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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit No: 10118 Approval Date: 6/12/92 Expiration Date: 12/12/92
Estimated Cost: 2,000.00 Fees: 20.00 PRF: C.O: 5.00
Owner: Mark A. Rafferty Address: 4 Amanda Court Tel: 848-9228
Job Location: 4 Amanda Court Code: 05
Contractor: self Address:`same Tel: same
Stick Built: x Modular Home: Manufactured Home: Commercial:
Addition: Garage: Car Port: Shed: Remodeling: x Roofing:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: x Air Conditioning: Gas:
Patio: Porch: Deck: New: x Repair/Replacement:
Type of material used/discription: remodel basement to living space
Size Type of Heat: Fireplace:
No.of Stories: No. Roams: 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: rt-4q
Building Official's Signature: Date:
Date of Health Dept. Approval: Alhy
Date of Zoning Approval:
THIS IS TO INFORM YOU THAT TINDER THE CONNECTICUT AMENDMENT ' OF THE
BUILDING CODE, SECTION 119.1 A CERTIFICATE OF OCCUPANCY IS REQUIRED_PRIOR_',r
ANY USE OF THE STRUCTURE.
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TOWN OF MONTVILLE
Building Department`
Application for a Permit
Owner: Address: An?r9NDfI Can 1 Tel
Job Location: ~9~ ~ydg Goal- 1
Contractor: Address: ,Si91116 Tel: VyV yaax
Stick Built: Modular Home: Manufactured Home. commercial:
Addition: _ Garage: Car. Port: Shed: Remodeling: -L,/Roofing:
Siding: ` Fireplace: _ Chimney: _ Windows: Pool: 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: