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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
CONSTRUCTION PERMIT APPROVAL
5-5 7jkt+ cL G(igcc(s 1rt
Property Address
ck -
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
building permit will be issued until all of the required signatures have been obtained.
Required
Approval Department Permit Issuance Approval
Tax Collector J�/,t /o / a
-.5"-
Signature/date
Comments:
❑ WPCA,Administrative
Signature/date
Comments:
❑ WPCA,Technical
Signature/date
Comments:
111 Planning&Zoning
/
/
6 7/G J
/ Signature; date
Comments: 205---' / 5 z
•
Health Department
Signature!date
Comments:
❑ Department of Public Works
Signature!date
Comments:
❑ State Dept.of Transportation
Signature/date
Comments:
❑ Fire Marshal
Signature/date
Comments:
&viseIAugust 5,2005
Town of Montville 4
Building Department
Date: Field Inspection Notice Permit#:
Address:
Not Comments/Corrections Required—re-inspection required:
Inspection Approved Approved
0 Footing X0
❑ Backfill' 0
I
o Concrete Slab 0 0
❑ Framing 0 0 1
❑ Rough Elec 0 0
❑ Elec Service 0 0
❑ Rough HVAC 0 0
1:1Rough Plumbing 0 i
ID Gas Line 0 0 f
❑ Fireplace Throat 0 0
o Chimney 0 0
❑ Fire/Draftstopping 0
❑ Insulation 0
0
ID Final Inspection 0
❑ CofO 0 0
❑ ❑
r
Inspector's Signature
1
Town of Montville
Building Department
Field Inspection Notice
Address: 59 Pequot Rd.
Job Description: Deck & Patio Door
Permit Numbers: B2005-0353
Date permit issued: 7/8/05
Not Approved Deficiencies Approved Date?VV
DECK PIERS Special Conditions
•
Not Approved Deficiencies Approved
POOL BONDING Special Conditions
ELECTRICAL Not Approved Deficiencies Approved
TRENCH Special Conditions
•
•
ROUGH Not Approved Deficiencies Approved
ELECTRICAL Special Conditions
•
Not Approved Deficiencies Approved 10/07/05 DJ
FRAMING • Special Conditions
•
•
Not Approved Deficiencies Approved
10/07/05 DJ
CERTIFICATE OF
OCCUPANCY Special Conditions
•
Page 1 0111
Revised 3/17/05
Sheet Printed:10/7/2005