HomeMy WebLinkAboutDrain Layers Permit 67 Bancroft Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7264 Contractor COVEN CONSTRUCTION CO.
Location 0067 BANCROFT LANE Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
Phone No. (860)282-0526
Date Insp Needed �' ;Bate Ynsp. /
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Time Insp Needed OL4. �
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Penm'jt7iNo. 7264 Town of South Windsor . CT
,Permit Date 04/18/2001 Drain Layer Permit
Expiration Date 05/18/2001
Descrip:
Applicant Location
Name COVEN CONSTRUCTION CO. Add, r o067 BANCRdt T LANE
Addr . P.O. BOX 427 Owner MURPHY LAURISTON & MARGARET A
COVENTRY CT%06238
Phone No. (860)282-0526 ,'
The Drain Layer ass'i gnod' this pe'trfrt t has val )d i cense issued by the
state and hereby agrees tc }*'"I the tort and co d irians set forth in the
attached 'Conditions '-, -Afjli-",= dirk, sha 7 be _n acca:rdAnce with Town of South
Windsor standards, a i , QSMA_ requi r1t m"tints,-A the .`attached conditions .
Issued By _,Cn it .r ci t 1:e •►% 5 �. '"'
Date Inspected �� ®� Inspecled, gy _ -----
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APPLICATION FOR DRAIN LAYER PERMIT coN^' �r
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: �` t "� ��. Lot # _
Street
No. Street Name
Premises owned by: /� LA l�`� 0-� o&-rARid Oun"OhV
Name of Firm: C.,Q Ut<7A--) (10,jd L-140 (, Phone: G ?l b
Address of Firm: G t� '(1 ✓�� ��
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of -- acres
Connection will be made with t/ l/
Existing Water Supply:, Public Water Well
Proposed Start Hate* , Estimated time for completion l I ��
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WI DSOR STANDARDS,
ALL OSHA REQUIREME TS AND CO DITIONS A ACHED TO THE PERMIT
�lfI re.�jm-,(
Permit is to be issued to L-v s 4 0,06A) /d the holder of Drain
Layer's License No. 43L-j `i ci . Only holders 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. 0\0 0 /)too 5-85 ,
Signed: Print Name: I C
icens Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : Xc)±,
STREET
SUBDIVISION: Ltp- (--f� UuA Vd / ro-j
NORTH ARROW
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CON CTOR (PRINT) NAM 0 C CTOR'S SUPERVISOR (PRI T)
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STREET ADDRESS SIGNA RE
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TOWN STATE ZIP INSPECTEDof TdWN
DATE
-EEPHONE NUMBER
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