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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 11247-H Approval Date= 12/15/93 Expiration Date: 6/15/94
Estimated Cost: 2,000.00 Fees: 10.00 PRF: C.O:
Owner: Jon R. Pierce Address: 8 Alaska Road Tel: 859--3754
Job Location= 8 Alaska Road Code: 06
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: Heat ng: x Electrical: Air Conditioning: Gas: x
Patio: Porch: Deck: Retaining Wall: New., Repair/Replacement: x
Type of material u ed/discription: replace gas fired furnace
Size: 85,000 BTU Type of Heat: warm air- 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:
Building Official' Signature: / Date:
Date of Health Dept. Approval: Date of Zoning App oval: a..
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMEKENEM NT OF THE
BUILDING CODE, SEC ION 119.1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
A MINIMUM OF 4 HOUR NOTICE TO THE'BUILDING'DEPARTMENF IS REQUIRED FOR
INSPECTIONS
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TOWN OF MONTVILLE
Building Department
Application for a Permit
CT
Owner: ! ex e Address ~6SL_ Tel
Job Location:
Contractor: Address: Tel
Stick Built: Modular Home. Manufactured Home: Commercial:
Addition: _ Gar ge: Car Port: Shed: Remodeling: Roofing: _
Siding Fireplace: Chimney: Windows:.. Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas
Patio: Porch- - Deck: RetaininT g Wall: _New: _ Rep
pair/Replacement:
Type of Material/'ob description:-
Size: Type of Heat: d~~rr;lfl i xv Fireplace:
No. of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use
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