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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 1$ ,-Da y
Perm 1t NO : 9,395' Approval Date : 7//?j Expiration Date : `4/7/
Estimated Cost : --5-7 (-31 ® e) Fees : 3 2 PRF: ‘7. 7o C. O: 5—
Owner:
Owner: qo Address : 1-17/64 c72A--12-• Tel : ?S--?-3� /r
Job Location : 50'1"L/1- Code :
Contractor: Address : � - Tel :
Stick Built : Modular Home : Manufactured Home : Commercial :
Addition: Garage : Car Port : Shed : Remodeling : Roofing :
Siding : Fireplace : Chimney : Windows : Pool : Demolition :
Plumbing: Heating: Electrical : Air Conditioning : Gas :
Patio : Porch : Deck : x New: x Repair/Replacement :
Type of material used/discription : / ,t_pL,,t7,, -4...--/AA--&-t-4—
Size : WA/c,)V./ Type of Heat : Fireplace :
No• of Stories : No. Rooms : Breezeway :
No. Baths : Garage : Use :
I hereby certify that e \proposed work will conform to the Basic
Building Code and all athe Coles as dopted by the State of Connecticut, and
the Town of Montville.
Applicant' s Signature : �'�
�� _._._._. Date: /-'/
If signed by Contractor, type of license/registration & o : _..__ 12./31 - — _
B ilin Official' s Signature : ._ 1�- �/ ' �
'� g g ----- ___ _- ��..; ..__.___ __i_A �� _— Date : _--__�-z" ,�.�
Date of Health Dept. Approval : _-
Date of Zoning Approval : ._....____ './ _7L1_. .------.-_._.._--
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119. 1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
TOWN OF MONTVILLE
Building Department
�� / Application for a P mit
Owner: /i "ik- Addreaa: T / -Wk./ 1/� :
9 Tel : 69S9 3�
Job Location: ] 6N�✓ ✓G C/�/eW a,l� 66 7 7 d
Contractor: 5c (r Addreaa: Tel :
Stick Built: Modular Home: Manufactured Home: commercial:
Addition: Garage: Car Port: Shed: _ Remodeling: _ Roofing:
Siding: _ Fireplace: Chimney: Windows: — Pool : Demolition:
Plumbing: _ Heating: Electrical: Air Conditioning: _ •
Gas:
Patio: /
._ Porch: Deck: V New: / Repair/Replacement:
Type of Material to be used/job description: ee--551-fae- 4"6eic
Size: a4{ 02 9 Type of Heat:
Fireplace:
No.of Stories: No. Rooms:
Breezeway:
No. Baths: Garage:
Use:
ZONING PERMIT
ZONING PERMIT NUMBER
DATE SUBMII IRU ,)(4w2 a i- /9?/ EXPIRATION DATE JO E fauT11 ,
Applicant: / ;:L AIi.i3 /;,/s.Applicant's Address: c t ,/A, CW1cg<t Ct'' Telephone No. rYS9 3��g
Property Owner: 541AAc
Property Location: SSM r;. Assessor's Map No. Lot No.
Zone: 12,-20 Lot Area: Building Height:
Total Floor Area of Structure After Development: 24 x 14/
--54 --Area (If ApPI i sablel:—
Nature of Request/Proposed Use: SFr
This zoning permit and two copies thereof shall include plans drawn to a scale of at least 1".40' showing dimensions of
the lot, the size, area and 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 frau property
lines and centerlines of public roads rust be indicated. In the case of fill or excavation requests (under 500 cubic
yards), dimensions of fill or excavation area must be included. Any other specific uses must also comply with the zoninc
regulations. A plan prepared by a Connecticut Registered Land Surveyor may be required.
The applicant guarantees to adhere to all the applicable requirements of the zoning regulations. In addition, the appli-
cant agrees to notify the Commission or its appointed agent of any alteration in the plans. The use specified above shal
NOT be authorized until an actual Certificate of Use and Ccmplia •- s issued by the Commission or its appointed agent.
JIHIS PETIT pun-QtIZES THE APPLICANT TO PROCEED 11) THE BUILDI 1:'' ; o , REQUIRED PERMII1
Cannis oief* (TC1l,,()) ().28. 1( 1,,,y(
nAgent Action/Date APPlicnt
PLAN
REAR YARD DIMENSION
LOCATION OF PROPOSED STRUCTURE OR USE
� o
o �
N
L7).
BUILDING LINE DIMENSION (WIDTH)
FRONT YARD DIMENSION
CONDITIONS OF APPROVAL:
1. APPLICANT MUST CONTACT ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CO6IRU.TICN BEGINS TO ALLOW ZONING OFFICER
TO INSPECT LOCATION.
2. APPLICANT MIST CONTACT ZONING OFFICER (NCE CONSTRUCTION FINISHED.
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