HomeMy WebLinkAboutDrain Layers Permit 9 Collins Crossing 1 TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6721 Contractor WILCOX CONSTRUCTION CO
Location 0009 COLLINS CROSSING Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone No. (860)871-1839
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Permit No. 6721 Town of South Windsor, CT
Permit Date 10/28/1997 Drain Layer Permit
Expiration Date 11/27/1997
Descrip: CONN. FEE PAID #4815
Applicant Location
Name WILCOX CONSTRUCTION CO Addr. 10009 COLLINS CROSSING
Addr. 535 OLD STAFFORD ROAD.- pwoo _ B, & M ENTERPRISES INC
TOLLAND CT 060$4
Phone No. (860)871-1839
The Drain Layer assigned thi permit has v.a.. Id icense issued by the
state and hereby agrees to ,all ;"tho terms- "and con k#bons set forth in the
attached 'Cond i ti ons' : .A1 1 `wo•rk -shall ,:a accardance with Town of South
Windsor standards, all',-, OSHA rquirements, 'and the attached conditions.
Issued By
Date Inspected �� / Inspected By i6/z?, v7
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: r' Cott-1&1 s c►s ry I
Street No. Street Name
Premises owned by: �
Name of Firm: / �Y .r� _j Phone:
Address of Firm: c; �✓ _ �r -c✓, .� � �
TYPE OF WORK.,
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for CommerclaVIndustrial
Building of acres
Connection will be made with r '
Proposed Start Datelo s'timated time for completion C4o "
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 the holder of Drain
layer's License No. C2 o Only holders of Pl,f!P� 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. ancVor ConnDOT Permit No.
Signed: -� y � Print Name � ? �
Licensed Drain Layer
Date: ` " `
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: In - 28 97
BUILDING ADDRESS ;9' 9 tor- All
STREET 60111NS C-RO S S- 14 ,
SUBDIVISION: Cal/ s /v S c Rcs ss i N G
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
535 010 A -2 -S
STREET ADDRESS SIGNATURE
-ra!t AV D C T o $`/ DATE
TOWN STATE ZIP INSPECTED BY TOWN
971 - 1932 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER