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TOWN OF MONTVILLE `
Building Department
848-7166
APPROVED BUILDING PERMIT. ®R .°'1 1 u"--P h'1[` _
For 180 Days
Permit No: 11012 Approval'Date: 8/25/93 Expiration Date: 2/25/94
Estimated Cost: 2,100.00 Fees:. 16.00 PRF: C.O: 5.00
Owner: Fran Hutchings Address: 42 Beechwood_Road Tel: 848-7203
Job Location: 42 Beechwood Road Code: 05
Contractor: Hansen Builders Address:_ 70 Beechwaod Road Tel: 848-7622
Stick Built: x Modular Home: 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: New:'x Repair/Replacement:
Type of material used/description: strip roof and apply felt paper and Bird
shingles
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.
t _ 5 -T3
Applicant's Signature: Date-
If signed by Contractor, type of license/regis ra n & o:
Building Official's Signature: ate:
Date of Health Dept. Approval:
Date of Zoning Approval.
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,
(J V4,
TOWN 0P MONTVILLE
f~ Building Department
E Application for a Permit
owner: I~CFfAry 1~` l C~6 ~JfS' f c ~f\~
r
1 - 5 Address ~4)0rzQL.,._ Tel
i Job Location: l,E
~ Contractor : ~ ~~ik76.R S Address: Tel: Stick Built Modular Home: Manufactured Horne: Commercial:
Addition: Garage: _ Car Port: Shed Remodeling: Roofing:
9 P Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning: Gas:
Patio: Porch: Deck: Retaining Wall: - New: Repair/Replacement=
Type of Material/job description:
~ t Ste. KtulT- S~ ► ~ lam. 5
Size: Type of Heat: Fireplace:
No. of Stories: No. Rooms: Breezeway:
i
No. Baths: Garage: Use
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