HomeMy WebLinkAboutSFR 1996 4 &. 0°
TOWN OF MONTVILLE
J .-
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 13099 Approval Date: 9/12/96 Expiration Date: 3/12/97
Estimated Cost : 2 , 000 . 00 Fees: 6 . 00 PRF: C.O:
Owner: D W Trans ort- 3:4:2P a�� � Address: 33 Pequot Road Tel : 848-1692
Job Location: 2r'P`equot Road Code: 13
Contractor: D W Transport/Waddington Address: 33 Pequot Road Tel : 848-1692
Stick Built : x Modular Home: Manufactured Home: Commercial :
Addition: Garage: Car Port : Shed: Remodeling: Roofing:
Fireplace: Chimney: Windows : Pool :
Demolition: x
Plumbing: Heating: Electrical : Air Conditioning: Gas :
Patio: Porch: Deck: Retaining Wall : New: Repair/Replacement :
Type of material used/discription: wood frame two story, two family dwelling
Size: Type of Heat : Fireplace:
No. of Stories: No. Rooms:
Breezeway:
No. Baths : Garage:
Use: n/a
I hereby certify that th roposed work will conform to the Basic
4
Building Code and all other o es as adopted by the State of Connecticut, and
the Town of Montville.
Applicant 's Signature: Oti---- /V ?C.
Date: /4/
If signed by Contractor, type of license/registratio. & No:
Building Official 's Signature: ��( /j-.' /i
/ Date: 7.-/2-j,;'69Date of Health Dept . Approval : id/IP G
Date of Zoning Approval : 04-
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REOUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS.
130 ? al
TOWN OF MONTVILLE �/
Building Department
Application for a Permit c. NO2.7 6
Owner: DEV Tiq►,s 124,1- Address: 33 J)pot S
Tel : S V,Ht fa
Job Location: on-97 A uof 51 ,
Contractor: DIS / FG -se ,fAddress : Pe ,,� c
f sl � Tel : � �'�/(c /2
Stick Built : Modular Home: Manufactured Home:
slik' Commercial :
Addition: Garage: Car Port :
— Shed: Remodeling: Roofing:
Siding: — Fireplace: Chimney: Windows : Pool : Demolition: X_
Plumbing: _ Heating: - Electrical : _ Air Conditioning: - Gas:
Patio: - Porch: - Deck: - Retaining Wall : _- - Repair/Replaceme t: _
Type of Material/job description: re...
"Lad,-,.....,
7414-11...e----'
j - i
Size: it,,, ,-�1,1 1-,-,-- Type of Heat :
Fireplace:
No. of Stories: Q. No. Rooms :
Breezeway:
No. Baths : Garage:
Use:
Dept. of Public Safety
Div. of Fire & Building Safety
DEMOLITION CONTRACTORS CERTIFICATE
NO: 1134 CLASS: A DATE ISSUED: 96/07/01 EXPIRES:
97/06/30
Certification as a Demolition Contractor is hereby granted
to the person or firm named hereon. ///'
Name of Designated Technical E a. T Waddington
SIGNED (DIE) 41/
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ISSUED TO: D .W . Transport & Leasing , Inc .
33 Pequot Rd
Uncasville , CT 06382
AUTHORIZED BY: / SP-981—
D Cola I!. i��:}:r_
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NOTIFICATION CHECKLIST FOR DEMOLITION PERMITS
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CITY or TOWN
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UTILITIES; �
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electrical
gas
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water Fewer
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telephone/cable - other I
\TOWN or CITY DEPARTMENTS:
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\ health public safety, police, fire
water sewer
park, historical or other special district agency
▪ STATE: FEDERAL:
pi'' k US EPA, Region 1 (APC)
health department JFK Federal Building
Boston, MA
02203
environmental dept
• ABUTTERS NOTIFIED:
INSURANCE/BONDING:
WASTE DISPOSAL SITE(s) D/neal-m,o/1—Pr�pe, "e' �•��'11i .,/4(.Vi ,�
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D.W. Transport&Leasing, Inc.
66 Cross Road
Waterford, CT 06385
August 14, 1996
Jody J. &Susan J. Decarolis
31 Chapman Avenue
Quaker Hill, CT 06375
Dear Mr. &Mrs.Decarolis,
The purpose of this letter is to notify you of the intended demolition of a two family building
located at 25-27 Pequot Road, Uncasville, CT.
If you have any questions please feel free to contact me at my office at 860-848-1692.
Sincerely,
David Waddington,President
D.W. Transport&Leasing, Inc.
ale_•
D.W. Transport&Leasing, Inc.
66 Cross Road
Waterford, CT 06385
August 14, 1996
Timothy S. &Vickie A. Spakowski
26 Pequot Road
Uncasville, CT 06382
Dear Mr. &Mrs. Spakowski,
The purpose of this letter is to notify you of the intended demolition of a two family building
located at 25-27 Pequot Road, Uncasville, CT.
If you have any questions please feel free to contact me at my office at 860-848-1692.
Sincerely,
David Waddington,President
D.W. Transport&Leasing,Inc.
o SENDER:
✓ ■Complete items 1 and/or 2 for additional services. I also wish to receive the
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■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address .5
permit. cc
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y PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT
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/! NOTIFICATION OF DEMOLITION AND RENOVATION (continued)
�X. DESCRIPT ON F P N Q DEMO I05 0 \RENOV TION WORK D THQD(.S TO BE USLDz
. CUr'n 0 C��mc f�'4-fon o ecu(al t'x f.S 1 r-N 9 �c WORK,
wi' f 1 i raPp/e
,/ XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT
F I:M;SSIONSIOF ASBESTOS AT THE DEMOLITION AND RENOVATION SITE:
J.:::...4
XII. WASTE TRANSPORTER 41
14"4" (,u . j--)
rar�S po� �-teaS?/-�r , C
Address 33 / e//�
City: n/ v/i1- ., 1 j J _ Stat.; Tip. a'..34:'] 1�
Contact Person; j 1 vl�S t/ ad ii 7' 1? tal■phone; g o 4..-& j
WASTE TRANSPORTER #2 LL�((� ///�w ct [� t
Hamel 'June,
il
Addreaa; --------1I •
City: [ State: t _ Zip.
Contact Person; Telephone: -- 9
XIII. WASTE
y�DISPOSAL SITE
Hama; 'O/i 2th). • Dr1 \
Locations: ' fir L r a r;__Ci r
City: ) �j)i 1n State: ip i 6�{% ,
Telephone; ijI/5/5—
F, lt5 O
XIV. IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY_THE AGENCY BELOW;
Hama; N fA Title: •
Authority: .._
Date of Order (HH/DD/YY)t.-- • Date Ordered to Begin (Hsi/DD/YY)t
XV. FOR EMERGENCY RENOVATIONS
Date and Hour of Emergency (rix/DD/YY): him\A
Description of the Sudden, Unexpected Event. /4)A
Explanation of how the event caused unsafe conditions or would cause equipment damage
or an unreasonable financial burden:
A
XVI. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS
FOUND OR PREVIOUSLY NO FRIABLE ASBESTOS MATER' BECOMES CRU•BLED, U VERIZED,
OR REDUCED TO POWDER. ���;C A / v/'k' ' 'Or13 /� .., flO
. cz� r W l 11 11
'p rDprx- 2 uL41-hOrl•-1eS .
XVII.I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS e' y S REGULATION (40 CFR
PART 61, SUBPART M) WILL BE ON-SITE DURING THE DEMOLIfie .s; NOVATION AND EVIDENC
THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLISHED BY epti: • •SON WILL BE AVAILABLE
FOR INSPECTION DURING NORMAL BUSINESS HOURS. (Req. ' • •ar after promulga ion)
• si L � l� '27(
( gna re of f.//?Aerator) (Date)
XVIII. I CERTIFY THAT THE ABOVE INFORMATION IS CO'-.10 /i
(Signa u illISf •1111!.r/Operator) (Date) 1
ti..,.-.•.ti ..s.c•cc ...�......—a1•Y}: • .. ,+-1...,,,,,,,, .....-.- ....—.•...— ..-_
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/ NOTIFICATION OF DEMOLITION AND RENOVATION
y,:
t OPERATOR PROJECT # POSTMARK DATE RECEIVEDTT eNOTIFICATION
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.2! I. TYPE OF NOTIFICATION ( O-ORIGINAL R-REVISED C-CANCELLED )10 r i 1 of I KPR Xotica?� /Q.
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II. FACILITY INFORMATION ( IDENTITY OWNER, REMOVAL CONTRACTOR, AND OTB1f 1-�OPERATOR ) /,
OWNER NAME: I - � . _ I td'. a . MA
ADDRESS' (pep LJ/SSC
J a
CITY l STATIC CT ZIPS 4/v„ �+C�5
CONTACT 1 LJ�/'�.Il�fl�C-f n n TL L t 'Lpi� ��- —l6 /
REMOVAL CONTRACTOR: �, t ra 4r� cin 7� I
ADDRESSI 3D 7 "e / '<�] -( , , I
CI17t(J nc.•.n1'1 s0 /-e J� STATE t ZIP; 6
CONTACTt I l.l-Y elk f WI�L�ILJ��II 1c n TYLt (%L/� g /42 42. .
OTHER OPERATOR: 1 I/\ ie Q V
ADDRESS [[��(VJ/ L l_.
CI TY I ----. STATE 1--- ZIP! --- s
CONTACTS TELL 1,
t
III. TYPE OF OPERATION ( D-DEMO 0-ORDERED DEMO R-RENOVATION Z-EHER.RENOVATION )t -
I Amo.
IV. IS ASBESTOS PRESENT? ( YES/NO ) /do
V. FACILITY DESCRIPTION ( INCLUDE BUILDING NAME, NUMBER AND FLOOR OR ROOM NUMBER )�'�✓V U , "ibI
BLDG WAKE t 1�. I A /Ji (LI/jYi�
ADDRESS t ?I - 7,7 7 ---Pe// (
CITY t ✓i Svi i/eJ
STATE t( I COUNTY*
SITE LOCATIONt S`1. ' t� o a±oVe
BUILDING SIZE! )�J / `‘,. J / I NUN OF FLOORSI (-404
�AG!
�,I N YEARS; �/'�)
PRESENT USE t 6 J�1 i (cL, i I PRIOR USE!�_ a ,// , h`�1}'�`�(
VI. PROCEDURE, INCLUDIN6ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT
OF ASBESTOS MATERIA.Li THE PRESENCE
-?L-Al M6hbcl -1- N Vi-AP
VII. APPROXIMATE AMOUNT OF
LI
' ASBESTOS, INCLUDING: NASBES OS
ASBESTOS
1. REGULATED ACM TO BE REMOVHD MATERIAL NOT INDICATE UNIT OF
2. CATEGORY I ACM NOT REMOVED �� TO BE REMOVED MEASUREMENT BELOW
TO BE
3. CATEGORY II ACM NOT REMOVED
REMOVED CAT I CAT II UNIT
PIPES O
LnFtt Ln mt
SURFACE AREA O
sgFtt Sq mt
VOL RACM OFF FACILITY COMPONENT /'�
�J Curtt Cu ins
VIII. SCHEDULED DATES ASBESTOS REMOVAL (MM/DD/YY) STARTt
COMPLETE
IX. SCHEDULED DATES DEMO/RENOVATION (MM/DD/YY) STARTi +jJQ` COMPLETE t gid /QJ
Continued on page two
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Spec .
Number of Pages: -, Specialists in.
Indoor air quality tectirtg & cumvitation ,"
Asbestos & Lead 1 iMan:gement
Fax:
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('''-, ; ri x,' ' , , I Workplace Safety Training
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i Hazwoper Training i 1
1 . Confined Space Training
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: CHI. & CSP Services
-,..-3-1-z.:,-..7.77..-..,:-.-z: - ;..---- .
:Remarks: i
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suimumnemintimut
Mystic Air Quality Consultants, Inc.
011110111cA 1204 North Road
111111101111111 Groton, Connecticut 06340
Phone: 860-449-8903 4., #---;Tircii;\
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'0011111Wer ‘..1/2
_... Toll Free: 1-800-247-7746 os..•...1,
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HUG-23-1996. 15
1t1 PPI iM MYST I'C A t PIPL I T "- ."'
TO 852659 P.02
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1c AIR 00
1~ . j ystic Air Qj a1it y Consnitnnts Inc.
° f 4t 1204 North Road (Rt. 117) Groton, Connecticut 06340
NVLAP 4 101282
August 23, 1996
Dave Waddington
D & W Transport and Leasing
66 Cross Road
Waterford. CT 06385
RE: Bulk Sample Asbestos Analysis Report.
Dear Mr, Waddington:
Please find enclosed the bulk sample analytical results for the following project:
Client Project#: 25-27 Pequot Rd Lab Project #: 690
Date Received 822/96 Received B . Trevor Harley
Delivery Agency: Hand Delivered Name/Tracking #: Stew Oakes
Date Logged: 8;22/96 Logged in by: I revor Harley
Analysis Completed' 8123/96 Samples in Project. i8
All samples are stored for 12 months from the date the report is sent before being disposed sit
unless other instructions are received from the client in writing.
A summary of the findings is presented in Enclosure ( l ). The full report is presented in
Enclosure (2).
Please call us if you have any questions regarding this report.
Thank you for your business,
Sincerely.
Chris er J Uidert. President, CIH. CSP. RS
Telecommunications (24 hours): -----
_
Office: (860) 449-8903 FAX 186C: 449-8860 Toll Free: 1 (800) 247-7746
AUG-23-19%. 16:11 FROM M`r'ST I - _-
y ,�lv`bb3
. BULK SAMPLE SUMMARY REPORT
Mystic Air Quality Consultants, Inc.
