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Field Inspection Notice
Town of Montville
Building Department
April 26, 2007
Address: 26 Pheasant Run
Job Description: Shed
Permit Number(s): B2007-0143 Permit Date 4/18/07
INSPECTION Not Approved Approval
Date: Deficiencies Special Date
Conditions
Anchors •
4/26/07 DJ
framing •
4/26/07 DJ
Final inspection for
certificate of
occupancy 4/26/07 DJ
p�y
Y4
Rei Date: 1/18/06
Page 1 of 1
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382
Uncasville, CT 06382 - Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
• r vc _ 2
.A • A L
Property Address
X Z— aG
ob Description
No Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required
Approval Department Certificate of Occupancy Approval
❑ WPCA
Comments: Signature/date
Planning &Zoning
Comments: Q -z4 024 '7.- C>
Signature,"re date
❑ Health Department
Comments:
Signature/date
(�l Department of Public Works
S
Comments: Signature! date
C State Dept. of Transportation
(All conditions of STC Certificate of Operation(if applicable)have been satisfied)
Signature! date
e
Comments: gr
C Police Department
Comments: signature Rett
(-1 Fire Marshal
Comments:
Signature'date
elvisedAugust 5,2005
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext. 382 Uncasville, CT 06382
Fax. 860-848-7231
WIND LIMITATIONS
AFFIDAVIT
Address of Property: 2 Co Qhe4.S!) — UA.) 0.-7k 0.1LE
Job Description: I C1 S `O
Building Permit Number: st3i9co• 0/ ' '
I hereby swear and attest that I have installed or caused to be installed, all of the required connections
relating to construction in locations where the basic wind speed equals or exceeds 110 miles per hour,
per section R301.2.1.1 of the Connecticut Bui ding Code, as they appear on the construction documents
approved by the Building Department for the bove referenced address.
Signature of
geolfeetar:
vw/'-E{
Name of Geetractor: )� gock U d (--1•&--
owner
Name of Business—if applicable:
Subscribed and sworn to before me this 2 (0 day of '► Ifi , 2907.
7",&
Signature of Notary Public/Commissioner of the Superior Cou