HomeMy WebLinkAboutDrain Layers Permit 117 Bridle Wood Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. � Contractor COVEN CONSTRUCTION CO.
Location Address P.O. BOX 427
Type Work COVENTRY CT 06238
` a No. (860)282-0526
Date I nsp Needed 4n 0A
Time I nsp Needed
Inspected By
Work in Progress
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P�rm; t No. 7476 Town of South Windsor, CT
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P -mTi Date 07.41 /2002 Drain Layer Permit
Expiration Dale 8/30/2002
Descrip:
Applicant Location
Name COVEN CONSTRUCTION C d 0 7 BRIDLE WOOD ROAD
Addr. P.O. BOX 427 B DEANNA D & ARTHUR A III
COVENTRY C
Phone No. (860)282-052
The Drain Layer i as icense issued by the
state and hereby ag 1 t and t ' ns set forth in the
attached 'Conditions n e with Town of South
Windsor standards, a e a ached_ conditions.
Issued By
Date Inspected n gy ¢...V.
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 work: l t� 1.�21 le- (kkuy Lot #
Street No. Street Name
Premises owned by: & T C 12 IQ q/, /3 �r-'/2-
Name of Firm: Co v Lced 00w,A tiv\ Phone: -7
Address of Firm: �w
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
.Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date 6U 10 Estimated time for completion 1
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 N>C4Atpz ✓t, the holder of Drain
Layer's License No. d-6-) G U 6 . Only holders lof 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. I fO 3 0 0 cl
Signed: Print Name: /"l'G A
icen Drain Layer
Date: 1 b
Standard Forms P rmits\APP CATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION. Q:a
BUILDING ADDRESS t otf q,).v
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STREET . �
SUBDIVISION:
NORTH ARROW
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STREET ADDRESS SIGNA 'RE 7
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STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER