Loading...
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