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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
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 6/all c
Signature/ date ,
Planning & Zoning -5 (.2))
(.2))-2Z Signature./ date
❑ Health Department
Signiature/date
Department of Public Works
ieuature/ date
❑ State Dept. of Transportation
Signature/date
❑ Police Department
Signature/date
❑ Fire Marshal
Signature/ date
❑ Wind Limitations Affidavit
Comments/Conditions:
IfviseefMarck 17,2005
C
CIPPI Town of Montville co)
Field Inspection Notice
Permit #
Location: Z•Nf'- ///e/5Wr,7Av l 4/`-) Type of Inspection: /S07/4J
Issued to: < 4J 7C) Si�r�
Delivered to:
COVED NOT APPROVED
The following orders are hereby issued for their correction: -
Please call for inspection when corrections have been co le 860-8487
Date: 9i/c.Y
nilding [[ictal 7
6
Town of Montville
Building Department
Field Inspection Notice
Address: 68 Pheasant Run
Job Description: Single Family Residence
Permit Numbers:B2004-0624—E2005-0006
Footing Not Approved: Approved: 10/27/04 JS
Comments: 1.
Backfill Not Approved: Approved: 11/18/04 VV
Comments: 1.
Framing Not Approved: Approved: 1/10/05 JS
Comments: I.
pp
Rough Electric Not Approved: Approved: 1/10/05 JS
Comments: 1.
Electrical Service Not Approved: Approved: 1/10/05 JS
Comments: 1. Trench approvedl2/16/04 JS
Rough HVAC Not Approved: Approved:
Comments: 1.
Rough Plumbing Not Approved: Approved: 1/10/05 JS
Comments: 1.
Gas Line Not Approved: Approved:
Comments: 1.
Fireplace Throat/ Not Approved: Approved:
Chimney Comments: I.
Fire/Draftstopping Not Approved: Approved: 1/10/05 JS
Comments: 1.
Insulation Not Approved: Approved: 1/21/05
Comments: 1.
Certificate of Not Approved: Approved: 4/29/05 JS
Occupancy Comments: 1. House numbers required on house and at street
Mfg Fireplace Not Approved: Approved: 1/15/05
Rough In Comments: 1.
Not Approved: Approved:
Comments: I.
Not Approved: Approved:
Comments: 1.
Comments:
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