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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: --. i Job Address: G P� vvZ' 2 D ' V Amount $ Z Z— Cash (Chem _6(A11_9/ circle one Check # Received by vt___ e. 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 ARA WORKERS COMPQITATLON AND TORT SLENJMII01L7_ S ER EMPLOYERS*'Assure E.L.EAtl1ACROEW • I Ei DISEASE-Fl.FlWIDYEF i 3'. I El- MABB-POUCYLWN • i. OT/IER Ifl 'i l I 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 is 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 DEPUTYCOMMISZIONSiii A f E; f f i xr t 4 ( C f 3 A 6 t f' A p. p. i t } •L J, V 1 11 V(� l Y.J V r R A O V V Y Y J V V, l L.VV 1 r / = 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 ------- Connecticut II.con.,.....-nc”(Leo,,UI41 Power romp.usy Oi ()JR Nlymck Aversote.Fr:7,r.. : .N Light Se Power oh.t.!rford,er()toI%-. i-cum-2rtfi--,floi) the Nottlicn•g 1;tilAcirm SystrITI 7/3/4 / --,. lo: Velall.tn_l.SC:Lc1.141,15p. ) )o /v, //e, Re: RenhesT for Remov:il of Flectric Service Rqe- 2A3/ In , ,,,e to the requeq we received from: , ___:-DaAllik_VeL1411C.19‘n.., PR. .1..(imi__ 'D\-,) On: 9 I S 10 1 t he etectrtc service to: d , A 4- C11 (AANco,s\I i\le-,, C 1 was rcunived un: r ) a i ki --. .._ / fv.-ev. 'Franco ( flsto taro, ../ New Service Supervisor gt,0 w147 .--ac,<Lct 1 kiSe.r.:UV If 460 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