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TOWN OF MONTVILLE 1
Building Department
848-716 6
APPROVED BuIOING PCRNIIT C~k 1"RADES
For 180 Days
Permit No: 11856 Approval Date; 10/14/94 Expiration Dater 41-'14/95
Estimated Cost; 2,200.00 Fees: 16.00 PRF = C.O: 5.00
Owner: Donna Macrino Address: 4 Baldwin Court Tel: 848--8023
05
Job Location= 4 Baldwin Court Code,-05
Contractor: The L.arki.n Co. Address Preston Tel: 886--0003
Stick Built= x Modular Name; Manufactured Home: commercial:
Addition: Garage: Car Port; Shed: Remodeling; Roofing; x:
Siding- Fireplace= Chimney; Windows: Pool= Demolition;
Plumbing; Heating= Electrical; Air Conditioning Gas
Patio; Porch- Deck= Retaining Gall: New= Repair/Replacement: x
Type of material usedldiscription; strip goof and aPp.l.;>>' 15# felt and asphalt
shingles, a uminum drip ridge
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:
Building Official's Signature; Date; lD ~7
Date of Health Dept., Approval: 1cL)
Date of Zoning Approval:
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING. CODE , SECTION 119.3 A CERtIFICATE OF__0GCUP N(--Y_ +,S REQt.l_IR.Ei__ PRIC)RTo
ANY USE OF THE STRUCTURE. _
A MINIMUM OF 24 H6Qk 'NOTICE TO'THE BUILDING DEPARTMENT IS REQUIRED FOR
INSPECTIONS. n.
C>_j I.OWN OF MONTVILLE ~
Buildins! Department
i Application for a Permit
dv~✓ f v
Owner. Address: Tel:
Job Location'
Contractor Addresa
Stick Built Modular Home: Manufactured Home:_ commercial:
Addition: Garage: r Car Port: Shed: _ RTmodeling: Roofing=
Siding: Fireplace: Chimney: _ Windows: 1 Pool: _ Demolition:
Plumbing: Heating: T Electrical: Air Conditioning: _ Gas: _
Patio: Porch: Dock: Retaining Wall: New _ Repair/Replacement:
Type of Material to be used/job description:
i
r /
Size= Type of Heat Fireplace:
No.of Stories: No. Rooms: ( Breezeway:
I
No. Baths: Garage: Use: