HomeMy WebLinkAboutDrain Layers Permit 544 Buckland Road (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6504 Contractor GIOLA LANDSCAPING :& CONST
Location 0544 BUCKLAND ROAD Address 660 KEENEY STREET
Type Work NEW SAN LAT: MAN�:HESTER C-( 0604€?
Phone ,No. 06 )64:3_01 '5u
Date Insp Needed .141-h2l '
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Time Insp Needed Time Insp.
Inspected By
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PeF�m1t No. U609 rows of south Windsor, CT
Permit Date I1/01/1996 Drain Layer, Permit
Expi ?-ation Date 12/01 / 1996
Descrip: CONNECT SANITARY LATERAL -A CLEANOUT IS 7-0 BE PLACED AT TURN
Applicant Location
Name GIOLA LANDSCAPING & GONST Addr. 0544 BUCKI_AND ROAD
Addr. 660 KEENEY STREET Owner MULLER JULIE CRANDALL
MANCHESTER CT 0604.0
Phone No. (880)643-0150
The Drain Layer assigned this permit has a valid license issued by the
state and hereby agrees to
11 the terms and cond-itions set forth in the
attached 'Conditions' . Al work shall be in -accordance with Town of South
Windsor standard all C)SNA requirements and the attached conditions,
Issued By -'.. l � - . . _ .._ ._. . Tti
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Date Inspec' e .�
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Construction Inspection Report
Project Date
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Work in progress
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Problem Areas
Special Instructions/Orders
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: I-1 Lot #
Street No. Street Name
Premises owned by: y e,C
Name of Firm: Phone: 3
Address of Firm:
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial�._�
Building !` of acres
Connection will be made with f
I
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
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Permit is to be issued to J ` D'f2 the holder of Drain
layer's License No. a ,9 _. Only holders of P1, 9 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 Tow_ n Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: r Print Name ,eY
Licensed Drain Layer
Date: