HomeMy WebLinkAboutDrain Layers Permit 389 Abbe Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permi t No. fi7�t9 Contractor 'FEE' ROSICI�\ CONSTRUCTION
Location fC '- - A#.3BE RO,A0 Address 1919 BOSTON POST RD.
Type Work Nk-W SAN i_AT GUILFGRD CT 06437
P0'one" No. ( 860 )669-2 133
Date Insp Needed
P
Time Insp Needed '
Inspected By
Warp; in Progress
Inpu �_ - --- - Date =--
Permit No. 6749 Town of South Windsor, , CT
Permit Gate r_r 1 /()7/ 1 99S
Drain Layer Permit
Exp f r`at iota Date 02/1')6/ 1 'j':4 3
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t_C)CGcI t, C)fi
Name Tare ROSICk. CCiNSTRUCFION >Qy &9 A1s E
ROAD
Addr .. 1919 BOSTON POST RC r er S1MMQ,NS JAMES h"
GUI 1_FORD CT64 37 .
Phone No. ( 860 )669-213:-
f :
The Crain Layer assigns perm7t. ha-s is va1`td: Ii`cense issued by she
state and hereby acUre� rerMs and set forth in the
attached 'Cond i t i C,n;5 a 1n ac er 'a w 1 th Town of sout#�
Windsor ;T.andat'dU_ �'I t 't. � r` ClL j r!& + tit Li#cl 1e` r� c CtleCi c:,Orid� t�onS .
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Issued By
[gate Inspected IrTspetxtsly
SCANNED
APPLICATION FOR DRAIN LAYERS PERMIT 4��
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work 1 �� � ��� Lot #
Street No. Street Name
Premises owned by:_� , k -,4k Q
Name of Firm: Phone:
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for'CommerciaVIndustrial
Building of acres
Connection will be made with 11l 01 f/
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. On holders of Pl, P7 & W9 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. nd/or Conn.DOT Permit No.
Signed: Print Name l a
Licensed Dr in Layer
Date: f
SA
ED