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Laundry Room and Pantry in Basement 2000
Town of Montvill Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2000-18 Permit Date 1/18/00 Permit Type Building Permit Code R4 Job Street# 37 Job Location Partridge Hollow Map/Block-Lot 028/005-069 Job Description enclose laundry/pantry in basement Owner Joseph Summers Mailing Address 37 Partridge Hollow City Oakdale State Ct. Zip 06370 Telephone 848-3425 Contractor Joseph Summers *Mailing Address 37 Partridge Hollow *City Oakdale *State Ct. *Zip 06370 *Telephone 848-3425 Lic/Reg Number Lic/Reg Type Expiration Date Use Group R4 Size Type Construction 5B Building Value $300.00 Building Fee $10.00 Plumbing Value $0.00 Plumbing Fee $0.00 Heating Value $0.00 Heating Fee $0.00 Electrical Value $100.00 Electrical Fee $10.00 A/C Value $0.00 A/C Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $400.00 State Ed Fee $0.06 C/O Fee $10.00 paid check Plan Review Fee $0.00 •tal Fees $30.06 Building Official's Signatur: . Date / Required Inspection ❑ Footings - Prior to pouring concrete ❑ Rough Heating and Air Conditioning ❑ Footing Drains/Waterproofing -Prior to backfill ❑ Chimney -One flue above thimble • Framing ❑ Fireplace-Throat • Rough Electrical ❑ Fireplace-Final ❑ Electrical Service ❑ Firestopping/Draftstopping ❑ Rough Plumbing -Leak test required ❑ Insulation ❑ Pool Bonding and Electric Final Inspection for Certificate of Occupancy-PRIOR to Use or Occupancy Town of�Kontville 2a ,i:-Z Building(Department 310 Norwich-New London Tp&e. ZJncasville, Ct. 06382 Tel. 848-7166 Ea.. 848-7231 Application for Building or Trades Permit Owner: ‘ e Seel, Svmrc-,erS MailingAddress: 37 Pori-6d } LLoW City: d,--k a cJ State: Cr Zip: O637o Tel: '6o 7 ./..4- /3y2_5 Job Location: 3-� Pr- - der J-1,0-0 w Map/Block-Lot e96zx / oc 7 c -- ry ? Contractor: SGL p Mailing Address: City: State: Zip: Tel: / / Type of Permit 0RNew Single Family ❑New Two Family ❑Addition ❑ Commercial ❑ Industrial Alteration ❑ Garage ❑ Carport ❑ Shed ❑ Roofing Air Conditioning ❑ Plumbing ❑Heating aElectrical ❑ Gas ❑Retaining Wall ❑ Deck ❑Pool ❑ Patio ❑ Porch ❑Demolition ❑Siding ❑ Windows ❑ Fireplace ❑ Chimney Job Description/Materials: N c-Gosh LAuNDc / P.aNTjZ iN BASb-r1En)T Size 12_ xi-7 Type of Heat Use 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 and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for •permit for such work as described above. New Home Construction Contractor :Have ou enteres '.'contract with the consumer for the proposed work ? ❑ Yes ❑No Owner/Agent Signatur• / e Date / /./q /00 Contractors License/'•. (tion Type &N'er Construction Value Fee ere Building $ _S00 $ Plumbing $ $ Heating $ $ Electrical $ /oo— $ 7© 4e' Air Conditioning $ $ Other $ $ aa ', Certificate of $ / .7. Plan Review Fee $ State Education Fee _,�/ $ ,ea_ , @Qt. Total $ �(j F e!. ;� ZONING PERMIT ZONING PERMIT NUMBER OR MNIA EXPIRATION DATE PROPERTY LOCATION 7 Pc-,,c4.F �J f-Ja,L.L c, MAP LOT PROPERTY OWNER oS 19 k �V rrl rr � S CONTRACTOR L i� J CONTRACTOR LICENSE It CONTACT ADDRESS > Pc r-4- d�r 1�7e,L L 0 TELEPHONE WIC—3 Li-Z 5 ZONE LOT AREA PERMIT REQUEST 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. SKETCH PLAN OR GRADING PLAN DYES ON/A ) vL HEALTH DISTRICT APPROVAL OYES (ON/A STATE HIGHWAY PERMIT OYES ON/A WETLANDS PERMIT DYES ON/A HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY DYES ONO HAS BOND BEEN FILED DYES ON/A FEE p CASH D CHECK# NIA 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. APPLICANTS SIGNATUR DATE: //a/e,e, 0 COMMISSION AGENT DATE CERTIFICATE OF COMPLIANCE DATE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT 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. dib * r_ED n d 0 r---- liCiL7-1Q P zt A9 ii° 'V • AZI il ' wo g • 8 ,' • "1111111 Y 4 g_ 0 0 L , I I