HomeMy WebLinkAboutDrain Layers Permit 70 Cliffwood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6666 Contractor
Location 0070 CLIFFWOOD DRIVE GERBER CONSTRUCTION CO
Type Work NEW SAN LAT Address 616 DART HILL ROAD
VERNON CT 06066
Phone No. (860)875-6684
Date Insp Needed Date Insp.
Time Insp Needed `
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Permit No. 6666 'Town of South Windsor, CT
Permit Date 08/19/1997 Drain Layer Permit
Expiration Date 09/18/1997
Descrip:
Applicant Location
Name GERBER CONSTRUCTION CO Addr. 0070 CLIFFWOOD DRIVE
Addr. 616 DART HILL ROAD Owner U & :R CONSTRUCTION COMPANY INC
VERNON CT 0&066
Phone No. (860)875-6684
The Drain Layer assigtjold th 4 permit as a gal°1d license issued by the
state and hereby agrees t& :,alT ,the terms and oandi,tl ons set forth in the
attached 'Conditions' . -A 1 I" wfljrk shal`t -.be 'ifn acc&or Iance with Town of South
Windsor standards , all rements, and thattached conditions.
Issued By t i tl
Date Inspected __, � f � Inspected` By - .w_--__^��
APPLICATION FOR DRAIN LAYERS PERMIT
v
¢ TOWN OF SOUTH WMDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location o ro osed work /` �/�i
f P P Lot #
j/ Street No, Street Name
Premises owned by: V 4 )' caJk �-c �'a
y �--
Name of Firm: a -TV-, Phone:
Address of Firm: tyl�:p dale d
TYPE OF WORK:
Lay House'Drain Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
1,
Connection will be made with U ��
Proposed Start Date Estimated or time.f completion
letion
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
�'IrL16�'� G-
the holder.of Drain
layer's License Nd.°9`Z- aJW57Z--: Only holders of Pl, 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: `_'/G Print nt Name
Licensed Drain Layer
Date: FiI7