HomeMy WebLinkAboutDrain Layers Permit 12 Chandler Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6841 Contractor SIMSCROFT ECHO FARMS
Location 12 CHANDLER DRIVE Address P.O. BOX 581
Type Work RPR SAN LAT SIMSBURY CT 06070
Phone No. (860)651-0231
Date Insp Needed Date Insp
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Permit-No. 6841 Town of South Windsor, CT
Permit Date 06/25/1998 Drain Layer Permit
Expi'ratJon Date 07/25/1998
Descrip:
Applicant Location
Name SIMSCROFT ECHO FARMS Addr. ` 12 CHANDLER DRIVE
Addr. P.O. BOX 581 Owner
SIMSBURY CT 0607O f ��
Phone No. (860)651-0231
The Drain Layer as4i,, ' e 1= this permit h ►s a"" val -dd 1`i,cense issued by the
state and hereby agrees° to al l" the; tdrma :and%c"and�itions set forth in the
attached 'Conditions ' : ,All ,work shall ,6e %.„n acc"ordahce with Town of South
Windsor standards, all, OSHA _rOquine"ent6`, and the attached conditions .
Issued By jf "F-a�4�� Ti
Date
Date Inspected �izSt�spect�d By
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: (C!400r1/1 1/F_r• - Lot #
Street No. Street Name
Premises owned by:
Name of Firm: S:�r+,Sc vo/-- .�cLi o .-+�S Ph one: (D
Address of Firm: To
Sit S'. 'c5�.-•?
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 fq VG`
Proposed Start Date Estimated time for completion �9 2 S
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 the holder of Drain
layer's License No. Oo 2 0 8 3 Only holders of PI, 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 .)^,4,eJ
g �•
Licensed Drain Layer
Date: ('a z���
A TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS y 71
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STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF C TORTS SUPERVISOR (P T)
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STREET ADDRESS SIGNATURE
DATE
TO STATE_ ZIP INSPE E Y TOWN
G� DATE
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WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER