HomeMy WebLinkAboutDrain Layers Permit 90 Brookfield Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7: , Contractor COVEN CONSTRUCTION CO.
Location Address P.O. BOX 427
Type Work 1,4fAN LAT COVENTRY CT 06238
P o No. (860)282-0526
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Date Insp Needed ns /¢ 03
Time Insp Needed 35 Am
Inspected By
Work in Progress C'oA
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•1_r Town of South Windsor, CT
Dermit No- 7598 Drain Layer Permit
Dermit Date 11/25/2002
Expiration Date; 12/25/2002
Descrip: INSTALL MONITORING MANHOLE ON-SITE
Applicant Location
O BROOKFIELD STREE
Name COVEN CONSTRUCTION C
LL JOHN JAMES ETAL
Addr. P.O. BOX 427
COVENTRY CT 0
Phone No. (860)282-0526
The Drain layer as s s cense issued by the
state and hereby agre sit th nd s set forth in the
attached 'Conditions' a _ with Town of South
Windsor standards, al u e s, t ched conditions.
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Issued By �• �C(z
bate Inspected s y w
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: go2&0/� YJ Lot
---�--�jS'treet No. t , Street Name
Premises owned by: �1�(�f ti A I �c N r
Name of Firm:4= 2 (?OA-<q ( 'a , �r Phone:
Address of Firm:RO cr G.
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral fo j:m erc a Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Weil
Proposed Start Date Estimated time for completion
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 COuL-j -C the holder of Drain
Layer's License No. 7 4'Q . Only holders of 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 Con DOT Permit No.
CBYD No.
Signed: Print Name: JC Av✓.�'�(
Lice sed D aver
Date:
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Standard Forms ermits\APP TION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF. CONSTRUCTION:
BUILDING ADDRESS `�D ink T'p4 of`
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
A 1DATE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER