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HomeMy WebLinkAboutDemo Existing Structure a 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 05%06/03, 08:02 FAX 8608626350TGADEVELOPMENT 11001 ETCT 001 l 04/10/2003 08:58 Fr' 860649/368 - ` : Corlsulti,4 Inc, EJnvitOt'rri'cQnt ~'-Trairti~g & _ - April'9, 2003 " e Ivloheg Tribe Plaurimg-pepartmerif.'; _ - _ ' $ Grow Hill'koa~.'~ - • A; , ' - - - ' . ~incaszlle; G .063 82: ~tE.- Y $ Avery. Sr ; As6edos zgpeetion - EM, Projec'03-011 . UI : - pn,12000; a liCansed.ash.eato3.titli>dliig-iiipector' sited'.the ove;Teferended facility and :QrL perfor>ned--in asbestos; Wsor-tion: -These bulk., sainples • were ~ialyzecl 'by : PalarizEd. Light .Micioicopy: fPtLM) to" detaimine .asbestos 'content.; A•s :a•-result;'.of this analysis; one 'f"ttie material-S conLB--pl asbestos (approximately-6linear f~ifof•caulk,00'1_1 Ina air coeic3iuorg unit at rear of - BB,Ave Y,St.)= - This. matcria :is zxernlxt frota State'gfCot~ne~~tcut pepacG~nCAT of'Health Aabes eL:Abatemdint l egulations'as: it is an exterla ;Pori-fziable..arnatg~iaL'• 'F a eaulk_.. been roved by,a prgperly:irained• and pioteoted it4Mdaal 0a per-OS ~ app is b~ein sposett of ix~ a ' be on •securiin the . ' re .rny , . nccoi dace ;u%nli l~pt1 requiresr~erits.• ; peinadi p> , af'tkaa s> da appropf'atepetmit . ` if you have'any:questions_regarding>h~s.ii spectigri report, p'}case cont0ct us ' at-your con'Vemence.: _ -Very' ,$i ncerely.,.. = Eiivimtlinental'Train ing,&,CoLisulting, Itc: nice • , - ' • - 30,0 Church 5rreet.5uILe 3.0.2 Rv~.68.~.'Wal(in~foFd.-CT~s49p • PYione 2'03 269.3'690 Fax:-2.03-269-3823 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