HomeMy WebLinkAboutDrain Layers Permit 145 Abbe Road I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7EL22 Contractor MIDSTATE EXCAVATING
Location b1.45-:AB9 ' ,AD Address 95 BUNKER HILL ROAD
Type Work NEW SAN LAT JOSEPH ZIMMERMAN
ANDOVER CT 06232
(860 )836-1532
Date Insp Needed s & 03
Time Insp Needed e
Inspected By
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- Town; of South Windsor, CT
Permit . 7622 Drain Layer Permit
Permit Date 04/17/2003
' Expiration Date '05/17/2003 n
Descrip:
: ,pp l i cant
Location
Name MIDSTATE EXCAVATING <14 . ABBE ROAD,,
Addr. 95 BUNKER HILL ROAD e H FRANK E TRUSTEE
JOSEPH ZIMMERMAN
ANDOVER CT 0
Phone No. (860 )836-1532co
The Drain Layer as s d cense issued by the
state and hereby agre nd ii s set forth in the
with Town of
attached 'Conditions' A � e � South
n t ached conditions.
Windsor standards , al .
s� o
"Issued By t
Date 1-nspected c By
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: /5'S o�Vle Lot # 2
Street No. Street Name
Premises owned by: re k vae
Name of Firm: m A5744 & Phone: ,?
Address of Firm:_ %-s` k'r,.,��,.f // '�I ,t�„ � G,4-
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with " _rtI U I o
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR.STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. .Z,D?z; _ . Only holders of P1 or P7 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. d 0 3 t f p q
Signed: Print Name:
*./ Uicensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: /03
BUILDING ADDRESS. / 413 . � ®�-
STREET RcJ
SUBDIVISION:
NORTH ARROW
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'CONTRACTOR (PRINT) NAME OF C C S SUPERVISOR (PRINT)
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STREET ADDRESS SI U
Joy- r-/- C ��� DATE
TOWN STATE ZIP SPECTED BY TOWN
DATE
TELEPHONE`NUMBER
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