HomeMy WebLinkAboutDrain Layers Permit 46 Castlewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No Contractor JMJ CONSTRUCTION CO.
Locatio Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
No. (860)528-7889
Date Insp Needed
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Time Insp Needed
Inspected By
Work in Progress
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Date
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Peth�iir� cxp 7408 H Town of South Windsor, CT
eermit Date� 04/19/2002 "` Drain Layer Permit
xpiration Date 05/19/2002
Descr-ip (v Cc�s-�1 �poc
Applicant � Location
Name JMJ CONSTRUCTION CO. � r
Addr. 658 ELLINGTON ROAD �� X '
SOUTH WINDSOR CT Q 4 � `
Phone No. (860)528-7889
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The__Drai n Layer ads.,,-ir s as �1 'cense issued by the
state and hereby agr s 11e� h ": nd 1 s set forth in the
attached 'Conditions'k All �� a a c with Town of South
Windsor standards, al qi trrr ached conditions.
Issued By .IIJ^ 1raJ��
Date Inspected �-_L _�� °, BY
. 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: ' /6 Lot # �
Street No. Street Name
Premises owned by: y �Tf'1 C' ✓
Name of Firm: Phone: g?,QO6
Address of Firm: fir S
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �' 3 S"-
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN AC RDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to A ,!TS M ? the holder of Drain
Layer's License No. d 9'9„,)� . :0 y 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: Pri.nt Name: �o
cQc�s
Li se rain Layer
Dater
Standard Forms\Permits\HPPLICATION FOR DRAIN LAYERS PERMrr.doc
v TOWN OF SOUTH WINDSOR
SANITARY , SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Y - L 0 '-
BUILDING ADDRESS : 10 f 5: /
STREET : 4C C
SUBDIVISION: rC5
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPS ISOR (PRINT)
2- 3 ^dam
STREET ADDRESS S G ATURE
A .I �G ✓, � G' � ` DATE
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SrrTATE ZIP INSP T D Y WN
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TEL'EPHONE INUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER