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TOWN OF MONTVZLLE
BUILDZNG DEPARTMENT
CERTIFICATE FOR USE & OCCUPANCY
Zone= R-40 Date= 2/14/97
This is to Certify that the structure at= 31 Cedar Lane
coi7structed aS- a deck under Permit No: 12958
conforms substantially to the requirements of the Building Code Ordinance and
Zoning Regulations as adopted by the Town of Mantville and the State of
Connecticut and is hereby approwed for use and occupancy under Use Group: R-4
5ection: 309.0 of the Basic Building Code of Connecticut_
CODE= CABO 1989
TYPE OF CONSTRUCTION= 5-B
SPECIAL CONDITIONS=
Signed-
NOTICE; Retain this certificate for future reference_
Form No. B_D. 002
. ^ TOWN OF MONTVILLE
° - A; ~ ~~-.rrt lQ i ~
.
848-716b
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 DaYS -
Permit No= 12958 Approval. Date: 7/17/96 Expiration Date= 1/17/97
Estimated Cost' 1,200.00 Fees =10.00 PRF = 1.50 C.O = 5.00
,
Oarner= jeannette Gregoire Address= 31 Cedar Lane Te1- 848-0020
code: 05
Job Location= 31 Cedar Lane
Address= sasme Te1- same
Contractor= self
Sticlc Built= x Modular Home= Manufactured Home= Commercial=
Roof i ng :
Addition: Garage= Car Port= Shed: Remodeiing=
Siding' Fireplace' Chimney= Windows= Poo1= Demolition:
Plumbing' Heating= Electrical= Air Conditioning= Gas=
Patio= Porch= Deck= x Retaining Wa11: New= x Repair/Replacement=
Type of material used/discription= pressure treated wopd frame
Size= 1.0' x].2' 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 ail other Cades as adopted bY the State of Connecticut, and
the Town of Montville_
Applicant's Signature : Dat e ~ f 7---~~
If signed by Contractor, t ype ot cens~/re=: .sfi.r a t-i.or~ r No=~~~YO
Building Official's Signature- Uate-
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 OCCUPRNCY I5 REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE_
A MINIMUM OF 24 HOUR NOTICE TO THE BU.ILDIPIG DEPARTMENT IS REQUIRED FOR
INSPECTIONS.
. G~TOWN OF MONTVILLE
Jr ~
/
f i" Building Department
A lication for a Permit
~ C'C- `f ~c`/• /,lrfr ~ Tel : -062 40,
Owner: Address : ~
•~_'~t h e J~C'- C~y'~, ,
~
~Jz~ r ~l ar f J i
Job Location: Tel:
Address :
Contractor: ~o~nercial: -
~ Modular Home' Manufactured Home:
Stick Built: ~ Roofing=
` f Car Port Shed Remodel ing
Addition: _ Garage:
Windows: Pool: Demolition:
PlSiding: Fireplace: ChimneY= -
Conditioninq: - Gas:
wmbing: Heating= _ Electrical: - Air _
Patio: _ Porch: _ Deck: Retaining Wall' New: Repair/Replacement:
~
` ~ -
- Type of Material to be used/job description: ~
TYPe of Heat: Fireplace:
Size:
Breezeway:
Ka. Rooms:
No , of Stories :
Use: ,
No. Baths: Garage:
.
• ZONING PERMIT
EXPIRATION DATE
4 i39 oR OwA
ZONING PERMR NUMBER
APPLICANT N,t~~.= ~i= C=~ G C7 ~~Li TELEPHONE C) ~ APPUCANTS ADDRESS
3 i A Z
-rL-
PROPERTY OWNER LOT AREA- o, q ~ ZONE
LOCATION S'Zb
LOT NUMBER
ASSESSOR'S MAP NUMBER
PROPOSED FLOOR AREA
BUILDING HEIGHT
NAi tliitE GF t'tcui:EST'!'R^QosEO'JSE
REVERSE OR PROVIDE TWO COPIES OF PLANS DRAWN TO PACAA OF AT LEAST 1' 40' SNOIMNG: DIMENSIONS OF THE
ND ACCESSORY STRUCTURES. ORIVEWAYS, SANITARY
gKETCH ON
PROPOSED, PRIN
_LOT, THE SRE. AREA, AND LOCATION OF DUSTING,
C
5 AND WATER SUPPLY. PARKING FACIUTIES, AND AOJAE~N CVB~C Y ROS), DIMENS ONS O~~ a~VAT10N
FACIUTIE
PROPERTY L1NES. IN THE CASE OF FlLl. OR EX~►VATION RE~UESTS (
BE INCLUQED• A► PLAN PREPARED BY A CONNECTICUT REGtSTER~~ OF COMPUANCE I~S ISSUED BY THE OMM SSION OR
ARE~1 MUST
USE SPECIFIED ABOVE SHALL NOT BE AUTHORRED UN~L AN ACTUAL C
ITS APPOINTED AGENTS.
pvEs own
SKETCH PUW OR ORADINa PWN ~y~S ❑wA
SEPTIC PERMfT dYES ❑WA
STATE HIGHWAY PERN~IT
yy 0~ ~NlA .
E'~LpNpS PERMIT
HAS A VARIANCE EVER 6EEN GRANTED FOR THIS PROPER'iY OYES 13NO
HAS BOND BEE(~1 FlLED
7CIHECK '
0 ~H i t 15 ~ ❑ WA
W'h
FEE PAID
THE APPUCANT AGREES TO:
1. ADHERE TO ALL THE APPUCABLE REQUIREMENTS OF THE ZONINO REGULATIONS. THE 2 NOTIFY THE COMMISS G OFFIR( P84~8549) AT LE~►~O 2~ OURS BEFORE' C NSTRUCTION BEGINS TO AU-OW ZONING OFFICER TO
3. CONTACT THE ZONIN
INSPECT LOCATION. _
4. CALL FOR FOOL WSpECTlON AND RECUEST CERTIFlCATE OF COMPLlANCE BEFORE ISSUANCE OF A C.
pppLICANTS SIGNATURE DATE
~ DATE
COMMISSION AGENT '
TMS SI(3NED PERMIT AUTHORRES THE APPUCANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY RECUiRED PERMR'S
REY. 611?196
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