HomeMy WebLinkAboutDrain Layers Permit 035 Cardinal Way o '
. ' TOWN'' OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6831 Contractor JMJ CONSTRUCTION CO.
Location 35 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Plop # . (860 )528-7889
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Date Insp Neededdatensq �
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Time I nsp Needed
Inspected By
Work in Progress
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Permit No. 6831 Town of South Windsor, CT
Pert-mit Date 06/08/1998 Drain Layer Permit
Expiration Date 07/08/1998
Descrip: PR RCPT 81
Applicant Location
Name JMJ CONSTRUCTION CO. Addr.� 35 'CARDINAL WAY
Addr. 658 ELLTNGTON ROAD atne:r CLARK. REALTY
SOUTH WINDSOR CT _06034 ,
Phone No. (860 )528--7889 '
The Drain Layer as$i ne'O this permit has a va.71d license issued by the
state and hereby agrees" to all the terms` and cdndl�tiOn,$ set forth in the
attached 'Conditions' .: All Wd1tk ,sha 1�,1. " .in acr0_6 a nce' with Town of South
Windsor standards , al 1, OSHA -rrequi remants and the °attached conditions.
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Issued By ,s � Ti t le ,,-.-", �'`-• ___ _
Date Inspected - -`� Inspected By
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: ti2''W Lot #
Street No. Street Name
Premises owned by: 1
Name of Firm: zf Phone:
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 :5 b R3�
Proposed Start Date kr,,"5 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 the holder of Drain
layer's License No. Only hol ers of Pl, P7 8a W9 licenses will be
issued a permit. Permit will expire thirty ( 0) 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. i Print Name
Licens Dra' yer
Date: �S `�
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: �' �� peeel
BUILDING ADDRESS ��
STREET
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SUBDIVISION: �r�, r
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF C NTRAC R'S SUPERVISOR (PRINT)
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STREET ADDRESS ATU '`
G 7 < � �_VATE
TOWN STATE ZIP INSPECTED BY TOWN
r DATE
TELEPH NE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER