HomeMy WebLinkAboutDrain Layers Permit 15 Bancroft Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permi-t No`' 7589 Contractor COVEN CONSTRUCTION CO.
Location '# Ft T..) A)E Address P.O. BOX 427
Type Work N W `SAN LAT COVENTRY CT 06238
Phone No. (860 )282-0526
Date I nsp Needed W(11 n t®/Z 3Z 'z--
Time Insp Needed n
Inspected By
Work in Progress eo 2 35 Frow- SAP,
Date
SOR. ,
Permit No 7589 Town of South Windsor, CT
Permi~�j,[�ae + i 0/09/2002 Drain Layer Permit
Expirat ion Date 11/08/2002
Descrip:
Applicant Location
'Name COVEN CONSTRUCTION CO. 0015 BANCROFT LANE
Addr. P.O. BOX 427 %nor REST VILLAGE ASSOCIATES LLC
COVENTRY CT 3
Phone No. (860)282-0526 ,
The Drain _Layer is 1 license issued by the
state and hereby ag e a ' i ns set forth in the
attached 'Condition ' r s in qajn 0- -with Town of South
Windsor standards, 1 r an 4t ached conditions.
Issued By �� ��� �
EA/1
Date Inspected
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: At Lot #
Street No. Street Name
Premises owned by: UGL,:-
Name of Firm:_ Phone.� 0-7 2
Address-of Firn F/2vA�
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 16 0�- Estimated time for completion oZ da
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STAN ARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to » 14L—C-( r�
the holder of Drain
Layer's License No. 9o� J. A . Only holde of Pi or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE THIRTY ( 0) 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.L06. 0
lb)Signed: Print Name: v f
L' ense r ayer
Date: (�
Standard Form ermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
a TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL , FIELD LOCATION
DATE OF CONSTRUCTION: 3
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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STREET ADDRESS SIGNAT RE
Li -.K'j DATE
TOWN STATE ZIP INSPECTED BY TOWN
�2_ DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER