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TOWN OF MONTVILLE
Depar+ment of Public Works
qpplication for Building Permit ~
n Permit 1\0. nate . . . . . .
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Ap}~licatio . . ~ . . . . . . . . . +.Sr-...
. . . . . Fee ~
Estimated Cost . . . . . . . . . . . Y. • . . ` ~p ~L2~. . . r~~' • • •
. . . . . . . Address . • . . . . . : . .
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Owner • ~ .°Z. . . . . . . . . . . . . . . . . . . . .
, Address .
Contractor : . . . ~~'4 . . . . . . . . . . . . . . . . . . . . .
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Address . . .
Ardiitect Zone No.
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Location of Buildinh . ' ~ . . . .
& Alterations (inchiding moving or deinolition and sign `:rection) . . , , . .
Additions . . . . . . . . . . . . . .
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. . . . . . . . ~ ?c`• ~C~.trC . ~ . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Building - Type of Construction . . . • • • • • • . . . . . T~,pe of Heat . . . . . • • • • • •
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Size . . . .
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Y. . . . . . . . . . . . . . . Fireplace . . . . . . . . . .
Breezeway • • • • • •
...X** No. of Stories............
l~To. of Rooms . . . . .
Garage
No. of Baths
Proposed Use e ro ased cor~struction. will conform.Fe to othe c~p1~c~ ~te zoning regulations of the
I herebil certi f y that th p?~ the Sta. f Co
To2un of Montville and the Basie BuiI(Iing Code of
Pprove . . . . . . . . . . . . . . .
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Signed . '
' _ , , Bitildin' Inspe tor '
Date
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Form No. BIMO 70-100-1 y • t~ ~,I ~ F
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MNINn PERMIT•
ASSESSOR`S MAP,NUMBER ~t-OT NUMBER DIPtRAT10N DATE O~
ZONING PERMIT NUMBER 9 y a 6
nPPUCaNr . ►~'aoK TGtrn-v'r1P, 65io Y1 Z~'
2~ C~.C1~/" ~.(~c~tSc1►~ oN~S Z C Z.o3~
APPLICANTS ADDRESS
PROPERTY OWNER ~ a fl
LpCAT10N LOTAR 3 GL ZONE /Q-~2'0
BUILOiNG HEiGHT PROPOSED OOR AREA 7~ I a--
NATURE OF REQUEST/PROPOSED USE
HAS A VARiANCE EYER BEEiV GRANTED FOR THIS PROPERTY ❑ YES „9NO HAS 80ND BEF.N FlLED ❑ YES ONO
SKETCH BELOW OR PROVIDE TiNO COPIES OF PLANS ORAWN TO A SCNF OF AT LEAST 1' =1(r SFIONYUJfi: DOYMSIONS OF THE LOT. TNE 5IZE. ARFA AND
LOCATION aF EX1STiNO. PROPOSED. PRINCIPAL AND ACCESSORY S7RUCTURES. ORNEWAYS. SANITARY FACRlT1E5 AND WA7ER SUPPLY. PARWNG
FqcLMEg, qNp qMIqCENT STREETS; pISTANCES OF PROPOSED STRUCTURES FRCM PROPERTY LWES. IN THE CASE OF FlLL OR D(CAVATION REQUEST3
(UNDER 500 CUBIC YAROS). DANENSIONS OF FRL OR EXCAVATION AREA MlJ3T 8E INCLUOED. A PUW PREPJ4RED BY A CONNECTICUT REGiSTERED tAA10
SURVEYCR MAY BE REOUIRED. THE PROPOSED USE SPECIFlED ABOVE SFUILL NOT BE AUTHORP.FD UNTiL /W ACTUAL CERT1FiCATE OF COwLIAWCE ;5
ISStJED BY TNE COAALISSION OR ITS APPOINTED AGENTS. .
THIS IT AUTHORiZES 'fliE APPUCANT TO PRaCEED TO THE BUILDiNG DEPI0.RTMEM' FOR ` REGUlRED PERMITS
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THE APPUCIWT ACiREES TO:
1. ADHERE TO ALL THE APPlICA9LE REQUIREAfENTS OF THE ZONINCi REGULA7fONS. '
Z NOTiFY THE CONMSSION OR tT3 APPOUmD AGENT OF ANY ALTER14TION IN THE PLANS.
3. CONTACT TNE ZONNVG OFFtC£R (848-85/g) AT LEAST 24 HOURS BEFaRE CONSTRUCTTON BEGiNS TO ALLOW ZONINO OFFlCER TO INSPECT LOCATION.
4. CALL FOR FlNAL INSPECTiON ANO REGUEST CERTIFlCATE OF COMPUANCE SEFORE lSSUANCE OF A C. O.
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DAl'E:
APPL1CAPii'S SICiAIATURE ~Z~
THE LE7TERS "NA' (INDICATM "NOT APPUCABI.E") S1iALL BE NOTED IN UIEtJ OF A ZONINO PERMIT NUMBER IN THE EVENT THAT A
ZONIN(3 PERMIT FOR 7HE PROPOSEG USE IS NOT REGUIRED•
COMWSStON AGENT DATE
P~¢ i~
ERTIFICATE OF COMPLIANCE NUMBEI08104085
TOWN OF MONNILLE, CONNECTICUT - C DATED.
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ranted to FRANK a. TAMMIE GIONE7' to use the facility locat ~ a nE~ ps~ ~~h th ~0 0~
Permission is hereby 9 ~~t number 94 260
LOT 45 as a COVERED PORCH in accordance w~h Z°rn~9 P~ '
Regulations tor ihe Town ut Montv111e, Connecticut.
OMMISSION, TOWN OF MONNILLE+ CONNECTICl1T
pU1NNING AND Z NING C
pgent for the Planning and Zoning Coffwnission
resenting the o~wner, 89rees to
The as the owner or as rep
recipient of this certiticate accepts this ceR~ficate on the condition that he
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~ioable ordinances and regulations ot the Town of Montville ~e~t~ that any change of utseeof the taa Connecticut
comply with all app
regarding the use, oc~~Pa~y and typ~ °f activity to be instituted• It is fuKhermore
which this certiticate is being issued does re9uire a ~ev+► Cettiflcate of Compliance.
M after issuance of the Zoning Pem'~ft are to be oleerlY $P~if~ in the Certificate of Compliance.
NOTE: Changes grented aPPIica