HomeMy WebLinkAboutDrain Layers Permit 78 Birch Hill Drive i
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7508 Contractor GLENN CONSTRUCTION CORP.
Location F 0078 q-R0 t 'HILL:-.DRIVE Address 86 SANRICO DRIVE
Type Work NEW SAN LAT MANCHESTER CT 06040
No. (860)643-8040
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Time Insp Needed e+17
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Town of South Windsor, CT
7508
` Drain Layer Permit
Permit Date 09/18/2002
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Expiration ,Date 10/18/2002
Descrip:
Applicant Location 1
Nam
e GLENN CONSTRUCTION C P 0 8 BIRCH HILL DRIVE
Addr. 86 SANRICO DRIVE L FATIMA T
j MANCHESTER C
Phone No. (860)643-804
The Drain Layer i as icense issued by the
state and hereby ag e 1 t and 'ti ns set forth in the
attached 'Conditions
n e with Town of South
Windsor standards, a q a ached conditions. ,
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Issued By
y
Date Inspected
Y
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: /N T2.)&H 1 LL D& Lot #
Street No. Street Name
Premises owned by: LX
Name-of Firm: Gt/ C4) 1)!i CT'1 Phone: Gqj-,
Address of Firm:R�_s .( GQ 'L _t S/i'✓ ma 1C'MJK wroib
TYPE OF WORK:
Lay House Drain_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ /1 �Vf✓
Existing Water Supply: Public Water__ Well
Proposed Start Date 1 17 _ 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 I&1 EL c 6,U k ki l b lure the holder of Drain
Layer's License No. f7 yt p(o 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. c 00 3 8 01 9 U j
Signed:. �....�.` Print Name:�,(' � CI1fl.�t
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: �/11, �►�..
BUILDING ADDRESS
STREET : / RC 14 14 1 L-t
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE 4
(9� ���ll/�/� (7/� l SAW 14 / DATE
TOWN STATE ZIP INSPECTED BY TOWN
4-/y ®ChCJ Y0 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER