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TOWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. 4#3 417 Date
Estim d Cost Fee
Owner Address ele.
.aazzd-12 g&2~2'1
Contr for 7ZL Address --Tel e.
Location of uilding Une No.
Additions & Alterations (Including moving, demolition, sign erection)
New Building - Type of Construction
Size Type of Heat Fireplace
No. of Stories No. Rooms Breezeway
No. Baths Garage 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.
Signed it Ol Approved
Date Building Inspecto
Inspections
For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
_ r
APPLICATION FOR A ZONING PERMIT, 'OWN OF MONTVILLE, CONNECTICUT
To be filled out by Applicant - 1 original and `i carbon copies
. PLEASE USE `TYPEWRITER
Date , 198. 1 4--
The unde s,ig;! c~ hereby applies to the Wing and Planning Commissio or a permit to a
i on 6 1 al It Lam} 0 Aw+
At#
r t
.i.on of Property
Pit%
,7-me of Subdivision ' L! W/o we. I Lot No. l
^_ssessor's Block No. Assess Parcel No.
gr
. •?~ame of (Omer) (.Agent) p Addre ss (g; ,
'Size of Building in ft.: Front overall +26 Depth overall Area sq. fl
No. of, stories ~ Height in ft. o a#- No. of rooms No. of bedrooms
No.'of -bathrooms Zoning District Area of Lot sq."ft., Lot frontage f.
Lot Wielth ft., Front Yard Depth t. "Rear Yar D e ft. Side Yard Depth ' ft.
040
Purpose;:of _.building and/or use is AW '
: anitar facilit
Water S y to 'c Dnsist o ,r Y y to consist of
Date of'Sanitation Officer approval
01
Remarks ° 1
fi 'per° agree to conform to all requirements of the Laws of the State of Connecticut" and th,
.Ordinanc. ~ulations of the Town of Montville, and to notify the Zoning and Planning
Co~?missi.:. alteration in the plans for which this permit is being asked. I furthermore agre
that the,_ F;kec ihi°it the above described facil"ity is to be located at the proper distance from all
street = a ..required by the Zoning Regulations or any other' applicable local and -state ordinanc
and regu'. "spn~':'a<d:it is understood that the facility upon completion will be used in compliance w
the Zoninb`.a>°•;ulations of the Town, of Montville.
I hereby apply or a Certificate of Use and Compliance for_ IF
Az A, 4~ ~ describe t" a ove application for a
permit. It is my understanding that the facility can not be occupied unti a Certificate f Use ar
Compliance has been issued by the Zoning and Planning Co sion.
Signed
O e Agent )
Tel. No.
Approved by Zoning Agent fi j Date
-00
Zoning Permit Not( - j V -issued.
Disapproved by Date
Reason
IC/10/70
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USE THIS SFACE GELCVV i.:Lt; FLCT FLAi-,1 f.C C! TY
Flot plan to a scale of 1 -4,01 prepared in compliance with Section 0. of the Zoning
Cegulations showing all boundaries of the proforiy and the location oc the building or buildings
on the property including the center line or any public or privaee right-of-way, sanitary
facilities and water supply. ".ij!Y C61:>>'.~ 1' ~.~V, Tl=1S DC-f~l; Ii~'~ ;v ".UST ~-Ii, BE CI -Cw- a
Wllf't, f~a` D ~--N ^,INED IN V RITINC C 'kC 7-CNlN'C AND rPLA il"ANC CCrMMISSIC-.N
OR ITS 'r C i 4 L~; AC-EiNT, 'lot plan mar be drawn or attaches; to this. sheet.
7h Lvet(
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1:- S6
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Inspected by oning Agent Data Pemarks
Certificate of Use and Cornpliance issued by Hate
i C/10/70
lNG
T ON IN C IM ]CUT
Fee Paid:
D ate
f elmission is hereby grcnc-ed ~o
side o► -
on the
to erect a
stories hic h;
f fto wide,
Cs follows: Size' :t. long,
distance from roa center line ft; distance from ea z side lot line: E ft; W ft;
-r S f t; for the use of the f aci I i ry as a
Wining and 'Planning Commission, Town or
Montville, Connecticut
THIS PEr,\,,ll IS VA!-ID r, ON YE-AG
Loning l-`~genfi=
The ~ of this permit accepts it on the condition that he, as owner or as representing
- , recipient of
the owner, agrees to comply with all applicable ordinances and regulations of the Town of Mon vil c
and the State Sta-M-es of the State of Connecticut regarding the use, occupancy and type of activihy
to be insti;u'red. It is furthermore understood that the facility can not be used until a Certificate of
Use and Compliance has been issued by the =oninci and Flanning Commission and that any :Hance of
use similarly does require a new Cerfiificate of Use and Compliance. Before a Certificate of Use and
Compliance will be issued a plot plan drawn do a scale of 1 AD' prepared and certified in
compliance with provisions contained in Section 3.2 of the l_oninc egulations crust be submitted to
the ~ oning and ;Tanning Commission showing all -boundaries of the property and as is location(s) or
all buildings on the ;.)roperty includinc the center line of any public or private right-of-way,
sanitary facilities and water supply.