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14
TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 11351--P Approval Date: 4/7/94 Expiration Date: 10/7/94
Estimated Cost: 1,500.00 Fees: 10.00 PRF: C.O
Owner- Sandra Christina Address: 43 Beechwood Road. Tel: 848-3090
Job Location: 43 Beechwood Road Code: Op
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: x Heating: Electrical: Air Conditioning: Gas:
Patio: Porch: Deck: Retaining Wall: New: Repair/Replacement: x
Type of material used/description= replace fixtures, piping and flooring where
.needed
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 odes as adopted by the State of Connecticut, and
the Town of Montville.
Applicant's Signatur : Date:
If signed by Contractor, type of ense/regis r on & No=
417
Building Official's Signature: / ate: G
G
Date of Health Dept_ Approval:
Date of Zoning Approval= _ 12111~~
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.
A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS.
TOWN OF NiO1,r7UILLE
Building Department
_ipplication for a Permit
n "e
Owner: r( Address: 7 v , I. Tel: Job Location= r 4C
Address _Tel
Contractor
Stick Built: Modular Homer Manufactured Home: Commercial
Addition Garage= Car Port_ Shed= Remodeling- _ Roofing:
Siding= Fireplace: Chimney= Windows.: Pool- _ Demolition
Plumbing:-JL/ Heating= _ Electrical: _ Air Conditioning= - Gas:
Patio= Poach: Deck= Retaining Wall: New Repair/Replacement:
r
Type of Material/job description=
Size: Type of Heat: Fireplace:
No_ of Stories= No_ Rooms: Breezeway:
No_ Baths= Garage= Use-