HomeMy WebLinkAboutDrain Layers Permit Connecticut Avenue a TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7177 Contractor STAMM CONSTRUCTION CO
Location I Address P.O. BOX 11151
Type Work SAN MAIN 15 HOLMES ROAD
NEWINGTON CT 06111
i Phone No,. (860 )666-2401
Date Insp Needed ' r7-60
Date
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Time Insp Needed _ Time IMap. ,
Inspected By
Work in Progress
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Input Zi Date
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Permit No. 1177 Town of South Windsor, CT
Permit Date 08J A.f43O{3�---F=-__ Drain Layer Permit
Expiration Dat 09/03/22000
Descrip : CONSTITUT1-0-R-1AfyDING - CONN AVE & TALBOT LN SAN. MAIN
Applicant Location
Name STAMM CONSTRUCTION CO Addr.
Addr . P.O. BOX 11151 Owner
15 HOLMES ROAD
NEWINGTON CT O6111. "
Phone No. (860)666-2401
The Drain Layer assigned this permit has a valid license issued by the
-§tate and hereby agrees to all the terms and conditions set forth in the
attached 'Conditions ' . All work shall be in accordance with Town of South
Windsor standards, all OSHA"" "requiremeAa, and the attached conditions .
Issued B t.� - , ,��-�
y �_ t 'Title
Date I nspe�d -
-- �-u'- _ Inspected By.
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APPLICATION FOR DRAIN LAYER PERMIT
' TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
CowsTrwT%oN �eN01NG�t �U `
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Location of proposed work: I- Rt�ecTs � Rv� k TA�2n�r l.A Lot #
Street No. Street Name
Premises owned
Name of Firm: ��rc�c�M � g � n,�� Co Phone: 6CG-2yC)(
Address of Firm: IS o New C
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main_360'- roll; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water X,— Well
Proposed Start Date_Aw.. �=Estimated time for completion ogc—
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 L� w � S�w�,,� the holder of Drain
Layer's License No. _ m tole n Only holders of P1 or P7 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.
CBYD No. 20c032023G2. arx<. 2=32,07-3570
Signed: y Print Name:
Licensed Drain Layer
Date: ,r_p=d
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc