HomeMy WebLinkAboutDrain Layers Permit 52 Chase Farm Road d
1 TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6680 Contractor GERBER CONSTRUCTION CO
Location 0052 CHASE FARM ROAD Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone No. (860)875-6684
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Permit No. 6680 Town of South Windsor, CT
Permit ,Date 09/10/1997 Drain Layer Permit
Expiration Date 10/10/1997
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Descr'i p,'` LOT 12
Applicant Location
Name GERBER CONSTRUCTION CO Addr. 0052 CHASE FARM ROAD
Addr . 616 DART HILL ROAD Owner CHASE ASSOCIATES INC
VERNON CT 06056
Phone No. (860)875-6684
The Drain Layer assigned this permit,:has a vaai'd' license issued by the
state and hereby' agrees to ;all the terms and ccin+ditions set forth in the
attached 'Conditions' : `All work shall be in accordance with Town of South
Windsor standards , all OSHA r'equirementsi and the attached conditions.
Issued BY �� 't it le,
Date Ins acted 9 i� y 7 Inspected
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APPLICATION FOR DRAIN LAYERS PERMIT
' TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
i 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: (/y c r� ,�1`Lot # 1 Z-
Street No. treet Name
Premises owned by: s-6r i
Name of Firm: Phone: S c
Address of Firm: 1 A�F)-CX II
TYPE OF WORK: /
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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
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ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WIN
DSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to j'S ,.1.-� G the holder o Drain
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layer's License N4:'Z29 Za8 VSL, 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: Print Name
Licensed Drain Layer
Date: 9r//