HomeMy WebLinkAboutDrain Layers Permit 20 Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7155 Contractor CHERRY HILL CONSTRUCTION
Location 20 BUCKLAND RD Address P.O. BOX 134
Type Work NEW SAN LAT BRANFORD CT 06405
Phon-e ,No. (203)488-7929
Date Insp Needed G��`�o� ITae Insp.�
Time I nsp Needednsip
Inspected By
Work in Progress C�•a.vrrc � a� fy� a��,�� �r� liy3rsac_c..,,y
Input _ Date to�7�u
Perm,1�t.' No. 7155 Town of South Windsor, CT
Permit Date' 06/06/2000 Drain Layer Permit
Exparatiop Dade 07/06/2000
Descrip-: TARGkT STORE CONNECTION
a
`Applicant Location b
_Name CHERRY= HILL CONSTRUCTION Adr :.= 20 ,BUCKLAND RD
Addr. P.O. BOX 134 Owner `
'{ E
BRANFORD CT Oi �S
Phone No. (203 )488-7929
3
The Drain Layer assi g .ihi s p+�rr1 has a7 d 1i cense issued by the g
state and hereby agrees to 411 th1 tOrM and coftdltions set forth in the
attached 'Conditions' .-�A 11 - vrk. a t ,11 "i n act rd nce with Town of South
Windsor stand ds, all' OS gtx 0 ' as, rand tie attached conditions.
Issued Byt �'
vv
Date Inspe id /06 Inspected By
= -� __
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: ( '
Street No. Street Name
Premises owned by: acg'f. e?�a�S
Name of Firm: CGn I p - -71 �
Phone: �'75� ��r )
Address of Firm: S y/`
C
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lair Lateral for Commercial/Industrial
Building_ of acres
Connection will be made with R �1
Existing Water Supply: Public Water__ Well
Proposed Start Date &SAP 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 t6 OGJtl G- crc.-�al�, the holder of Drain
Layer's License No. o o2,o�q;1 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.
3
CBYD No. R000 �� t�a
Signed: Print Name: _
License Min a r
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc