HomeMy WebLinkAboutDrain Layers Permit 242 Abbe Road TOWN OF SOUTH WINDSOR-INSPECTION REPORT
Permit No. 7263 Contractor COVEN CONSTRUCTION CO.
Location 0242 ABBE ROAD Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
"-Phone No. (860.)282-0526
Date Insp Needed `T �-7 � � {-'ate `Insp.
Time Insp Needed f Tame Ir�sp.
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Inspected By
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Work in Progress
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Input Date
Permit No. 7263 Town of South Windsor, CT
Permt:t-' Date 04/16/2001 r Drain i_ayer Permit
Expieation Date 05/16/2001
Descrip:
Applicant Location
Name COVEN CONSTRUCTION CO. A;d1=r� A4WLL B BAMOUEDL E JR &
Addr. P.O. BOX 427 QWfte c SE
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COVENTRY CT 0 8
Phone No. (860 )282-0526 r
The Drain Layer asess�i;b n's ed thfs ��.r �t hers .a Va ,d "l i cerise issued by W
state and hereby agrees : � ' t ,.forms"<..and c i tiohs set forth i h t °
attached 'Conditions k ,A I :14 k sKa T 4 ,i n ao i nc : with Town of Sou
atched Conditiora at . Q�ridr ' stand nd s.
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: c;k W3 ` Lot #
Street No. Str6et Name
Premises owned by:
Name'of Firm: ` (J t:2:-A� ��,5 Phone: ?�
Address of Firm:E(9
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TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date-�-Jj Estimated time for completion q t
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 &J14L&d .A--5 C the holder of Drain
Layer's License No. -)I-
j(i . 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. ; b/ h0o
Signed: Print Name: m"
r� �S N
Li d r nse in Layer
Date: q /3
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Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc )b/
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TOWN OF SOUTH . WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: / ol
BUILDING ADDRESS : a. Ya A 13 S C 0 T
STREET G6 c e4o
SUBDIVISION:
NORTH ARROW
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PRIN NAME OF COT T RCS SUPERVISOR/(PRINT)
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STREET ADDRESS SIG A RE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
26L... -7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER