HomeMy WebLinkAboutDrain Layers Permit 03 Chandler Drive (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
PerrA't No. 6692 Contractor SIMSCROFT ECHO FARMS
Location 3 CHANDLER DRIVE Address P.O. BOX 581
Type Wark NEW SAN LAT SIMSBURY CT 06070
Phdne. No. (860)651-0231
Date Insp Needed :f:564 71 Insp . j
Time Insp Needed „� l I*E In
Inspected By
Work in Progress
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Permit No. 6692 Town or Soutn Windsor•, CT
Permit 'Date 09/23/ 1997 Drain Layer Permit
Exp i-rat•i on Date 10/23/1997
Desc-rip: SANITARY LATERAL OFF MAIN IN AVERY ST
Applicant Location
Name SIMSCROFT ECHO FARMS Addr. 3 CHANDLER DRIVE
Addr . P.O. BOX 581 Qwner ',MAN'NARINO BLDRS
SIMSBURY CT 06070
Phone No. (860)651-0231
The Drain Layer assigned this permit has a Valid license issued by the
state and hereby agrees` ta all ' the terms and conditions set forth in the
attached 'Conditions ' . All ' work shall ,be' lin accordance with Town of South
Windsor standards , all OSHA '<requiremsnts and the• attached conditions .
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Issued t3 l�
Date Inspected`' ___� / �____: inspected By `�� =� 42_- �_--
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE v4
SOUTH WINDSOR, CT
FEE$2 00
C DLL-rz el OP
Location of proposed'work: kette P. Lot #
Street No. Street Name
Premises owned by:
Name of Firm: .S; &c/o ^ c Phone: j�' S 8 3 6 ?6
Address of Firm: /�-c,. boar CA/ ��Y'rS��.. C:• 06070
TYPE OF WORK:
Lay House Dra•n ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with I'U
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
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Permit is to be issued to DI n��� �. �� the holder of Drain
layer's License No. Ob 2oa _?t B• Only holders of Pl, 7 & 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.
0 Signed: w Print Name D* rjiCl L-. 6?,•)e0V-8
Licensed Drain Layer
Date: 5 7
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