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TOWN OF MONTVILLE ll V
Building Department
848-7166
APPROVED BUILDING PERMIT'OR TRADES PERMIT
For 180 Days
Permit No: 12581-E Approval Date: 12128/95 Expiration Date: 6/28/96
Estimated Cost: 940.00 Fees: 10.00 PRF: C.O:
Owner: Kenny Haner Address: 36 Beechwood Road Tel: 848-4169
Job Location: 36 Beechwood Road Code: 06
Contractor: William Robarge Address: P.O. Box 1679 Tel: 448-3161
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: Repair/Replacement: x
Type of material used/discription: service upgrade - 60Amp to 20OAmp _ new
entrance cable
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= Date:
If signed by Contractor, type of License registration & No: c, A3q 0~
Building Official's Signature: ate: yy.
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 OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE_
AMINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS-
a
TOWN OF MONTVILLE
l~ Building Department
Application for a Permit
Owner: Address: 36 -~'/'o6oh Gil Tel: m-wb
Job Location: 36
Contractor: Address: Tel: AW 3 f
Stick Built: Modular Home: Manufactured Homer Commercial:
Addition: _ Garage: Car Port: _ Shed: Remodeling: _ Roofing: _
Siding: Fireplace: Chimney: Windows: Pool: - Demolition:
Plumbing: _ Heating: _ Electrical: Y Air Conditioning: _ Gas: _
Patio: _ Porch: _ Deck: _ Retaining Wall: _ New: _ Repair/Replacement: _
~ as
Type of Material/job description: geau1ce /~a?
Size: Type of Heat: CQ/ Fireplace:
No. of Stories: No. Rooms: _ Breezeway:
No. Baths: Garage: Use: