HomeMy WebLinkAboutDrain Layers Permit 28 Bancroft Lane i
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tiY TOWN OF SOUTH WIND.OR INSPECTION REPORT
Permit No. 7190 Contractor COVEN CONSTRUCTION CO.
Location 0028 BANCROFT LANE Address : P,O. BOX 427
Type Work NEW SAN LAT COVE'NTRY CT 06238
Phone ,.No. ( 860 )282-05t'_6
Date Insp Needed l��'Z.
�- ..—� Hate Insp •_---
Time Insp Needed ,30 _ _ ---- Time Insp .
Inspected By
Work in Progresss: C? j :1„
Input Date
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Permit No. 7190 Town of ;:,outh Windsor, CT
Permit Date 09/29/2000 drain Layer Permit
Expiration Date 40/29/2000
Descrip:
-Applicant Location
Name COVEN CONSTRUCTION CO. Addr. 0028 BANCROFT LANE
Addr . P.O. BOX 427 Owner GOLDEN JAMES
COVENTRY CT 06238
Phone No. ( 860 )282--0526
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees to all the terms and conditions set forth in the
attached 'Conditions' All work shall be in accordance with Town of South
Windsor standards, all O1S+4A requirements, and the attached conditions.
1
Issued By ------ -- ►�f� Tlitle
Date Inspected � _ ] Inspected By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: wt? L ' ! & Lot #
Street No. Street Name
Premises owned by: V41. ,
Name of Firm: LUICA--i rtwg � ! ( Phone: "? /c� 0-7-q 4
Address of Firm: 2 0
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with C
Existing Water Supply: Public Water Well
Proposed Start Date 0 DU Estimated time for completion )0 A
ALL WORK TO BE IN A CO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to C the holder of Drain
Layer's License No, _dL�-� q(L_. Only h iders of P1 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. y 450
Signed: Print Name: V cwc
Lic6nsedDP, yer 1
Date: °
Standard Forms\Per its\APP TION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 00
BUILDING ADDRESS Rez,) cx.,jFt CA
STREET
SUBDIVISION:
NORTH ARROW
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CO CTOR (PRINT) NAME OF R'S UPERVISOR (PRINO
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S REET ADDRESS SIG U
Cno o4i DATE
TOWN / /-E CJSTATE ZIP I PELTED BY TOWN
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TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER