HomeMy WebLinkAboutDrain Layers Permit 59 Bourbon Street TOWN OF SOUTH' WINDSOR INSPECTION REPORT
Permit No. 7404 Contractor LADD CONSTRUCTION L. L.C.
mwftLocation Address C.M. LADD CO.
Type Work NEW 184 MOUNTAIN VIEW ROAD
SOMERS CT 06071
Phone,, Ni . (860)749-3207
Date Insp Needed g Qate `Insp: 4�l�g2.
Time I nsp Needed T" `" nsp.
Inspected By J
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Input Date
Permit 'No. 7404 Town of South Windsor, CT
Permit Date 04/12/2002 Drain Layer Permit
Expiration Date 05/12/2002
Descrip: USER FEE PAID-CK#175
Applicant Location
Name LADD CONSTRUCTION , L. L,:C. " Addr. ' 0059, BOURBON STREET
Addr. C.M. LADD CO. Owner BOURBON STREET ASSOCIATES LLC
184 MOUNTAIN VIEW ROAD,
SOMERS CT '06071
Phone No. (860)749-3207
The Drain Layer assigned.- this permi"t 'has a "va'tI�J:d, license issued by the
state and hereby agrees toll the terms, and conditions set forth in the
attached 'Conditions' : All,:Work shall be in, accor'dahce with Town of South
Windsor standards, all OSH 11 A requirements`, and "thy attached conditions.
Issued By _ GP7"A _ Tit'l9--
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$25.00
Location of proposed workA07
: �
Street No. Street Name t.ot #�
Premises owned by;
� 2
Name of Firm:
�'adi5-fry ,o,
Address of Firm: / c Phone: Via�7y
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TYPE OF WORK: ,S� w�r 7� O��
Lay House Drain
Lay Main -% Repair House Drain
Building of acres; Lay Lateralfor Commercial/Industrial
Will be mad '
Connection w -----e with ,SCI
Proposed Start Date
Estimated time for completion 9 0
ALL WORK TO BE IN ACCORDANCE W
ALL OSHA REQUIREMENTS AND CONDITIONS WITH TOWN OF SOUTH WINDSOR STANDARD
ATTACHED TO THE PERMIT S'
Permit is to be issued to ��
Layer's License No. . >�
0 77� th holder of Drain
be issued a permit. Permit will expire th Only holders of p11
undersigned Drain Layer hereby �' (30) days after date of issua�censes will
y agrees to all the terms and conditions set The
the permit and attached thereto.
Permit No. Applicant has received Town Street Ex forth m
and/or ConnDOT Permit No. Excavation
Signed:
Licensed Dram Layer Print Name;
Date: c!-
Standard Forms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doC
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LO CATION
DATE OF CONSTRUCTION: 0 Z --)-60�
BUILDING ADDRESS -V ,tea u k6Dw SST
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
I9q 1V6tjkA)& Old .�
STREET ADDRESS SIGNATURE
All
G 7- 060 7/ DATE
TOWN STATE ZIP INSPECTED BY TOWN
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9— DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER