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..TOWN OF MONTVILL ;.,
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. 6 6 D (i Date `//, ,p)
Estimated Cost 3 p G D Fee ›. );
Owner b /?, /�u7n,,,9iv3c•.t) Address )7 ?A121 . A/c---z.rz Tele
Contractor i. , 4 Address (/ ‘c-Vey t,, pc 12.12x0 Tele.
Location of Building '72 PPAg,e-.Avt, -.-xr— Zone No. c40
Additions b Alterations (Including moving, demolition, sign erection) ADD i2 x I L.
Sc i z t t-� }tea (2-e:14 o Al Yeta,
New Building - Type of Construction 40,0, J r.ret z"'
Size /moi y' ,/6 / Type of Heat Fireplace
No. of Stories No. Rooms Breezeway
No. Baths Garage Use
I hereby certify that the proposed construction will conform to the applicable zoning reg-
ulations of the Town of Montville and the Basic Building Code of the State of Connecticut ,
and that all statements herein contained are true and correct.
Signed. v._wv--._. � Approved_ , :1--.5—A- 7
Date 9-// / 1 7 Building Inspector ,zer_e_ ,t� / '1 .
Inspections For: `/ /,f
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
ZONING PERMIT li 8' - /'S M)NTVILLE, CT.
EXPIATION DATE: q /40
DATE SUBMITTED _ 9/8129_ �/
Property Owner Ppplica t hAtt/1���/Gf— 67 f�A(1ere,
Applicant's Address/Telephone Number y li u,ve y w ltr-t o £4), 6/24)410A., er V S/r-(,O I/
Property location including Assessor's Map and Lot Numbers M R Q 9 .. LOT- C7 r
V f•c'j^c
Zone • __ _ -- _Lot Area /./ 30 z 50 T Building Height j
Total Floor Area of Structures after Development _ LZ 4 _ Sign Area if Applicable mei/l►
(Mature of Request/Proposed Use: Hu i - I i x 1 I. S�n �/c-ii /iv P o Re 4r.L-
This application, and two copies thereof, including plans drawn to a scale of at least 1!'=40' showing dinensiops of
lot, the size, area, aid location on the lot of existing, proposed, principal and accessory structures, driveways,
sanitary facilities and water supply, parking facilities,and adjacent streets. Distances of structures from prowrt:y
line; and centerlines of public roads must also be indicated. In the case of fill or excavation requests (under 5(0
ethic yards) dimensions of fill area and a.ibic yards must be included. Any other regulations for specific uses nest
also be cuplied with.
The applicant giarantees that all the applicable requirements of the Zoning Regulations will be adhered to. In addition,
the applicant agrees tEl notify the Commission or its appointed agent of any alteration in the plass. Application for
a Certificate of Use and Compliance for the use specified above is hereby made, the use of which shall not be authorized
until an actual Certificate of Use and Compliance is issued by the Commission or its appointed agent. This permit
authorizes the applicant to proceed to the Building Department for
any requisite permits.
Commission Agent 4 bion false Applicant
FLAN
(Attach if Necessary)
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