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HomeMy WebLinkAboutMFH, Deck and Shed 1996 TOWN OF MONTVILLEfikp Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 13260-LP Approval Date: 12/20/96 Expiration Date: Estimated Cost: $750 .00 Fees: $10 .00 PRF: C.O: Owner: Paula Ross Address: 21 Rainbow Dr . Tel : Job Location: Same Code: 06 Contractor : Propone Gas Service Address: 420 John Fitch Blvd . Tel: ( 860 )289- 0267 Stick Built: Modular Home: Manufactured Home: Commercial: Addition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: Electrical : Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall: New: Repair/Replacement: Type of material used/discription: Setting ( 2 ) 420 tks . with propane gas owned by PGS , Inc . Size: Type of Heat: Fireplace: No .of Stories: No . Rooms: Breezeway: No. Baths: Garage: Use: I hereby certify that the proposed work will conform to the Basic Building Code and all other Codes as adopted by the State of Connecticut, and the Town of Montville . Applicant 's Signature: I ` 6211/CA4) Date: If signed by Contractor , type of license/registration No: 3(--"' es f uu� 54A Building Official 's Signature: V 1 /‘' Date: /2 - 2- O " 96 /� // Date of Health Dept . Approval : v Date of Zoning Approval : THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE, SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE . A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS. TOWN OF MONTVILLE rejl Building Department ejd- PC"‘.0 Application for a Permit 2J Owner: [ Yb�cwte 4L ; ' ' Z Address: :0433l�ili'c ' " r Tel : ��� �� �� Job Location: 2 I 1Ra:ri c w bY. v/l�{-vj�'i� — (?cls •�c s ) Contractor: ?nitJame Get gorv�\Ce., Address: /2OThK Rieit 1J Tel : C o)z.89-au-, Stick Built: Modular Home: Manufactured Home: commercial : Addition: Garage: _ Car Port: __. Shed: Remodeling: _ Roofin g� Siding: Fireplace: Chimney: _ Windows: Pool : _ Demolition: Plumbing: Heating: _ Electrical : Air Conditioning: _ Gas: X Patio: _ Porch: _ Deck: _ Retaining Wall : , New: _ Repair/Replacement: Type of Material to be used /job description: .$e-zg°tKo (2) V20 tkS (,ki / ""`1 y S J .tKc. Size(:/).yz0 tc5 C(oe�e, Type of Heat: r rY, � as Fireplace: No.of Stories: I No. Rooms: Breezeway: No. Baths : Garage: Use: g r'"`-,4‘ (-er- 31-----1(7fr z' `) f-;-e__, 7 0 v i3266 -'1— TOWN OF MONTVILLE,CONNECTICUT-CERTIFICATE OF COMPLIANCE NUMBER: 89-97 • DATED: 08/19/97 Permission is hereby granted to JENSEN'S INC.to use the facility located on 21 RAINBOW DRIVE;ASSESSOR'S MAP 16,LOT 29 as a REPLACEMENT OF MOBILE/MANUFACTURED HOME in accordance with zoning permit number 96-203 dated 9/12/96 and in compliance with the Zoning Regulations for the Town of Montville,Connecticut. PLANNINGD ZONING COMMISSION,TOWN OF MONTVILLE,CONNECTICUT 71p 74'72-:We....6' Th_-)-c,--A-Ai-Cl.-, 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. .'.,i -„, - - - .'., ,:'.(,,:' ,., ,, •,`I — q-----' re,,,,A tKii , _--;,)l'.11,r v 1 er-Ada,.,Sr -yr, in "_.t..---=_-_-. .,: ,,,,,,,...:-__ ___-_-_,:t__-_,-L,':!:fitt_______ ._ __ __,:‘ 4 .. 11,!,kt.ti.:( iron . A....,/ u,A4.,t,.-3- ...,....-, -4_.,-.A. ,,- j-44-,`.1.--,Sr -,-1-AIL A-- 3 1 ii- i ., 441V,Aal,tv:F .:w4,15,..,:.,...,: A,-4tv..i,e-','.:;-,•.•::•'•:':;---.;-,‘,.-.':,-.7.',....,. .-.,-:,t,::-:,.•5,...-.::,- - L. , t . '2 ,•,-- ..- •,-: e : :tf- lir Connecticut . ,. ..„ , . .. .. ,. ..,,, 1:1.1.p.,i.OF CONSCIIIL A'PRol EcTiav ... ._.. . -4. i ;.1tEldE WI i '•A6'::;JV-'114I'''''/Pt''''A-- i' ciparfilIRIVIMELLII:teCREIOSE. ,07243833(3 RN 07-22- 1 89 -1t4Iiii. Kik< -L, 371 SOUTH OA 61 1 1_,17.vi.IT'Vf C(.A.I'R ‘,-7.1- `: el '' . '''4'''4' at.; F-: .,. . WINDSOR LOORS, CI 0096 I 17'Arjr, P SMITH --':-' ',",',0"-; ial 97-11-41 exioN112 0"-Za msg . =„. . 1 WINDSOR: LOCKS. .. . — .., . • ,I ,. -1!.f.. .. . ..,,-',:-. t*.f-a I C ft:4i C.-:.;•- i J ...:e .-.. .., :-7 , -..., ,.,7 ._ ..,,,,,--- .„„,....er.•:--------7,--_. r 11 iiin II 1 I I!11111111 i . . 1 ! ' '..'-!•P . . .,...... I designate (name of authodzed person) ,...) ,,.:. i"- )•,-.) 1"--- C-P;'''''''''-',t,..,-. .-'. as my atithori7ez.1 I 1 1 This work is to be pf.'11-ormed in inarri,.. or Tom.-rii 1/1/1 0 Y‘i Li 11 .i 1 ilk vicri,-. is to be pertOnned at (street nddress..) 2 1 R cA,k,A 60141 Pr 3 ivret r 1`in ct br,, i t: (mil anticipated start dire v (expeci mit thq,-,-) Icky,‘,,z6L,,,j co.„nr k-fed 0 MActeqwk tx7CiV,r- 1 iiich,r ( r+,,A„, Li v.,,, :301 (L..: licensed contra...10i. My liccase railriber is _..._.3o19-:cli 1 ( 'pe) 61" --. i r ! '1 he license nuatherls ,o1 the contractor'spf....-r-fc?Fraing the work is • ( • ' ,........_-_______ _. i . ._ _ . _ ._. __._ i• is made pursuant to Conneetiolit Gerif. ral Statute Sec 20-138b. if ----.-----,_ i' ,----------1:-:" - I -----r--- --,'..- ----'s .,,,,tei. •••,, „O." '45•4: ...NW,'.•4,1•,..,,,W.,....?4 i Stulatt.ue o licensed contiactor - Li I 1 1.. i 1 I: !. ) 4 ( 1 1 I ................w.....j ---- .,,-, t...t....C4...L,Lit„..4 a:••• tar,'I NI tle.Rh‘Piiivirtrolt- C.T ili41:74.01 CIO (6601 k'114-02b1 --- --. 12 20 96 11 .39 12.560 79.; ;,,,,. ., DENSE\ S IN( , . . JEN$EN$. INC. jos_-1.��_ IS<<�L1 v.. .,c ,�_, ,. uu- i -.— 246 Redstone Street SHEET NO !� oF��� P 0 Box 608 G SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY R - DATE r J'7tE (203) 793-0281 FAX (203) 793-6909 C,LCKF^BY___.--_----- --- DATE 'p • Post-Itt brand falx transm ttal memo 7671 1" of pages t.Co. / Co. (1 jOh A. Dept. Phone ------- -- - --" Fax q Fax p 110 Shy I I7'1111 41 . liq' nneei (76; ' 4. G l J—\ HS 4 `` p • C) �tts r r 3 . AE �t P &t 97 ----- + r Nd �.G�ry`�LJ !sit, ,1 TOWN OF MONTVILLE BUILDING DEPARTMENT CERTIFICATE FOR USE & OCCUPANCY Zone: R-40 Date: 12/20/96 This is to Certify that the structure at: 21 Rainbow Drive as: manufactured home under Permit No: 13102 conforms substantially to the requirements of the Building Code 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: Section: 309 .0 of the Basic Building Code of Connecticut. CODE: -CABO 1989 TYPE OF CONSTRUCTION: 5-B SPECIAL CONDITIONS: N/A Signed: ' I' o 21/ NOTICE; Retain this certificate for future reference . Form No . B.D. 002 • TOWN OF MONTVILLE (94/t Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 13102-E Approval Date: 10/17/96 Expiration Date: 4/17/97 Estimated Cost : 600 . 00 Fees : 10 . 00 PRF: C.O: Owner: Jensen' s Inc . Address: P .O. Box 608 Tel : Job Location: 21 Rainbow Drive Code: 06 Contractor: M. J . Electrical Address : P .O. Box 217 Tel : 429-4848 Stick Built : Modular Home: Manufactured Home: x Commercial : Addition: Garage: Car Port : Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows : Pool : Demolition: Plumbing: Heating: Electrical : x Air Conditioning: Gas : Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement : Type of material used/discription: electric service for manufactured home, wiring for shed to code Size: 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. r Applicant 's Signature: Date: jd/!rf 4/4- If (( signed by Contractor, type of 1 ' c se/regi trt ' on & No: /0202_5 Building Official 's Signature: AM 4110 ��Ar `i/ , � , ► at /d�i�L QQ6 r j.. f e: Date of Health Dept . Approval :pproval : _ 1 Date of Zoning Approval : /1/7g-- 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 INSPECTIONS. ' - 'own OF MONTVI LLE G 0/ 0 Building Department Application for a Permit Owner: .-3-0‘15EWS !M . Address: �____ G7-__ Tel : -D Z g i Job Location: 21 /ZAihleow DR Contractor: ,T &L72r� Address: I'(;1.aox_J( ' l, ��� _ Stick Built: � Tel : `-� Modular Home: Manufactured Home: Commercial : Addition: _ Garage: Car Port: Shed: Remodeling: Roofing: Siding: „_, Fireplace: _ Chimney: Windows: Pool : Demolition: Plumbing: _ Heating: _ Electrical : ).L Air Conditioning: _ Gas: Patio: ._ Porch: _ Deck: Retaining Wall : _ New: Repair/Replacement: Type of Material/job description: *iJ c C _ S��En Size: Type of Heat: Fireplace: No. of Stories: No. Rooms: Breezeway: No. Baths: Garage: Use: r •e TOWN OF MONTVILLE Building Department 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 _Days Permit No: 13102 Approval Date: 9/13/96 Expiration Date: 3/13/97 Estimated Cost: 37 ,000 .00 Fees: 220 .00 PRF: 14 .00 C.O: 10 .00 Owner : Jensen 's Inc . Address: Southington Tel: 793-0281 Job Location: 21 Rainbow Drive Code: 07 Contractor : P & H Const . Address: Route 163 Tel: 848-2752 Stick Built: Modular Home: Manufactured Home: x 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: manufactured home & deck 10 ' x 14 ' Size: 26 ' x 44 ' Type of Heat: gas-warm air Fireplace: n/a No .of Stories: 1 No . Rooms: 5 Breezeway: n/a No. Baths: 2 Garage: n/a Use: residential 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 . Applicant 's Signature: Date: If signed by Contractor , type of license/registration & No: Building Official 's Signature: Date: Date of Health Dept . Approval: Date of Zoning Approval : THIS IS TO INFORM_ YOU_THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE ,_SECTION 119 _3 A CERTIFI_CATE OF OCCUPANCY IS REQUIRED PRIOR_TO ANY USE OF THE STRUCTURE . A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS . __.t • TOWN OF MONTVILLE Building Department; 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 1$O Days Permit No: 13102 Approval Date: 9/i3/`b Expiration Date: 3/13/9/ Estimated Cost: 37 ,000 .00 Fees: z_ .00 PRF: 14 .00 C .0: 10 .00 Owner : Jensen 's Inc . Address: °.�outhington Tel : 793-0281 Job Location: 21 Rainbow Drive Code: 07 Contractor : P & H Const . Address: Route 163 Tel : 848-27b2 Stick Built: Modular Home : Manufactured Home: x 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: manufac: tur d home & deck i0 ' x 14 ' Size: ;, ' x 44 ' Type of Heat: gas-warm air Fireplace: ni a No.of Stories: 1 No . Rooms: a Breezeway: n/a No. Baths: 2 Garage: ro a Use: r .,,sident.ial 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. Applicant 's Signature: Date: If signed by Contractor , type of license/registration & No: Building Official 's Signature : Date: Date of Health Dept . Approval : Date of Zoning Approval : 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. INSPECTIONS_ ZONING PERMIT ZONING PERMIT NUMBER f "o� ' OR ON/A EXPIRATION DATE f-4,7-f 7 APPLICANT ,.Jev\.se.tis feel C• APPUCANT'S ADDRESS P • Qoe 6sog TELEPHONE FCOo- 793 -0. ,8` PROPERTY OWNER _leitS4,1/4 c - LOCATION nv 4�•4vZ - / L j'/I I LOT AREA /31 1/33,5y.(4 ZONE 1? -Y0 ASSESSOR'S MAP NUMBER /4' LOT NUMBER 2 " BUILDING HEIGHT isD PROPOSED FLOOR/�JAREA NATURE OF REQUEST/PROPOSED USE IS e ``{L►ZI oi`01)IIL// vLed' 'v1 L 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 OYES ON/A SEPTIC PERMIT OYES ON/A STATE HIGHWAY PERMIT OYES N/A WETLANDS PERMIT OYES ®N/A HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY OYES ONO HAS BOND BEEN FILED OYES O WA FEE PAID 0 CASH )CHECK# 6,z/70 N/A .;?c Cd 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. APPLICANT'S SIGNATURE, ZV\ — DATE 9.102-9 Z 96 COMMISSION AGENT DATE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS REV. 6112195 JENSENS, INC. JOB 071 11c—'• tJ Vr ,'c - 4..;c p 'c AA. L. t 246 Redstone Street SHEET NO 1 OF P.O. Box 608 ,/ n SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY a7DATE 9 2{.46 (203) 793-0281 FAX (203) 793-6909 CHECKED BY DATE 0 . SCALE 1 O —? 111G j 111 . _. ......_.... P �.j lea E---3to ol } ,..• • 1. ca 'if `F • ` 1 ArLtt, O i t.L4Piisi3� x;37- ± Y ± • < q ---- ; e,,, r .,,,, , , . te: 021 g.; n 0.8, Dt; ,•e_ PRODUCT 204-I(Single SneelsI 205-I(Padden)t/MCW1.Inc..Groton.Mass 0,171 To Owe)PHONE TOLL FREE I-800-225-6380 a xed a zed #auoyd •ldaa 7 yr C's o Slr l�` '0af to`/ \S \I 1 \i"/— �, [�! , woad of 1 I 4 sa6ed to# 1.L9L owaw !epwsueJl xe}pueiq .AI-4Sod 00 LI \ C,, ,. = - .— l LJ .4 J , - V-� • l-- X Y C`7 Li O o �`` Cd N > N \ _j 1 0 0 1l x `,J _ -, z Cc5-____?--\ — '7 V) -JN r. _ c f ^moi 1 "` •. 2 X J '_� CS. 'N. 7 \._ <C \ 1 \--L. , 4. c -..; r v .-.-7 ...._ . ..., ...., • ..,:r ,_ CU 1 ''' --- 0 tn O S. W ^C x - K ° f 1 Q w A . 1 La C') l V .� 1 : P:11I =� V1 .N.. o C ti O la _ Y) A 1 \ ,._____. a ti to N v Q Q p b t, 1. I i , . _. . , / 5 j D ER TOWN OF MONTV I LLE $ _ sp?Y y Building Department zl eop , Application for a Permit Owner:• JP.�sc4-s .Z✓Ac- Address: PO- 608.5 k� ci Tel : 846 -M-0,2&( Job Location: g/ 1 n bauI Dt c w re ( Nc�1t i�1 Neru Cry-1��nc ./y� Contractor: �� "/l�T Address: /�l�vt ev /�C Tel : 50-02,r2 Stick Built: Modular Home: Manufactured Home: 2S: commercial : Addition: Garage: _ Car Port: Shed: Remodeling: Roofing: 40f' Siding: _ Fireplace: _ Chimney: _ Windows: _ Pool : Demolition: Plumbing: _, Heating: _ Electrical : — Air Conditioning: L7 Gas: 2P Patio: _ Porch: 1 Deck: _ Retaining Wall : _ New: _ Repaireplacement) Type of Material to be used/job description: faik ,-2X6 cc"5?s el, A4.1)/d/ iei Ao 4 _ fil..,,,),C..c.V. \ Size: 026 xY'y Type of Heat: _64.5 - L. P " Fireplace: �rt=' No.of Stories: / - No. Rooms: Breezeway: AO+ No. Baths: Garage: Al/YET' USe: g 6421 -end •' \s-t•-•,---,-- ._. --) 1 . - ----V----- ------- -- - ... - \----••-• \ . •-:-- . — _ . Jo ,, ro .1 •,' _____ ..1.__ ...., tv. c. ,. ..--"- ---c . -..2.:. ,-..--------r 1 . ._ . ..> . • .) .. • • t,, . : . ..-.,. ,.. Li • • ..t: • :: , • 1 . . I i, , ,,c,i.,•,.. -.... ,,t.• ---.Q • :4 sZ7 . . .---S . 't-•:.',.4‘--, —.1...., :...... -----i- -:::.•_••. .‹."---• C) s. -:j .....__L ---- v . . .-- -- c. . k......,. ..... (... ::-......... -=•-• \ -, ----- ..... \_—) . . .. I \ \ --<., \ ,...)._. ---.., \\ ON - \fs \ 1 ; 11 _ ti :1! ----.. .......,,,,,,,,„„„ ----- II I I 1 1 I MA. 2 ...... ',...\ N. i 1 1 . 1 -----4-. H • .f, i...%• - \ • ,., --- IIMI• .......... . ...6 -.'S• --.4 XS ..I'l W ..0 S.. .'. ......\ rir.,:foe,,,,,,17, •----_-4 • \ _ f•., .:4-: ,. . ... _ ,cl .:- C-€, 1 .,,,4..„5:;41,,t46.4,;...,:.,,,,i --, -.... r, N. . f........01,.....' ,'....Y'•;',7".'.;6,,t, i''.•i,••-P''''''?! .:':.?w41 x`•• ---- •-- - \ ......a_...—,"....r..•,....gm.-- s. -. t 1,7 // C7, ...../. 40 .040106016' TOWN OF MONTVILLE '' PERMIT FOR PUBLIC SEWER CONNECTION DATE /ill 176 FEE $ PERMIT NO. ,/(././.)'4-/–31-i TYPE _ ,- y ..`� NO. OF UNITS ,r' LOCATION 0! l , ^ , , OWNER(S) OF RECORDS ,V`=' NAME '_%� f. (r ( (.-0c`' 'i l' ;e"<;., • MAILING ADDRESS TIE-IN r DATE ( )C.i INSPECTED BY ,,, - CONTRACTOR �� `� — \ WPCA AGENT METERED METER NO. DATE FIRST READING INSTALLED SKETCH OF LOT SHOWING WELL OR WATER PIPES, BUILDING AND PROPOSED TIE-IN ROUTE TO STREET STUB. Show as-built connection complete with all measurements from a permanent structure to pipe exit from building and all cleanout locations, trap and vent (if outside) , grease pit (if any) , grinder pump installation (if any) . (Use back of white sheet if necessary. ) i \ ;C, 'Aii c .o. C `- ,a"h pct �C,F i l.. 4-I '" - �. ... _�...�,, , r , 14 Y' Ic, + , . is « '4;k eA } S ' fit d � ? \\4\A4i0011k1P/'„:".":"' "1 „ " «s r z4 t/ f t. }y b +` 1, a C 'r T.,4-,' .1. A:. f .., 4> WPCA COPY INSPECTOR COPY OWNER COPY ,i ,, ,. t R. ,- (white) (yellow) (pink) ` 4" rAT4 , ZONING PERMIT ZONING PERMIT NUMBER DATE SUBMITTED 7)16)/11 EXPIRATION DATE: (,;EFTEOVER IZ,I9 Z Applicant: h ccti s jkpe. — /42.0. 12oX LOQ Telephone No. '7 47..?�OL�/ Applicant's Address Sov,'y1ny10h / c...7: 06y�9 Property Owner: SQ e 4s0 Io tee Property Location: 2..4 gam five Assessor's Map No. Lot No. Subdivision Name: L,(orefe!p t Zone: R—yp of a: A rox. /�S8t7 -fp('1. Building Height: Total Floor Area of Structure after Development 1' 2Y 1 9,, X ye'y" = 1, .72—S. . y, rf Sign Area (If Applicable): it//,¢ Nature of Request/Proposed Use: .S' fe. Femily Rer/o4oc e F 'LL CAISIDU6 T(+U A. 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 frau 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 comply 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 Commission or its appointed agent of any alteration in the plans. The use specified above oi shall NOT �THISPPERIIIT until PU ILRI�11-U APPLICANTl Certificate of PROCEED Use TO TEE TING DEPss issued the ANY Commission R 1 its PE 'QTS appointed ageng�. • (� W a ' (irec) cI ii• 1 l IVf DJektie -,i./ 1 4 C C fission Air gent Action/Date scant kW 12, ��1: Vt4•. I Il l t,(�N'11�i)`,A)li�f� V�111�1 �w _.. /r.�c 4c=,/ *LI I?� MI�!II G c; �.01llLki- C14R1S £18614 I f111 ,, we41E Nf) f K-- (r� f���C('(101101v' (E(J (ORA,ro'J `I ` (SIC N REAR YARD DIMENSION I����V Ji��11Nt ¶vS?cn Hcy \\ c u11 �r-- 01 100 • :(06 AcIG1 `( I. IIERL141 It 1C) , .; No1 in; 111'O;() wfice.-l! J LOCATION OF PROPOSED STRUCTURE OR USE kil'AOL 10� ULi� c:,FI1( (DY5),(\ OW) fi''E. SMI14) FATOK��E -VIC) 10 ,, IJP.% &VIC , al z t4 TNOWNG) d rm 2. 2 MOCK_ 10 () \1(°11 .- 111; c'' , ,� Z KMOK) • IN �rlc c j,y .. 11 . 0 1 A t7 E H 0 i qqq BUILDING LINE DIMENSION (WIDTH) .-- — --- { or�v • UNCAS HEALTH DISTRICT Tom ��� 401 •!EST THANES STREET permit TEL . 823-1139 rOR lICr, CONNECTICUT 06350 • APPROVAL TO CCNSTROCT OR REPAIR A SFri DISPOSAL SYSTEM Approval is hereby granted for the construction/repair of a sewage disposal system. Located at: J' 677 / /NFvK, pj5. in the town of : ��Ns�wS �N�. Installer: Jam/ >Z C.:ner _11/1>Z__ Residential: # of bedrooms: S., Non-Residential; Design Floc;: ENSI'RIX cl ONS TO INSTALLER 1 ) This office is to be contacted before any change is made in the system locatiOn, size or design. 2) Any new sewage disposal system must conform ALL requirements of section 29-13-B103 :,f the CT Public Health Code. 3) All construction must be under the direct supervision of an installer licensed under section 20-341 of the CT General Statutes. 4) The installer is responsible for verifying locations of property lines, wells and buried utility lines prior to the start of construction. SPECIFIC INSTRUCTIONS: o.t- l/p G o - Gam - . vg/2),, • • • Approval Grantedn/ By: W , 9-te `� Receipt e2g/ Permit Renewed: 3��� ft it Paid: ,� • • • 4 ‘,.._. .:._ ,, , ,..,, . . . • . • . . . •,. .., . , L...,) \I ,,,_) . .. ° , i F-2 2' T i....i__ ,.z. . t ,..34.1.: ..... .` •1 "`� ° rs1:on �_ 1.Bait+. J +� a c a D tib;; re) bo 1 •:.. el- Vo 13. -4-- iv 1 ti; i '111. 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