HomeMy WebLinkAboutDrain Layers Permit 102 Bridle Wood Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6653 Contractor GERBER CONSTRUCTION CO
Location 0102 BRIDLE WOOD ROAD Address 616 DART HILL ROAD
Type Worl: NEW SAN LAT VERNON CT 06056
nt e. No , (860)875-6684
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Date Insp Needed
Time Insp Needed � , � z�E� �� �36eM
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Inspected By
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Permit No. 6653 Town of South Windsor , CT
Permit Date 07/25/1997 Drain Layer Permit
Expiration Date 08/24/1997
Descrip: LOT 20
Applicant Location
Name GERBER CONSTRUCTION CO Addr . ` 0102 BRIDLE WOOD ROAD
Addr. 616 DART HILL ROAD Owner :UCCELLO & IRELAND BUILDERS INC
VERNON CT 06066
Phone No. (860)875-6684
The Drain Layer ass i gnedl ' fah i s pe mi t 'taS a v 1" d, l i tense issued by the
state and hereby agrees' fo� ! 7 the,�ter`r �: and ` initic� i set forth in the
attached 'Cond i t i ons ' : Al i," wOrk- sha 11 %bg';�°i;n a��o,r' 1, el� with Town of South
Windsor standards , all OSHA. r'equir=emer-t�, and :�h attached conditions.
Issued By T i t=1.a i - rr- _.—----------
Date Inspected 71� V_ ' Irtspi cter -
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTAII'NT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WDWSOR, CT
FEE$25.00
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Location of proposed work. iG Lot
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Street No. Street Name
Premises owned b y:fig ' Y� ��i�i� � at3 l�-� � 5' 7;Jc-
Name of Firm: ,Sy 71el-1- Phone:
Address of Firm: le746�6
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with � �'
completion
Proposed Start Date�� Z Estimated time or com
P � f P
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE.PERMIT
C ��Permit is to be issued to° �- � �. the holder of Drain
layer's License No. Only holders of Pl, P7 & W9 licenses will .be
issued a permit. Permit will expire thirty (30) days after date of issuance. The u
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. andlor ConnDOT Permit No.
� r�� Print Name Signed:
Licensed Drain Layer
Date: