HomeMy WebLinkAboutDrain Layers Permit 15 Barbara Road TOWN OF I'DOPTN 1%TNDSOR INSPECTION REPORT
Permit No , 65512 Contractor COVEN CONSTRUCTION r ,-),
Location 0015 BARBA.RA ROAD Address P.O. BOX 511
Type Work NEW SAN LAT COVENTRY CT 06238
(860 )282-052F
MIC
Date Insp Needed
v
Time Insp Needed � a a to
Inspected By �-;
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Work in Progress io
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,�ce - Date I-21-G
Permit No. 6562 loam ti)t Soot;h Windsor, CT'
Permit Gate 01/10/ 199'7 Drai r-r Layer Permit
Expiration Date 02/09/1,997
Descrip.
Applicant l._ocat,i can
Name COVEN CONSTRUCTION CO. Addr. 0015 BARBARA ROAD
Addr. P.O. BOX 611 owner BOLDUC HOSSELL A & JOANNA l (SU
COVENTRY CT 06238
Rhone No. (660 )282-0,526
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 accordaiCe with Town of South
Windsor standards , a t 1 ')SHA `regtj- rements, and` the att ac:hea conditions.
Issued E3y �f - .��x� -. _ Title
date inspected ...__ � - - -- -- - Inspected By - .z- .- �' _; -
6
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORDS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location o ro osed work: 13Alz)Q �� Lot #
.f P P
Street No. Street Name
Premises owned by: o
Name of Firm: CU / n. , Phone: 7�
Address of Firm: o - Cu
TYPE OF WORK.
Lay House Drain ; Repair House Drain ;
Lay Main Lay teral for CommerciaVIndustria.l
Building of L acres
Connection will be made with
Proposed Start Date_l 3 �1 7 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SO TH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
�� 4 Permit i to be Issued to S i the holder of Drain
layer's License No. Only holders of PI, & W9 licenses will be
issued a permit. Permit will expire thirty (30) days a er 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.
( '?DA)- 16
Signed: Print Name �wf
Lic ns in Layer
Date: