HomeMy WebLinkAboutDrain Layers Permit 11 Day Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7710 Contrat'tor COVMq:%.G:ONSTRUCTION CO.
Location 0011 DAY DRIVE A'ddre P.0`•:,B.QX 427;.
Type Work NEW SAN LAT .
sOIVENTRY. CT ;062::38
PhoAd"No ($60)182-OS26
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Permit No. 7710 Town of South Windsor, CT
Permit Date 02/25/2004 Drain Layer Permit
Expiration Date 03/26/2004
Descrip: CK FOR BOTH 5 AND 11'`DAYi,..DR
Applicant Ltjcat_ on
Name COVEN CONSTRUCTION -CO Adt3 U4.13 DAX...DRIV :;
Addr. P.O. BOX 427 OWnr: HORSE ASSOCIATES LLC
COVENTRY CT. 06238
Phone No. (860)282-0526
The Drain Layer ass gxa�d.-tYtiis za t3t kas a u lid 1-icenpe aesued by the
state and hereby agreed to al°l the terms and con it.iod set:::-.forth in the
attached 'Conditions.' All .wE3 k sh 1Z ks s Gcordallo,.e. With Town of South
Windsor standards, all OSHA r!quireMpAts grid tfie atf'aChed:><conditions.
Issued By -----Cs ��/b __ C2 t 1 e ----- ---------------------
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Date Inspected Irispect'ed By
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: p2r vV- Lot #—I—
Street No. Street Name
Premises owned by: t' 42,e<<LNa 1A f.S
Name of Firm: co V ro (o �i� Phone: 6214,
Address-of Firm: �I� �����✓� t U 6,) -
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateran for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date L 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 Co U LcA ) CoN,>--4 th older of Drain
Layer's License No. tS")QA-L . Only holders of P-1, V or W-9 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: )c, 4zz- ULe v.1 I L
Licensed D i ayer
Date: 5 0
Standard Forms\ rmits\APPLI TION FOR DRAIN LAYERS PERMIT.doc
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