HomeMy WebLinkAboutDrain Layers Permit 019 Cardinal Way -TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6878
Contractor JMJ CONSTRUCTION CO.
Location 0019 CARDINAL WAY I Address 658 ELLINGTON ROAD '
� Typea Work: NEW. SAN LAT
SOUTH WINDSOR CT 00074
0;1>e No. (860)528-7889 !
Date Insp Needed
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Time Insp NeededPM
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er�r► i '-No. 6878 Town of South Windsor, CT
Perijk_-T)ate 09/18/1998 Drain Layer Permit
Expiration Date 10/18/1998
Descrip: CK8416 48. 75 CK8414 775 .00 ^
Applicant Location
Name , JMJ CONSTRUCTION CO. Addr_ 001"9 CARDINAL WAY
Addr .. 658 ELLINGTON ROADOvte . '(; ARK REALTY INC
SOUTH WINDSOR CT 0 01f4 .
Phone No. (860)528-7889
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The Drain Layer assigned tht"s p_ it has 'a �'d_l,icense issued by the
state and hereby agre®s' t ;'s11 the terms.: 'nd cQn�4t�io'n�s set forth in the
attached 'Conditions' ,A� 1 .work _shal:l b ", i ac , c#alice with Town of South
Windsor standards, al 1, OSHA.'recqul rgm4gtts :a td �h _ attached conditions.
Issued By
Date Inspected4 nspect�Fd e
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APPLICATION FOR DRAIN LAYERS PERMIT � G
TOWN OF SOUTH WINDSOR 0
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AV,F.NUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: /�/,d_d Lot #
Street No. Street Name
Premises owned by: J T
Name of Firm: -Phone:_" �r�l
Address of Firm: M
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ 5 b P
Proposed Start Date Z/T Estimated time for completion ,�t
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 — �S the holder of Drain
layer's License No. 'S Only olders 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 d 0 j4c Pd
icensed rai yer
Date:
. TOWN OF SOUTH WINDSOR
SANITARY ' SEWEq LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: CP re-4, b e
BUILDING ADDRESS : L o 12
STREET : , � ► �, Io«✓
SUBDIVISION: . f 1 T
.NORTH ARROW
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CONTRACTOR (PRINT) f i NAME OF CONTRACT 'S SUPE SOR (PRINT)
STREET ADDRESS SIGNAT E
�. �✓ 6l ��S a y- c f 63� 6 DATE
TOWN STATE ZIP INSPECT D 00P
".� Z _ Z DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER