HomeMy WebLinkAboutDrain Layers Permit 0018 Redrock Lane Permit No. 7646 Town of South Windsor, CT
Permit Date 07/15/2003 Drain Layer Permit
Expiration Date 08/14/2003
Descrip: USER FEE PAID CK#12501-AND #12.5L}3 >:,.-
Applicant LOCat`iOn
Name JACQUES CONSTRUCTIdN (db4N) Addy G?1)18 REIJROCK .•LANE.
Addr. 67 RIDGE ROAD CJeCLARK:REALTY INC
SOUTH WINDSOR CT O'6074
Phone No. (860)432-1823 f
The Drain Layer assigned this t �:A F. d lxeense` issued by the
state and hereby agret ;,.ta ;# --the terms anal condig: 8 et:: forth in the
attached 'Conditions' All work sFial I.
- _ cordat with Tpwn of South _
Windsor standards, aI1 0S3-IA r quirEet t tr.y w3 d :the attached:conditions.
P� A �a
F
Issued By
— t_� ----------------------
Date Inspected Ins ected B -
-------------------- p y -- — ---------
I
1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7646 Cont;r.act"or` ktoUES....CONSTRUCTION (JOHN)
Location 0018 REDROCK LANE Address: € 67 RIDGE. R(5AD_
Type Work NEW SAN LAT a,OUTH WINA6OR 'C: 06074 j
7?.hone'No (W. D: 4;3�2 1823
Date Insp Needed TTate Ins f
G
Time Insp Needed Or
Inspected By Lo
Work in Progress COsi 17�6tf�lT+� =? �� Z� � 3
Front So_
--P`�--SorQtizdeA /',07 Cress
C« ��� T ''
// 1 �✓ /1
// 2
(Yr9`T Q�' Input Date ��J
A
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: Lot # `
Street No. Street Na
Premises owned by:., � rw!4,
Name of Firm: Phone: 'off ' 6
Address.of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 5 P t 3 S—
Existing Water Supply: Public Water V Well
Proposed Start Date C Estimated time for completion
ALL WORK TO BE IN CCO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to '^ �'�'s'1 the holder of Drain
Layer's License No. d 9,5i�IC,2 qKly holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30),DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
Sign Print Name: yO y 1 V1. Je-7 G��
Lice D i yer
Dat
Standard FortrisTem 4AAPPLICA110N FOR DRAIN LAYERS PERMIT.doc
f
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL -:FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET el- ka c K titivE
SUBDIVISION: F)FM I/V (, HILL- F<TaT�5
NORTH ARROW
1 ! I
± d....._
i
1
• 1 ! � t i act
! i IA
1 `
, , 4
1
1
All
.. __
00001
i
t t 1
{
sco
CONTRACTOR (PRINT) NAME PF CONTRACTOR'S SUPERVISOR (PRINT) 4
1,5 T E.LL l a ( To sY
STREET ADD ff SS �(" / SI NATURE
�• Vr Ih�So r C- / � OC7tf DATE
TOWN / STATE ZIP INSPECTED BY TOWN
Vo DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER