HomeMy WebLinkAboutDrain Layers Permit 95 Krawski Drive I
Descrip:
Applicant Location
Name` YANCEY Addr . 0095 KRAWSKI DRIVE
Addr. 27 R COMMERCE STREET Owner LACAVA CONSTRUCTION COMPANY
GLASTONBURY CT 06033
Phone No. (860)633-0423
The Drain Layer assign14d this prmit hasa vatd �,1icense issued by the
state and hereby agree to'-al:7.a, tt trs �arci. pc}7tlions set forth in the +°
attached 'Conditions' A11 . ,wor shall ..'be jn accordance with Town of South
Windsor standards, all' OSHA `repu'irements, ' nd the attached conditions .
f
Issued By ��z/_---
Date Inspected lJ���-9t18pectedzz
r
Permit No. 6819 Town of South Windsor, CT
Permit No. 6819 Contractor YANCEY
Location 0095 KRAWSKI DRIVE Address 27 R COMMERCE STREET I
Type Work NEW SAN LAT GLASTONBURY CT 06033
v Phone No. (860)633-0423
I
�� _ l0
Date Insp Needed Date Insp.
*50
Time Insp Needed T me Insp,
Inspected By
Work in Progress s < ral
nput CZ Date
4
s
Permit No. 6819 Town of South Windsor, CT
Permit Date 05/29/1998 Drain Layer Permit
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 5� (rrr ;r - Lot #
Street No. Street Name
Premises owned by:
f a r'o Phone: 0
Name o Firm: �►�,c�" d
Address of Firm: -2,7 /
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with j6�,,. V fy
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to zo,iAlr ,(-tithe holder of Drain
layer's License No. Only Only holders of Pl, fk W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name .
Licensed Drai yer
Date: S/` -�
TOWN OF SOUTH WINDSOR
. SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS : 3$
STREET
SUBDIVISION:
NORTH ARROW
j _i 1 F
! I 11 1 a
1 -' � 1
E f I i
t
!
f'
I + i
r
1
—<
i T t i
.� �
._-____! i i ' ' t � � r i �� I � � ! � 1 I { i _•� A�Y i ..'
!
CONTRACTOR RINT) NAME OF CONTRACTOR'S S VISOR (PRINT)
STREET ADDRESS SIGNATUR
TE
TOWN U STATE ZIP INSPECTED BY 3LN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER