HomeMy WebLinkAboutDrain Layers Permit 10 Castlewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit 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 Wit Ail Dates �rtsp '�"$-2.00e
Time I_nsp Needed Tire; In�,p•. 1: 1CS NM
Inspected By
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Lnput , Date L�"/S
Permit 7401
"("own of South Windsor, CT
Permitt,Date 04/04/2002 Drain Layer Permit
Expiration Date 05/04/2002
Descr'ip, USER FEE PAID CK#11475
_ Applicant Location
Name JACQUES CONSTRUCTION (JOHN) Addr. 10 .CASTLEWOOD DRIVE
Addr. 67 RIDGE ROAD � ,Owner' JMJ CONSTRUCTION
SOUTH WINDSOR CT 06Q, 4
Phone No,. (86Q432-1823
The Drain Layer. assighed this permit has a vlid license issued by the
state and hereby agree °to :a7.1 the terms .and `condf tions set forth in the
attached 'Conditions' =; A1i", �work shai ) 'bo,"`�in accordance with Town of South
Windsor standards , all, 0814A: requ r atii 1"it8,!. and the; attached conditions.
Issued B �, �EIKIQA
Sate Inspected _ '4'�8-Z(�DZ Inspected 'By
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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: /O � Lot #
Street No. Street Name
Premises owned by: s5744-
Name of Firm: Phone:
� J
Address of Firm`: C r ORc
I S k/
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S D
Proposed Start Date H I 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 eS c7—'/'1/1 T the holder of Drain
Layer's License No. 3 QCC 30 . Oniy olders 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: ,./oh P-, Jc'L hog
ice D Layer
Date:—
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Apr, S-- ;i.o a
BUILDING ADDRESS /-D t VL Ll
STREET : 0 Ccl St P D r� e
SUBDIVISION: �'�� ►n►^� , 1 I �s f�1
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPE ISOR (PRINT)
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STREET ADDRESS SIGNATURE
t' DATE
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TOWN STATE ZIP !INSPECTED BY TOWN
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TEEPHONe NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER