HomeMy WebLinkAboutDrain Layers Permit 81 Cliffwood Drive (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6719 Contractor GERBER CONSTRUCTION CO
Location 0081 CLIFFWOOD DRIVE Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
,," P,lao�te bNo. (860)875-6684
Date Insp Needed � � afinsp �
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Time I nsp Needed T-i a
Inspected By
Work in Progress '
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Inpv- Date
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Permit No. 6719 Town 'of South Windsor, CT
Permit Date 10/27/1997 Drain Layer Permit
E3cpiration Date 11 /26/1997
Descrip: CONN FEE PAID #4806
Applicant Location
Name GERBER CONSTRUCTION CO Ajq". 1 CLIFFWOOD DRIVE
Addr. 616 DART HILL ROAD � . . t & CONSTRUCTION COMPANY INC
VERNON CT J _
Phone No. (860)875-6684 _
The Drain Layer ash A ., d 1 icense issued by the
state and hereby agre t rth ` ,�--end g� [ tl set forth in the
attached 'Conditions' l at k shs 1 n a�od with Town of South
Windsor standards , al s �� tQtt �r �nd � tched conditions.
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Issued By J, �CRNi tNG,� �L
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Date Inspected Inspctoi "
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT �7
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
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Location of propos d work-k. �b Lot #
Street N Street Name
Premises owned b
Name of Firm: Mom- Phone: �.�
Address of Firm: f� ��,� �(� G �� d
TYPE OF WORK:
Lay House Drain Repair House Drai ;
Lay Main Lay Lateral for Comme c' trial
Building of acres
Connection will be made with
Proposed Start Date /!i` Estimated time r com letion
P l P
ALL WORK TO BE IN ACCORD WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to L- the holder o Drain
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layer's License No. �` �''Z�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.
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Signed: Print Name 16�
Licensed Drain Layer
Date: `�/`
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