ANY KIND UPON TIE INSURER,ITS AGENTS OR II
REPRESENTATIVE& i'
I Toni Denegria . w
ACORD 25-S(7/97) CA ORD CORPORATION 1988
M
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Jul 31 01 03: 42p DW Transport 860 848 2669 p, 3
CONNECTICUT Department of Public Safety,
Division of Fire & Building Safety •
's
DEMOLITION CONTRACTORS CERTIFICATE 41( ).
NO: 1134 CLASS:A 4
DATE ISSUED:2001 /07/01 EXPIRES:2002/06/30 _
I
Certification as a Demolition Contractor is hereby granted
. to the person or firm named hereon.
Name of Designated Technical Expert : David Waddington 1
SIGNED (DTE)
i
ISSUED TO: D.W. Transport & Leasing, Inc.
33 Pequot Rd
Uncas ' lle, ET- 6,3., 2
AUTHORIZED BY: / A4 SP-981-C
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/ = Eastern
Connecticut P.O. Box 6001, 61 Myrock Avenue
zt ' C �� T Waterford, CT 06385-6001
Television, nc.
(860)442-8525 • (860) 928-3866 • (860) 564-1967
FAX: (860) 443-6031
Post-It"Fax Note 7671 Data 1A3 148es►
To Lq 6.4_(
From ,f
CoiDept. Co. CAEL.G/
Phone» Phone u
'/ p /6 / cfLia g/5s at\ July 23, 2001
Fox N lo, by ,6, _G\ Fax♦ 1/,i3lOoj f
To whom it may concern:
This letter confirms the deattatchment of our cable lines due to
demolishment of the building at the following address:
26 Pequot Rd, Uucasville, CT 06382
The disconnection of the drop will take place on the following
date:
Monday, July 31, 2001
If there are any questions regarding this mailer please feel free
to call me at 442-8525 ext. 211.
Sincerely,
ck
Sam
Customer Service Representative
JUL 26 2001 08 52 FR AOSC NORTH-MERIDEN 203 237 5838 TO 18608482669 P.01
siv74134WE GO BEYOND THE CALL
it
July 26, 2001 I�
TNT'
To Whom It May Concern
This letter is to inform you that all telephone equipment, cables, wires and attachments
have been removed and/or are not attached to the addresses listed below.
26 Pequot Road A & B
Uncasville, Ct.
This job was performed prior to July 26, 2001 in response to a request to demolish
the above address by:
David Waddington
DW Transport
If you have any questions, please feel free to contact me
Sincerely,
Jo Laub
General Office Associate
Southern New England Telephone; 84 Deeeld Lane-Room 2C2; Meriden, Connecticut 06450
Phone: (203)420-2857: Fax- (203)238-0434
** TOTAL PAGE.01 **
07/31 '01 08:29 1D:LANIERFAX3800 FAX: PAGE 1
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Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, Ct. 06382CO- pr
860-848-7166
7/24/01
D&W Transport
33 Pequot Rd.
Uncasville, Ct. 06382
Re: 26 Pequot Ave., Uncasville, Ct.
On May 10, 2001, this department received the attached letter from the Uncas Health District
stating that the water at the above referenced address is not potable and cannot be used for
human consumption.
Section 306.4 of the 1995 CABO portion of the Connecticut State Building Code states in part
"All plumbing fixtures shall be connected to an approved water supply." Section 119.1 of the
1996 BOCA portion of the Connecticut State Building Code states in part "All structures or
existing equipment which are or hereafter become unsafe, unsanitary or deficient because of
inadequate means of egress facilities, inadequate light and ventilation, or which constitute a fire
hazard, or are otherwise dangerous to human life or the public welfare, or which involve illegal
or improper occupancy or inadequate maintenance, shall be deemed an unsafe condition. All
unsafe structures shall be taken down and removed or made safe, as the code official deems
necessary and as provided for in this section."
Pleased be advised that because the water supply for this structure is unapproved by the Health
District that per the Building Code sections quoted above the structure must be deemed as unsafe
and uninhabitable and must be made safe or taken down and removed. You are required by
section 119.3 of the 1996 BOCA portion of the Connecticut State Building Code to declare
immediately to the code official acceptance or rejection of the terms of this order.
Vernon D. Vesey II
Building Official
Cc: Town Attorney
Uncas Health District
WPCA
File