HomeMy WebLinkAboutDemo - Existing Two Story Structure
s Town of Montville
Building Department
Field Inspection Notice Permit
Date: -
Address: x
Not Comments/Corrections Required - re-inspection: required:
Inspection Approved Approved
Footing ❑ ❑
❑ ❑
Backfill
❑ Concrete Slab ❑ ❑
❑ Framing ❑
❑ Rough Elec ❑ ❑
❑ Elec Service ❑ ❑
❑ Rough HVAC ❑ ❑
❑ Rough plumbing ❑ ❑
❑ Gas Line ❑ ❑
❑ Fireplace Throat ❑
Chimney ❑
❑ Fire/Draftstopping ❑
F1 Insulation ❑
❑
Final inspection ❑ ❑
❑ Cofo ❑ f
s Signature
I
- Vtor
i
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: 104/035-000 Owner ID 3501
Job Location: 14 AVERY ROA~~ Unit
Job Description: demo two story building
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 Val4es 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 following inspections (minimum 48 hour notice requored)a
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - 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 0 Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: i
Town of Montville Permit # l
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
Application for Demolition Permit
Job Location L4 I U 1~
Job Description/Materials UL) rw OF 7W() S,2y S % 24. C i~/tF
Owner MU~'c°ljA ) tSt: Mailing Address c Rota t4, i f
city State (2-7-Zip GG3~t Tel mac' / ~2-/
Contractor6~ze~j oa g CG^S-)-) Mailing Address G• ~dX /~o
City j&6 State OF Zip 06 33 ~ Tel
Contractor's License/Registration Type & Number I-3 Z f Exp. Date / 120
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 Montville.
Contractor Signature G//7 Date
Owner Signature Date
Construction Value Fee
$
Demolition $ 3 7 o v
State Education Fee
Total $
r ^t
V
Town of Montville Building Department Receipt
No.
Date
C From:
Job Address:
=hcck Check ;
Cash a. .
Amount
treic one)
Pen,nut # - . is f ' r C.
Received by `"'~M
0511112003 15:15 9921067 - f3RE'Y WOLF CONSTRUCT PAGE 02
Division of Fire & Duildkng Safety
MM02T.C" CCffiVtV AG"M1w C$RTIFXC.AT'E
~4•.1.~32'~ ~~,A.~S..~B
DATE ISSUED: 2002/10/01 EXPIRBS:2003/09/30
Certification as a Demolition Contractor is YxX--x-abj gr&Tt.ed
to the person or firm named There n.
Tam of 'Dseina eL`$sTi3.x' 3-W•'tt : Frank Mat-avrt Jr.
SIGNED ~Dm)
ISS TO: Grey Wolf Construct~.ion, LLc
i P.Q- Box 190 Vasa 8 y,.`rNted to
#
Lady CT , ~i ► Ct5l1'1ot
BY. e.
D4'iU4i10~M '3 71:37.t'AX 8606.44r36 6 ~Ot1_~
RUP
ke:
Envirorimentaf; rainih4g &-._(~onsu,ltinq, .lnc
Apiil.4, 2003
' IVIr David rowker,:::. -
The 1vIohegati Tr6e,PlariaiFrg I7eartittent.
5 Ctow Hill fioad
-U q CT-06
14 Avery St
K
UnCaspllle, .
As6estos;lnspectiot~: - . • -
" .
ETC'!'.Project 0-01 .01
On Agri l 1~ 2000; a.1i hsed`ssbekos-building uispector`visitefthe-above= ' fereiiced facility. aind
peii onned:.an -.asbestos '.inspection.. These:,bulk -sam- ples''.v 6w a analyzed: by Polarized Light
.Mkroscogy..TLLvn : to..determine'asbestos- coiptent As' a result of this `analysis; nom of the
materials; contained '.asbestos.: D6inoIiiioh* of 'the sti uctare-. may hegin upon securing the
appropriate perrtlits. if.you have ah questions•regazd ing'this:igspection report; please colima us
_ -:at:jaui:condenience.-: •
Very': Sincerely; -
c •
: Erivtron r►ental`Training:& Cons; ng
bhn V..Bruce.
President. -
30fl Church'Street,:Suite 307 tzte 68 • VS(allingfcird Ctt}G492 - Phone 2(73 2b9-3G90 • fax: 203-Z69-3823
Town of Montville
Building Department
(860) 848-7166, 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.
Signature Date Agency
.22CIPAL 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
ELE TRICAL (Letter from utility company required)
The electrical service has been disconnected, inspected, and approved.
This structure is not served by the electric utility.
t' 6 -r45 or.r FtL&
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 l\loitville
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.
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 15ate 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
APR-22-2003 TUE 03:01 PM CUP WATERFORD FAX NO. 660 447 5755 P. 03
.ENV D
Mail To: Connecticut Light & Power CO.
F'0. Box 2985
Bardard, V--T, 061CA. 2()9'S
Ru pmow~tl of 5 grvtce for $ull iaa Dome if-en
As the owner of is propetv I area sequezkwig the Wmanert removal of the ebisting CT light & Power Company
JCL&P) Wor3'tic service and meter(s) to allow for the demolition of the building in accordance with all applicable
Connecticut General Statutes, i certify that the building is vacant
Customff Roquest S'y'stem (CAS) tracking, number
Strett Address wi[ere IecfYrG service is to be pe mamtly rervved.
Town, State and Zip Cadd
Meter number (s)
'Mcter n=ber (s)
comments.
Witt rlM& of Pm1p ¢ty n'dMM-.
Signature: ot-prxoperty u,%wrter:
Mailing Address: fc Cllr L- 14 - ~4
CHERYL TODD
7 qT', State, Lip Gv ew 1.2 C C;A~w .I+Jt'D2"ARY PUBLIC
-MY COMM400N E:XPAES MAY 31,2*
l I 4
' -hanc Nwlbor of prxverty owner.
V3~latary'1?a! is Hate
r
ICE& n e use 3'
L)2tc sets revmwd: Please add a,iob note to CRS indica3ting the date and to whom this
siG.ned-off form Was rettuned. ile this coutpleted faun with the camplntcd service rcruovr l work order-
Print name of CL&P Representative: -
ll
Signaharc: of CLAP Reprawntative' '
f ~r -7
Telephone Number: 't r ! Date: r r
- - - -
To 4var"delays Please COMPlete AN Information On The Form