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Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030,Ext. 382 Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
PO.PURl/[ L-,nNj-
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required
A royal Department Certificate of Occupancy Approval
PP
❑ WPCA
Signature!date
Comments:
Planning&Zoning Z.)4464Z.)44646aa,d, fq�Y of
Signatures date
Comments:
❑ Health Department
Signature!date
Comments:
❑ Department of Public Works
Signature/date
Comments:
❑ State Dept. of Transportation
Signature/date
Comments:
❑ Police Department
Signature!date
Comments:
❑ Fire Marshal
Signatures date
Comments:
❑ Wind Limitations Affidavit
wiviselAugust 5,2005
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, Ct. 06382
Telephone 860-848-3030 Ext. 382 Facsimile 860-848-7231
Date: August 18, 2005
Pamela & Michael Gonski
55 Podurgiel Lane
Uncasville, Ct. 06382
RE: Deck
Dear Sir/Madam,
During a recent update of our files we found that the following item(s) are
outstanding in regards to the above referenced permit and Certificate of
Occupancy.
The required sign off sheet, signed by the other Departments that the structure is
properly completed as per their regulations has not been submitted to the
Building Department.
Please be advised that any use of this structure is a violation of the Building
Codes until the sign off sheet has been received and a Certificate of Occupancy
has been issued.
Thank You,
Building Department
Cc: File
Town of Montville
Building Department
Field Inspection Notice
Address: 55 Podurgiel Ln.
Job Description: Deck
Permit Numbers: B2004-0685
Not Approved Deficiencies Approved
DECK PIERS Special Conditions `I�0-S 3
.
•
Not Approved Deficiencies Approved
POOL BONDING Special Conditions
Not Approved Deficiencies Approved
ELECTRICAL Special Conditions
TRENCH .
•
Not Approved Deficiencies Approved
ROUGH Special Conditions
ELECTRICAL .
Not Approved Deficiencies Approved
FRAMING Special Conditions
Not Approved Deficiencies p ed
8/18/05 VV • Stairs not code compliant onditions
CERTIFICATE OF • 1. Risers 8'/z"—9"
OCCUPANCY • 2. Handrails Req'd
Page 1 of 1
Revised 3/17/05
Sheet Printed:8/16/2005