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Home My WebLink AboutSFR 1972;4"Nrs 4400TOWN OF MONTVILLE Department of Public Works Application for Building Permit Application & Permit No. T4. . . . . . . . . . . . Date . .5. .Octo.be.r. 1972. . . . . . . . . . . . . . . . .. . . . 135.44 Fee . . .r.00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . .. Estimated Cost . . ► ' ' ' ' Address PO dux g�el •Dane ' . . . . . Irene. Poc�ui:�ie . . . . . . . . . . , Owner . . . . k't... . ;Y�ant.Qk.. .R<Q.. . . . . . . . . . . . .. . . . . Al Ra . . . . . . . . . . . . . . . . . . . . . . . . Address Contractor . . . . . . . . �.� . . . . . . . . . . . . .. . . . . . . .. . ...... .. Location of Building . . . .P9 Address . . . . . . . . . Architect . . . . . . . . . . Zone No. . . . . . .. . . . . . du '�j.�1• .LP.re• . . . . . . . . . . . • • • Additions & Alterations (including moving or demolit ion and sign erection) . . • • • • • • • . . . . . . . . . . . • . . . . . . . .New Building ding �Type of Construction . . . . . .R nch. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . ... .... Building Type of Heat . .�'��•• • • • ' '' ' ' ' z..,lo x. 55. . . . . . . . . . . . . . . . . . . . . Size . . . . . . . .No. of Stories . . . . .1Fireplace . . .Tio . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . • • • • • • • " " " ' . . . . . . . . . . . . . . . . . . . . Breezeway . .KIP. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. of Rooms . . . . . . . . . . . . . . . . . . Garage . . . . .YeS. . . . . . .. . . . . . . . 1 Ceramic. . . . .. . . . . . . . . . No. of Baths . . . . . . . . . . • Proposed Use . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . .. that the proposed construction will conformtfeappliable zoning regulations of t e 111 I hecertify ,dinoof: :::;Date theic �/ . . . .. . . . .. . . . . Sed . • . . . A.P..8ro.deur. ./ Building Inspector. . . QC. .•ber ,1972 Form No. BIMO 70-100-1 ` Gr /jrtta Q '. H I"} 1 I 11 � t z or . o 1-1 � oo0 0- D q 01 p I kto cc • N c i I E _ o :