HomeMy WebLinkAboutDrain Layers Permit 15 Chandler Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6743 Contractor WILCOX , MICHAEL
Location IS CHANDLER DRIVE Address EAGLE EARTHWORK:, SERV .
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
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Date Insp Needed 6- Ins pl.
Time Insp Needed _ _ Time
Inspected By
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Permit No. 674 town ol- South W3nclyor , CT
Permit Date 12/ 181 1997 Brain Layer Permit,
Expiration Date 01 / 17/ 1998
Descrip -
Applicant Location
Name WILCOX , MICHAEL Addr.; 16 CHANDLER DRIVE
Addr. EAGLE EARTHWORK SERV . Owner MANN RIPJi1 i3LDRS . INC.
101 N MOUNTAIN ROAD
CANTON CT 0601;9
Phone No. (860 )69u-2027
The Drain Layer ass i gne,d .tn` s perJOi t nas a va j,'lld, 1 i c enseissued by the
state and hereby agrees try,, all t4` terms and cbn,0lt,.inn set forth *in the
attached 'Conditions ' : A i 1 w�r1 sip 1"i .'b in acc&cr' ahc a with Town of South
Windsor standards, all `v8,14A< r4'cJ u i rein t e and t#�►e at,L caked conditions.
Issued By '€�' .�". _ u ��71�t
Date Inspected
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APPLICATION FOR DRAIN LAYERS PERMIT 67 3
TOWN OF SOUTH WRMSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.OQ «
Location of proposed work: �'" ' Lot #
Street No. / f Street Aiame
Premises owned by:
Name of Firm: Phone:
Address of Firm: ,, ov- rx01-4,Tyz
TYPE OF WORK:
Lay House Drain X Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
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Connection will be made with
letio
Proposed Start Date f Estimated time or com
P .f P
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 � ? ��' L l�fJ the holder of Drain
layer's License No. ,q l l( Only holders of P1, P7 8a 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: UU f Print Name _ilu r '+ i
Licensed Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION: u�
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CONTRACTOR (PRINT) NAME F NT TiI I
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STREET ADDRE SIGNATU E
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,i DATE
TOWN STATE ZIP INSPE E BY TOWN
GJ!_�_o n DATE
TELEPHONE NUMBER
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