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TOWN OF MONTVILLE
Building Department1(1611A:(2:)
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 13319-E Approval Date: 4/16/97 Expiration Date: 10/16/97
Estimated Cost: 300 .00 Fees: 10 .00 PRF: C .O:
Owner : Jay & Beate Helsel Address: 52 Podurgiel Lane Tel : 848-4452
Job Location: 52 Podurgiel Lane Code: 06
Contractor : self Address: same Tel : same
Stick Built: Modular Home: Manufactured Home: Commercial :
Addition: Garage: Car Port: Shed: Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool : Demolition:
Plumbing: Heating: Electrical : x Air Conditioning: Gas:
Patio: Porch: Deck: Retaining Wall : New: x Repair/Replacement:
Type of material used/discription: wiring for lights and outlet in new
bathroom
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 . o
Applicant 's Signature: Date: Lt -I 6-- 7
If signed by Contractor , type of license/registration & No: _, � .e/
Building Official 's Signature: �I� , Date: yvd,--?7
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 .
/ L3/ 9- G TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner: Thy r\-0-5EL. Address: 52. POI)UR-G1 EL t---1`I Tel • ( -60) 8-446- `i
Job Location: 6�Tvm
Contractor: Address: Tel :
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: _ Repair/Replacement : —
Type of Material to be used/job description: wt (2--,le.- U L-1 C, S UV ice-' -S
Size: Type of Heat : Fireplace:
No.of Stories: No. Rooms : Breezeway:
No. Baths : Garage: Use: