HomeMy WebLinkAboutDrain Layers Permit 075 Cardinal Way Y
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6936 Contractor JMJ CONSTRUCTION CO.
Location 0075 CARDINAL WAY Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone' -No. (860)528-7889
Date Insp Needed i2 Il Date' nsp� �zl ith�
Time Insp Needed
Inspected By
Work in Progress ,�" t,AL. r��- A� 1 » a�l
AS �t'f -�os�:�cre�Anirrti� .
I put� Date
l m..i:t-*40. 6936 Town of South Windsor, CT
4r6f; Date 12/10/1998 Drain Layer Permit
(piration Date 01/09/1999
)scrip: USER FEE PAID
Applicant Location
ime JMJ CONSTRUCTION CO. ldr . 0 CARDINAL WAY
idr. 658 ELLINGTON ROAD 0W er 6LARK REALTY INC
SOUTH WINDSOR CT Ode 74 !.
lone No. (860)528-7889 fe
t
The Drain Layer as i ln�d �h f s ,:��^m t h s �I,; �1 d l i ense issued by the
state and hereby agree 4 al�= the tet~r end Qrt ors set forth in the
attached 'Conditions" _A 1 ¢�v� k shy I '! 't b acrcfana' with Town of South
Windsor standards , a11= Oa KA t^ qu�l.r`etitertite, t�td attached conditions.
� r
3
3sued By �� r E iJA �
�—
ite Inspected X -Ass,
�fr
APPLICATION FOR DRAIN LAYERS PERMIT6`�3�
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
J
Location of proposed work: -75 r� Lot#
_ Street No. Street Name
Premises owned by:
Name of Firm: !�'P Phone:__
Address of Firm: 61�;70
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date)2JO 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-,Z2hfl the holder of Drain
layer's License No. 30 . Onlyhholders of Pl, 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: �' J Print Name 4J6662?AfS
Lice led ain Layer
Date:
TOWN OF SOUTH WINDSOR s
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS �� r�.�►
v
STREET
SUBDIVISION:
r
NORTH ARROW
LAI
i 1
1 13
f i q
---
H
1 ' ,
CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER