HomeMy WebLinkAboutDrain Layers Permit 525 Buckland Road ° TOWN OF SOUTH WINDSOR INSPECTION REPORT
ermit No. 6948 Contractor J & H SLATER CONST CO
ocation 525 BUCKLAND ROAD Address 75 COMMERCE WAY
ype Work NEW SAN LAT SOUTH WINDSOR CT 06074
P.hon"e No. (860)528-5252
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Permit o. 6948 Town of South Windsor, CT
Perini t'"tate�'.02/02/1999
Drain Layer Permit
Expiration pate 03/04/1999
Descrip: CVS BLDG- CONN FEE PAID 2-8-89 RECEIPT #3706
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Applicant - � - Location
Name J & ,H SLATER CONST CO f� deft^, 5Z5, BUCKLAND ROAD
Addr. 75 COMMERCE WAY , fSK ELLCO
SOUTH WINDSOR CT
Phone No. 8 - " � ., r z '`"
( 60)528 5252 ¢
V
F t r $ 14,
sThe Drain Layer as �s p* As d icense issued by the
tate and hereby agre t � ,T the ;� nd set forth in the
attached 'Conditions' rkhe a � with Town of South
Windsor standards , "al � A
,'O q � � ched conditions.
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Issued B � �- r
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT C
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work Lot #
Street No. Street Name
Premises owned by: Z::� r,
Name of Firm:_ j 2r ( —(Cjz_ (24 Phone: 7SZ.Ej -S��z
Address of Firm: 7�' y4 6j 6 n—C (�
TYPE OF WORK.
Lay House Drain x Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
-k N�
Proposed Start Date Z-CP7> Estimated time for completion `Z �
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 JSAMZ
the holder of Drain
layer's License No. Z:!2�2 749 . Only holders of P1, 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 Permit No. -= — and/or ConnDOT Permit No.
Signed: Print Name JAmes 1 . 5A-jEp
"LicenseddDrain Layer
Date:
TOWN OF SOUTH WIND SOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: '19
BUILDING ADDRESS 2 s-
STREET
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS lb_;�
SIGNATURE
S'G 4_4 U7
�?/ �/1'dl- j` O 4/ DATE
OC rls/°'y
TOWN STATE ZIP INSPECTED BY TOW
f r-Z S DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
WATER SERVICE BELOW I, ---- -�.--
e \ ONNECT TO EXIST. C.B. 9• , ! STORM (12' CLEAR)
/ n WITH 15" CPS AT 2' ABOVE �R 14, �o ALL WATER LINES TO
O a \ EXISTING INVERT E vH f \ �6' MIN. COVER
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