HomeMy WebLinkAboutDrain Layers Permit 97 Cliffwood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6638 Contractor GERBER CONSTRUCTION CO
Location 0097 CLIFFWOOD DRIVE Address 616 DART HILL ROAD
Type Work: NEW SAN LAT VERNON CT 06066
Phone. No. (860 )875-6684
Date insp Needed (jt Insp. ` =_.
Time Insp Needed ;1ie,T�nsp
Inspected By
Work in Progress
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Permit No. 6638 Town of South Windsor , CT
Permit Date 06/30/1997 Drain Layer Permit
Expiration Date 07/30/1997
Desprip: CHECK 7112 IS ALSO FOR PERMIT 6637
Applicant Location i
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Name GERBER CONSTRUCTION CO Xddr 00 7 CLIFFWOOD DRIVE
Addr. 616 DART MILL ROAD Owpe CONSTRUCTION COMPANY INC
VERNON CT 4601.E
Phone No. (860)875-6684
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The Drain Layer, ass i'gneci` tt'i�` permit has vat rd 't i'cenae issued by the
state and hereby agrees tq' a,'i 1 tl'te terrn3; Viand ipndT,tics set forth in the I
attached 'Conditions' ,, 'A 1 1 'work shaII b, adbbo`edanG& w i th Town of South
Windsor s andalyds, a 1 t. 0SHA requ i reme',nts'1, -°arid tie attached conditions.
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Issued By T 1 t l e ---
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Date Tnslpec edInap egte i
ti APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
y PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00.
Location o ro osed /1G� o
,f P P work: � � � o Lot ,, I.3
Street No treet Name
Premises owned by: v�. cam_
Name of Firm: c 1 n Z Phone:
Address of Firm: 5n ,
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
11
Connection will be made with C----�
completion
Estimated time or com
Proposed Start Date f p
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 2
T1:n�• the holder of Drain
layer's License No./09Z0 1't1 S"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.
Signed: Print Name Ls� _--
Licensed Drain Layer
Date:
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