HomeMy WebLinkAboutDrain Layers Permit 10 Chase Farm Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6717 Contractor GERBER CONSTRUCTION CO
Location 0010 CHASE FARM ROAD Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Ph6ne _No. (860)875-6684
Date Insp Needed �Iatensp. ` 1a �
Time Insp Needed fi'11ne .Ihep 3;2
Inspected By
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Permit, No. 6717 Town of South Windsor , CT
Permit Date 10/27/1997 Drain Layer Permit
Exp*ration Date 11/26/1997
Descrip:
Applicant Location (OTdt
Name GERBER CONSTRUCTION CO _: _` Aidr. 0010 CHASE FARM ROAD
Addr. 616 DART HILL ROAD �'� �' tw# er` =` iA ASSOCIATES INC
VERNON CT
Phone No. (860)875-6684 `
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The Drain Layer as4f.p --thi# lJ i€ lcense issued by the
state and hereby agre =. t th � 1e nd `� t� set forth in the
attached 'Conditions' `A sic shy n acrG ° with Town of South
Windsor stand rds, a 1 1i H�lf ��i r� ►� ends tched conditions.
Issued By
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Date Insp ec ed �0�2$�` l �e e, B'v,
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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 V
r ed work: � #
Location of p opos ��AA5' Lot
�S-,, reet No. 27tame
Premises owned by: Cl�- �S!
Name of Firm: Phone: E,?.r- (TZ
Address of Firm:
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 1,0 2,1'Estimated time for completion j,,-2-`
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 the holder of Drain
layer's License No. �°� zap�fz 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: Print Name
Licensed Drain Layer
Date: