HomeMy WebLinkAboutZoning Permit 6-27-2002a-7 (.va Cn v-f I-k ,
ZONING PERMIT
IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING
INFORMATION:
PROPERTY LOCATIC
PROPERTY OWNER
MAP,kdQ LOT_
CONTRACTOR Ci-S AOOIS L(-C-/� NCONTRACTOR LICENSE it_.-%/l%Z.2
CONTACTADDRESS PD. j O� 4641 lierNIdrr �T TELEPHONE 6f6P)(S'(1
ZONE COO LOT AREA- -6-E_STRUCTUREAREA HEIGHT
NATURE OF REQUESTIPROPOSED USE D2 7 'Aba✓e- 0,,t t ,A pun I
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
HEALTH DISTRICT WPCA APPROVAL .
STATE HIGHWAY PERMIT
WETLANDS PERMIT '. '
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY
HAS BOND BEEN FILED
FEE
ZONING PERMIT NUMBER ORN/A
YES NIA
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❑CASHICHECK#
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THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO:
EXPIRATION DATE 4,)k P -cI,
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. CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION E
APPLICANT'S
COMMISSION
7/-,e=MA CiV� DATE J C L
CERTIFICATE OF COMPLIANCE
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS, '
THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR
REV. 6/29199
Town of Montville
Building Department
848-3030, Ext 82
ONE & TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN;OFF SHEET
Property Address
Job Description: 4 0 /
The owner/agent shall be responsible for the completion of the
form, no certificate of occupancy will be issued until
signatures below have been obtained.
all
HEALTH DISTRICT
848-3030-882
�/
Approved
�`
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Permit #:
Not Applicable
Septic stem Date
Approved
Private Well Date
Date
El
#:
ElNot Applicable
WPCA DEPARTMENT
848-3030 Ext 881
Approved
Municipal Sewer Date
❑
Permit #:
Not Applicable
Approved
❑
Permit #
Not Applicable
lvfunininat w�rPr .,_._
1�
Approved
El Permit #: f� Not Applicable
Director 11atr. —�
In -Compliance
t Zoning Q Not Applicable
' ' =�a-l- ems� J ❑ Permit #:
!Date
In -Compliance
d- El Permit #: Q� Not Applicable
Wetlands Harr
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Town of Montville
Building Department
848-3030, Ext 82
ONE & TWO FAMILY
CERTIFICATE OF OCCUPANCY
SICpN-OFF SHEET
Job Description:
The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all
signatures below have been obtained. —
Approved
Septic System Date El Permit #:
Applicable
Approved
Private Well Date ElPermit #: of Applicable
WPCA DEPARTMENT 848-3030, Ext 881
Approved
Municipal Sewer Date ElPermit #: ❑ Not Applicable
Approved
Municipal Water
El Permit # El Not Applicable
Date
DEPARTMENT OF PUBLIC WORKfi —
Approved
❑ Permit #: Not Applicable
Director Date
PLANNING & ZONING DEPARTMENT 848-3030 Ext . 81
uR O )LL In -Compliance
Z`7 6Z ® Permit #: (� Zoning ate Not Applicable
7S In -Compliance
❑ Permit #: Not Applicable
Inland -Wetlands Date