HomeMy WebLinkAboutRe-Roof Overlay 1995 „ , TOWN OF MONTVILLE
Building Department 41' r6 +
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: l /go20 Approval Date: /242' 7 - Expiration Date: > -"1/2-- ?•. -----
Estimated Cost p O D Fees : l0 PRF: C.O: S
Owner: Ripy ,v ,
v 7, /US Address : 7„,1 "Ey Do FOO Tel • 3 ‘<?
Job Location: / V €pVO i/�� Code:
� aContractor: 00s..� k lug, Address:S 3 Sce 1/i`// Rd Tel : �� /' --5-707
Stick Built : Modular Home: Manufactured Home: Commercial : 1/
Addition: Garage: Car Port : Shed: Remodeling: Roofing: ✓c
Siding: Fireplace: Chimney: Windows : Pool : Demolition:
Plumbing: Heating: Electrical : Air Conditioning: Gas :
Patio: Porch: Deck : Retaining Wall : New: Repair/Replacement
Type of material used/discription: S /, ,,,` 7- , ,,i 1, 9 e ,,,, ,
Size: 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.
Applicant 's Signature: Adlit, _ „ t Date: /21/2_,/
If signed by Contractor, type of license/registration & No: j [}t7/vy>
Building Official 's Signature: Date:
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 OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS.
v1 -- 6e-tiX
TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner: Al k, 7 /k s Address: / a Cf�L(.3 TAFr Tel :
Job Location: /d1, / Pe CLC 7 /71
Contractor: //DOS C /D6 k 2 g Address: 3 i
Tel F-ri"% 's.0 r-5�
Stick Built: Modular Home: Manufactured Home:
Commercial:
Addition: _ Garage: _ Car Port: Shed: Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool:
Demolition:
Plumbing: Heating: _ Electrical: _ Air Conditioning: _ Gas:
Patio: Porch: Deck: Retaining Wall : New: Re-
_ /air/Replacement:
Type of Material/job description: A'f'�uz 2-
Size: Type of Heat:
Fireplace:
No. of Stories: No. Rooms:
Breezeway:
No. Baths: Garage:
Use: