HomeMy WebLinkAboutDrain Layers Permit 71 Bailey Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Conti, eCEYiY""DOU 'f3>:,, ONSTRUCTION LLC
Location 4&6esg',j r^ 0 &X '718`;"45 EVANS RD
is y
Type Work NEW SAN LAT R -qICY If'FL Ia T. 0'6::067
n.
Date Insp Needed ' �r Date TksOlt
Time Insp Needed -- T3fnehIx3' �� }
Inspected By ° a
:.
b f q
l
Work in Progress f
" -- �
r y f ux . f
€ T
--- T �
^._.. .:.
----------------- ..
Oyu
v
InpYtY
.,.:,.... -------------
j
Permit No. 7799 Town of South Windsor, CT
Permit Date 08/19/2004 Drain Layer Permit
Expiration Date 09/18/2004
De s c r i p: «.,,..:emu.,....:.,.>..
.`
Applicant r :
Lot,�ition
a` �. Fa
Name DOUBLE C CONSTRUCT I.OIQ C 13i 007.1 H ZTEY CYCLE
Addr. P O BOX 785 45 EVNS VY $ROOD ASSOCIATES, LLC
}
ROCKY HILL CT 06067 "�` f
Phone No.
l ff
IV
fY Yi f
The Drain Layer ssdgielhl`s perm y�lid 1s kssud by the
state and hereby ageeo� 1 { t... .:.: # �Kdnc itio forth in the
attached 'Condition '
Windsor q South
€
standards, aiL zeme £'.:.,,
J. d d d'tions.
V.
s
Issued By y
t
---- -- � t - ---------------
spected
Date In «. f .< ... ...
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WIN'DSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of r p oposed work. �.•`� �� r ( ,�.. Lot # l C�
Street No. Street Name
Premises owned by: �ac,Qjr0C, .
Name of Firm:_ �) e C Phone:
Address.of Firm:Ll 5 Fuca �S
TYPE OF WORK:
Lay House Drain ; Repair House Drain
La Main '
Y ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made With V'C�
Existing Water Supply: Public Water . Well
Proposed Start Date Estimated time for completion f a,
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 ( eu,.� (( <� T 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:019LI �
Print Name: P
Licensed Drain Layer
Date: %— l $_C)�C
Standard Forms\Permlts\APPLICKQON FOR DRAIN LAYERS PERMIT.doc
I1 1 1 1
MEN ■■ ■ �r rs ■ , .�■ ■■ r■■
■■■■r err■ ■ r�r ®rr ■■ ■r
■■ ■ ■ ` ; ',■■■ ■■■■■
■■■ i� '.:: mono_
r