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TOWN OF M 0 N T V ILL
BUILDING DEPARTMENT
APPLICATION FOR'BUILDING PERMIT
Permit No. Date
Estimated Cost c
s-~ p Address TeIe.
Owner,
Tel e. q V(3
Contractor Address 1-51
Location of Building Zone No.
Additions & Alterations (Including moving, demolition, sign erection) _
New Building - Type of Construction_~~a.~~
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 contai ed are true and correct.
~L 79 Signed `L Approv7 -7
ed
Date Building Inspecto
k-1 I
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved 0 t= . Rejected Signed
r,
TOWN OF MONTVILLE, CONNECTICUT - CERTIFICATE OF COMPLIANCE NUMBER:
Dated*- fflo
Permission is hereby granted to ~,J~ wLE to use the
as a
facility located on«
in accordance with the application for a zoning permit dated
and in compliance with the Zoning Regulations for the Town of Montville,
Connecticut.
ZONING AND PLANNING COMMISSION, TOWN OF MONTVILLE, CONNECTICUT
gent or t e oning anning omission
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 Use and Compliance.
NOTE: Changes granted applicant after issuance of the Zoning Permit are to be clearly
specified in the Certificate of Use and Compliance.
ZONING PERMIT
ZONING PERMIT NUMBER
DATE SUBMITTED EXPIRATION DATE: ()U UCk~'
Applicant:4SA, Applicant'ss Telephone No.
Property Caner:
Property Location:. Assessors Map No. Lot No.
Subdivision Name:
Zone: Lot Area 1,11 ing Heig t:
Total Floor Areof ructure a ter velopment
Sign Area (If Applicable):
Nature of Request/Propos se:
This zoning permit and two copies thereof shall include plans drawn to a scale of at least 1" = 40' showing dimensions
of the lot, the size, area and location on the lot of existing, proposed, principal and accessory structures, driveway
sanitary facilities and water supply, parking facilities, and adjacent streets. Distances of structures from property
lines and centerlines of public roads must also be indicated. In the case of fill or excavation requests (under 500
cubic yards), dimensions of fill or excavation area must be included. Any other specific uses must also ccmply with
the zoning regulations. A plan prepared by a Connecticut Registered Land Surveyor may be required.
The applicant guarantees to adhere to all the applicable requirements of the zoning regulations. In addition, the
applicant agrees to notify the Carmission or its appointed agent of any alteration in the plans. The use specified
above shall NOT be authorized until an actual Certificate of Use and Cmpliance is issued by the Corrmission or its
appointed agent. THIS PONT ALfRMZES THE APPLICANT TO PRM® TO THE BUILDING DEPARIMNr FOR ANY REQUIRED PELTS
Rnt scant
a7missio Jtion W pp
PLC ~J~ Ai.his o~f~c~ cfi Z~ h~~~
REAR YARD DIMENSION
s
LOCATION OF PROPOSED STRUCTURE OR USE,.,'
Y
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t
a ~ 3y
C
A d k: t
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BUILDING LINE DIMENSION (WIDTH)