HomeMy WebLinkAboutDrain Layers Permit 40 Chase Farm Road e TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6679 Contractor GERBER CONSTRUCTION CO
Location 0040 CHASE FARM ROAD Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone No. (860)875-6684
Date Insp Needed J
- ---- - - Date: Insp,Time Insp Needed Time EIrisp. - y�
Inspected By
Work in Progress
Input tit = Date 1
Permit No. 6679 Town of South Windsor, CT
Permit--Date 09/10/1997 Drain Layer Permit
Expiration Date 10/10/1997
Descr,jp: LOT 13
Applicant Location
Name GERBER CONSTRUCTION CO Addr. 0040 CHASE FARM ROAD
Addr . 616 DART HILL ROAD Owner CHASE ASSOCIATES INC
VERNON CT 06066
Phone No. (860 )875-6684
The Drain Layer assigned this permit has a va,I fd" license issued by the
state and hereby agrees t6 all the derma and cond'.i,tf ons set forth in the
attached 'Conditions ' : 'Al1, W6rlk shall , Se in accordance, with Town of South
Windsor standards, all OSHArequirements,, and "e attached conditions.
Issued B T f t l'e
Y :✓
Date Inspected _-- �, Inspected By
� . i
APPLICATION FOR DRAIN LAYERS PERMIT 4!5'(7
TOWN OF SOUTH WINDSOR
PUBLIC.WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE.05.00
Location of proposed work: Crcr -% 1 Lot # /3
/Street No. treet:Name
Premises owned b b,v�f Sy'OC.o
Name of Firm: , A Phone: fi L/
Address o Firm:
f
TYPE OF WORK.-
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with l V
5 c
Proposed Start Date 74 Estimated timefor,completion
ALL WOW, TO BE IN ACCORDANCE WITH TOWN OF SOUTH . WINDSOR
S1AN1ARDS,` ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to o 9i I h - it t the holder of Drain
�'�Z ySz- Only holders o P1 P7 & W9 licenses will be
Layer's License No. y f -
issued apermit. 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 o"1 - �
Licensed Drain Layer
Date:
rt,