1204 North Rd.Groton CT
Ghon,CT 0634{)
(860)449-8903
NVLAP# 101282
Client Name. D& W Transport and i. acing Contact Name. Dave Wa iclin o-._____. __
Client Project Number: 25-27 Pr not Rd g: n
9 Lab Project #; 69(
("hent Sample Lab Sample Asbestos
- ___Number__ Number Type and o.�
1 9218 Comments/Sample Description
R'AD Sheetrock
2 9219 MAD Sheetrock
3 9220 N-AD Sheetrock
4 9221 NAD Miscellaneous - vat 1 r i kitchen 2nd floor
5 9222 NAD M scellaneous-vat 1xl kitchen 2nd floor
6 9L23 NAD Miscellaneous- vat 1 x 1 kitchen 2nd floor
7 9224 NAD Linoleum(- bathroom 2nd floor
8 922' NAD Linoleum- bathroom 2nd floor
9 9226 'VAD Linoleum -bathroom 2nd floor
10 9227 NAD Shingle
11 9228 NAD Shingle
1-' 92229 'SAD Shingle
1, 9230 NA[) Roofing
14 9231 NAD
Roofing
15 9232 MAD Roofing
i 6 9233 NAD Linoleum - l x l floor kitchen
1' 9234 NAD Linoleum- 1 x i floor kitchen
18 9235 NAD
Linakurr. - 1 Y t floor kitchen
This report is only a sutra/tar.. reit .ompiete information on each sample see the Buik Sample Analysts Report.
i'f.','-
Note that A.4t)means that No Asbestos was Detected in the sample or layer.
11::
Enclosure (I) - page 1 of 1 °4
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0 09/03 irj:LANIERFPXS800 1711X: PAGE 2
Wine C tiC U t
The Cuuncericur artd 1",”ver Comuanv
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P.O. acix 28'1
nii;YO Light&Power
Odfile
Waterford. CT
-MU-236-1(iCtc.:
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r- To: Russ Staufter ,BIda. Ins.p/Montville
Re: Request fos_ RLMp
emovai_of
In response to tie raquest we raneived frommz :
Oay.ld Waddintiton
---•
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•..... - . • -
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On: _Augclst22,LL99f:',
The eiectr±c service to: _25:27 Pequo n r.y.i
Was removed on : 23 1.quii
/
(v,/
Edward DeCantillon
Customer Engineering and
Marketing Services Manager
David Waddington
66 Cross Road
Waterford, CT 06385
August 29, 1996
Mr. Russ Stauffer
310 Norwich-New London Turnpike
Uncasville, CT 06382
Dear Mr. Stauffer:
Please find enclosed the original letter of disconnect for the property located at 25-27
Pequot Road, Uncasville, CT.
I believe that Martin Grzymkowski of CL&P should have sent his letter directly to your
office. As of this date I have no et received a copy of that letter.
Russ, if I can be of any fort - stance to you please contact me at 848-1692.
Sincerely,
David Waddington
•
CONNECTICUT CABLE TELEVISION INC.
August 27, 1996
Attn: Melissa
DW Transport and Leasing
33 Pequot Rd.
Uncasville, CT 06382
Melissa:
This is to confirm that our cable lines were removed on August 23, 1996
from 25-27 Pequot Rd. in Uncasville.
Please call me with any questions at 442-8525.
Sincerely,
a/VI4 (410 .
Ann Scarpa
Customer Service
/as
61 Myrock Avenue,Waterford, CT 06385(203)442-8525,928-3264,564-1967 FAX 443-6031
Southern New England Telephone
84 Deerfield Lane.
Meriden,Connecticut 06450
Phone(860)420-2002
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Karen B.Wiltsie
V£94 ms 644.4 Supervisor SDCC
Service Delivery Consumer
To Whom It May Concern:
This letter is to inform you that all telephone equipment, cables, wires and attachments have been removed from:
25-27 Pequot Rd
Uncasville
This job was performed on August 25, 1996, in response to a request to demolish the above address by:
Paul Botchis
Owner
If you have any questions please feel free to contact:
Karen B.Wiltsie
Supervisor, SDCC
KBW/fg
, 4
TOWN OF MONTVILLE
WATER POLLUTION
CONTROL AUTHORITY
310 NORWICH-NEW LONDON TPKE.
UNCASVILLE,CONNECTICUT 06382
848-7094
August 23, 1996
Mr. David Waddington
66 Cross Road
Waterford, Ct 06385
Ref: 25-27 Pequot Road- account#5375
Dear Mr. Waddington:
In response to your letter dated August 20, 1996, there is no equipment that belongs to
the Montville Water Pollution Control Authority on your property at 25-27 Pequot Road.
All things there from your house to the stub tie in belong to you.
However, you will be responsible to plug up the tie in and have our inspector there to
check it.
You will continue to be charged the quarterly sewer use fee up until the day that we
receive notification from the Montville building inspector that the structure has been
demolished.
If you have any questions, please feel free to call my office.
Sincerely,
10c-k—
William L. Noycee
W.P.C.A., Administrator
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