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TOWN OF MONTVILLE: G
Building Department i!
�`
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
_F o r lee Da.Y_ ._
Permit No: 9584-E Approval Dater 9/11/91 Expiration gyration Dates 3/11/92
Estimated Cost : 500, 00 Fees : 10. 00 PRF: C. 01
Owner: Robert Matteson Address : 16 Pires Drive=' Tel : 848-1086
Job Location: 16 Pires Drive Code: 06
Contractor: self Address : same Tel : same
Stick Built : x Modular Home : Manufactured Home : Commercial :
Addition: x Garage : Car Port : Sheds Remodeling : Roofing :
Siding: Fireplace: Chimneys Windows : Pools Demolition:
Plumbing: Heating: Electrical : x Air Conditioning : Gas :
Patio: Porch: Deck : News x Repair/Replacement :
Type of material used/discription : wiring addition
Size: Type of Heat :
Fireplaces
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: as Q . Date : II ( 61
If signed by Contractor, type of license/regi tration & No :
Building Official' s Signature : �,
,..,_ /,# e / i. ate :
._
/ . ____..
/ tel/ _.
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.
TOWN OF MONTVILLE
Building Department
1 McA IApplication for aPermit
Owner: g. 1e Addreaa: ( ` i c'rS 'brit/ e- Tel: Vti - / 0“
Job Location:
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: New: Repair/Replacement:`
Type of Material to be used/job description: /V 14 wire_ / a u lL1 S
5 wl-t-c_\/\ s � 0. Pavel
Size: I. yC 3 Z Type of Heat: O l Fireplace:
No.of Stories: Z. No. Rooms: b Breezeway:
No. Baths: Garage: Use: