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jok •, .. ..... , „._ O o a 4Cip o $ c4H o' `•� ao o n H CD to O oo n to - N �N 5. 0 d •c �p o`o O ¢ v, O O u, Q- 0 O `a o CD a. C C m o x Cr z o af•D. 0" co y � iD' CD b ory HC4 �. b o x K CD N O O O 1* y n O O 'OO n O CC �.y c Co , t"'� A ® ' " © 0 '..*'. 4/4 t-* "1 rs 4 ° CCD O G7 O its ': r~.r B Q- `am O.' = = CD CD 0 p Cl..En 0 n• ' cNto O 'CS c) CD O 0L.4 oD CD CD o-, -• L7 CD N O•h N 5 ' 5- O Q. CD W Town of Montville Building Department 848-3030,Ext 82 ONE&TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET / 7C-t. 1 Pr � �r P 8 d / Y d� 9 Job Description: 6 /‘& d). ./(/Cf1A" er-tc" Q The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. — HEALTH DISTRICT 848-3030-339 Approved ❑ Permit#: Not Applicable Septic System Date Approved ❑ Permit#: e Not Applicable Private Well Date WPCA DEPARTMENT 848-3030,Ext.376 Approved ❑ Permit#: Not Applicable Municipal Sewer Date House Trap 0 Outside ,t Inside Approved v\ ❑ Permit# Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved Director ❑ Permit#: Not Applicable Date PLANNING & ONING PARTMENT 848-3030.Ext.379 In-Compliance ///3/013 1 Permit#: 2C -317 ❑ Not Applicable Zoning In-Compliance Inland-Wetlands 0 Permit#: 0 Not Applicable Date *visa'6/28/2002 A. /e) Town of Montville 3 Building Department Date: es/, / Field Inspection No tice 7 Permit#. :WOa.3'-V±5-' Address: / ; / cif a 6//, tt) Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved r ❑ Footing 0 0 f El Backfill El Concrete Slab 0 0 ❑ Framing 0 ❑ Rough Elec ❑❑ 0 o Elec Service ❑ Rough HVAC 0 0 ❑ Rough Plumbing 0 ❑ Gas Line 0 0 ❑ Fireplace Throat 0 ❑ Chimney 0 0 ❑ Fire/Draftstopping 0 0 ❑ Insulation ❑ Final Inspection 0 0 K. C of O '15i[ 0 I • •+" \ A/ Inspector's Signature Town of Montville • Plan Review Form Date: 061-004432-- 2-9�Z-7o Street Address: /8 PA2-772.)17 6;(4 y t2cW Job Description: )76 T' 7C1. We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, our a. .lication is bein! re'ected for the followin! reason s that are checked-off or commented on: • Supporting Documentation Plans are to be drawn to scale including dimensions of rooms and spaces and all framing information Building permit application not completed,signed,dated Permit fee$ Worker's comp.Affidavit or worker'comp.Insurance Copy Contractor's registration or license Construction permit sign-off sheet Street address of project on all drawings and documents Comments_ N o -_J0A.1 N f., A 742-oV-4 L . 4t.lt— //c'T 7-t1� din official