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ANY USE OF THE STRUCTURE
Q
TOWN OF MONTVILLE
Building Department
848--7166
APPROVED BUILDING PERMIT OR TRADES HERMIT
For 180 Days
Permit No: 10909 Approval Date: 7-19-93 Expiration Date- 1-1.9-94
Estimated Cost- 150x 00 Fees: 10.00 PRE,_ C .O s
Owner= L_nuiS Band Address: 41 B chwith Rd. Tel= 442-0243
Job Location: echwith Rd. Code:
Contractor: self Address: Tel:
Stick Built: Modular Home: manufactured home= Commercial:
Addition'. Garage= Car Port: Shed: Remodeling: Roofing:
Sidingx Fireplace= Chimney,: Windows= Pool. Demolition:
Plumbing: Heating- Electrical: Air Conditioning: Gas:
Patio= Pore: Deck: New. Repair/Replacement:
Type of material usad/discription: pent
Size- 20;<,20 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 Cade and all other Cedes as adopted by the State of Connecticut, and
the Town of M6ntville.
APpsicant 's Si natur : 2,~ t r
, gate:
g e 7 1 ?'.`-3
If signed by Contractor, type of license/registration Igo:
4
Building official's Signature: Date w ~ ~ ` P~
Date of Health Dept- Approval--
Date
of Zoning Approval:
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT O THE
BUILDING . CODE, SECTION 119-1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
i TOWN OF MONT"VILLE
, /..e, (
/L
Build in De 'r-
r_- g partmen
A lication for a Permit
i
f
Owner
~ ~ 'Address : ~ ~e c~ Tel: Job Location: L/ I h~ j c P W p ® C 6-p-t~ L
Contractor' -
Address ,_~-yy P Tel:
Stick Built: Modular Home:
Manufactured Home: Commercial:
~ Addition' - Garage:
I Car Port: _ Shed: Remodeling: Roofing:
Siding: Fireplace: _ Chimney: Windows: Pool:
~ Demolition:.
Plumbing: _ Heating: Electrical: _ Air Conditioning: Gas:
Patio: Porch: _ Deck: _ Retaining Wall: New:
i - Repair/Replacement:
Type of Material/job description:
Size: Type of Heat:
I Fireplace:
No. of Stories: No. Rooms:
Breezeway:
Na_ Baths: Garage: U'
~ se:
,`OWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
101 Date - ' ! 3 0
Permit No-
C)
Estimated Cost - l Tel e.
~~~J Address C~ 1-\ ~srr
Owner o< - Tel e. y 3 - 7
~Address
Contractor
ld Zone No.
Location of Building ~C
demolition, sign erection)
Additions & Alterations (Including moving,
New Building - Type of Construction
Fireplace
ze a y ~ 2- y Yype of Heat
Si
Breezeway
No, of Stories No. Rooms
Use
No. Baths Garage
I that the proposed construction will conform to the applicable zoning reg-
of the Town of Montville and the Bas$pu~andlcorrect.®f the State of Connecticut ,
ulations hereby certify
and that all statements herein contained are
Approved
Si gned i"+ l
Building inspector _
s3 ~i p
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
-signed__
Rejected
Approved