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Town of Montville 4
Field Inspection Notice
Permit #
Location: /9 2 p 1/, 04'
Type of Inspection: R
Issued to: Delivered to: /_.73C
1 ' c— NOT APPROVED
The following order are hereby issued for their correction:
Please call for insp tion 'hen corrections have been corn. eted j • .-848-7166
Date: Ud
/ Building Official
Town o Montville
Field Inspection Notice
Permit #
Location: 177 0`"e (r- /oivp e-iC l Type of Inspection: //./✓ 5
y
Issued to: Delivered to:
APPROVED- NOT APPROVED
The following orders are hereby issued for their correction:
Please call for insjpecti n when corrections have been comple,te'd 8f 8-71 •
Date: 4/5— ev By:
Building Om -667
1
ZONING PERMIT
ZONING PERMIT NUMBER OR ❑N/A EXPIRATION DATE `J(Z51C
PROPERTY LOCATION f 7-7 ?Ace Ave. exT:. 1v(AS V'i(„C..E C T MAP .((c LOT 1
PROPERTY OWNER t �JC)r4 3 1--4 eXo ( ''loo") 848-9/00
CONTRACTOR to/A1 CONTRACTOR LICENSE#
CONTACT ADDRESS TELEPHONE
ZONE q- LOT AREA STRUCTURE AREA HEIGHT
NATURE OF REQUEST/PROPOSED USE p ?COx I IOt f L
IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION:
A SKETCH, OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1" =40' SHOWING: DIMENSIONS OF THE LOT, THE SIZE, AREA,AND
LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND WATER SUPPLY, PARKING
FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES AND WETLANDS. A PLAN PREPARED BY A
CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL
CERTIFICATE OF COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS.
Office use only
SKETCH PLAN OR GRADING PLAN YES ❑ A
HEALTH DISTRICT APPROVAL EYES N/f�/
STATE HIGHWAY PERMIT EYES tu
WETLANDS PERMIT EYES N/A
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY EYES
HAS BOND BEEN FILED EYES /A
FEE ❑ CASH ❑ CHECK# ❑ N/A
THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO:
1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS.
2. FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION.
3. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS.
4. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C.O.
l✓J ' j ff�
APPLICANT'S SIGNATURE `�-� DATE: �i 4/ V
shS „7(rc yJ 7 /7
COMMISSION AGEN DATE CERTIFICATE OF COMPLIANCE DATE
fid( 5 ej/�0
THIS SIGNED PERMIT AUTHORIZE l IE pC0PLICANT 2c)TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE
CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT
LOCATION.
REV. 6/29/99