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1
TOWN OF MONTV I LLE
Building Department
848-7166
APPROVED BUILDING PERKIT OR TRADES PERMIT
Perrmit Nos 9728 Approval Dates 10/29/91 Expiration. Datta 4/29/92
Estimated Costs 1,,500-00 Foots 10. 00 PRFr C.01 5.00
Owners Jeff & Myrna Lindstrom Addrwosst 7 Bee hwood Road Te1e 848-0113
Job Locations 7 Eeechwood Road Codes 05
Contractors self Addressr same Telr same
Stick Builtr x Modular Homes Manufactured Homer Commercials
Additions garages Car Ports Sheds R*modelingr Roofings x
Siding Fireplaces Chimneys Windows Pools Demolitions
Plumbingr Heatingr Eloctricalr Air Conditionings Gass
Patios Porch o Decks News Repair/Roplacoment r x
Type of material usedfdiscriptionr strip and re--roof with 18 felt and asphalt
shingles
Sizes Type of Hearts Fireplaces
No. of 8t ories $ No. Rooms e Breezeway r
No. Baths Garages Uses
I h#reby certify that the proposed work will carfare to the Basic
Building Code and all other Codes as adopted by the State of Connecticut, and
the Town of Montville.
Applicaant#s Signatures Dater 10 h
If signed by Contractors typo of license/rog strat on 6 Nos
Building Official's Signatures Dater
Date of Health Dept. Approval r
Date of Zoning Approvals
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. U~t~`
TOWN OF MONTVILLE
Building Department
Application fora permit
Owner: ( /m, L(~ndsiaptnv Address: 6ze-e~ 6yiotid Tel: Ed - 611 3
Job Location: ° cA~ (AJQj1 77.
Contractor:, d -V t Address:, Tel
Stick Built: ✓ Modular Home: Manufactured-Home: commercial:
Shed. Remodeling: Roofing:.,/
Addition: _ ..Garage: ~ Car Fort:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: - Heating: Electrical: F Air Conditioning: _ Gas:r
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. Bathe: Garage: Use: