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HomeMy WebLinkAboutDrain Layers Permit 399 Beelzebub Road t j TOWN OF SOUTH WINDSOR INSPECTION REPORT hermit No. 8070 Cantracror LANDIE CODJSTRUCTION, INC. Location 0 9-.BEELZEBUB ROAD Add re:ss 2,7 .OI-ARIA RAAL}:._ Type Work NEW SAN LAT Phone Na �$ 0)646 4305 S. Date Insp Needed ( V� bate I ----1__=---- Time Insp Needed Time 2ikst ------ -- r— - j -- —y- Inspected By Ni d. Work in Progress ��__s_ retail R9 0 �N3. „y"„ �siy.x�` —t_ H� 3�'.Le GU',drG CRisY T��Sec.�¢e1 Pf 1 GM i+� �t�Z 1 p __J; ... .. .;y;.:.::::..• Date _ _ __ _ (P ni S�-j Ca rtvi tC eti.j sP.e E d Scy�f�z �-— tC�8. �n:•5� Gc Kc� S Mo —A Permit No. 8070 Town of South Windsor, CT Permit Date 06/30/2006 Drain Layer Permit Expiration Date 07/30/2006 r. Descrip: NEW LAT ON AVERY ST FOH REBUILT.CHUH Applicant Location r, Name LANDIE CONSTRUCTION,% INC Ad 0393 SEEL ;EBUB .IOAD A ddr 21 CLA RK ROAD :.>. _:;.,.:..:....:.s. .. Ownef AVERY. STFk,E$i.T''CH,R�STIAN REFORMED : BOLTONT p '0.43 Phone No. (860)646-4305 The Drain Layer: assign-ed Chi: pe st ha�_s vaSid license zssued by the state and hereby agrees t..'o a1 `the terttt§ aiid cohdsIons set forth in the attached 'Condition�411l work ball: b z ; a .ardance+;wit°h Town of South Windsor standards, all OSHA-re'cu3zeme'rar.: Yd CMe &ttached conditions. Issued By --- .—( /?}J T3 t 1U4�t]nr --------------- 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 $60.00 Location of proposed work:— /�C/ ,�� S j Lot# Street No. Street Name Premises owned by: Name of Firm:__ 61 Phone: Address.of Finn: se--Im e TYPE OF WORK: Lay House Drain Repair House Drain Lay Main------, Lay Lateral for Commerdal/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water.._ Well Proposed Start Date Estimated time for completion 7— "e4� 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 w�<� Layer's License No. the holder of Drain Will be issued.a —• Only.holders of P-1, P-7 or W-9 licenses permit. PERM T 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. Town Street Excavation Permit No. APPlicant has received and/or ConnDOT Permit No. CBYD No. Signed: . Print Name: License d Drain Layer Pate:�/o_—_�A —©,7, standard Forms\Permits\APPLICATION FOR DRAIN LAYERs PERMIT.doc TOWN = OF SOUTH WINDSOR SANITARY'- SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: M 0\ I BUILDING ADDRESS5 -cre jou�1\ t'VIA50 r STREET y SUBDIVISION: d / A NORTH ARROW oor CONTRACTOR (PRINT) NAME OF OR'S SUPERVISOR (PRINT) �1 _rye 0'1�k uo' STREET ADDRESS SIG RE ikon C� 6o�1 DATENlc� TOWN STATE ZIP INSPECTED BY TOWN �0 6 CI G cl 30 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER