HomeMy WebLinkAboutDrain Layers Permit 171 Commerce Way TOWN OF sou,rH. WINDSOR `'INSPECTION REPORT
Permik''No. 6620 Contractor I . P. L. L.C.
Location 0171 COMMERCE WAY Address 687 HALL HILL RD
Type Work NEW SAN LAT SOMERS CT 06071
P-iona No. ( 860 )749--7812
Date Insp Needed S`_ 1_ _ Date' I rtsp
Time I nsp Neededv �' T i me Insp.
Inspected By
Work in Progress
I-nput Date
`f"cit31 CYi
Permit No. 6620 Town of South Windsor, OT
Permit Date 05/28/1997 train Layer Permit
Expiration Date 06/27/1997
Descrip: FERRAINA
Applicant Location
Name I . P. L . L .C. Addr. 0171 COMMERCE WAY
Addr. 6E7 HALL HILL RD Owner ETIENNE DANIEL P & CYNTHIA C
SOMERS C`t• 06011
Phone No. ( 860 )749--7812
The Drain Layer assigned this permi t has a va 3 j,d license issued by the
state and hereby agrees to all the terms and oorid i t i ons set forth in the
attached 'Conditions' . --A i ,1 work ,sia1 1 be I
-,in accordance with Town of South
Windsor standards, allOSHA--- r-egUrirements, and the attached conditions.
Issued 8y �,(
i
Gate Inspected �_ . � �� 1 _ Inspected 8y
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH.WDWSOR, CT
I:
FEE$25.00
Location of proposed work: 171 CC)r,,.a,_C: =C t.jlay Lot #
Street No. Street Name
Premises owned by: Al fce F2-0 Ee'-r-18"a a -rrebd t1
Name of Firm: :Z AL LC Phone: Z Y 1 - 7J/4
Address of Firm: Ro
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ✓; Lay Lateral for Commercial/Industrial
Building of acres
or
Connection will be made with
Proposed Start Dates Zi 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 I T elt. ,1br 3��i ac'°t�- the holder of Drain
layer's License No. /a. / 6�,. Only holders of Pl, P7 8a 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 /&-6t a -
Licensed Drain Layer
Date: