HomeMy WebLinkAboutDemo Existing Structure
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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Demolition Permit
Permit Number: B2003-0319 Date: 24-Jun-03 Map/Lot: 104/036-A00 Owner ID 3503
lob Location: 18 MERY ROAD Unit
Job Description: demo two story building, 18A & B
Owner: Contractor:
MTIC Acquisitions LLC Grey Wolf Construction
P. 0. Box 190
5 Crow Hill Road Ledyard Ct. 06339-
Uncasville CT 06382 Telephone: (860) 859-1639
Lic/Reg Type/No. Class-B 1321 Exp Date: 30-Sep-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $14,737.00 Building Fee: $85.00 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: $14,737.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $2.35
Total Fees: $87.35
It is the owners responsibility to schedule the followings ion (minimum 48 hours notice reo ui~ re"
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Back-fill - 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 ❑d Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: T-
Town of Montville Permit
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166, Ext 82 Uncasville, CT 06382 Fax. 848-7231
Application for Demolition Permit
Job Location
Job Description/Materials f~~ M 0 1 / UN C~ Tc-t) U `7 GZt 2~
Owner U`t C'~S f~' -°SL Mailing Address 57 C R o tj
City 0 A G,+s Ut OF State C Zip G 3 2- Tel G / ~~O 2J 7~
Contractor Mailing Address O I l~ G
r-
City State Zip Tel / ks 43 g
Contractor's License/Registration Type & Number a Exp. Date l3 U J Z4>G3
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montv'
v3
Contractor Signature G^~ Date S / 7 /
Owner
Owner Signature Date
Construction Value Fee
i~I 7
Demolition $ 37. oo ,
State Education Fee $
Total $ $ j
v
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.Micioicopy: fPtLM) to" detaimine .asbestos 'content.; A•s :a•-result;'.of this analysis; one 'f"ttie
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Aabes eL:Abatemdint l egulations'as: it is an exterla ;Pori-fziable..arnatg~iaL'• 'F a eaulk_.. been
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appropf'atepetmit . ` if you have'any:questions_regarding>h~s.ii spectigri report, p'}case cont0ct us '
at-your con'Vemence.: _
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Town of Montville
Building Department
(860) 848-3030, Ext. 82
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.
i
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
E CTRICAL (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
Town of Montville
` Building Department
(860) 848-3030, Ext.'82
DEMOLITION PERMI'T' SIGN-OFF SHEET
HEALTH DISTRICT
The septic system has been disconnected, inspected, and approved.
El This structure is not servedby 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
rlIiTNICIPAL SEWER/WATER
The municipal sewer line has been disconnected inspected and approved.
This structure is not served by a municipal sewer system.
ignature 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 r (Letter from utility company required)
❑ The electrical service has been disconnected, *inspected, and approved.
El 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.
[I This structure is not served by natural gas.
Signature Date
Agency