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HomeMy WebLinkAboutDemo Structure 2012 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 DEMOLITION PERMIT Permit Number: D2012-0006 Date: 10-Oct-12 Map/Lot: 099/089-00A Owner ID: 5740000 Project Location: PTA LANE Unit: Job Description: Demo Existing Structure Owner Nam 1865 LLC Tenant Name N/A Careof: 1865 Route 32 Uncasville CT 06382- Telephone: (860)848-8539 Contractor Nam Joseph Bonner Telephone: (860)848-8539 DBA: 1865 LLC Lic/Reg Type Lic/Reg No 0 1865 Route 32 Exp Date: Uncasville CT 06382- Constructlon.Value ,._ Permit Fees Construction Information Building Value: $4,000.00 Building Fee: $60.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $4,000.00 Penalty Fee: $0.00 Permit Code: M1 C of 0 Fee: $0.00 Comment Plan Review Fe $6.00 Fire Marshall Fee of$39.00 Paid State Ed Fee: $1.04 Total Fee Paid: $66.04 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation © Certificate o -•proval • e of Occupancy Bwldrng Official s Approval: Town of Montville �l l JDVA-. Building Department / I 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 DEMOLITION APPLICATION FORM Permit No.:—.),-)01,D.- itn Property Address: i()d2 � ( �.e., \ Pc L P\ D,2- (Number) (Street) (Unit) Job Description: ---- <•,-o--‘.S .k. S- i,.vLV" \ k ') 7c_.)<._c,Osie, Owner: ( 0(r S- Address: ViLaS t-IoS _1 t- - TtokzE, (- O ' O' 31oU _ City: 0.30,0. `‘...L...<-17, State: Zip Code: 0 C3?Z Telephone(V(0U ) - cis S 39 Applicant: c- ce --aQ BoN�E ?__ t �`�`""esz.A2_- DBA: -' S L.t._C_ Address: 1.'i bs- 1J0U-0-L� 1 A\Lc= 1 -0o - -3lrly City: U OCP.S,L<<-�- L State: a' Zip Code: G(,.S g Z Telephone( SLD ) i - S 34 Contractors -Complete the Following: License Type: License No.: Expiration Date: I hereby certify that the proposed work will conform to the State Demolition Code, State Building Code and all other codes as adopted by the State of Connecticut and the Town of ontville. Owner Signature: // ��-,.._ la`- Date: G(l 1///( z. Contractor Signature: Date: Demolition Value: OC)v Demolition Fee: 1 O Co ` v 5 Items required for submission: ❑ Demolition contractor registration(Class A or B)(C.G.S.Sec.29-402) • The following are exempt from the registration requirements o Person engaged in the disassembling,transportation and reconstruction of historic buildings for historic purposes o Demolition of farm buildings o Renovation,alteration or reconstruction of a single-family residence o Demolition of a single-family residence or out building by an owner of such structure if it does not exceed a height of 30'-0",provided that the owner will be present on site while such demolition work is in progress and the structure(s)have a clearance from other structures, roads, highways equal to or greater than the height of the structure subject to demolition , Copy of certificate of insurance specifying demolition purposes and providing(C.G.S.Sec.29-406); i • Liability coverage for bodily injury$100,000 minimum per person with an aggregate of at least$300,000 • Property damage$50,000 per accident with an aggregate of at least$100,000 O Certificate shall provide that the Town of Montville and its agents shall be saved harmless from any claim or claims arising out of negligence of the applicant or his agents or employees in the course of the demolition operations. (C.G.S.Sec.29-406) dCertificate of notice by all public utilities having service connections within the premises proposed to be demolished,stating that such utilities have severed such connections and service. (C.G.S.Sec.29-406) Adjoining property owners have been notified by registered or certified mail at such owner's last address according to the records of the assessor. itil (C.G.S.Sec.29-406) ❑ Uncas Health District approval Note: If asbestos abatement requires removal of building components i.e.doors and/or windows the abatement must be completed and the clearance letter submitted to the district prior to any further demolition of the structure ❑ Fire Marshal Notification-To be completed by Building Department ® Tax Assessor-Assessed Value of Structure to be Demolished $ cC/ c. V V &vised August 23,2007 April B,2008 Town of Montville Building Department File Receipt Date: 04-Sep-12 ReceiptNo: 7717 j Received From: Bonner Electric, Inc. Job Address: 1887 Route 32 Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $106.04 State Check: $1.04 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $4,000.00 Demolition Value: $0.00 CheckNo: 0 Received By: David Jensen OO Tt O O O Cr CD CO r 0 M CO 0 i•- Ea EA EA EA EA EA EA ER Efl EA EA EA EA El) Ela ER En Ef} EA a) o OIi ! Oco U iii , o L 5r_ N .0 G O Y Y _>. Y N i A L L C d) N C w 3 H- C F- F- cu > > N a. .; cO N E L • a) .0050 — = J O N u c C 01 O E if) 0 Q i ' w) Ea C2 O LLc m a N . U coO L EL- o w n- rn c -vm c lii a) «. c O �a LL L ami o °o S 5 a o a a °C = S c 3 = c Au a) c o a cn () ca — w it d +. a) �.� 5 a ctsID c c c23 al -L--: cu cc w `L' o c a) — U U w c CD I- ~ 'a a (13 '5 = m (1) 0 ca rri m ii +66 mm2wow c) 1-7- 1 c � >- c cc cc c cc z�a 3 s N L > o 2 ccd : O C a i` a Mn---„e �.w�eKsrw S I4\ + "0Connecticut 10 Light&Power Removal of Service — MAY 2 ZDI Tha Nottheant Uuttleo SyKun Building Demolition/Construction 0P6843 REV.11-09 t f NG DESK M the owner of this property,I am requesting the removal of the existing CT Light&Power Company(CL&P) 4i electric service and meter(s)to allow for the demolition/construction of the building in accordance with all applicable Connecticut General Statutes. I certify that the building is vacant. I CERTIFY THAT THE BUILDING 18 VACANT AND SERVICE CAN BE REMOVED AS OF ' TRACKING NUMBER (DATE OF REMOVAL) ` /--/jttY( MA'c aa -t.1 ) .2ct7.__ iq a. 1 3 'e1 STREET Appmess WHERE ELECTRIC SERVICE IS TO BE REMOVED NEAREST CROSS STREET I '8 T-1 N D2/Ni... SNE PTA Lf?NE' TOWN STATE ZIP CODE SERVICE POLE NUMBER 1 OJC.ASV/�r-.c I er Dz..1'$.2. / /7 e8 l ACCOUNT NUMBER(S METER NUMBER(S) r� METER LOCATION t 5 o c-S 3 IL/ 0 INSIDE 2 OUTSIDE THE REASON FOR THIS REQUEST-, NE DEMOLrTION SPECIAL INSTRUCTIONS 0 CONSTRUCTIoN i REMOVAL I!i OF EET,FLOOD,AREA LIGHTING/UNMETERED EQUIPMENT REQUIRED?❑YES [NO IF YES,TYPE OF EQUIPMENT ACCOUNT NUMBER I PRINT NAME OF PROPERTY OWNER 51ZN?/)TURI7PROD OWNER k 8(05 LLL+ / av Asn-i a. C..iL- MAILING ADDRESS V /np �t7 u,,+G-yL Po Sox. 3( TOWN I , � y� STATE ZIP CODE 4G�K. �y p`J tII C..L� t�F/ Q TELEPHONE NrIBER OF PROPERTY OWNER FAX NUMBER EMAIL NOTIFICATION ADDRESS ( 8tt8-8'S3c/ (40 )5 -4c179 f h0One(-6 bov1n0.e_lett- . CE> • ; < NOTARY PUBLIC 1 Not required for single-family,owner-occupied dwellings. °A1§531 • DA DAVISNOTARY IC MY COMMISSION WIRES ALAR,81,2413 -CL&P INTERNAL USE ONLY- Cate service removed' /W / .This confirms the removal of CL&P electric service for the address Indicated above. PRINT NAM OF CL&P REPRESENTATIVE TURE OF CLAP REPRESENTATIVE DAT E ., ?%Avoid Delays Please Complete All Information On This Form r`z U.S.Postal: Overnight Express: -PI . Mall To: CL&P Clearing Desk Mail To: CL&P Clearing Desk Connecticut Light&Power Co. Connecticut Light&Power Co. P.O. Box 2985 107 Selden Street t _. Hartford, CT 06104-2985 Berlin,CT 06037 f Fax: 1477-285-4448 Clearing Desk Phone: 1.888-544.4828 I RECEIVED ZO12 BUILDING DEPT. UNCAS HEALTH MIDISTRICT Your Local Health Department Requirements For The Demolition Of A Structure Property Address: k 0Q Property owner: LC / R ON)&) ELe3e— c. Owner's Address: t- 2 L(P l v ► cS.r tc < c O 3F�Z Owner's Telephone Number: �d'e (J— 'et-EL?) SS 39' 1. Water line from well has been disconnected and sealed tRi Yes ❑ No well 2. Sewer line to the septic tank has been disconnected and sealed ( Yes ❑ No septic system 3. Oil tank has been emptied ❑ Yes 54 No oil tank a. Copy of invoice for removal of oil attached ❑ Yes ❑ No 4. Asbestos inspection completed and form submitted to CT DPH g] Yes ❑ No a. Copy of DPH form attached ❑ Yes ❑ No b. Asbestos abatement completed ❑ Yes (Attach copy of clearance letter) ❑ Abatement not required c. Asbestos abatement requires removal of building components i.e. doors and/or windows that requires a demolition permit ® Yes ❑ No NOTE: If asbestos abatement requires removal of building components i.e. doors and/or windows that require a demolition permit, the abatement must be completed and the clearance letter submitted to the District prior to any demolition other than that required for the asbestos abatement. I, , am the owner/contractor of the property at IV?'2 Norc/tip vvcnW, which is going to be demolished. I certify that the above requirements have been met. le S':2 /: ._:) i owner/contractor This form must be notarized and returned to the Uncas Health District before the District will sign off for the demolition SCOTT M. DAVIS ED WIRES REC !T V�® MY COMMISSION RES MAR.31,2013 401 West Thames Street Suite #106 SEP 0 4 2012 , Norwich,CT 06360-5450 Telephone No. (860) 823-1189 FAX No. (860) 887-7898 E-Mail: office@uncashd.org BUILDING DEPT. Internet: http://www.uncashd.org ,``L AIR QO ` 1. ' '4 Myic Air Oua1iy Con8ultantU 30 .. � n,...rt,, 1204 North Road (Rt. 117) Groton, CT 06340 Report of Inspection of Asbestos Removal, Final Renovation, and Demolition Project ifInterim Date: i-06-n.. Site Location: / P>A 64nt`; vIcoo7f( -Ti Building Identification: n cepa "Ac t) Containment Location: Final Inspection Passed ] Inspection Indicates More Work to be Done CHECKLIST: Residual dust on: YES NO YES NO a. Floor e. Vertical b. Horizontal surfaces surfaces f. c. Pipes g. Ducts d. Ventilation h. Register .„). equipment i. Lights FIELD NOTES: "k CZtAii ?, -945)/i') ifer)(4/f) • RECE VE1) SEP 04 nit? DING DEPT. FINAL AIR S1 • RESULTS: [] TEM to be Analyzed [] PCM Analyzed on Site Sample # ample # Sample # : .mple # Sample # INSPECTOR: '9 Printed Signatur i co OOH • O 111 k.0 c O OCO r- CO CO NCO r- o 0') `° CT ', CJlI- I 0 . l0 't I 1 •-1 '71+ Cs f11 O O O C 440 .0 lDlOC 0 ! ( ► 1 A 4 ( ,r-I CO Co Co a 0 a 0 W u) Cl.S Id • a U •� , .-C Pk *; a) (-4.4 C E HO2344E 4 o 1•r U 0 0 teTr-�., -u) v vV g = a a) O c Ccn4-1 V - , .3=44 r, r -.C.. 5 cx H Z El I0 s Hz ;--4 a o . 0 0 14 V .g *A v H ti • • _U Z � �0 a ) H EI2 H �) s 2 ilia0 w1, .,. 2 ��Tu r1• G4 ed r h O 1-1a •• "), -� or" 1l 1:0 ) W l C "•,.. H Ci U c) 0 H Z Z O . W H• e W x• z N Neu.) undo() --rtou6-76 7s E.P.A. AGENCY # 167259 - CT,MA, RI,VT, NH,ME NY GENERATORS v. GENERATORS EPA Region 2 EPA New England 290 Broadway,26th Floor EMERGENCY RESPONSE 3 Barker Drive•Wallingford,CT 06492 1 Congress Street New York,NY 10007-1866 (203)269-8300•Fax:(203)269-8600 Boston,MA 02114-2023 (212)637-3000 TELEPHONE (617)918-1111 #1-800-750-3460 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number ' O. # GEN7R A- Am r / • C UIL ING OWNER Contractor _ ��111 f// Jr 1 /o�/f1Ci/✓ Address Fe , / AY-10...e_ Address A _eitif `e j ^�>� City Ie______State Zip r�f L) City (660 867F /!�-_ Zip 01/8 - d Phone Number �/" Telephone Number V l Date Container Del. Date of Pickup GENERATING LOCATION Type of Container Ji0,1-5----/451-0-1 VOLUME `(C CY Friable ❑ Non-Friable* Adder ' • MUST BE IN CUBIC YARDS City State Zip Bag 0 Drum 0 Wrapped 14., Other 0 Phone Number I certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR part 261 or any applicable state law, has been properly described,classified and packaged,and is in proper condition for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification: I hereby declare that the contents of is consignment are fully and accurately des 'bed above by the proper shipping name, and are classified, packaged, marked and labeled/placarded,and are in all respects in pr...r con. i. .r transport according to applicable'.k•rnational and national government regulations. AUTHORIZED SIGNATURE - ms Transporter 1: / Name Address Telephone# Driver: Registration #: Date: Signature State/# Acknowledgement of receipt of materials. , Transporter 2: TransWaste, Inc., 3 Barker Drive, Wallingford, CT 06492 (203) 269-8300 Driver: / ' C .Ifs' T Registration #: T��q� L Date: t`��12 Signature State/# Acknowledgement of receipt of materials. Transporter 3: TransWaste, Inc., 3 Barker Drive, Wallingford, CT 06492 (203) 269-8300 Name Address Telephone# Driver: _ Registration #: Date: Signature State/# Acknowledgement of receipt of materials. Site 0: Modern Landfill Site ❑: BFI Imperial Landfill Site Hakes Landfill Site 0: Address: 4400 Mount Pisgah Rd. Address: 11 Boggs Road Ad re s: 4376 Manning Ridge Rd. Address: York,PA 17402 Imperial,PA 15126 Painted Post,NY 14870 Phone: 717-246-4615 Phone: 724-695-0900/50831010458 ...._: 607-937-6044 Phone: • Certification of receipt of m.terials coy:red by this manifest.te o I eb certify h t the abo e named material has been accepted and to the b:_ .f my ed•: Me foregoing is true and accurate. me of Authorized gent Signature , Receipt Date ' :14174� � Mystic 1 �1 r QplityConultantInc. �Ii►�lSvis�. o/js11L t Pp 1204 North Road (Rt. 117) Groton, Connecticut 06340 June 8,2012 Mr.Jim Butler Asbestos Removal&Containment 88 Leitao Drive Oakdale,CT 06370 Re: Post Abatement Inspection Pre-Demolition Review 1 PTA Lane Uncasville,CT Dear Mr.Butler: On June 6,2012,our asbestos abatement project monitors,Mark Trotochaud(monitor license #000351)completed a visual inspection at the address above for fulfillment of criteria for inspection prior to demolition.This site review was for the purpose of determining whether the asbestos- containing materials sited in the asbestos inspection 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 asbestos-containing materials are completely removed from the structure and property.There is no visible asbestos related dust or debris remaining from these materials in th6 building,as required by US EPA NESHAPS and the State of Connecticut regulations to allow demolition to proceed. As the contractor requested,there were no final air tests performed at this site.As such,there can be no entry into this building by any service contractors or other non-asbestos personnel. Should such entry be needed,you will need to contact Mystic Air to return to conduct air tests. Thank you for selecting Mystic Air Quality fQr these services. Sincerely, C oper J.Eident CIH,CSP,RS RECEIVED CEO SEP 0 4 2012 BUILDING DEPT. Communications (24 hours): Office: (860) 449-8903 FAX: (860) 449-8860 Toll Free: 1 (800) 247-7746 website: www.mysticair.com e-mail:magc2@aol.com Client#: 610353 BONNEELEI ACORDr,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 09/06/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT USI Ins.Services of CT LLC NAME: PHONE 530 Preston Avenue (A/C,No,Ext):203 634-5700 bac,No) 203 634-5701 E-MAIL Meriden,CT 06450 ADDRESS: 203 634-5700 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Western Insurance C 10804 INSURED — 1865 LLC INSURER B:Acadia Insurance Company 31325 1865 Norwich-New London Tpke INSURER C Uncasville,CT 06382 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMMJDD//YY YYY) (MMO/LDD Y Y) LIMITS A GENERAL LIABILITY X X CPA027910313 12/31/2011 12/31/2012 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Eaoccurrence) $250,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 --- PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 _ GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JE T n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED — AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NOS NOTN--OWNED PROPERTY DAMAGE $ (Per accident) — _ B x UMBRELLA LIAR _ OCCUR X X UA027910613 12/31/2011 12/31/2012 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$0 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: Demolition of property at 1887 Norwich New-London Turnpike,Uncasville,CT 06382. Town of Montvilleand its agents are included as Additional Insured for both General Liability and Umbrella Liability for the project referenced above when required by written contract or agreement subject to policy terms,conditions,exclusions. Blanket Waiver of Subrogation is included when required by written contract or agreement subject to policy terms,conditions,exclusions. CERTIFICATE HOLDER CANCELLATION Town of Montville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 310 Norwich-New London Turnpike ACCORDANCE WITH THE POLICY PROVISIONS. Uncasville,CT 06382 AUTHORIZED REPRESENTATIVE I OA Qum — ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S7905226/M7905225 BAACH U.S. Postal Service— U.S. Postal Service, T-1 ,CERTIFIED MAIL., RECEIPT 43 • -CERTIFIED MAIL,, RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) a- (Domestic Mail Only;No Insurance Coverage Provided) cO ul u-1 ation visit our website at www.usps.coj3 For delivery Information visit our website at www.usps...com ...0 For delivery.' .y. rn:_. .,_ %VOW"CT OW ; , . LWASVILLE CT 06382 co .., M rri $0.45 0382 I LI) Postage $ $0.45 0382 L/1 Postage $ --- ru Certified Fee $2.95 03 RJ Certified Fee $2.95 03 ED Postmark 0 Return Receipt Fee Postmark 0 Return Receipt FeeHere D inidersement Required) $2.35 D (Endorsement Required) $2.35 Here t=1 ' ...,.., Restricted Delivery Fee Restricted Delivery Fee $0.00 D (Endorsement Required) $0.00 Dti-nclorsement Fiequired) 0 CI MI f=1 Total Postage&Fees $ j 09/05/2012$5.75 (=I Total Postage&Ffies $ $5.75 09/05/2012 ru — -- .._.... ,-4 Sent To rq Sergio a, orPOB /7 ci Street,Apt.No.; D Street,Apt.No.; r- oxNa g JO A-7 C l L.J./C c2 N 0,posorm. 'e')' 6-'49x 2(gee Cit Cit)i,State,?IP+4 y,State,ZIP1,1 i . V/1/e C -r gr:.,,,5 -.-.1/47 , 3- i I e ( 7 ("ta 3.' ,;7 PS Form 3800.August 2006 See Reverse for Instructions PS Form 3600,August 200t, See Reverse for Instructions U.S. Postal Service„ CERTIFIED MAILT„ RECEIPT .J- . r- (Domestic Mail Only;No Insurance Coverage Provided) Ln .11 For delivery Information visit our website at www.usps.com;, c0 tkir*Ttl'F CT 06.132T . - ',' '' r-1 $0.45 0382 Postage $ Ln .. RI Certified Fee $2.95 03 D --- Postmark D Return Receipt Fee H D ere (Endorsement Required) $2.35 Restricted Delivery Fee D (Endorsement Required) $0.00 D IZ) Total Postage&Fees $ $5.75 09/05/2012 ru ! ra Sent ToA rq / /7e' £. ,6'o/7/7 e,"- • D Street,Apt.No.; A.,3 r- Of PO Box No. 6 ,f' Z Z P 61 City,State,Z1P+4 Ar /"//e, cr o PS Form 3800,August 2006 See Reverse tor Instructions • . . .1 0NN � B , „s,,,, c., ri ______/ TRIC , September 4, 2012 1865, LLC Attn: Diane B. Bonner, Member 1865 Norwich-New London Turnpike P.O. Box 366 Uncasville, CT 06382 Dear Diane: In accordance with C.G.S. Sec. 29-406, you are hereby notified that we have applied to demolish the structure located at 1887 Norwich-New London Turnpike a.k.a. 1 PTA Lane. Sincerel J Brian Bonner C) President 1865 NORWICH-NEW LONDON TURNPIKE • P.O. BOX 366 • UNCASVILLE, CT 06382 (860) 848-8539 • (860) 848-4279 FAX CT LIC. 102976 RI LIC. A000228 www.bonnerelectric.corn ONN . tri43 .P t � TRIC , ti September 4, 2012 Mr. Ronald K. McDaniel Mayor of Montville Montville Town Hall, 2nd Floor 310 Norwich-New London Tpke. Uncasville, CT 06382 Dear Mayor McDaniel: In accordance with C.G.S. Sec. 29-406, you are hereby notified that we have applied to demolish the structure located at 1887 Norwich-New London Turnpike a.k.a 1 PTA Lane. Sincerely, J Bri Bonne ice President 1865 NORWICH-NEW LONDON TURNPIKE • P.O. BOX 366 • UNCASVILLE, CT 06382 (860) 848-8539 • (860) 848-4279 FAX CT. LIC. 102976 RI LIC. A000228 www.bonnerelectric.com oc . 4_ E -� � ' ?' RIC , September 4, 2012 1865, LLC Attn: Joseph P. Bonner, Member 1865 Norwich-New London Turnpike P.O. Box 366 Uncasville, CT 06382 Dear Joseph: In accordance with C.G.S. Sec. 29-406, you are hereby notified that we have applied to demolish the structure located at 1887 Norwich-New London Turnpike a.k.a. 1 PTA Lane. Sincerely, J. Brian Bonner C) President 1865 NORWICH-NEW LONDON TURNPIKE • PO. BOX 366 • UNCASVILLE, CT 06382 (860) 848-8539 • (860) 848-4279 FAX CT LIC. 102976 RI LIC. A000228 www.bonnerelectric.corn