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HomeMy WebLinkAboutDrain Layers Permit 30 Brook Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7596 Contractor VIOLETTE SILVESTER & SONS Location b0aQ,JS -O�� 8TR# "";, Address 65 CHERRY STREET Type Work NEW SAN LAT EAST HARTFORD CT 06108 e No. (860)289-3466 Date Insp Needed nis nDv Time I nsp Needed Inspected By Work in Progress 14,0 i1 Tom a° pijo '2Te, S t l 3� u 9 ronz sc �� �Tawk S.-lot— KAd ate Perm 7596 7596 Town of South Windsor, CT Permit Date 10/31/2002 Drain Layer Permit Expiration Date 111%30/2002 ` Descrip: USER FEE PAID-CASH- Applicant Location NamAdde O S ER & . 65CHERRYSTREET R Oi�S d .< 0 JEROMEBROOK F STREET& PATRICE E SURV EAST HARTFORD C Phone No. (860)289-346 The Drain Layer i has icense issued by the state and hereby ag a 1 t an ns set forth in the attached 'Conditions' . n e with Town of South Windsor standards, a e tached conditions. Issued ,By _Sk Date Inspected f By . 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 30 :Bre�l o k �5fhe(--t Lot # Street No. Street Name Premises owned by: �E�—+ `,-Pep- Name of Firm: o Y�- Phone: Address of Firm: 5 (Jh e.r r U St-ree-�' ��-f' H-n V TYPE OF WORK: / Lay House Drain V ; Repair House Drain ; Lay Main ; Lay Lateral for CommerciaVIndustrial Building of acres �0 �-) 0 Ij Vj rf-�I Connection will be made with Proposed Start Datef 31 0 Estimated time for completion Gt S. ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT V) o ke4c-Si L ve- - e rq--S-A-s Permit is to be issued to V- + uAV V- the holder of Drain layer's License NoT . Only holders of Pl, 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 terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation P rm o. a or ConnDOT Permit No. Signed: 4 Print Name 4r T kU r�VC V("{ , Licensed Drain Layer Date: - o C 8 D Ada q-va6 � I TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: j Ic%7— k BUILDING ADDRESS 30 �rcd STREET SUBDIVISION: NORTH ARROW � ; T 9 I b t 1 v s A s I s f i f : , 7 1 1 , . { gric , f ii ViC,%#.t -r'n c- CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) 4K 5 Clic-r rY // //2'2 STREET -ADDRESS � / SIG RE 11 610 R- , DATE TOWN STATE ZIP INSPECTED BY TOWN ©) 2?y 3�u DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER