HomeMy WebLinkAboutDrain Layers Permit 275 Benedict Drive i
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6825 Contractor HILLS PAVING
Location 0275 BENEDICT DRIVE Address 245 SCANTIC ROAD
Type Work NEW SAN LAT EAST WINDSOR CT 06088
Phone No. (860)654-1707 I
Date Insp Needed datensp
Time Insp Needed f` nsp.
Inspected By
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Permit No. 6825 r Town of South Windsor, CT
Permit Date 06/04/1998 Drain Layer Permit
Expiration Date 07/04/' 998
Descrip:
Applicant Location
Name HILLS PAVING Acidr�. 0275 BENEDICT DRIVE
Addr. 245 SCANTIC ROAD Ow0er `LEITAO ALBERT M&MARGARET P SURV
EAST WINDSOR CT 060'$'8
Phone No. (860)654-1707
The Drain Layer permli!, has a validz License issued by the
state and hereby agrees to,,al1','the terhis and c" T- t, `ionss set forth in the
attached 'Conditions ' : .A11 .work sha1 b 1n ac qr ,ahca with Town of South
Windsor standards, all, OSHA requirements:, and the ,attackled conditions.
Issued By .. .
f.
)ate Inspected �Q-L? �g Inspect-
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR '�925r
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Q 1LJ2n�� ��� ��' Lot #
Street No. Street Name
Premises owned by: Rr-iGk/�
Name of Firm: 4r 3 Wo-V Phone: GSA/--/
Address of Firm: dY5- Tcf" ^41'C IPT
TYPE OF WORK.
Lay House Drain _; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with P16
Proposed Start Date 0 - 5- 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 the holder of Drain
layer's License No. . O'er Y6 Only holders of Pl, P7 & W9 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.
Signed:
Print Name r
� �
' eased Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS ��-
STREET : _ �i✓,� �
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT NAME OF CON CTOR'S SUPERVISOR PRINT)
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STREET ADDRESS SI ATURE
440-t. 6,1,,
TOWN STATE ZIP INSPECTED BY TOWN
7�® �-6S 7 �/ D'7 �./ DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER