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TOI-JN OF MONTVILLE
J
BUILDING DEPARTMENT lf 3~~~
APPLICATION FOR BUILDING PERMIT
Permi t No. ~ir 42.it Z Date 7 L;
'Estimated Cost ~r C ~ Fee
Owner ~ LAddress Tel e.~'~~ i ~ 1 , - L
. --u~.✓t ~ ~
Contractor Address Tel e.
Location of Building Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
, . S~.
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.
Si gned Approved C-7ti
Date , f Bui 1 di ng Inspector 4
- ~
Inspections For:
Footi ngs
Framing '
Rough Wiring
Electric Service
Rough Heating
Fireplaces
,
Other Misc. Final Inspection for C.O.
Approved Rejected Signed
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f-ermission is hereby granted i•o
n fitie si e or
to ereCPr a o ,
ri~o wi e, stories hic,~~i;
as foilows: Si • ze ffi. ong,
disfancQ +rom roau cen'r~r line -~+'p.'ruisiance.~~ra',~i a~i side loi line: E {i; f~'%
14 ;t; S ff; ~ or the use o1 p(~e faci I ity as a
/Zoning anc': 1-'Ianning _-ocnmission, Town o►
,b'tonfiville, ::onnecticut
U PE~a~i{IT 1S ~','1'_D ~ i:;-t, t:i~!E `~(~At;
-glg ~oninc~ ~en9~
itie recipicr~t• o~ f-Fhis pernot accepfis it on ~he condition S•hai he, as owner or as represenS~inc~
witt~ all a~~plicable ordinances and regvlai•ions of the Tawn oF ~V'►oni•viilo
ttiQ ~mr, ~rees to comply
and the S;-ate Siacufes of the SPate oi Conneceicuc regarding the use, occupancy and type of aci•ivity
to bv insSimed. li is furiherrnore unc+erstood yliak thanG acility s on andtghat any'c'Eiange oi
:9
V~ ~c~ ;a~piiar~ce iias been issuccl !~y i{ie P
use similorl; Gocs require a new veri•i►icate o' Use and Compliance. Gefore a Certificate oi' Use anc3
Compiiance vvil! bc issued a; ioY plan drawn i•o a scate of 1"- 40` prePamd and certified in
totnp{iance wiir{i provisior►s coniained in Sec,lion 33. 9- o'i the %onincj :.ecjulations musi be subrnitrroG to
.
the Zonin;; anu Ir~lanning Com9nission sliowincj ail boundaries a.' the rroperf•y and as is location(s) oi
a11 builclings on the ;oroper►y inclucinc the cen'cer {ine oi' any pu'alic or privaie righg-of-way,
sanitQry facili'ries anc waPer supply.
/"1PFLICi~~'i-1'~ . l. /~~r ZC~VII~I. i_i~i.IY ~ Y ~.ri ~~•t\~\7~~/~~..I~L~
jo be fi{led oui• b, AppIscani - 1 origindl and ;•aur carbon copies
i Lc,^t5iE USi- iYFi: WRIIEi;
Gate Jure 27, , 19780,
TIV ~~~~~~+~►v~~b~e~'~'~~`g°ba~ `°oo~ a°~olanning C:om+nission i'or a pcrni► to eLdd
Locai•ion or f roperi•~ , nca e, .
Nane o~ ::ubGi vi si on ghtis '•.oi i!o.
Assessor's Glocl: i,'.o.~s , Assessor's ;=a:-cel No,
r ~ ---"aymone3.tve.Anna Sobanak !~~~!ress CgdQr I.n., Uncasvills
l~lcme o~• (•_`wner) (,=`-Genf) ~ ' -2270 Size of Guilclinr T ffi.: =rent overa61 , Tepih overa~l 2 , Area sq.,
A ~
~fo. of s~•ories ;-;eic~hi in ~i•o ~,No, oti• roorns 5 IB ,;~'.o• fl~ Gac~rooms
1 ~ R-40
~ 23 . rt. ~ ►=rontrrnc~.E4~
r1o. o~ ~atliroo~ns , Loning f%i i t , l1rea o~~ Loi~ ~r 00Qq,-o~
Lof ~:'Jic<<i -+i•., :=ronfi Yard Dapt+ii•e ..~ar Yarc' E~epf•h 11 , Siue Yaru F:Fepth f ti•
ir-urpose o•er'FuNinc; and/or use is H-e-3-1denee
W~a r~Sup-p y fio consistr of Scxnitary iaci iCy ~o consisF or 8eptic
, Dp're o-F Saniiration tf-ric-ar ap; roval
(;emarl:s
(hereb; acree i•o coni'orm io all requirements of the Laws oi 1-he Siaie oi Connecticu's anc! the
Ordinances and lEerulations of the Town of ~r',on►•ville, and to noiiiy the ioning and Planninc
Cornrriission o+ any alfierufiion in Ftle pDcns icr which this perrnii• is being asl:ed. 1 furthermore urree
that the agree i•har the above descr3beG racility is ro be locatec' ai• the nroper distance from all
str+eet (ines as required by the. Zoningj :.egulafiioris or r.ny other a;~plicable loca) anu staPe ordinanees
and reguiations anc' i'r is underspood yiiai- the 17acil►fiy upon cornpleE-ion will be used in campliance with
~
the %'aning F;ec~ula.-io~s o~~ the iown ar~ Ai.onrvii e.
bklff~WRP~9y for a:eririficaPc oi Us3 anv C:ompiiance for two car gara,e md
descriaeG in 'rlie abeve app ieatian 'for er
perrniP. I:- is Ui1Gc:f5YfIC1Gif1C,' i~~ai fie iaci ii-e can nop be occupiec; un~il aCeriificafe ol' Use anG
C'txnpliance has bcen issuec: by 'fhc %oninc anc ; 9anninc C,.ommission.
Si@ned
(i.;vvner) (F:genP)
~!UApprove2 b; 7-oning Algent_ Dat•e
Loning ;ler7ii No. issuec'.
Disapprovec b;, n ate
Reason
t C/10/70
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