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TOWN OF MONTVILLE /
Building Department
848-7166 lY
-APPROVED BUILDING ~PERiril` --OIR TRADES PERMIT
For 180 Days..
Permit No: 11066 Approval Date: 9/22/93 Expiration Date: 3/22/94
Estimated Cost,: 1,400,00 Fees: 10.00 PRF: 1.50 C.O: 5.00
Owner: John S. Clewell Address: 11 Beechwood Road Tel: 848-0694_
Job Location: 11 Beechwood Road Code: 05
Contractor: self Address: same Tel: same
Stick Built: Modular Home: Manufactured Home: Commercial:
Addition: Garage: Car Port: Shed: x Remodeling: Roofing:
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas:
Patio: Porch: Deck: New: x Repair/Replacement:
Type of material used/discription: wood frame shed
Size: 10' x 12' 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 cense/regis ray on No:
Building Official's Signature: te: ~/C9,~2/93
Date of Health Dept. Approval : J1
Date of Zoning Approval:
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119..1 A CERTIFICATE(F OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
TOWN OF MONTVXLLE
' Building Department
Permit
A iication for a 10
Tel=
~`G[dC~z-- Address'
Owner:
Tel
job Location Address=
al-
ome commerci -
Contractor- Manufactured
Stick Built- Modular Home- Remodeling= Roofing
Car port: Shed-
Garage l= Demolition-
Addition: Windows: Poo
`Fireplace: Chimney=
- Gas:
siding ._..-T---
Plumbing= Air Conditioning-
Electrical:
Heating= RePair/Replacement=
- Wall- New=
Porch: _ Deck Retaining
patio= tion:
T e of Material to be used/Job descrip
YP
Fireplace-
/Q Type of Heat
Size: Breezeway:
No. Rooms-
No ..Of Stories Use -
Garage:
No. Baths