HomeMy WebLinkAboutDrain Layers Permit 60 Deming Street (2) Permit No. 7282 Town of South Windsor, CT
Permit Date 05/25/2001 Drain Layer Permit
Expiration Date 06/24/2001
Desarip:-
Applicant Location
Name JACQUES CONSTRUCTION (JO ),; AdOr
hiri
Addr. 67 RIDGE ROAD ,Owner'•` QFV ,ASSOCI L L C
SOUTH WINDSOR CT 46074
Phone No. (860 )432-1823
The Drain Layer ass i'gn6,' th -s pdrmi,t bras 'A valid -1 T tense issued by the
state and hereby agree: tc : 11. tire. erflas ,and' cohditi'p s set forth in the
attached 'Conditions' Al ``wo k shall ti�i . In accordanc4 with Town of South
Windsor standards, all ,O$$T4= qu il r 6ht9. "and ithe attached conditions.
Issued By Title
Date Inspected Z� pJ Inspected By —
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7282 Contractor JACQUES CONSTRUCTION (JOHN)
Location 0060 DEMING STREET Address 67 RIDGE ROAD
Type Work RPR SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)432-1823 f
Date I nsp Needed 6-hQai:e Z r4sp. /—Z Z_d/
Time Insp Needed 5T ,Inap;
Inspected ByJ ,�
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Work in Progress
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,nput Date
APPLICATION FOR DRAIN LAYER PERMIT 2—
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 Nage
Premises owned by:
Name of Firm: �Phone: a-I P
Address of Firm:--- / A I'd
TYPE Of WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with SPR 3 S^'
Existing Water Supply: Public Water Well
Proposed Start Date a 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 the holder of Drain
Layer's License No. aDrg 3D 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: 4 ve-
Licensed rai yer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
y SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 22
BUILDING ADDRESS
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CONTRACTOR (PRINT) NAME F rTRACTO SUPERVISOR (PRINT)
STREET ADDRESS SIG RE
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TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPH NE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER