HomeMy WebLinkAboutDrain Layers Permit 26 Castlewood Driver,ermit
TOWN OF SOUTH WINDSOR INSPECTION REPORT
No. Contractor JACQUES CONSTRUCTION (JOHN)
'Location Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. ( 860 )432-1823
Date Insp Needed Z ¢ ;pate, Insp' Z o7 UZ-
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Time Insp Needed Tame tnsp .'
Inspected By
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Permit P" 7389 Town of South 'Windsor, CT �±
Perm-it,_Date 02/19/2002 F Drain Layer Permit
Expiration Date 03/21/2002
Descrip: CK11403 $876 .00 CK11404 $85 . 44
Applicant Location
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Name JACQUES CONSTRUCTION (JOHN) Addr. 26 CASTLEWOOD DR
Addr. 67; RIDGE ROAD iner C.,LAR1C REALTY
SOUTH WINDSOR CT 06074 ;
Phone No. (860)432-1823
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The Drain Layer assigned th'is permit has a valid license issued by the
state and hereby agreed tts- al�l�° the t�l^r ;, and cort3iti`orts set forth in the '
attached 'Conditions ' A_) ;work shall ' be in accc rdanoe with Town of South
Windsor standards, al1,'OSHA requirenentss. and the attached conditions .
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Issued By —
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Date Inspected �' d7 U� Inspected .By _
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: G Lot
Street No. Str et Name
Premises owned by:
Name of Firm: `�--- "J~ - Phone:
9 /
Address of Firm:
TYPE OF WORK:
Lay House Drain v Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S R
Proposed Start Date_ 1:�q- ?-- 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 f vPS J-._ 7- the holder of Drain
Layer's License No. --en-.369 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: Print Name: J�2k vt.-s�{Gzv-=—S
Licen Dr Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL- FIELD LOCATION
DATE OF CONSTRUCTION: 7
BUILDING ADDRESS y
STREET 661 Sf'/e wovJ Py, ✓�
SUBDIVISION: Of
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SU ERVISOR (PRINT)
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STREET ADDRESS S CGNATU E
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER