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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 10266 Approval Date: 8/14/92 Expiration Date: 2/14/93
Estimated Cost: 2,400.00 Fees: 16.00 PRF: C.O: 5.00
Owner: Mike Murphy Address: 55 Beechwood Road Tel: 848-7633
Job Location: 55 Beechwood Road Code: 05
Contractor: Hansen Builders Address: 70 Beechwood Road Tel: 848-7622
Stick Built: x 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: x
Type of material used/discription: strip roof and replace plywood where needed
install 15# felt and 25yr. shingles
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 1'cense/registration & No: 30
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 11'9-1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner: .e~sy'~✓!° Address: Tel:`
Job Location:
Contractor:
f~_ SKIS Address: 7y ~ecc~~ Tel:
Stick Built: Modular Home: Manufactured Home: commercial:
Addition: _ Garage: Car Port: Shed: _ Remodeling: _ Roofing:.
Siding: _ Fireplace: _ Chimney: _ Windows:
Fool: 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:
Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths:.
Garage.: Use: