HomeMy WebLinkAboutDrain Layers Permit 065 Cardinal Way Permit No, 6798 Town of South Windsor, CT
Permit Date 05/04/1998 Drain Layer Permit
Expiration Date 06/03/ 1998
Descrip:
Applicant Locat-ion
Name JMJ CONSTRUCTION CO. A`ddr. " 65 CARDINAL. WAY
Addr . 658 ELLINGTON ROAD O ner- JMJ. f;ONSTRUCTION
SOUTH WINDSOR CT-'06074 '
Phone No. (860 )528-7889
The Drain Layer assigned, this permi h-as a Valid, l'itense issued by the
state and hereby agrees, to 4j1, the terms and c6bditians set forth in the
attached 'Conditions ' ., �A1 1 -work °shal I be iii' accordanc "� with Town of South
Windsor standards, all OSHA re!quirements and, the attached conditions.
Issued By --- - ' _'JA--- Title
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Date Inspected - �ZZ ' 9 Inspected By
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TOWN OF SOUTH WINDSOR ]INSPECTION REPORT
Permit No. 6798 Contractor JMJ CONSTRUCTION CO.
Location 65 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Wore NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860 )528-7889
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Date I nsp Needed gate I nsp,'�
Time I nsp Needed ' Tire 1 riep'
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Inspected By - - `
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APPLICA770N 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: Lot #
Street No. Street Name
Premises owned by: 3 !
Name of Firm: Phone: � 2
Address of Firm: I ;
TYPE OF WORK:
Lay House Drain Y Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date f p.� Estimated time or completion f
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 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: �&,z Jw,,-X Print Name
ens Drain Layer
Date: y —%gig
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: S
BUILDING ADDRESS r4i
STREET
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NORTH ARROW
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CONTRACTOR (PRINT) N E CONT' CTOR' ERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSP CT D BY 0
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER