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OWN OF MONTV I LL
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permi t No. Date C-9 4/l
Estimated Cost_ / Fee, `cam`
0~) Address
Owner l2? Tel e.
Contractor Sf' Address Tele.
Location of Building Zone No.
Additions b 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 Approved
Date Building Inspector a _
~.U
Inspections For:
Footings
.Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed_
ZONING PERMIT
ZONING PERMIT N]M ER V -~5~ .
DATE SUEIr=: EXPIRATION a~TE: f
Applicant: ►`1G1~~ P No.`s 4. -
~Tele hone
Applicant's Address D(_1_~1, ~t1
Property caner: D ~S'~(~ r]~L1~i -
Property Location: 63 BeP Assessor's Imp Nb •
Subdivision Name:
Zone: M - 9 0 Lot Area: ' vim.
Total Floor Area of Structure After Developm ut iZx 211 Sign Area (If Applicable): - - -
Nature of Request/Proposed Use:' t
drawn to a scale of at least V' ° 40' showing dimensions
This coning permit and two copies thereof sball include glans
of the lot, the size, area and location cn the lot of existing, proposed, principal and accessory structures, driveways
sanitary facilities and tiater 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
, dimensions of fill or excavation area must be included. Any other specific uses mast also comply with
cubic yards)
the zoning regulations. A plan prepared by a Connecticut Registered Land Surveyor may be required.
Si, applicant tees to adhere to all the applicable requirements of the zoning regulations. In addition, the
guarantees t of any alteration in the plans. The use sp~ci..fied
applicant agrees to notify the Commission or its ~1 Compliance is issued by the Commission or its it.-.s
above shall NOT be authorized until an actual. Certificate of Use and Comp r S. _PHWf appointed agent. THIS PERMIT AUTHORIZES THE APPL ICANT TO PROCEED TO THE BU IW, DEPART~9ENI' FOR ANY REQUIRED
Actio Date Applicant
C
PLAN
REAR YARD DIMENSION
LOCATION OF PROPOSED STRUCTURE OR USE
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