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TOWN OF MONTV I L.L. :
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
Permit No# 9784 Approval Date# 12i'4/91 Expiration Dates 6/489:
rEt imat d Costs 1,900.00 Rett# 10-00 PR C.01 . 00
Cwner# Francis € utchi.ngs Addross# 4 Beachwood Road Tol# 848--7203
Job Locations 42 Beechwood Road Codes 05
Contractors self A dross erne Tel# same
Stick BuiIt# x Modular Homes Manufactured Homes Commercial#
Additions Carage# Car Fonts Sheds Romodeling# Roofings
Sidings Fireplace# Chimneys Windows# x Pool# Demolitions
Plumbings Hea#ttin # Electricals Air Conditionings Gaza
Patios Porches Decks News RepairrlReplacementm x
Type of material vaedfdiscriptions replace windows - same,a-f ze
Sizes Type of Heats Fireplaces
No. of Storios s No. Rooms e Breezeways
No. Baths Garages Uses
I hereby certify that the proposed work will conform to the Ba sic
Building Code and all other Codes as adopted by the State of Connecticut, and
the Town of Montville. C
Applicant's Signatures ~ _ 17 ~ Dater j.2-. ^~.1...L...._...
If signed by Contractor, type of is nze/registration Not ZM44~P~~
Building Q f 3a.l" S gn, t tror Datea
Date of Health Dept. Approval x ~ -
Date of Zoning Approval #
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
3 SUIT DINGS CODE, SECTION 119.1 A CERTIFICATE OF OCCUPANCY IS 'R OUIRED PRIOR Tq
ANY USE CR THE STRUCTURE. D/i~ 1,21rl
TOWN OF MONTVILLE
Building Department
Application for a Permit
Owner: Vt-~ .\S CQ\- C Address: ~cl Rnf O' Aj-~nnd Dom, Tel: S` L
Job Location: T)r . -QX C t9 3 70
Contractor: 1~nrn t~u7rtie~- )Address: nnrmC 141S *:'4haogf Tel: ~R'MF
Stick Built: Modular Home: - Manufactured Home: commercial:
Addition: _ Garage: Car Port: _ Shed: Remodeling: 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: x1C.~d LAD
Size: Type of Heat: Fireplace:
No.of Stories: a No. Rooms: (a Breezeway:
No. Baths: Garage: Use: