Loading...
HomeMy WebLinkAboutDrain Layers Permit 79 Bancroft Lane (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No: 7 Contractor CORREIA EXCAVATORS INC Location . Address 47 SMITHBROOK TERRACE Type Work N AN LAT GLASTONBURY CT 06033 Phone No. ) - 41W Date Insp Needed Date Insp, � Time Insp Needed 2, � fG"� . 'fi{ ,Inp� t��uG �• -IZd� ---- Inspected By Work in Progress ���yLc�t Input �i�� Date, Permit No. 7308 Town of South Windsor, CT Permit bate -07/16V2001 Drain Layer Permit Expi rg�,'t ,on--"Date 08/09/2001 Descrip Applicant Location Name CORREIA EXCAVATORS INC Addy. 0079 BANCROFT LANE Addr. 47 SMITHBROOK TERRACE Ownerl`WILLETT CRAIG R & MELISSA D GLASTONBURY CT 0' Phone No. The Drain Layer asotgneds` thI,s permsts fha ' valid license issued by the state and hereby agro s- ,to.. ►#,1, th¢, to"rms'',and `condi'tions set forth in the attached 'Conditions' ',Al1_-w6nk sha,l;l 'sben adccsrdenca with Town of South Windsor standards, al DSKA rioqu r to and tf?4 attached conditions. Issued By ��(Z n�A. T i.t 10 i Date Inspeqted '� // / `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: 80011 A tot # Street No. Areet Name Premises owned by: Name of Firm: (foALLIA_a ee e ,,vim Phone: aS?-2 195- Address of Firm: s e t-- TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main _y1_0; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with G �"` P v �- Existing Water Supply: Public Water Well Proposed Start Date i t c + 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 d 4-t the holder of Drain Layer's License No. f1 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. V ( 'z 0 G &q Signed• Print Name: � � S r 0, Co Licensed Drain Layer Date: 7A a Standard FormsTermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS STREET SUBDIVISION: NORTH ARROW 1 f { I t r i r GT 1 -11 ` } ; I i - I . ! j f i t i ' ' t ; 407 C TRACTOR (PRINT) N TA CONTRACTOR'S SUPERVISOR (PRINT. STREET ADDRESS SIGN RE _3 3 7©1 DATE TOWN STATE ZIP INSPECTED BY TOWN �7` � � ��� DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER