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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
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Permit No : 9041~ '�/ Approval Date: 12/19/90 Expiration Date : 6/19/91
Estimated Cost : 2, 000. 00 Fees : 10. 00 PRF: C. O:
Owner: Diane Audoin Address : 41 Pennsylvania Ave' Tel : 859-0271
Job Location: 41 Pennsylvania Avenue Code: 06
Contractor: Paul R. Currie Address : P. O. Box 555 Tel : 859-3533
Stick Built : Modular Home: Manufactured Home : Commercial :
Addition : Garage : Car Port : Shed : Remodeling : Roofing :
Siding : Fireplace : Chimney : Windows : Pool : Demolition :
Plumbing : Heating : x Electrical : Air Conditioning : Gas :
Patio: Porch : Deck: New: Repair/Replacement : x
Type of material used/discription: replace boiler with Quaker furnace - gas
fire�
Size : /C5D.aume /3/ttf Type of Heat : ';x05 -[u*w»41�.,- Fireplace :
No. of Stories : No. Rooms : Breezeway :
No. Baths : Garage: Use : .42_
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.
Efidi
Applicant' s Signature : _ ���� Date: ��~ , "�- ��� ����e
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If signed by Contractor, type of license/regi ration & No : 5.-1 �Re]
,
Building Official' s Signature : : 44r. ...-_ �� N 1 wat�: q
. -~ - ~ ^~ � � ~ __
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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. 1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
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TOWN OF OF MONTV%LLE
Building Department
RPplication for a Permit
� ��l-m �� \ � Address : /��' Tel :
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Owner: i� � " ' -,-` `^'~ r ^
Job Location : W D(~"* /4
/4,14134.,0,7-
Contractor: ?' f
eute/... s/- Address : ;LC9 ).341A 5-5-<- Tel : ;PS-5 .?s-?..3
Stick Built : Modular Home : Manufactured Home : -_-
Addition : Garage : Car Port : Shed : Remodeling : Roofing :
Siding : Fireplace : Chimney : Windows : ___ Pool : Demolition :
Plumbing : Heating : Electrical : __. Air Conditioning : Gas :
Patio : Porch : Deck : New: Repa1
Type of Material to be used/job description : 1 *0~ite -0.4/*�^�{�«�
Size : ZOD0'9w' -17"' Type of Heat : 1� 1.95 Fireplace :
No. of Stories : No. Rooms : Breezeway :
Use :
No. Baths : Garage : /74,1,A-102—