HomeMy WebLinkAboutGas Line and Heater 1992 iD
TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 9564-G Approval Date: 9/20/91 Expiration Date: 3/20/92
Estimated Cost: 400.00 Fees: 10.00 PRF: C.O:
Owner: Montville Historical Soc. Address: PTA Lane Tel :
Job Location: PTA Lane Code: 11
Contractor: Amerigas Address: Lower Bartlett Rd. Tel : 848-9277
Stick Built: x Modular Home: Manufactured Home: Commercial :
Addition: Garage: Car Port: Shed: Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool : Demolition:
Plumbing: Heating: x Electrical : Air Conditioning: Gas: x
Patio: Porch: Deck: New: x Repair/Replacement:
Type of material used/discription: copper tubing gas line, gas heater
Size: Type of Heat: Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use:
I hereby certify v th- proposed work will conform to the Basic
Building Code and all = •o.es as adopted by the State of Connecticut, and
the Town of Montville.
' Date•
Applicant's Signature (ter, ___, ?—/ 7 - ?/
If signed by Contractor, type of icense/regis, ation S. No: 3 -7'. 7
Building Official 's Signature: ti__ _,_.//SI.41f,r.%, , ://4. Date: \ c2C6 9 /
Date of Health Dept. Approval : 4 I►
Date of Zoning Approval : /f _...
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. Q /CS'.
TOWN OF MONTVILLE
Building Department
Al1 //
a
j Application for a Permit
Owner: Alcau / STb,/ � ' f 1). Address: fir' Tel :
Job Location: 1°/ A , /i4/4/‘"- r(
Contractor: 4/1.(tFii,5/t5 Address: .4bcvr,. j erI��T /�ei Tel : SY� `92 7
Stick Built: 1.7- Modular Home: Manufactured Home: commercial:
Addition: _ Garage: Car Port: _ Shed: _ Remodeling: _ Roofing:
Siding: _ Fireplace: _ Chimney: Windows: _ Pool : _ Demolition:
Plumbing: _ Heating: Electrical: Air Conditioning: i Gas: 1"--
Patio: _ Porch: Deck: New: Repair/Replacement:
Type of Material to be used/job description: Copol� 4J4-t5 / 5c /47 / •
r e
Size: / 6. EI.Z1 Type of Heat: ��^^
YP VAS Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use: /u1-,I