HomeMy WebLinkAboutSFR 1978 •
TOWN OF MONTVILLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. a82S Date /////7i
Estimated Cost S -4,L00 o o Fee 5 / co , - /. 5 C ( 0
Owner dn , Address ye a Tele. rpii-/-/36o
Contractor Address /7_eu.,-,-L, Tele.
Location of Building /-duo Zone No. /11
Additions & Alterations (Including M ving, demolition, sign erection)
/ G/1-,
New Building - Type of Construction ci./a..0.
Size ,?6, X S G Type of Heat
Cr?!.6rJ Fireplace
No. of Stories / No. Rooms Breezeway
No. Baths / %z_ Garage ,,2 .624.} 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.
A
Signed ti
.11 Approved
Date r/i//76P Building Inspector
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER
WDB-4 11-69
WELL DRILLING PERMIT 46139-
STATE OFFICE BUILDING, HARTFORD,CONNECTICUT 06115
Pkp/W/C., o PE Q u o7- Rd
LOCATION OF WELL (Town) (Street) (Lot Number) DATE
_ Tc hn 1 ) Loty � 92X/-? 8
OWNER OF WELL /
BINDIVIDUAL ❑ BUILDER 0 OTHER(Specify)
OWNER'S ADDRESS
eo PEGoo) fid, 80k a67 ft9o/7ui//e nom /
PROPOSED DOMESTIC ni BUSINESS ❑ TEST Est. No.of
/ERESTABLISHMENT FARM WELL People being
USE OF
WELL PUBLIC � AIR n OTHER served.
SUPPLY I I INDUSTRIAL CONDITIONING i l
(Specify) /4/I1/ C
SKETCH OF WELL LOCATION /
Locate well with respect to at least two roads,showing distance from intersection and front of lot
Location of lot to at least two roads Well location on lot and to house(if present)
GI '
Indicate North
•
iZ.1
'I WII
l�
N.
WP `P0s�
40 gtell
/.,/5- i 11
PtQo7 , d
Approximate number of feet from well to
nearest source of possible contamination: qO F. -T-.
The undersigned is aware that upon completion of the well, a 'Well Completion Report" containing construction details and information required under Section
25-131 of the 1969 Supplement to the General Statutes must be sent to the owner,the Board and the Water Resources Commission on the form provided by the
Board. This permit is not valid until all information is filled in and it has been counter-signed by the Director of Health or his agent.
APPLICANT(Signature) APPLICANT'S ADDRESS REGISTRATION NO.
ilV ' We 1 /« /t�.e' '�`'`y cCc L ,► lc es rE,P 40 7
B Health Officer ,r
DATE
111.. APPROVED ri REJECTED / iy
REMARKS (/
DIRECTOR OF HEALTH
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 1249 REV.9-71 WELL DRILLING BOARD Do NOT fill in
STATE WELL NO.
State Office Building
HARTFORD,CONNECTICUT 06115
OTHER NO.
NAME I ADDRESS
OWNER
,_
LOCATION (No.8k/street) 1 (Town) (Lot Number)
OF WELL /
/ f 11't :'i}.T 's f
���, � BUSINESS
PROPOSED )( I DOMESTIC 6ESTABLISHMENT n FARM A ❑ TEST WELL
USE OF
WELL ❑ SUPPLY FI INDUSTRIAL PUBLIC ❑ CONDITIONING AIR ❑ OTHER(Specify)
DRILLING i7-1
1 F COMPRESSED CABLE FI OTHER
EQUIPMENT `- ROTARY AIR PERCUSSION FI PERCUSSION (Specify)
LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
CASING /
/
DETAILS ., s C f: / '} / THREADED n WELDED YES FIND YES n NO
YIELD / j HOURS 1//`'CCC YIELD(G.P.M.)
TEST I I BAILED I I PUMPED IKI COMPRESSED AIR I L 1
MEASURE FROM LAND SURFACE--STATIC (Specify feet) DURING YIELD TEST (feet)
WATER /` Depth of Completed Well
LEVEL 6 ' in feet below Land surface: /1-... .)
` MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVELDiameter of well including
GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED: oravel pack (inches):
DEPTH FROM LAND SURFACE Sketch exact location of well with distances, to at least
FEET to FEET FORMATION DESCRIPTION two permanent landmarks.
y 1
,r
4, .. r-- , 6
. i fly' LC 1; �_
7 41111 t ' ,;'I/d/ .:;s;,,_ J) 1 t ><
'- ) s /r-f . 1'/14 J I i t til, /-{ :t, N.-(
7 `7 /1-7)`-: iD4•L"K., 1 0/K/ is 1;7 f f 1!'' .
o
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE ,_
rGt✓:
l
„ :: "itLJ )i A ;1
DATE WELL COMPLETED I PERMIT NO. REGISTRATION NO. DATE OF kLPORT WELL DRILLER (Signature)
LOCAL DIRECTOR OF HEALTH
/ t\ CONTINENTAL HOMES OF NEW ENGLAND
E.� NASHUA, NEW HAMPSHIRE
Electrical System - Factory Installation
Concealed wiring consists of nonmetallic sheathed cable or SE cable.
Service equipment - 200 amp, 40 circuit 120/240 v, 1 ph, 3 w, 60 cy, ac.
Main Circuit Breaker - 200 Amp
Permanently Installed Factory Wired Appliances
APPLIANCE MODEL/TYPE MANUFACTURER
BASEBOARD HEATERS MBB BERKO
DISHWASHER GS0441 GENERAL ELECTRIC
RANGE J342 GENERAL ELECTRIC
RANGE FlOOD M930T WICK
Electrical Features Requiring Local Inspection
Service conductors, based on 2 inch raceway, requiring 75 C RH. RHW, THW,
etc. , conductors.
Service grounding to incoming metallic water pipe beyond plastic pipe and
meter or to driven ground.
Basement lighting and appliance circuits.
Basement installed service - equipment.
Completion of outdoor lighting.
PLUMBING
Inaccessible portions of potable water supply system tested at 105 psi .
Inaccessible portions of DWV system tested using a 10 foot head of water or
5 psi air.
Upon completion of these systems at home site, local inspection authority to
determine compliance with applicable code. Water closet, garbage disposal and
all traps are shipped loose for field installation.
STRUCTURAL ------- -----,—___—_-
Design roof live load 40 lb. per square foot
Design wind load 15 lb. per square foot
CUSTOMER
A. Del Grosso Realty, Inc. PROD. NO. 75004 - 52201
Lot #15, Turner Road
Montville, Connecticut
SERIAL NO'S. - F52201 B52201
UL LABEL NUMBER BC24715
ZONING BOARD OF APPEALS
MONTVILLE, CONNECTICUT 06382
ai-zu..a.ici,/ 4, 1-978
1�1•t. 9.ohn .C'uty
70 Perpuo.t goad
Mon tuill e, C7 06 382
ea-t M.t. .tuty:
:
9/14:4 w i.LC cl asi4 y the ttuLinq o? the Zones s 'oa td o? Appeal in
2e?e'tence -to a dulling made on Nouembe4 2, 1977, apptou'uu a
vaa i ance to a house can be built in a Manu?actwt i,,w1 ;one, at 64
Peguo-t road.
94 app/couing the building o? a one ?am-i t y dwelling ng on the
eKi4tion ?oundat i,on, the Zonong t'oa td o? Ap p eal4 wa4 alto ap-
paou-i.ng the -Cat 4,.3e and Montage as Jhown on the map aubm,i tied
with the application.
U taut y yow -4,
A-e./1.1U rae
p'eti'te Audette
Cha iJanan
cc: Mart.tn
Zo,zi,ng rn?odtcement O .ice r.