HomeMy WebLinkAboutCertificate of Occupancy - SFR
Town of Montville
Building Department
Certificate of Occupancy
This is to certify that the structure at 4 ANDERSEN LANE unit: under permit number B2002-452
constructed as a Single Family Residence conforms substantially to the requirements of the
- Building Code Ordinances and Zoning regulations as adopted by the Town of Montville and the State of Connecticut and is hereby approved
for use and occupancy under Use Group R4 of the 1995 CABO Building Code of Connecticut.
Construction Type: 5B Map/Block-Lot: 037/002-060
Owner: Brian C Gebo
PO Box 264
Jewett City, CT 06351
CO Special Conditions:
Wednesday, April 30, 2003
Buil m &ial Signature CO Issued:
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Town of Montville
Building Department
848-3030, Ext 82
ONE & TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN-OFF SHEET
glctro~l L44 4<5
Property Address
Job Description: 416A/ 5r
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
r Approved
C c3.21'03 ❑ Permit 4-- Not Applicable
eiatv Septic System Date
~~j, Approved
L'L. 3.21-"03 ❑ Permit 2140SO ❑ Not Applicable
Private Wel Date
WPCA DEPARTMENT 848-3030, Ext. 376
( DL Approved
~yz ❑ Permit ❑ Not Applicable
Municipal Sewer Date
House Trap ❑ Outside ❑ Inside
Approved
❑ Permit # ❑ Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
_ ❑ Permit [ o A licable
Date / j- L,
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379
In-Compliance
Permit ❑ Not Applicable
Zoning Date
In-Compliance
❑ Permit V1 Not Applicable
Inland-Wetlands Date
1(evise d 6/28/2002
Town of Montville
Building Department
Date Field Inspection Notice Permit #
4 Job Location e1/sa.6
A pProved Type of Inspection
❑ Not Approved - Please call for re-inspection when the following corrections have been completed:
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Date/ Field Inspection Notice Permit #
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Approved Type of Inspection
_Not Approved - Please call for re-inspection when the following corrections have been completed:
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Town of Montville
Building Department
Permit #
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Job Location
❑ Approved Type of Inspection
O Approved - Please call for re-inspection when the following corrections have been completed:
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Town A Montville '
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Job Location
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Building Department
Field Inspection Notice Permit
Date ~
Job Location
Approved Type of Inspection
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Approved Type of Inspection - INS
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Building Official
Town of Montville'
Building Department
Date Field Inspection Notice Permit #
Job Location
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Approved Type of Inspection
Not Approved Please call for re-inspection when the following corrections have been completed:
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Town of Montville
Building Department _
Date Field Inspection Notice Permit # C:-0
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Approved Type of Inspection
❑ Not Approved - Please call for re-inspection when the following corrections have been completed:
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