HomeMy WebLinkAboutDrain Layers Permit 552 Deming Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6869 Contractor DAVIS CONSTRUCTION
Location 0552 DEMING STREET Address 74 BARBER HILL RD
Type Work RPR SAN LAT BROAD BROOK CT 06016
Phon6-No. (860)872-1400
Date Insp Needed /�� date Inspo.
Time Insp Needed Tme'Inap. Y
Inspected By
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PerA4a.7W�l o. 6869 Town of South Windsor, CT
Permit Da_tb 0-9/15/1998 Drain Layer Permit
Expiration Date 10/15/1998
Dep.erlp: RELOCATE SAN LATERAL TO PROVIDE MORE THAN 25 ' FROM WELL
Applicant Location
Name DAVIS CONSTRUCTION F 'Add r =05`5 DEMING STREET
Addr. 74 BARBER HILL RD Dwner D tOWI+t GARY J
BROAD BROOK CT ,0601`6
Phone No. (860)872-1400
The Drain Layer as$igned th,-ts permit -has vat"id ljicense issued by the
state and hereby agrees `to 1 i 1. tha t+�rms .end conf�itior set forth in the
attached 'Conditions' " A,l i 4otk _sha,,j _ :Fin acc' r-d hq with Town of South
Windsor standards, a11. 'OSHk, requirenl rtta` ,and t +e' attached conditions.
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Issued B Titl;e "
Date Inspeis`��� Inspect
Ue ed
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WIIYDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed wor SIT Lot #
Street No. ��gg Street Name
Premises owned by: r ,+P& i lel�ea
Name of Firm:__ � � " .� ��a ` Phone: (o'
Address of Firm:
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
rr
Connection will be made with f
Proposed Start Date Z-1 78Estimated 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 n the holder of Drain
layer's License No. Only holders of Pl, P7 & W9 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.
Signed: A-APrint Name )P4V6691-
Licensed Drain Layer
Date: s
or- IJoan
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET : Am /nq SX
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+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
,c& (f/ DATE
TOWN STATE ZIP INSrtCTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER