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HomeMy WebLinkAboutDrain Layers Permit 451 Deming Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7448 Contractor J & H SLATER CONST CO Location Address 75 COMMERCE WAY Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 o No. (860 )528-5252 Date Insp Needed 6 ns o1. Time Insp Needed FM Inspected By Work in Progress Aft ILI ro § i As u Date 1 i i Perf6.i<-*No. 7448 Town of South Windsor, CT Permit Date 06/20/2002 Drain Layer Permit -Expiration Date 07/20/2002 DesG,r.ip: USER FEE CK 11707 Applicant Location Name J & H SLATER CONST CO r. 5 DEMING ST `Addr. 75 COMMERCE WAY A ILL REALTY SOUTH WINDSOR CT _ Phone No (860)528-5252 The Drain Layer a ; as cense issued by the state and hereby agr e t nd tilp s set forth in the attached 'Conditions' l r a _ � v with Town of South Windsor standards, al q e t ached conditions. Issued By i . _91,0 r Date Inspected By .� : APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT S� FEE $25.00 6 i ►`°'� Location of proposed work: 6111All�c �T Lot # Street No. Street Name Premises owned by: J I .�l Name of Firm: J -f tt il- ML 0'o1j;rF Phone: S06-YZSZ 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 b Pyt Existing Water Supply: Public Water N Well Proposed Start Date Estimated Estimated time for completion t� ICS 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 )A.4s S-CAMEL the holder of Drain Layer's License No. . 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 a ached thereto. Applicant has received Town Street xcavation Permit No. and/or ConnDOT Permit No. CBYD No. Signed: Print Name: censed Drain yer Date: Standard Forms\Permits\APPL CATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION:-. �O o BUILDING ADDRESS ® t' � STREET ,I 12e-m ,">7 we c 1r SUBDIVISION: ��/� ► �, r la ra �`f NORTH AR OW i 1 ------------- j t ' J r- i j - __._._' -....._i_._-_� ._j_._._,_.t..._. j ._-'i !N _r ` ! i a t � ! 1 F 1 _. -4) 34 �m-S 60�,5�: � �. '�© ,tee CONTRACTOR (PRINT) NAM OF CONTRACTOR'S S ERVISOR (PRINT) STREET ADDRESSJI IGNATUR Y, ivr w A so k' C 0� Z r DATE TOWN / STATE ZIP INSPECTED BY TOWN yc` p 2— 2 DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER