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lhif Town of Montville0
Building Department
Date: /b//�j1G3 Field Inspection Notice Permit#: 1:32-003-0490
Address: 2-7 P 7.- AVE' — 72-0o F-
Not Comments/Corrections Required—re-inspection required:
Inspection Approved0 Approved
0
❑ Back0 fill ❑ El _pge AMS k1ciT Wv L7 u p go g. S P0'LS
o Concrete Slab 0 0
0 Framing 0 0
❑ Rough Elec 0
o Elec Service 0 0
o Rough HVAC 0 0
o Rough Plumbing 0 0
1 ❑ Gas Line 0 0
o Fireplace Throat 0 0
❑ Chimney 0 0
❑ Fire/Draftstopping 0 0
o Insulation 0 0
:: inal Inspection 0 0
F. ofO
0 -54-
0 0
- ails."--
( s< or's azure
40 Town of Montville c)
Building Department
Date: / Al. I Al Field Inspection Notice Permit#:
Address: 02 7 561.& k aye
Not Comments/Corrections Required—re-inspection required:
Inspection Approved Approved
❑ Footing 0
❑ Backfill 0 0
❑Concrete Slab 0
❑ Framing 0 0
❑ Rough Elec 0
❑ Elec Service 0 0
❑ Rough HVAC 0 0
❑ Rough Plumbing 0 0
❑ Gas Line 0 0
❑ Fireplace Throat 0 0
o Chimney 0 0
o Fire/Draftstopping 0 0
❑ Insulation 0 0
❑Final Inspection
CofO ❑
0 0 1/1111:10111 Mr.'. ..L...., 7.-....4111° -
Inspector's Signature
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F
Town of Montville
Building Department
848-3030,Ext 82
ONE&TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN-OFF SHEET
177?
ert
•ddress re /17'1&
Job Description: L - — �O
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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#: Not Applicable
Private Well Date
WPCA DEPARTMENT
848-3030,Ext.376
Approved
❑ Permit#: of Applicable
Municipal Sewer Date
House Trap 0 Outside
❑ Inside
Approved
❑ Permit# Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS
848-7473
Approved
Director ❑ Permit#: Not Applicable
Date
PLANNING& ZONING DEPARTMENT 8 8-3030.Ext.379
-Z4a,tAA _ In-Compliance
(�/� d� ❑ Permit#: Z03-2 3 3 ❑ Not Applicable
Zoning Date
In-Compliance
0 Permit#: D Not Applicable
Inland-Wetlands Date
9jyviseI6/28/2oo2