Loading...
HomeMy WebLinkAboutDrain Layers Permit 51 Bailey Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7872 Location Contra , <7 y, 0051 BAILEY p:r"wDg C"CONSTRUCTION LLC CIRCLE Type Work Addk.'£es( P OB7`ff5::,. 45 EVANS RD" ` " . ROC4 L CV1,0_6067 P. Da te e I ns p Ne eded de d u. f 4-�.. Time I nsp Needed s O Inspected By '� '4 C £ H ��£ f Li L Work in Progress Ale 1 h k xj,, 3 ZM Qs" Al— t p '. : �W /7i5�''� //) 1� LI I� Permit No. 7872 Town of South Windsor, CT Permit Date 12/13/2004 1 Drain Layer Permit Expiration Date 01/12/2005 Descrip: CK 3817 FOR DRAIN LAY.•ZkS..DER Applicant > .'. 1:.9ckion " L Name DOUBLE C CONSTRUCfi ©NLL� £ ® 1= BAI ,El� C .tCE Addr. P O BOX 785 45 F�1A13'S. R3, BRt7Ok. ANkaxATES LLC Y,+bqf: ROCKYig ILL .fy�%,, ,.F .:; 1;1 Phone No. ( ) - : : .a. '£ `s :::.;:: The DLayer",.-,, rain era Lay • ' ::. i ? R€s Fi'ft>,''_1Srlkid C' zfSe 3£ stied by the and here " t; ,...:state by ag ees. t w' >. ter i F' 3#z `t 3 1< t Fi2zi in the :< ri e attached 'Condition''.'_j l esr tlzh M. of South Windsor standards, ail OSHA ;'rta atGfle ` Gortditions. Issued By Date Inspected "»^ s ect 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:__ J , a;(e,i 'r Lot #�_ Street No. Street Name Premises owned by:_ hQd,, A=e ja�c,3 Name of Firm: NUW C. Ln'LA"n Phone: 1 -1,5133 Address of Firm: R•0, 13,zix -78,S (Zoc.�,t N,11 G% 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 12 I H Estimated time for completion 121 IL( 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 _Curls the holder of Drain Layer's License No. Only 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. Signed: ,6��a Print Name: ris Licensed Drain Layer Date:_12(i ;-'Standard`Forms\Peimits\APPLICAITON-FOR.DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: Z 3=- / BUILDING ADDRESS S � Cap*L, �►'r� l� STREET : Lod SUBDIVISION: NORTH ARROW dD J, 131 � C t e, o4 a, t, 40 c M 1 t1 vv� Cam, CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SU ERVISOR (PRINT) f r / STREET ADDRESS SIGNATURE C � DATE 1 TOWN T STATE ZIP INSPECTED BY TOWN S L C> '_ vt j > 5-G`3 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER