HomeMy WebLinkAbout1997 - Replace Boiler
TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERM=IT .OR TRAb7ES"PERMIT
For 180 Days-
Permit No: 3 ygp Approval Date: `S ! " r Expiration Date=
Estimated Cost: ; t;Z Fees: + Q PRF = C .O :
Owner= 0h 14 /`DSO R Address. 26 fZ EA D f Tel: 9419 JLT60
Job Location: 'D ~ Code. C
Contractor= yY) C" C/ /`7-A/ Address: Tel: L/
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:
Patio= Porch: Deck: Retaining Wall: New: Repair/Replacement
Type of material used/description: e, 0A
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 Sign ure: Dater Jt-
If signed by Contractor, ype of license/re 'o & No: 3 ~ 6
Building Official's Signature: Date:
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 ~tSCCUPANCY I'SEURED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS.
TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner: rl) a) -Z C) MA S Address: P%/e,J (j, ~ Tel: ~ -S
Job Location:
Contractor: ~r C 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:
Size: Type of Heat: L Fireplace:
No.of Stories: No. Rooms Breezeway:
No. Baths: Garage: Use: