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TOWN OF MONTVILLE
BUILDING DEPARTMENT
CERTIFICATE FOR USE & OCCUPANCY
Zone: R-20 Date: 11/7/95
This is to Certify that the structure_at:,10 Azalea Lane
constructed as: a shed under Permit No: 12316
conforms substantially to the requirements of the Building Cade 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: U
Section:'311.0 of the Basic Building Code of Connecticut.
CODE: CABO-1989
TYPE OF CONSTRUCTION: 5-B
SPECIAL CONDITIONS:
Signed:
NOTICE; Retain this certificate for future reference.
Form'No. B.D. 002
TOWN OF MONTVILLE lY
Building Department
848-7166
APPROVED BUILDING PE011T 'Ok `TRADES- PERMIT
For 18th Days-
Permit No- 12316 Approval Date-. 7/13/95 Expiration Date= 1/13/96
Estimated Cost: 2,160.00 Fees: 16.00 PRF = 2.10 C.O., 5.00
Owner-. Exeter & Deedee Keramldas Address= 10 Azalea Large Tel: 848--7822
Job Location: 10 Azalea Lane Code., 05
Contractor: self Address-..same Tel- same
Stick Built= x Modular Home= Manufactured Home commercial:
Addition: Garage> Car Port- Shed= x 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-- wood frame
Size= 12' x 16' 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-
13195
Date:, _76
Applicant's Signature: (D/ ~L
If signed by Contractor, type of .license/registration & No.
ZK
Building Official's Signature- ate=
Date of Health Dept, Approval:--,~-
Date of Zoning Approval:
-z~ THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119-3 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
'NSPECTIONS.
TOWN OF MONTVILLE `
Building Department
A lication for a Permit
/•-p>/~ L Tel:
Address
--r 21-,A
Owner:
Job Location:
Address : Tel:
Contractor:
Stick Built: Modular Home: Manufactured Homer Commercial:
,
Shed : Remodeling: Roofing :
Addition: Garage: Car Port: _
Chimney: Windows: Pool: Demolition:
Siding: _ Fireplace:. _
Plumbing: - Heating: Electrical: - Air Conditioning: Gas:
-
Deck: Retaining Wall: New: - Repair/Replacement:
Patio: - Porch: -
Type of Material/job description:
alp' Type of Heat : Fireplace:
-Size: ~
No. Rooms: Breezeway:
No. of Stories:
Use:
No. Baths: Garage:
k
ZONING PERMIT
ZONING PERMIT NUMBER f ( OR ❑N/A EXPIRATION DATE 3 y 6
APPLICANT 2~PP 0,;5
APPL'ICANT'S ADDRESS 4 4~ TELEPHONE C> ~~L3'.~L3o'
PROPERTY OWNER ,2C_4.~ " ~~O G kin rn c~c5
LOCATION LOT AREA 4 ZONE
ASSESSOR'S MAP NUMBER 3O LOT NUMBER Y ~T
BUILDING HEIGHT PROPOSED FLOOR AREA
NATURE OF REQUEST/PROPOSED USE S X l b
SKETCH ON REVERSE 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
ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS.
SKETCH PLAN OR GRADING PLAN [BYES ❑N/A
SEPTIC PERMIT ❑YES EN/A
STATE HIGHWAY PERMIT ❑YES MN/A
WETLANDS PERMIT ❑YES ®N/A
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑YES [ENO
HAS BOND BEEN FILED ❑YES ON/A
FEE PAID ❑ CASH IN CHECK # l71 ❑ N/A
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.
APPLICANTS SIGNATURE r.
COMMISSION AGENT DATE
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
REV. 6/12MS
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TOWN OF MONTVILLE, CONNECTICUT - CERTIFICATE OF COMPLIANCE NUMBER:
DATED: 10131196
Permission is hereby granted to PETER & DEEDEE KERAMIDAS to use the facility located on 10 AZALEA LANE; ASSESSOR'S
MAP 30, LOT 49A as a SHED in accordance with zoning permit number 96-164 dated 7/3196 and in compliance with the Zoning
Regulations for the Town of Montville, Connecticut.
PLANNING 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.
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