HomeMy WebLinkAboutDrain Layers Permit 14 Bancroft Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No Contractor CORREIA EXCAVATORS INC
Location 0014,, ,84N0ROFT LANE Y Address 47 SMITHBROOK TERRACE
Type Work N-EW=:8AN ,!AT ' GLASTONBURY CT 06033
I� ne No. ( ) -
Date Insp Needed
Time Insp Needed O
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Inspected By
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Work in Progress
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P�rf 9a. 7483 Town of South Windsor, CT
Perm t . ate 0.8/08/2002 Drain Layer Permit
Ex. ration Date '09/07/2002
Descrip: -
Applicant
Location
Name CORREIA EXCAVATORS C d r 14 BANCROFT LANE
Addr. 47 SMITHBROOK TER ST VILLAGE ASSOCIATES LLC
GLASTONBURY T
Phone No.
The Drain Layer h ha license issued by the
state and hereby a 1 an i ons set forth in the
attached 'Condition in ce with Town of South
Windsor standards, IJA r tached conditions.
Issued By E�NA ° a = e ,
Date Inspected 1 C d By
s
' 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: am e Lot # 3
Street No. Street Name
Premises owned by:_. ! '-I' J &Xt-
Name of Firm: n144zA--A,, ex, P ;m-. C Phone: GS' 7-
Address of Firm: 5 ,� � �� o e �9 � �taa, e 7`
TYPE OF WORK:
Lay House Drain y ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres -
Connection will be made with 5,p & 3-s-
Existing Water Supply: Public Water ✓ Well
Proposed Start Date :��..�e Estimated time for completion or Q a� �
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND NDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. 009,% 8' X. Only holders of Pi 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.
Signed: 2e' Print Name:
Licensed Drain Layer
Dater
Standard FormsTermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: z
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME F CONTRACTOR'S SUPERVISOR (PRINT
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STRE A DRESS SI TU
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`- DATE
TOWN STATE ZIP INSPECTED BY TOWN
�1�'-f a% 1 0 5r DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER