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Drain Layers Permit 124 Commerce Way (2)
06 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7270 Contractor CARON COLLISION, DBA Location 0124 COMMERCE WAY Address CARON PAVING CONSTR. Type Work NEW SAN LAT 115 PARK AVE. EAST HARTFORD CT 06108 l eh©ne N.Q. (860 )297-1840 Date Insp Needed / / � / date Insp Time Insp Needed / . Insp" t�S lUdff/] Inspected ByG 4 2 Work in Progress ►U l ►_ RK Ls ! wEc=w _FPS. � ll ,,9 LV 0 Input Date ct 1 Permit No. 7270 Town of South Windsor, CT PetIml,t"Date 05/03/2001 Drain Layer Permit Expiration Date 06/02/2001 Descrl-p WINDSOR STEEL t Applicant Location Name CARON COLLISION,DBA ddr. �0124 COMMERCE WAY .Addy. CARON PAVING CONSTR owner- i24= COMMERCE WAY ASSOCIATES LLC 115 PARK AVE. EAST HARTFORD CT6i "8. lZ Phone No. (860)297-1840 The Drain Layer as,i`gned" t s ptYt�t "has"'a ual,i d `1 cease issued by the state and hereby agreed to All and conditions set forth in the attached 'Conditions'." �A I T; "w�.'k sh��1 �°=i n a�c�rti�nc�: with Town of South Windsor standards, a11;=QSHA' "requ r imOk , and fhe' Attached conditions. T Issued ByYfl: Date Inspec __—J 4J, 0lnpected By - APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: Lot # Street No. Street Name Premises owned by: Let Name of Firm: �Q*J Rk"2h T Cc2r\4k - Phone- Address of Firm:_Ue-) TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main >,c7 ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with V-�� Existing Water Supply: Public Water Well Proposed Start Date Estimated time for completions. 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 \J.�=-C-ek 2p the holder of Drain Layer's License No. Q p!�z IFz.5 . 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. Signed: y Print Name:AL't- Licensed Date: �S_-5 ! 0 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: sj�t BUILDING ADDRESS O-M)n r.xcce_ riv, STREET SUBDIVISION: \l--N nA NORTH ARROW I t i I j Ab k � V _,Tq � - i t 1 1 i i I I � i • i i i .. i 1 f i .__. V �. j t i i t , 1 G CONTRACTOR (PRINT) AME OF CONTRACTOR'S SU ERVISOR (PRINT STREET ADDR � n SIGNATURE �V 41 0 DATE TOWN STATE ZIP INSPECT BY TOWN a of 1 1 8 ', d DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER