HomeMy WebLinkAboutChimney w/Liner 1980 TOWN OF MONTV I LCE6-11-1L/
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. dr? Date //Y-)d
Estimated Cost Fee
Owner . . . _E 6eLk_-.0 Address,r ? 6-r ,,, f2z f,_ Z)fr/
Contractor
Address Tele.
Location of Building Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
LW
i �;� i�
New Building - Type of Construction i �
i�-sem/_ ��
11
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.
11.E
Signe• ,iL,4 Approved P
Date ` Building Inspector /
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed