HomeMy WebLinkAboutDrain Layers Permit 41 Castlewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7601 Contractor JACQUES CONSTRUCTION (JOHN)
Location `.. Vt. Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
No. (860)432-1823
Date Insp Needed Xv ns o
Time I nsp Needed B "t
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T w Town of South Windsor, CT
Perm�i� & 7601
Permit Date 12/09/2002 Drain Layer Permit
Expiration Date 01/08/2003
Descrip: USER FEE PAID CK#12176
Applicant Location
Name JACQUES CONSTRUCTION 41 ASTLEWOOD DRIVE
Addr. 67 RIDGE ROAD f3L REALTY, INC.
SOUTH WINDSOR CT 0
Phone No (860)432-1823
The Drain Layer a s s cense issued by the
state and hereby agret t nd i s set forth in the
attached 'Conditions' F. a 44q,6 with Town of South
Windsor standards, al q ched conditions.
Issued By
Date Inspected ee yam"
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#76o l
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: L - !.� , Lot # 5_�?
Street No. Street Name
Premises owned by: r T /V f �S ✓.
Name of Firm: -- - Phone:
Address of Firm: C H PU
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date / /ORDANCCE
'2 -Estimated time for completion
ALL WORK TO BE IN AC WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to a2ba0 S�A3_40 the holder of Drain
Layer's License No. WZ;:3d O y holders of P1 or P7 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.
CBYD No.
Signed: Print Name: Jc�
VFormPermit4PLICATIOIN
s rain Layer
Date:
Standar FOR DRAIN LAYERS PERMIT.doc
• TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF' CONSTRUCTION: �-
BUILDING ADDRESS � 0 57
STREET : �f �G 3tl e J
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) N ME F CO TRACT S SU VIS (PRINT)
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STREET ADDRESS (� C� SIGNATURE
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TO STATE ZIP INSPECTED BY TOWN
C> 2- ® DATE
TE PHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER