HomeMy WebLinkAboutDrain Layers Permit 120 Bridle Wood Road l
TOWN OF SOUTH WINDSOR INSPECTION REPORT
I
Permit No. 742 Contractor CORREIA EXCAVATORS INC
Location Address 47 SMITHBROOK TERRACE
Type Work NEW SAN LAT GLASTONBURY CT 06033
No. ( ) -
Date Insp Needed a O is vZ
i
Time Insp Needed
Inspected By i
Work in Progress a
: Date �/ 1
oral
_ a
Permit No. 7421 Town of South Windsor, CT
Permit Date 05/09/2002 Drain Layer Permit I
Expiration Date 06/08/2002
Descrip:
Applicant Location
1
Name CORREIA EXCAVATORS IN 0 1 BRIDLE WOOD ROAD
Addr. 47 SMITHBROOK TERRA C E S CYNTHIA E
GLASTONBURY CT -
Phone No. (SW
The Drain Layer a s s ' as cense issued by the
state and hereby agr a th nd i s set forth in the
attached 'Conditions' . 1 a c with Town of South
Windsor standards, al q ached conditions.
k
Issued By
Date Inspected Z, yL
s
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: f o 13A-1 r W ov Ral Lot # l b'
Street No. Street Name
Premises owned by: /�Zl
Name of Firm:— le'5�AAXtdk' 'P14 c Phone:
Address of Firm: 7 4� e? I_ Z-110 a
TYPE OF WORK:
Lay House Drain L 1 ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date 0 Z Estimated time for completion � 4il-ou
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 To9"F D, re k R r Y� th holder of Drain
Layer's License No. 2a;a 6: 9 j. Only holders of P1 A& 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 terms and conditions set forth in
the permit and attached thereto. Applicant has received Town Street Excavation
Permit No. -,?q 2 ( and/or ConnDOT Permit No. ro
Signed: c Print Name: no 9 op ,�'A,)
Licensed. Drain Layer
� OOo 01G � S'
Date: ' 4 z
Pd 2 .°" off'
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS Izo .�.► 1.- ®��/ �����
STREET : -
SUBDIVISION:
NORTH ARR W
i
{ s I 1
jf
i
< t ! a I ! t ! I i T i i f � ! r } r • —�- i- I ! i -
i
4i f. � Yf
,
i
, i Q
,
1
- - - i i I i
_ f
I
CONTRACTOR (PRI NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
r
STR ET 7DrS TURE
P1�d G �d�� •._.� DATE
TO STAT ZIP INSPECTED TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER