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HomeMy WebLinkAboutDrain Layers Permit 10 Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7157 Contractor CHERRY HILL CONSTRUCTION - Location 0010 BUCKLAND ROAD Address P.O. BOX 134 Type Work NEW SAN LAT BRANFORD CT 06405 Phone,. No. (203)488-7929 Date Insp Needed Date hsp. Time Insp _Needed J-me `"Irls;p ; -/� • Af Inspected By Work in Progress J nput Date it Z FL'ermit. No. ;7157 Town of South Windsor, CT Per.mIt Date 06/12/2000 Drain Layer Permit Expi.ratian Date 07/12/2000 DescripyY LOWE'8 CONNECTION FEE - 39 BUCKLAND HILLS DR. Applicant Location Name CHERRY HILL CONSTRUCTION Addr, 0010 BUCKLAND ROAD Addr. P.O. BOX 134 JDwrier ,NEWKIRK ASSOCIATES LLC BRANFORD CT Phone No. (203)488-792911 The Drain Layer ass1 gr ecl this per`rn1 t :has 'a val i d ,1 cense issued by the state and hereby agrees tfi� ail 15, t 4" ..'�b�"Ri$ `'and` eoDoi ti ohs set forth i n the attached 'Conditions' ." A Vj <<w rk �lT�. e a n aCeo l np : with Town of South Windsor standards, all 6S14 {-r<egU1t'"BmeYi�3, " end: the attached conditions. Issued By - � � —�-�... T t'1;e Date Inspected nspect®o" BY _ _ _ u' 7Js 7 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 102 Location of proposed work: Lot # Street No. Street Name Premises owned by: �r 1/-f�S rC Name of Firm: G c ��I � � �'^� 6 � Ph� one: av - �� Address of Firm: IC ( TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for ial/Ix►Ustrial Building of acres Connection will be made with Existing Water Supply: Public Water. Well 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 r�_, j /1 vr-Ak, the holder of Drain Layer's License No. Ud �,®� �T, 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 ConnDOT Permit No. CBYD No. cr-'�'O© C�` ��� 0� , Signed: Print Name: O 4-'Uc d , _ Cs'er ' er Date: C" ('0 cX) Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc