HomeMy WebLinkAboutDrain Layers Permit 79 Bancroft Lane -.-t TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7 Contractor CORREIA EXCAVATORS INC
Location Address 47 SMITHBROOK TERRACE
Type Work RPR SAN LAT GLASTONBURY CT 06033
Phone No. ) -
Date I nsp Needed Date.,,I nsp
Time I_nsp Needed T7 r, Insp
Inspected Byi✓ 'g�at,
Work in Progress �' t.d u� i�A` '��. � „�� �;,,,, 4d ��� fir:, s S
�T6N� r/.�,�ve2 ice '' , A1ri�.,- S.A %' �' v�� Osv 5��� �T ��ACL
v56rW, Input _CAAI,— Date 0 -�
Permit 4 1 `7387 } Town of South Windsor , CT
Permit Date 01/2S/2002 Drain Layer Permit
Expiration Date 02/28/2002
Descrip:
Applicant Location
Name CORREIA EXCAVATORS INC Addr. ' 0079 BANCROFT LANE
Addr. 47 SMITHBROOK TERRACE Owner WILLETT CRAIG R & MELISSA D
GLASTONBURY CT 06013
Phone No.
The Drain Layer assigned: th"is 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 shah ,'be irk accordance with Town of South
Windsor standards, all ,08HA requirements, and the attached conditions.
F ,
Issued By ?itle , _
Date Inspected �2�3��/ ,.Inspected,-By
APPLICATION FOR DRAIN LAYER PERMTI
TOWN OF SOUTH WINDSOR
PUBLIC WORrc-; DE PAR rWENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25,00
Location of proposed work: !Z q &nc ro-t kAkC Lot #
Street No. Street Name
Premises owned by: &'1) ,,dajA)
Name of Firm: 1!yu y'+ 6eu y 40a , la, Phone: 657 2/,w
Address of Firm: Y7 Smi'WfWk T a,- fvmhwV, (,r
TYPE. OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with: . w S!�2 -3 S, a,`/- o eAdS
Existing Water Supply: Public Water Well
Proposed Start Date 30N Estimated time for completion
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 60tZE-0- &Wvakls lAX the holder of Drain
Layer's License No. 409SE& . Only holders of P1 or P7 licenses will be
issued a perrnit: PERMIT WILL EXP IRE =411ARl a (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.
e
Signed I y
` r Print Name: T 0 ,5 4'
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 7,7,4-)
�5" iz/io
BUILDING ADDRESS
STREET : 3* 71 i3.��✓c,�� r ,�N
-I- SUBDIVISION:
NORTH ARROW
t
t
• r ; t t I i t I � _ ; t f !
I ,
-7
1 p Y If
17
�►'Y lC f��' �/U
t 2 r I �_....... t ! { t 1 � �
i
1
e
i
i
c- Z
CONTRACTOR
(PRINT) %�S�1 AA /� /N//AME OF CONTRACTOR'S SUPERVISOR (PRINT)
`
STREET ADDRESS SIGNATURE
Cz— G��C'3 3 7'E'�z /���� DATE
TOWN STATE ZIP INSPECTED BY TOWN
7 2/ S DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER