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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit Nor 9815--E Approval Date, 12/26/91 Expiration Date, 6/26/92
Estimated Cost . 1, 000. 00 Fees. 10. 00 PRF. C. 0,
Owner. John & Susan Fritz Address. 31 Polly' s Lane Tel . 843-1488
Job Location. 31 Polly' s Lane Cade. 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, New, x Repair/Replacement .
Typ'e�of materia use /discription, electrical service upgrade
744 lOY ge) k
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, ,5_7127.1)
Date. d� �-�/
� by Contractor, type •f icense/
If signed ,,,ile22/ 41,-x,,e22te.A, _
�s/tratien & o.
Building Official' s Signature. 1f` ? /' Date, /2 ' '- '
//
Date of Health Dept. Approval . ii0i
Date of Zoning Approval . 00?`
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. ,, R .
TOWN OF MONTVILLE
Building Department
Application for ``a�� Permit �p�
Owner: Jdu1`�3iscn 3�--rj j Z Address: c-/ 1T�l/yS 2,n(1)� c78X3
Tel : 948
Job Location: SI Po iki 5 ,n>° Ortcc,suillec i• C) g3g? a
Contractor: a!_ t`t- Address: c5n-TP Tel : LS `yj w
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: asecA-r ,`Service_
Size: Type of Heat:
Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use: