HomeMy WebLinkAboutDrain Layers Permit 55 Chase Farm Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6673 Contractor GERBER CONSTRUCTION CO
Location 0055 CHASE FARM ROAD Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
Phone No. (860)875-6684
Date Insp Needed Date -1nsp. �
Time insp Needed TimeriSp '�o
Inspected By6 �8 j
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Permit No. 6673 Town of South Windsor , CT
Permit Date 09/54/1997 Drain Layer Permit
Expiration Date 10/04/1997
Descrip : LOT 6
Applicant Location
Name GERBER CONSTRUCTION CO Addr. . 0055 CHASE FARM ROAD
Addr. 616 DART HILL_ ROAD Owner 'CHASE ASSOCIATES INC
VERNON CT Q6045 ,
Phone No. (860 )875-6684
d ,
The Drain Layer ass i gneci th4s permit., has a val d license i ssued by the
state and hereby agrees: to all the terms and 'oo'nidj,tlons set forth in the
attached 'Conditions ' AI V wo`rtk- shalll -b,9 1,n accoeldancke' withTown of South
Windsor standards , all OSHA_ reguiremertts, and the' ,,'attached conditions.
Issued BY �� ._ -- - - T� .le ---- _.------ — --
Date Inspected �.__�,�/1 -- -- Inspected By _�'�._ _�__--__..___�.
APPLICATION FOR DRAIN LAYERS PERMIT y7 Y3
TOWN OF SOUTH W[MSOR 7 3
PUBLIC WORKS DEPARTMEIVT
TOWN HALL
1540 SULLIVAN AVEIV UE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: Lot # 6
Street No. Street Name
Premises owned by:
Name o Firm:f �" �,�.�.. v� � Phone: .
.Address of Firm: L ,9Pr4 0 JeG
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 �Y-1111opkstimated time for completion
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 ���-rl /h L� th
e holder of Drain
layer's License No. .4 l Zo PIIs�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.
�cOF
Signed: Print Name
Licensed Drain Layer
Date:
OPEN 5PA Ce X
N/F TOWN Of SOVrH WIAIasOR N�*�
ARE, 26573 SF,
O 6/042 A.C. \
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DE STREET TREE EASEMENT
VOR OF TNB TVWN OF 3p6 ►:a'`" I '
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WIDE C.L. P EASEMENT
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