HomeMy WebLinkAboutDrain Layers Permit 116 Bramblebrae TOWN OF SOUTH WINDSOR INSPECTION REPORT j
Permit No. 6857 Contractor RI-CHE CONCRETE CONST.
Location 0116 BRAMBLEBRAE Address RICHARD CHENEY D/B/A
Type Work NEW SAN LAT 42 OAK DR
MANSFIELD CENTER CT 06250
Phone No. (860)423-1450
Date Insp Needed Si �97S
Time Insp Needed 9� i A r^r. T'1merisZ � A5 N -L�
Inspected By
Work in Progress _91 a_4
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Input"` Date
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Permit No. 6857 Town of South Windsor, CT +
Per-mit_,pate 07/31/1998 Drain Layer Permit
Expiration Date 08/30/1998 1
Descrip: SEWER USER FEE PAID CK#3014 - I
Applicant Location
Name RI-CHE CONCRETE CONST. A �4 cr,',.`� 16 BRAMBLEBRAE
Addr. RICHARD CHENEY D/B/A _ ,ARINO SALVATORE P & LINDA F
42 OAK DR4 � .�
MANSFIELD CENT CT
Phone No. (860)423-1450
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The Drain Layer as in 14 Cli&license issued by the
state and hereby agres �t
1 r F nd ar s set forth in the
attached Conditions
Windsor standards A Khali n a "lei with Town of South
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al :t.�4 +>€X i t� �nd �a $ched conditions.
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Issued By IVI
AN
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Date Inspected g�3[.96 � h,$pcy ,
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL , FIELD LOCATION
DATE OF CONSTRUCTION: �/_ 3
BUILDING ADDRESS I3nuo,tl,
STREET
+ SUBDIVISION: �+�<<�by� 63s�r�,��
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF ONTRACTOR'S UPE VISOR (PRINT)
- qol &4 k Y)r C,/ A
STREET ADDR SS SIGNATURE
5L) DATE
TOWN STATE ZIP INSPECTED TOWN
I��y DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 3 !16j�crs�� /,�r�� Lot #
Street No. Street Name
Premises owned by: ()fyL
Name.of Firm: �i p�'!a r Phone: y®l 9/SD
Address of Finn: L/Z ale ,
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
P
Connection will be made with AIV&
Proposed Start Date j Estimated time for completion fl /
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 r' a1-4 r the holder of Drain
layer's License No. c'1v&)leea P.1. Only holders of PI, 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 terns and conditions set forth
in . the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed. P
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not Name
icensed Drain Layer
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Date: 3/