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TOWN OF MONTVILLE ~t
Building Department
848-7166
APPROVED BUILDING' PER~IIT`-ON TRADES PERMIT
For 180 Days
Permit No: 13.879 Approval Date: 12/8/97 Expiration. Date: 6/8/98
'Estimated Cost: 3,900.00 Fees: 22.00 PRF: 2.70 C.O: 5.00
Owner.Joseph & Sandra,Berardy Address: 24 Baldwin Court Tel: 848-7309
Job Location: 24 Baldwin Court Code: 03
Contractor: self _ Address: same Tel: same
Stick Built: x Modular Home, Manufactured Home: Commercial:
Addition: Garage: Car Port: x Shed: _ Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas:
Patio: Porch: Deck: Retaining Wall: New: x Repair/Replacement:
Type of material used/discription: wood frame
Size: 17' x 20' 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.
Date: t
Applicant's Signature:
If signed by Contractor, ype of license,/r gis ration & No: %~~d.~,dk>D~
Building Official's Signature: -ewp te:
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 K-tEMYILATE_OF' OCCUPANCY '19 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'
Building Department
A lication for a Permit
~ 30
5 . ~nVi Tei
Address : ~Wrh
owner: OIL
Z ~ h
Job Location: Tel: 4 ~730~
Se1~ Address:
Contractor. commercial:
Modular Home' Manufactured Home:
Stick Built: Remodeling: Roofing:
Car Port: Shed:
Addition: Garage: - _
Siding: Fireplace: Chimney Windows: - Pool: Demolition:
: -
Plumbing: Electrical: Air Conditioning: - Gas:
umbing: _ Heating:
- -
Patio: - Porch: - Deck: Retaining Wall: New: Repair/Replacement:
-
Type of Material to be used/job description: °O ~FIWLAC--~
Fireplace:
j~ ~~2a1 Type of Heat:
Size : /
Breezeway:
No.of Stories: No. Roams: ~
Use : ~~Y
No. Baths: r Garage: CS~ c ~iV/
ZONING PIERMfT
r 7 0~0 OR ❑N/A EtPIRATION DATE
ZONING PERMIT NUMBER 1
APPLICANT S /n 4,gsv4 PHONE
APPLICANTS ADDRESS L-,6/1 n
PROPERTY OWNER ~J J~®e s
LOCATION 1 `t" ~S G (G1 w U iA~S V! fI LOT AREA * Gc YcS ZONE f! Z` 0
ASSESSOR'S MAP NUMBER l b LOT NUMBER 1 U
BUILDING HEIGHT yOPROPOSED FLOOR AREA
NATURE OF REQUESTIPROPOSED USE I a r CC'r-
PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1' a 4LY SHOWING: DIMENSIONS OF THE LOT, THE SIZE. AREA.
SKETCH ON REVERSE OR
AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILI TIES 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), MIEN=14 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 E4ES ❑N/A
SEPTIC PERMIT ❑YES ®N/A / G
STATE HIGHWAY PERMIT ❑YES QWA
(]YES N/A f ~v G U
WETLANDS PERMIT
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑YES QNO
HAS BOND BEEN FILED ❑YES [jkA
FEE PAID ❑ CASH ❑ CHECK # ❑ WA
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. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O.
APPLICANTS SIGNATURE DATE: an
DATE
lip COMMISSIO AGENT DATE CERTIFICATE OF COMPLIANCE
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS. BEFORE
'CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT LOCATION.
REV. 712SM7
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