HomeMy WebLinkAboutDrain Layers Permit 155 Deming Street - TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 750,E Contractor CAS CONSTRUCTION CO. , INC II
Location 155 DF.�t+,1; T akEK_�T Address 160 SEBETHE DRIVE
Type Work RPR S" LAT CROMWELL CT 06416
Phone No. (860 )632-1617
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Time--Insp _Needed sp.
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PCermit No. 7502 Town of South Windsor
Permit Date 09/05/2002 Drain Layer Permit
Expiration ,Date 10/05/2002
Descrip: CAP EXISTING SEW. LAT.TO OLD CHRISTY'S
Applicant Location
Name CAS CONSTRUCTI d 155 DEMING STREET
Addr. 160 SEBETHE D GATEWAY PLAZA, LLC
CROMWELL
Phone No. (860)63 6
The Drain L n rmi lid license issued by the
state and here y to a- er ditions set forth in the
attached 'Conde b . ^ rdance with Town of South
Windsor standar a S ed he attached conditions.
.c who ►,. „ �,
Issued By ✓, _ ` o 05, .
Date Inspected _ pected By �u -
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
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Location of proposed work: 0Lot #
Street No. Str�Na
Premises owned by: ACC
Name of Firm: -� Phone: '(°'�
Address of Firm: oJl1�'
TYPE OF WORK:
.Lay House Drain ; Repair House Drain
Lay Main_; Lay Lateral for Commercial/Indust al
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CON MONS ATTACHED TO THE PERMIT
Permit is to be issued to 2 the holder of Drain
Layer's License No. 2-6 o . Only holders of Pi 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: _ ate_
Licen d qDrainyer
Date: 9
/ o Z
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD
LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS / .)e ,"i
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SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER