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TOWN OF MONTVILLE
C1V
Building Department (\
i ' ,
848-7166 �-.•
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 11785-E Approval Date: 9/15/94 Expiration Date: 3/15/95
Estimated Cost : 500 . 00 Fees : 10 . 00 PRF: C.O:
Owner: Paul E. Japp Address : 55A Point Breeze Rd. Tel : 848-1436
Job Location: 55A Point Breeze Road Code: 06
Contractor : self Address : same
Tel : same
Stick Built : x 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 garage
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: a' 5atii0 Date : ��/�'/
If signed by Contractor, type of license/registration & No: _
Building Official 's Signature: _ '.:10_, ..49'' .,,te• _ily
Date of Health Dept . Approval : A/ 4 /' •
Date of Zoning Approval : 74-
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.
/ a
TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner : au" (l PP Address: 42534 '24-77. fJ .
�% Tel: ?sles)_/i/4lo
Job Location: SSFP 't�Uin4 re-
Contractor : Ste
Address: Tel :
Stick Built: Modular Home: Manufactured Home:
/ commercial :
Addition: Garage: t/ Car Port: Shed:
Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows:
._._ Pool : Demolition:
Plumbing: Heating: Electrical : t/
Air Conditioning: Gas:
Patio: _ Porch: Deck: _ Retaining Wall : New:
Repair/Replacement:
Type of Material to be used/job description: (J iirlY15 . fole
jo-Arekte,
Size: Type of Heat:
Fireplace:
No.of Stories: No. Rooms:
Breezeway:
No. Baths: Garage:
Use:
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