HomeMy WebLinkAboutDrain Layers Permit Chandler Drive - San TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6689 Contractor SIMSCROFT ECHO FARMS
Location CHANDLER DRIVE Address P.O. BOX 581
Type Work SAN MAIN SIMSBURY CT 06070
Phone,,_No. (860)651-0231
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Time Insp Needed Time} ° nsp;
Inspected By
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Permit No 6b89 Town or South Windsor , +,T
Permit Date 09j22j1997 Drain Laver Permit
Exp`i r�tiofi Date 10/22/ 1997
Descrip: MAIN LINE OFF AVERY
Applicant Location
Name SIMSCROFT ECHO FARMS Addr . CHANDLER DRIVE
Addr . P.O. BOX 581 �Qwner MANNARINO & SONS
SIMSBURY CT Q507-�_
Phone No. (.860 )651-0231
The Drain Layer assignki thI%s permit has �a va1'id`- 1i.cense issued by the
state and hereby agrees to all 'the' terms and 'C6h'd1,,-j,,tj0ns set forth in the
attached 'Conditions ' . A 11, wo"r`k shall ' n accordance' with Town of South
Windsor standards , all OSHA; requ;i remerits , and the-- attached conditions .
Issued By
Inspected By „L_ �.--_` --�.�
Date Inspected -._... ----__ _--------- -------
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: e A2.:� s��. Lot #
Street No. Street Name
Premises owned by: +
Name of Firm: :„^ r— o Phone: FCO G 5 3 C fo
Address of Firm: I ri
�
TYPE OF WORK.,
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with $ <<PUC-
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 t ;�) �_ (��'v w... the holder of Drain
layer's License No. on 2 La 3 KA . Only holders of Pl, 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
Licensed Drain Layer
Date: 2 2 -- 9