HomeMy WebLinkAboutDrain Layers Permit 02 Castlewood Drive ~ ' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. ':e'
Location s : " Contractor J & H SLATER CONST CO
Type Work Address 75 COMMERCE WAY
SOUTH WINDSOR CT 06074
e No. (860)528-5252 I
Date Insp Needed
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Time Insp Needed
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Inspected By (i
Work in Progress
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R4W0. 7479 Town of South Windsor, CT
Permit 'Date 08/02/2002 Drain Layer Permit
Expiration Date 09/01/2002
' Descrip USER FEE PAID-CK#11811
Applicant Location
Name J & H SLATER CONST CO A c CASTLEWOOD DRIVE
Addr. 75 COMMERCE WAY er(CL, K REALTY INC
SOUTH WINDSOR C
Phone No. (860)528-525 -
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The Drain Layer s i ha icense issued by the
state and hereby ag 1 an i ns set forth in the
attached 'Condition in a with Town of South
Windsor standards, all Cached conditions.
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Issued By
Date Inspected By
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: Z. CAt �D Lot
Street No. Street Name
Premises owned by: Iyaj
Name of Firm: �(.A-'t tLr r •. iSC. Phone: —ZSZ
Address of Firm: (Lu M.& �J
TYPE OF WORK:
Lay House Drain x ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with TYC—
Existing Water Supply: Public Water_ Well
Proposed Start Date 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 Jot< �r the holder of Drain
Layer's License No. 'a-77qq Only 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 own
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. �f4
•Si ned Print Name: � � SUMP-
. 9 ''
Licensed rain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
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CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPE ISOR (PRINT)
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STREET ADDRESS SIGNATURE
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TOWN STATE ZIP INSPECTED BY TOWN
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WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER