HomeMy WebLinkAboutDrain Layers Permit 03 Chandler Drive r
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6955 Contractor WILCOX, MICHAEL (EAGLE)
Location 0003 CHANDLER DRIVE Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT ..;p 101 N MOUNTAIN ROAD
CANTON CT 06019
RhtnG: �o::, (860)693-2027
Date Insp Needed Qai a ,.Insq 3hh
Time Insp Needed Timenp,
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Inspected By TL -
Work in Progress
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Per ito. 6955 Town of South Windsor , CT
Permit Date 03/08/1999 Drain Layer Permit
Expiration pate 04/07/1999
Descrip:
Applicant Location °
Name WILCOX, MICHAEL (EAGLE.) r �idr 001 CHANDLER DRIVE
Addr. EAGLE EARTHWORK SERVE C3wn °r.- fMANNARINO BUILDERS, INC.
101 N MOUNTAIN ROAD = s
CANTON CTz 0 iVr' y
Phone No. (860)693-20271
The Drain Layer ass r $, th s l as VA-1H d hl cense i ssued by the
state and hereby agreed a the ,ond 'os k(ln,6
iohs set forth in the
attached Conditions FF Ak!1 1 v 1-4 , � 'f # o a ��i d with Town of South
Windsor standards, a 1 /�JS rgt�i r � s cr : tached conditions.
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Issued By it + x
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 J C �t �. Lot #
Street No. Street Name
Premises owned by: dazlaaw, 70 L v d ai l'5
Name of Firm: j5FAQ4PAAMVV6ek Phone:
Address of Firm: ID/ aa `
TYPE OF WORK.
Lay House Drain�_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with Pyc
Proposed Start Date ?-S Estimated time for completion 5
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
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Permit is to be issued to /1<C 4aG C �,(/� CC a,Y the holder of Drain
layer's License No. ZZ,!J" . Only -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: 004i�6� Print Name C�Q�� ��(wsL
Licensed Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS �al
STREET . � � jA` V ,_
SUBDIVISION.
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NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRA TOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNATURE
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+ 3 31 DATE
T N STATE ZIP INSPECTED BY T61,
61 3-20Z Z DATE
TELEPHONE NUMBER
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