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TOWN OF MONTVILLE
Building Department. n
~~4p 1
848-71€6
APPROVED BUILDING PEf2MIT aR TFtA ~S „PEf f~'fIT
For 18t} Dates
Permit No- 18848 Approval Date- 11/17/97 Expiration Date= 5/17/98
Estimated Cost- 8;840.00 'Fees- 22.00 PRF- 2.70 C.O- 5.00
Owner= Gary & Namie Tedford Address 18 Avery Road Tel= 848-20,21
Job Location- 18 Avery Road Code= 05
Contractor= self Address= same Tel= same
Stick Built= x 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 Retaining Wall*-, New: x Repair/Replacement-
Type of material used/discription- pressuire treated wood frame deck
Size= 16' x 24' Type of Heat- Fireplace-
No.of Stories No_ Rooms` Breezeway-
No_ Baths- Garage: Use:
:1 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' Date= 1
If signed by Contractor, type of 1'censo/regis ra on & No-
lepil
Building Official's Signature= ate=
Date of Health Dept. Approval-
Date of Zoning Approval-
THIS IS TO INFORM YOU THAT UNDER THE CONNECTTCUT_AMENDMENT OF THE
BUILDING CODE, SECTION' 119 A 'CEPTIFICATE _ n O C UPANCY_ _IS R_EQUI_RED' PRIOR TO
ANY USE OF THE STi IJCT17#2UR NOTICE TO THE BUILDING' DEPARTP~iENT IS EOUTRED_FOR
A MINIMUM OF 24 HO i
INSPECTIONS.
P
TOWN OF MONTVILLE
Building Department
~P_~qat-i.on. for a Permit
44 rc ~V1CGt5~i~ I~T.el
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Job :Location:
Address: Tel
Add
commercial:
Modular Home: Manufactured Home:
Stick Built: Roofing:
Car Port: - Shed: - Remodeling: -
Addition: Garage:
Windows: Pool: _ Demolition:
-
Sid ing: - Fireplace: Chimney:
Air conditioning: - Gas:
plumbing: - Heating: Electrical: _
/Retaining Wall: New: - Repair/Replacement:
-
Patio: - Porch: - Deck: ✓
Type of Material to be used/job description:
Fireplace:
Type of Heat:
Size:
Breezeway :
No_ Rooms:
No . of Stories:
Use:
No. Baths: Garage:
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FOR.; C,qv
18 - ? ROAD c c~ r 3 2
D7A7 6; //-3-?7
ZONING PERMIT•
OR N!A EXPIRATION DATE
ZONING PERMIT NUMBER
:b ir
APPLICANT CJk, „Zp~}
TELEPHONE
APPLICANTS ADDRESS t~ v id, ~J
PROPERTY OWNER ' L P 3 Z ~l ZONE _ Z
LOT AREA
LOCATION
AS>ESSORSMAP NUMB Ef2 { -LOT NUMBER PROPOSED FLOOR AREA
BUILDING HEIGHT io
NATURE OF REOUESTIPROPOSEDLISE ~G THE SKETCH ON REVERSE OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1' = 40' SHHOWIINNY DIMELNSSI NSSNODF T E L SUPPLY. ,~PAR}C1NG TER
AND LOCATION OF EXISTING. PROPOSED. PRINCIPAL AND ACCESSORY STRUCTURES, PROPERTY DRIVEWAYS S
ES AND ADJACENT STREETS; 0S OTANCES F FILL OF PROPOSED STR E.A MUST 8 INCLUDED. A PLAN PREPARED BY A CONNECTICUT REG STER D LAND
FACILITI CERTIFICATE OF COMPLIANCE 1S
FILL OR EXCAVATION AREA
(UNDER SOD CUBIC YARDS), DIIMENSION S [S
SURVEYOR MAY BE REQUIRED' THE PROPOSED USE SPECIFIED ABOVE SHALI. NOT BE AUTHORIZED UNTIL AN ACTUAL
ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS.
FJYES ONIA
SKETCH PLAN OR GRADING PLAN OYES ®N/A
SEPTIC PERMIT AYES [ N/A
STATE HIGHWAY PERMIT OYES ®N/A
VuSI TLANDS PERMIT
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY OYcS ONO
(]YES ❑NlA
HIAS BOND BEEN FILED CASH O CHECK # J NIA
FEE PAID
THE APPLICANT AGREES TO:
1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING RE
G10N IN THE PLANS.
:Z. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION
3. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O.
DATE:
Appl•ICANTS SIGNATUR
lic DATE
CERTIFICATE OF COMPLIANCE
c l - DATE
COMMISSION AGENT
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
CONTACT THE ZONI FOR NG OFFICER (848-8549) AT LEAST 24 HOURS CAT ONE
CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT LO
REV. 7125M7