HomeMy WebLinkAboutDrain Layers Permit 18 Castlewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
3ermit No. Contractor JACQUES CONSTRUCTION (JOHN)
Location Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
-Phone No. (860)432-1823
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Permit Nc. _ 7402 Town of South Windsor, CT
Perm ,Qat,e 04/04/2002 Drain Layer Permit
Expiration Date 5/04./2002 .
Descrip: USER `rfE"�PA b CK#11477
Applicant Location
Name JACQUES CONSTRUCTION (JOHN) Addr. 18 CASTLEWOOD DRIVE
Addr . 67 RIDGE ROAD ,OO JMJ CONSTRUCTION
SOUTH WINDSOR CT .0604
Phone No. (860)432-1823
The Drain Layer assigned :this Permit has a va11d 11cense issued by the
state and hereby agree tol,a, 'I the termns"� end cons conditions set forth in the
s
attached 'Cond i ti ons' ' .Al 1 ',work _sha71. be i n accordance with Town of South
Windsor standards , al1 'OSHAFrequiremor►ts and the attached conditions.
Issued B _ ✓ �/JA T i'-t.1 e � L_ "���� � —--
Y
Date Inspected __ - 02 zrispected By
40 L
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WIN`DSOR, CT
FEE $25.00
Location of proposed work: `� ll-e diot #
S reet No. Street Name
Premises owned by; )
Name of Firm: Phone:
Address of Firm: r
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 DR- 3
Proposed Start Date 2— Estimated time for completion 1 bra+,(
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 Jolyi aa,cav6lS l—m — the holder of Drain
Layer's License No. 'a2 S9-'Y O my 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: JJOAi/. - cT�cC (J�c
Lic ed in Layer
Dater y`
Standard Forms\Permits\APPLICAMN FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: y — o �-
BUILDING ADDRESS or Nv y
STREET : Cgs t✓ 6 r"ye
SUBDIVISION: DL 24 Nr.j I �st� t e-.
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S UPERVISOR (PRINT)
STREET ADDRESS SIGNAT J E !
! 1,f C a'7� DATE
TOWN STATE ZIP IN§PECTED BY TOWN
6 0/0 -� DATE
TELEPH NE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER