HomeMy WebLinkAboutDrain Layers Permit 36 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 j
Date Insp Needed ""D te. Insp. �S
Time Insp Needed Time Insp;
Inspected By
77
Work in Progress �JC L,/c�✓1� -�: . 77 G'
Input'; V►Vv Date �
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Perm t5.' 7373 Town of South Windsor, CT
Perm t� kt 01/15/2002 Drain Layer Permit
Expiration Date 02-/_14/2002
Desc rip '' CK 11241 $875 .`00 CK1124:2 $102 . 52
Applicant Location
Name JACQUES CONSTRUCTION (JQHN) Add —. ,36 CASTLEWOOD DR
Addr. 67 RIDGE ROAD bWner -CLA3RK REALTY
SOUTH WINDSOR CT 06,01
Phone No. (860 )432-1823
The Drain Layer as ix�rt d_;this Perm as a vIai`A license issued by the
state and hereby agre es to ; ''the terms .and Gone:t.ioris set forth in the
attached 'Conditions ": Al k she0j'1 b A n accor�danpe with Town of South
Windsor standards, a 1 t "-05SHA'. � ' i r`ementei and .the = attached conditions.
Issued By Tit "
Date Inspected _ ;inspected By __ i
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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: y rjh: �Lj lx Lot #—e
Street No. Street Name
Premises owned by: ;o� i/1 2
Name of Firm: Phone:
Address of Firm: o
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 R -3 5
Existing Water Supply: Public Water Well
Proposed Start Date L 1 ' Estimated time for completion D
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 �o
ALdv2S the holder of Drain
Layer's License No. $YO . Onlj 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.
7G
L
Signed: V Print Name:
License Dra` ayer
Date:
Standard Forms\Permits�APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: N -L
BUILDING ADDRESS
�--� STREET : 3 Lon ewoo d ✓ P
SUBDIVISION: ,� '.�� f I t�j e
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPE ISOR (PRINT)
STREET iADDRESS - _ / SIGNATURE
S • W t 0,1,' DATE
TOWN STATE ZIP INSPECTED BY TOWN
0 T Z 6 L DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER