HomeMy WebLinkAboutDrain Layers Permit 15 Chase Farm Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6716 Contractor GERBER CONSTRUCTION CO
Loc, 'ion 0015 CHASE FARM ROAD Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
s h[dns No. (860)875-6684
Date Insp Needed
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Time Insp Needed
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Permit No. 6716 Town of South Windsor, CT
Permit Date 10/27/1997 Drain Layer Permit
Expiration Date 11/26/1997
Descrip :
Applicant Location
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Name GERBER CONSTRUCTION CO NA ct"P" 60.15 CHASE FARM ROAD
Addr. 616 DART HILL ROADS '� A ASSOCIATES INC
VERNON CT '
Phone No. (860)875-6684 '
�, � -� rf� {
The Drain Layer as 'f 1 p" a� _ � r d 1 i"cense issued by the
state and hereby agre �� t nd `y set forth in the
attached Conditions Al 4* s with Town of South
Windsor standards, al I d _ ched conditions.
. Issued By �€
Date Inspecte lCASL191 p Y _
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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
Location of proposed work: AW Lot # Z--
Street No Street Name
Premises owned by
Name of Firm: Phone:
Address of Firm: 6/� .0
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerciaVIndustrial
Building of acres
Connection will be made with
Start Date Z r Estimated time completion
or com
Proposed Sta �(J- f p
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
� � ��.� n L- the holder o
Permit is to be issued to �� � ,f Drain
layer's License No. �'' 7�0� ys'�-' . Only holders of Pl, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (301 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. ancVor ConnDOT Permit No.
_ Signed: Print Name
4.1
Licensed Drain Layer
Date: