HomeMy WebLinkAboutDrain Layers Permit 389 Abbe Road (2) TOWN OF SOUTH'. WINDSOR INSPECTION REPORT
Permit No. 6761 Contractor TED ROSICK CONSTRUCTION
Location 0389 ABBE ROAD Address 1919 BOSTON POST RD.
Type Work NEW SAN LAT .•-- GUILFORD CT 06437
Phone` No. (860)669-2133
Date Insp Needed Zs126�g�
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Time Insp Needed 1= � e $Py,
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'ermit ;lo. 6761 Town of South Windsor. CT
3ermit Date 02/26/ 1998 Drain Layer Permit
xpiration Date 03/28/ 1998
•)escrip: SEWER USER RECEIPT# 15
Applicant � --� - Location.
lame TED ROSIC;K CONSTRUCTION , ddv„ 0. 89 ABBE ROAD
Addr .. 1919 BOSTON POST RD.
yvre SIMMON S JAMES K
, "
GUILFORD CT 06437 �
hone 1\4o. ( 860 )669-?133
The Drain Layer assignee . this perm as v� °Cfd>-L.icense issued by the
state and hereby agrees to_ 11.1 'thy end da0di"t'fens set forth in the
atr Ic ned 'Conditions ' A 11 +pork ; accn
ar dae with Town of South
Windsor standat ds . a i 1 OSHA-'regu conditions .
aye nsoected ---- 14196 _ Is -
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APPLICATION FOR DRAIN LAYERS PERMITS
TOWN OF SOUTH WDVDSOR
PUBLIC WORKSTO WN (:,7
61
1540 SULLIVAN AVENUE 0,JL'aSOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: C�3F9 /��f Lot #
Street No. Street Name
Premises owned by:
Name of Firm: 2 Phone:�����'�
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
Proposed Start Date —2-=*211e-7timated time for completion 2 �
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. a20g�92. Only holders of P1, 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. and/or ConnDOT Permit No.
Signed; Print Name
Licensed rain Layer
Date: .�2
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SANITARY SEWER 'LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS Avzgs7 �oA�
STREET
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
Pp. FDox 2Zl_ Ckyi tr-'E=;o2o `
STREET ADDRESS SIGNATURE
�. �q3r 3 DATE
TOWN
STATE ZIP INSPEC6V BY TOWN
l &w 11 l (Q(,L4 ,c-GANN DATE
TELEPHONE NUMBER
WHITE - TOWN PINK CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER