HomeMy WebLinkAboutDrain Layers Permit 15 Stedman Circle TOWN OF SOUTH WINDSOR IhdSPECTION REPORT
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Permit No. 6779 �
Contractor WILCOX, MICHAEL ( EAGLE )
Location 15 STEDMAN CIRCLE Address EAGLE EARTHWORK SERV .
Type Wore; NEW SAN LAT 101 N MOUNTAIN ROAD
�L f CANTON CT 06019
Photie -No. ( 860 )693-2027
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Pe rm,i t No. 6779 Town of South W.i ndsor CT
Permit, Date 04/02/ 1998 Grain Layer permit
Expiration Date, 05/O2/1998
Descrip :
App l i carIt Location
Name WILCOX , MICHAEL ( EAGLE ) A �dt" . ` 15 ST,EDMAN CIRCLE
Addr . EAGLE EARTHWORK SERV -1 r MANNARINO BUILDERS
101 N MOUNTAIN ROAD
CANTON OT '06019
Phone No. ( 860 )693-2027
The Drain Layer assigned this permit has a 'Val,'id 1`rcense issued by the
state and hereby agrees .tp ` ai" the terms and condi t_i onis set, forth i n the
attached 'Conditions ' . At-I ' ork shall- be j n, ac6ordanee with Town of SouthWindsor stanoards, all OSHA,i' equirements, and •tie �tt�ched c;ondit-ions.
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Issued By t T1te
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Lot #
f P P ' P,
Location o ro osed work �CC�I ``�
Street No. Street Name
.Premises owned b n.,O '% . vil ,n �
Name o hone:Firm: �
Address of Firm: VIO/
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres -
Connection will be made with
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 & (,ilel G l !e o y the holder of Drain
layer's License No. 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. andJor ConnDOT Permit No.
Signed: � Print Name 1rL t a,5 /
Licensed Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: L4/2119 8
BUILDING ADDRESS
STREET : S't'e��► M^o►►� ��T-
+ SUBDIVISION: Cy4le( Well
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CONTRACTOR (PRINT) NAME OF TRAC OR' SUPERVISOR (PRINT)
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STREET ADDRESS r �y A SIGNT U
LeAav 46 ri c / t/t. O C{ S DATE
TOWN STATE ZIP INSPECTED TOWN
regio)- 3 ZOV07 DATE
TELEPFIONE NUMB R
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER