HomeMy WebLinkAboutSanitary Sewer Hookup for Quail Hollow 6 TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7145 Contractor GERBER CONSTRUCTION CO
Location 0601 DART HILL ROAD Address 616- DART HILL ROAD
Type Work SAN MAIN VERNON CT 06066
Phone No. (860)875-6684
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Perm' 7145 Town of South Windsor , CT
Permit to 05/16/2000
Drain Layer Permit
I.Expiration Date 06/15/2000
Descrip: CONNECTION TO MAIN FOR QUAIL HOLLOW IN VERNON
Applicant Location
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Name GERBER CONSTRUCTION Coy Addlr 01 DART HILL ROAD
Addr. 616 DART HILL ROAD "_Owner GERBER EDWIN
VERNON CT066,
Phone No. ( 860 )875-6684 ,"
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The Drain Layer ass`i.gr-edl 'thi's perms r t has val d .license issued by the
state and hereby agrQes iro . j the I erms.-and .condl bons set forth in the
attached 'Cond i ions''., .A ,rwt rk s;hai .be i n accortfance with Town of South
Windsor .st ndar a,, a l,l 0$14? requ f:remeh and attached conditions .
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Issued By _ T7tle
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—_-_ � InsctedBy j ' �1pate Inspect � �
�SEA IZePO � .
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
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Location of proposed work: 'O/ ��`* ��� �/
Lot #
Street No. Street Name
Premises owned by: }'/\
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Name of Firm: < �- r� �� :�,r �r� c . Phone: &:5/s
Address of Firm:—OK
TYPE OF WORK:
Lay House Drain Repair House Drain
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date '�7--7 0' t7,0 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 6 �t— I', L., the holder of Dr
ain
Layer's License No. /-"� 2o1= 1, SZ, . 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: Print Name: ' �f % 5✓sl
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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TOWN OF SOUTH ANDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: Li 0 / oo
BUILDING ADDRESS 661
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF TRACTOR' SUPERVISOR (PRINT)
1 t Dc,r-f tj r 11 1�
STREET ADDRESS 364ATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
�1;CJ ^ � — ��� L) DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER