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HomeMy WebLinkAbout1994 - SFR TOWN OF MONTVILLE BUILDING DEPARTMENT CERTIFICATE FOR USE & OCCUPANCY Zone: R-20 Date: 01-24-95 This is to Certify that the structure at: 60 Pollys Lane constructed as: single family dwelling under Permit No: 11399 conforms substantially to the requirements of the Building Code Ordinance and Zoning Regulations as adopted by the Town of Montville and the State of Connecticut and is hereby approved for use and occupancy under Use Group: Section: 309 .5 of the Basic Building Code of Connecticut . CODE: CABG-1987 TYPE OF CONSTRUCTION: 5-B construction SPECIAL CONDITIONS: none Signed: � �•� NOTICE; Retain this certificate for future reference. Form No . B .D . 002 TOWN OF MONTVILL.E BUILDING DEPARTMENT WHAT IS REQUIRED FOR A C. O. CHECKLIST FIRST FLOOR SECOND FLOOR BASEMENT Egress d Egress d/ Egress D (C. Stairs 0/ Stairs 0/( Stairs e914 Guardrail Guardrail 6:31 , Guardrail.. Handrail0 X—_ Handrail OGS Handrail Z:21, Balusters _0 k Balusters i< Balusters 6I Smoke Detector_ -0I'' _ Smoke Detector D` \ Smoke Detector Z2 d l' : , k /-20( e GFI' s Kitchen GFI' s bathroom Wim./ GFI basement d /: GFI' s bathroom 1‹: Lighting 0 i ght ing e2/t/ /-20- d" /\ 20' Lighting 0, Doors on Bathrooms...74 s � .c�" � p �. Ceilini� n.�ulatior► � � � J Floor Coveringin Kitchen l !�k and Bathrooms � .�,1�fi1 i� 0'15 I ' (101',' Garane Miscellaneous Permits & Final. A Drovals Fire Rating O2( Windows 1 Building / - GFI' s' ©JC Ventilation -✓ Plumbing Smoke Detector /0A7-- Panel B67 Heating 4" Lip 2Vc Meter e)1 :' A/C U=°'/____ Floor Slope 0�l Furnace Fin tWOAINVI �Electrical // IBJ el/40gs- Lighting Safety Switc - gm.- Masonry House Nq�:=j�/ Attic Access Health ApprovaY� . �, o 1 Attic Light f� Zoning C. U. C.� ff :- r i _��=;_ J Exterior W. P. GFI OGW. P. C. A. Approval D ,ice %: EcoScience Laboratory 490 Main Street Norwich CT 06360 203-889-8104 11 Jan 95 94-954-N26 Mary Albot/Donald Mallon Jr West Ledge Realty 170 Flanders Road Niantic CT 06357 Results of analyses on a sample of wellwater from the premises at 60 Pollys Lane in Uncasville, CT, collected by the lab on 27 Dec 94 . Result Guideline Total Coliform bacteria by the Colilert PA method. Absent in 100 ml Absent pH 7 . 2 6 . 4-8 . 5 Alkalinity 36 mg/L as CaCO3 -- Hardness 34 mg/L as CaCO3 200* Chloride 8 mgCl/L 270 Nitrate 0 . 52 mgN/L 10 Ammonia <0 . 02 mgN/L 0 . 05 Iron 1 . 4** mgFe/L 0 . 3 Foam Screen Negative Negative Turbidity 8** NTU 5 .0 Color 25** Pt units 15 Odor 2 earthy 2 *Anything under 75 is considered soft water . ** Please see notes on the reverse side. Results indicate teat this water is suitable r use as ' ,table water to the extgpffAhat these tests performed o a s . • 1 _ sam• le can so indicate . 001. Ar / /Av. -- Aw lAW-fr An ' ony G . B= oit , Dir,i t //<"%d Tiyo`" /j'dae13Vi 1z- rrO P �9 LAND Connecticut Public Health Lab MPH0430 Printed on 100%recycled paper. TOWN OF MONTVILLE,CONNECTICUT-CERTIFICATE OF COMPLIANCE NUMBER:229-94 DATED:01/17/95 Permission is hereby granted to D.C.RUSS,INC.to use the facility located on 60 POLLYS LANE;ASSESSOR'S MAP 103,LOT 49 as a SINGLE FAMILY DEWELLING in accordance with zoning permit number 94-2 dated 1/3/94 and in compliance with the Zoning Regulations for the Town of Montville,Connecticut. PLA NING AND ZONING COMMISSION,TOWN OF MONTVILLE,CONNECTICUT Agent for the Planning and Zoning Commission The recipient of this certificate accepts this certificate on the condition that he as the owner or as representing the owner, agrees to comply with all applicable ordinances and regulations of the Town of Montville and the State Statutes of the State of Connecticut regarding the use,occupancy and type of activity to be instituted. It is furthermore understood that any change of use of the facility for which this certificate is being issued does require a new Certificate of Compliance. NOTE: Changes granted applicant after issuance of the Zoning Permit are to be clearly specified in the Certificate of Compliance. TOWN OF MONTVILLE,CONNECTICUT-CERTIFICATE OF COMPLIANCE NUMBER:22994 DATED:12/16/94 Permission is hereby granted to D.C.RUSS,INC.to use the facility located on 60 POLLYS LANE;ASSESSOR;S MAP 103,LOT 49 as a SINGLE FAMILY DWELLING in accordance with zoning permit number 94-2 dated 113/94 and in compliance with the Zoning Regulations for the Town of Montville,Connecticut. PLANNING AND ZONING COMMISSION,TOWN OF MONTVILLE,CONNECTICUT Agent for the tanning and Zoning Commission The recipient of this certificate accepts this certificate on the condition that he as the owner or as representing the owner, agrees to comply with all applicable ordinances and regulations of the Town of Montville and the State Statutes of the State of Connecticut regarding the use,occupancy and type of activity to be instituted. It is furthermore understood that any change of use of the facility for which this certificate is being issued does require a new Certificate of Compliance. NOTE: Changes granted applicant after issuance of the Zoning Permit are to be clearly specified in the Certificate of Compliance. • 90-DAY TEMPORARY CERTIFICATE OF COMPLIANCE N2 TOWN OF MONTVILLE - S� PERMIT FOR PUBLIC SEWER CONNECTION q DATE - Jo -�f q FEE $ 30.00 _ PERMIT NO. / < E- TYPE NO. OF UNITS LOCATION 6o iPaLe- t-f-A ,92-------e-- OWNER(S) OF RECORDS [) , C . vtC NAME 0' L MAILINGS Dts ✓� l� 3p5- TIE-IN ` Pay CONTRACTOR 00(0,fc3 ,,_,,,_, DATE I0'TUJ`195INSPECTED BY — 'PCA AGENT METERED METER NO. DATE FIRST READING INSTALLED SKETCH OF LOT SHOWING WELL OR WATER PIPES, BUILDING AND PROPOSED TIE-IN ROUTE TO STREET STUB. Show as-built connection complete with all measurements from a permanent structure to pipe exit from building and all cleanout locations, trap and vent (if outside) , grease pit (if any) , grinder pump installation (if any) . (Use back of white sheet if necessary. ) \--RAp ZO 14-11 ,a WPCA COPY INSIJCTOR COPY OWNER COPY (white) (yellow) (pink) TOWN OF MONTVILLE ee a . Building Department 848-7166 It10 r APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11399 Approval Date: 4/25/94 Expiration Date: 10/25/94 Estimated Cost: 66 ,370 .00 Fees: 402 .00 PRF: 50 .00 C .O: 10 .00 Owner : n .rr.Russ , Inc . Address: Waterford Tel : 442-5719 Job Location: 60 Polly 's Lane Code: 01 Contractor : self Address: same Tel : same Stick Built: Modular Home: x Manufactured Home: Commercial : Addition: Garage: x Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas: Patio: Porch: Deck: x Retaining Wall : New: x Repair/Replacement: Type of material used/discription: modular Cape with attached one car garage and 8 ' x 14 ' pressure treated deck Size: 26 ' x 36 ' Type of Heat: hot water Fireplace: n/a No .of Stories: 1 1/2 No . Rooms: 7 Breezeway: n/a No . Baths: 2 Garage: 14 ' x 22 ' attached Use: residential I hereby certify that the .roposed wor , will conform to the Basic Building Code and all other C. .es as ad p .-d by the State of Connecticut , and the Town of Montville . Applicant 's Signature: Date: `1-.2-5-r-9' 4-/ If signed by Contractor , type ofoi cense/regi_tr, ion & No: _lf// Building Official 's Signature-ki,, _. J/4/241 4 i. . a?6- - q y Date of Health Dept . Approval : ,, J Date of Zoning Approval : d 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 . A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS . ,,,,, (....--1?---1) Cike TOWN OF MONTVILLE I v Building Departmentit 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11301 Approval Date: 2/25/94 Expiration Date: 8/25/94 Estimated Cost: 5 ,000 .00 Fees: 28 .00 PRF: C .O: Owner : D .C .Russ , Inc . Address: Waterford Tel : 442-5719 Job Location: 60 Polly 's Lane Code: 1A Contractor : self Address: same Tel : same Stick Built: Modular Home: x 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: Retaining Wall : New: x Repair/Replacement: Type of material used/discription: foundation only for modular house Size: 26 ' x 36 ' Type of Heat: Fireplace: No .of Stories: No . Rooms: Breezeway: No . Baths: Garage: Use: I hereby certify that the oposed wor ill. onform to the Basic Building Code and all other C es as, ado e• • - he State of Connecticut , and the Town of Montville . / ,b , C , fir S ` Applicant 's Signature: By / Date: 2- '7-5-- 97/ / 777 If signed by Contractor , type of license/registration & No: Building Official 's Signature: ' 0LDate: 2- --74-1-7/2 Date of Health Dept . Approval : Date of Zoning Approval : c0 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 . A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS . //06/ TOWN OF MONTVILLE Building Department Application for a Permit / Owner: D,C, /2 U SS, 1 wc, ��- Address: Pc). Box / (.Va4e-,T:r�P Tel : YYa-s7/? Job Location: 60 t o ity S Z444 e Contractor : D, c. RcSS Address: PO• 13ox I (ja-f-Z, , P Tel : `Py-?-5-7' 9 Stick Built: Modular Home: , Manufactured Home: Commercial: IAddition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: _ Windows: Pool : Demolition: Plumbing: _ Heating: _ Electrical: _ Air Conditioning: _ Gas: Patio: _ Porch: _ Deck: _ Retaining Wall : _ New: _ Repair/Replacement: Type of Material/job description: Size: 26X 36 Type of Heat: //. Gig 2. /f. Fireplace: No. of Stories: b S No. Rooms: Breezeway: No. Baths: / 3�`71 Garage: //0 Use: ZONING PERMIT ' *ASSESSOR'S MAP NUMBER /C _> LOT NUMBER v7 EXPIRATION DATE ZONING PERMIT NUMBER 9f- APPLICANT 1� i\ .. i L!", -_\ 1 C; APPLICANTS ADDRESS -'\'''` • '7 C". 'V<( I ' I`' i L ' lc:, Lr � r _ J• - r TELEPHONE � l Y� � � PROPERTY OWNER S /1/('/ 'F= LOCATION •:: I /�'! ",z-i_ LOT AREA " �� nZONE 1<17- f,.., BUILDING HEIGHT PROPOSED FLOOR AREA 1 117 (• /'(\- -.NATURE OF REQUEST/PROPOSED USE !�- i, , , Is., ;�. f... - '- i4 L,., i(; r-- ,.j HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY _YES NO HAS BOND BEEN FILED _.YES _,NO SKETCH BELOW 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 IN THE CASE OF FILL OR EXCAVATION REQUESTS !UNDER 500 CUBIC YARDS), DIMENSIONS OF FILL OR EXCAVATION AREA MUST BE INCLUDED. 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 SSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. THIS PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS ,/I,(1_-Jgef-ta. '''''—c4"16'"*4--ag`111/Ai THE APPLICANT AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 3. CONTACT THE ZONING OFFICER(848-8549)AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT LOCATION. 4 CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF A C.O, APPLICANT'S SIGNATURE - i <: DATE: l - / -% -- THE LETTERS "NA" (INDICATING "NOT APPLICABLE") SHALL BE NOTED IN LIEU OF A ZONING PERMIT NUMBER IN THE EVENT THAT A ZONING PERMIT FOR THEEPPPROPO ED USE IS NOT REQUIRED. / `/3 / /y COMMISSION AGENT DATE - ., 60 p01. 4,./4 i, Atib /14A !03 t,oT Y9 D,c , IZL)SS, .7-AJC , Li Li - S7/ 9 {p,0, 12oi< I C vagi;u.e0C r vG .?, $.c—" !I 5 5 5.--- ------,„ -.* \-\ , .- A,\ / `,. VN O IQ / o°J�ab // 1- 0 / Ct / \ ON IA) Sc4 Le ,` INC s 1770.4 eco r rc r 1(0 IC-- 1C ) . Lj TOWN OF MONTVILLE f 1 WATER POLLUTION CONTROL AUTHORITY 310 NORWICH-NEW LONDON TPKE. UNCASVILLE,CONNECTICUT 06382 848-7094 February 25, 1994 TO: RUSS STAUFFER, BUILDING INSPECTOR FROM: WILLIAM L. NOYCE, ADMINISTRATOR, W.P.C.A. SUBJECT: PROPERTY LOCATED AT 60 POLLY 'S LANE Account #6925 The above property is on our sewer line and has paid the sewer assessment and is able to tie into the municipal sewer line. Sincerely, UO , &-L) (---c)--- William L. Noyc W.P.C.A. , Admin strator WLN:Ikr ' . , . o PoL-Liz i-, AAJE . % . . /14/91 103 2.07 to Ros- , ..'r•tve r 1, CI 'S) p - #11" fjd-4/.I-Tel•di I- cl C, .." 7,-r--- . 6-, 0 fil /1, , A 0.* 2------- •--, ...., -------___ ,--' ,.. 3\ \ z/V-- \ 1 '1 1-r,d \v•'s- C' ''‘•• 49 ft,c// / ,••• / --- • '41 c<qr:.>_r_ 4--I r 1 I a, 7---., ,--• ',7- i :-• - '.: i \ . , 1 i . 1 i ........................................,....-- 1 .•• . 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IlilllI UT111111111TT1Tl TT T, i, i 1 II 1 1 I \\ ' I, . , ) ,,,, , -, 2i ±1/ (a, . k C. 1111 111-111 } 12 '\\:' r 1 1,b14•YW i \ 1.. IN JF JII .-.• I co N i 1 1 1 I I co O ' p I I 111-1 I H. /33 1 I 1 _ I t1,10- I O I Ii 1 1 I ,i ---4---: _!.1 t 1if t 1 1 I t 1 1 i 170 1 j .0)LE -4- I r a A 4 +--1 13'0" 4.....• - 13,0„ .. V 9 3.J ..f?.-: 1 0 e r -r IF- d 7 c lima , o • s' F J - f: g . a'fib _ go _ on _ _ __ _ _ � � . ...• _ -- ---1- I PQ e//)11 TOWN OF MONTVILLE /;-/ Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11399-E Approval Date: 4/27/94 Expiration Date: 10/27/94 Estimated Cost: 1 ,700 .00 Fees: 10 .00 PRF: C .0: Owner : D .C .Russ Address: 223 Boston Post Rd . Tel: Job Location: 60 Polly 's Lane Code: 06 Contractor: Gunderman Electric Address: Niantic Tel : 739-4000 Stick Built: Modular Home: x Manufactured Home: Commercial : Addition: Garage: Car Port: Shed: Remodeling: Roofing: I Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : x Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement: Type of material used/discription: install 100A service and wiring upstairs snd basement for modular house Size: Type of Heat: Fireplace: No .of Stories: No . Rooms: Breezeway: I' No . Baths: Garage: 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 . il Applicant 's Signature: Date: AO `� �061 If signed by Contractor , ype of i n & No: icense/registration 0 / / E'/ 9 Building Official 's Signature: Date : YA-2,7 ,/ Date of Health Dept . Approval : ////41- Date of Zoning Approval : tY/g 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 . A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS . 3c1 ` TOWN OF MONTVILLE Building Department Application for a Permit Owner : PC Russ L'iC Address: a2�3 QOSG O �osf J` Tel : Job Location: PolJy1J Lh, Contractor : lT'47h cYtr*wi 4,t Address: /J"o J/t poiit/?//thg1Ac• Tel • 73F-Y°° ° Stick Built: Modular Home: )c 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: _ Retaining Wall : New: Repair/Replacement: _ Type of Material/job description: Ih.C4,11 °O .21,0 J'Cr vrC; G17u' Gti/frc Sc ( 0., ci Fluor Size: Type of Heat: Fireplace: No. of Stories: No . Rooms: Breezeway: No . Baths: Garage: Use: TOWN OF MONTVILLE t ej8?-) Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11399--P,i/Approval Date: 4/26/94 Expiration Date: 10/26/94 Estimated Cost: 3 ,000 .00 Fees: /6.00 PRF: C .O: Owner: D .C . Russ Address: Lynch Hill Road Tel : Job Location: 60 Polly 's Lane Code: 06 Contractor : Rainbow P & H Address: 554 Raymond Hill RoadTel : 848-9895 Stick Built: Modular Home: x Manufactured Home: Commercial : Addition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: x Heating: - Electrical : Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement: Type of material used/discription: PVC drain pipes and copper water & Heat lines to Code Size: Type of Heat: Fireplace: No .of Stories: No . Rooms: Breezeway: No . Baths: Garage: 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 . a Applicant 's Signature: %� r S S.- Date: zi--L G- ici If signed by Contractor , type of-cense/re gis t -tion & No: /21 - c>2O g cO 7 Building Official 's Signature: �� � ��_: �; �� 4,/„ p 4.i Date: y-o26--9y / Date of Health Dept . Approval : A1/41.- Date of Zoning Approval : 4/,/4- THIS ( 4-- 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 _ A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS . 1.011 5 t g Y �! / �� �� TOWN OF MONTVILLE Building Department Application for a Permit Owner: /)4 n/ /e SS Address: y`vc/ 6 f�Gt //�� iPd Tel: Job Locationl�Po z-L J'S 4 Contractor: Re9hvi3 0 kl FSG! Address: 5-5-41 it'/�-ymo �r� �o�iGc/�j,�.Tel : tYr4(f`9S— Stick Built: L1�Cr9Slii�ch . Modular Home: r/ Manufactured Home: commercial: Addition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: I1 Plumbing: _ "Heating: ,//, Electrical : Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: Repair/Replacement: _ I . Type of Material to be used/job description: PVC P Ph IJ/1gIr✓/ -p / est- I L (oP S <�r'Gk, Size: 3 13/24. Type of Heat: 131071,/472a4 . Fireplace: /-'0 No.of Stories: � No. Rooms: S— Breezeway: a/Q No. Baths: Garage: / C 44 Use: t S TOWN OF MONTVILLE GV Building Department qkt 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11494 Approval Date: 5/19/94 Expiration Date: 11/19/94 Estimated Cost : 1 , 200 . 00 Fees : 10 . 00 PRF: 1 . 50 C.O: 5 . 00 Owner: Dan Russ Address : Waterford Tel : Job Location: 60 Polly' s Lane Code: 05 Contractor : Frank Lathrop Address : 26 Chris Drive Tel : 848-0698 Stick Built : Modular Home: x Manufactured Home: Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: x Windows : Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas : Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement : Type of material used/discription: stick chimney - Size: Type of Heat : Fireplace: No. of Stories : No. Rooms: Breezeway: No. Baths : Garage: Use: I hereby certify that the proposed work will conform to the Basic Building Code and all oth,r Codes as ad t-d by the State of Connecticut , and the Town of Montville. - ' / Applicant 's Signature: /c/ j Date: If signed by Contractor, type of` i. cense/regi tiC45(171-3 /ion & No: Building Official 's Signature•, . !_ �� 4, 1/.4 •ate• CH/9-_17 / I,1 Date of Health Dept . Approval : "0- -Date of Zoning Approval : /(1/41- 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. A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS. if /J q7Y TOWN OF MONTVILLE lrw Building Department i ' Application for a Permit ,.A� � j Owner: )4)i QUfC w �{� i �(X� ` Address: et, )07C Tel : 46 Job Location: f)6(.2c_lf_.5 ( A- -�f`�cN N L �� � - �! Contractor: �,��pp�� T�� Address: �o emacs , Tot : h c'f"v, 5V Stick Built: Modular Home: Manufactured Home: commercial : Addition: Garage: Car Port: 1 Shed: Remodeling: Roofing: Siding: Fireplace: Chimne Y: Windows:4 _ pool : _ Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas: Patio: Porch: _ Deck: _ Retaining Wall : _ . New: _ Repair/Replacement: Type of Material to be used/job description: Size: Type of Heat: Fireplace: No.of Stories: No . Rooms: Breezeway: No. Baths: Garage: Use: 692 TOWN OF`MONTVILLE Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 11399-H Approval Date: 5/2/94 Expiration Date: 11/2/94 Estimated Cost : 5 , 500 . 00 Fees : 34 . 00 PRF: C.O: Owner: D. C .Russ Address : Waterford Tel : Job Location: 60 Folly ' s Lane Code: 06 Contractor: Rainbow Address : Raymond Hill Road Tel : 848-9895 Stick Built : Modular Home: x Manufactured Home: Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: x Electrical : Air Conditioning: Gas : Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement : Type of material used/discription: install boiler - oil fired to Code Size: Type of Heat : Fireplace: No.of Stories : No. Rooms : Breezeway: No. Baths : Garage: 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. Applicant 's Signature: Le4Cte-eli / l' ,.� C' i Date: So� �SL If signed by Contractor, type of ense/regi tration & No: 1.--)-/ a.O'- '5?/ Building Official 's Signature: rN / 7� g ' �� � 1�. . ..�.:' : � Date: i j�j® Date of Health Dept . Approval : Date of Zoning Approval : 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. A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS. J /5 9 �- TOWN OF MONTVILLE c�S4c) TOWN OF Application' for a Permit Owner: -04714S5 Address: arrF D Tel Job Location: t.,© P6 i/Cf IS Lief Contractor: ‘�r��� (a J I`Cfy Address: Stick Built: Modular Home: y' Manufactured Home: i Commercial: Addition: Garage: Car Port: Shed: —t _. Remodeling: Roofing: Siding: - Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: _ Heating: Electrical: Air Conditioning: _ Gas: Patio: _ Porch: _ Deck: _ Retaining Wall : New: ._ Repair/Replacement: Type of Material/job description: ./. 7,157/741 � f t "`r' Size: Type of Heat: i)72- / a�tAFireplace: No. of Stories: No . Rooms: Breezeway: No. Baths: Garage: Use: