HomeMy WebLinkAboutDrain Layers Permit 446 Dart Hill Road y r
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6853 Contractor GERBER CONSTRUCTION CO
Location 0446 DART HILL ROAD, Address 616 DART HILL ROAD
Type Work NEW SAN LAT VERNON CT 06066
"Phone No. (860)875-6684
Date Insp Needed ato rlsp
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Permit No. 6853 Town of South Windsor, CT
PermiDate 07/22/1998 Drain Layer Permit_
EX6iration Date 08/21/1998
Descrip: LOT 6 SUMMER MEADOW
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Applicant Location
Name GERBER CONSTRUCTION CO Addrr. 04,46 DART HILL ROAD
Addr. 616 DART HILL ROAD ;Owner"BGS, DEVELOPERS LLC i
VERNON CT 43 '
Phone No. (860)875-6684
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The Drain Layer asf'j'jn0d tK4 p "f�A t issued by the
state and hereby agree t1? ;tom end � #ItIart set forth in the
attached 'Conditions' A 1 .wd (C hal 1 # n aoc0daice w i th Town of South
Windsor standards , al 1 TO$NAqu C elbtt , ,end h }attached conditions.
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Issued By
Date Inspected � ��� ' 2isected �y.
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: � � � ` �� Lot #
y Street No Street Name
Premises owned by: s
Name of Firm: ,> Phone:
Address of Firm:
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
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 zy /�- the holder of Drain
layer's License No. //� Zoe Only holders of PI, P7 & 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 Drain Layer
Date: �`
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: -`
BUILDING ADDRESS .
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STREET .
SUBDIVISION: f'""�-
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CO CTOR'S SU RV OR (PRINT)
STREET ADDRESS SIGNA RE
cJ DATE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER