HomeMy WebLinkAboutFireplace 1977 "'OWN OF MONTVILL "--
Public Works Building Deportment
N9 2480
Application for Building Permit
%fait No. Pit f- 86 .5 Date 'SL//3/7 7
Estimated Cost ?0 0 610 Fee '5" 0 0
Owner 6 -e 7. Address 41, /90-2-6-- qv .
Contractor ..-r"-1-1Address
Location of Building
Zone Plan. Comm. Approved
Nature of Proposed Work Lg- p-4%-ae.--J
New Building—Type of Construction Type of Heat
Size Fireplace i
No. of Stories Breezeway
No. of Rooms Acc. Building 1Garage
No. of Baths Full Basement Crawl Space Size
Proposed Use
All Plumbing and Electric Wiring to be Inspected before cover
All the requirements of the Town of Montville Building Code Zoning Ordinance, and State and Town Laws and
Ordinances in so far as they apply to the design, erection and location of the building described in the foregoing ap-
plication will be strictly complied with.
I hereby certify that all statements here contained are true and correct.
I hereby apply for a Certificate of Occupancy for above described structure.
r
Signed % . .. e Date -SZ 3/7 7
dr Signed , 9 /.�#7 Building Inspector
Approved
Date `1//.3,/7..'7 Disapproved
Indicate plot plan in space below, showing streets, lot lines, building lines, present and proposed buildings, di-
mensions of same and distances from lot and building lines, and dimensions of courts and yards. If any present struc-
ture is to be removed, so indicate.
F..... .
STRUCTURE ---41