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HomeMy WebLinkAboutDrain Layers Permit 552 Deming Street (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT ermit No. 6820 Contractor DAVIS CONSTRUCTION ovation 0552 DEMING STREET Address 74 BARBER HILL RD ype Work NEW GAN LAT BROAD BROOK CT 06016 Pjrorle ,too. (860)872-1400 ate Insp Needed II £e IOsp,, ime Insp Needed 4me =l i py nspected By ork in Progress LlD' �" tryiar 5A-0 7' C�i �'fSZ'a.c �"� Input Date 7-r Permit' No. 6820 Town of South Windsor, CT Permit bate 06/01/)998 Drain Layer Permit Exp•iratfon Date 07/01/1998 ©escrip: PRORATE: #76 Applicant Location lame DAVIS CONSTRUCTION Addr.-`055-2 DEMING STREET 4ddr. 74 BARBER HILL RD Q rte RULF`IORD VIOLA M TRUSTEE BROAD BROOK CT 06O:6 :,hone No. (860 )872-1400 The Drain Layer assigned -t,h'is permit has a= valid. license issued by the state and hereby agrees 'to-all, the tars `end coridLticsns set forth in the attached 'Conditions ' . Al 1-',w,oek shall be to accdrldapde' with Town of South Windsor standards , all. OSHA requirements,' and the attached conditions. Issued B 'z )ate Inspected .V t.s InsDect9 By iP1G�Gt i t � APPLICATION FOR DRAIN LA YERS PERMIT Z TOWN OF SOUTH WINDSOR i PUBLIC WORKS DEPARTMENT -775 TOWN HALL 1540 SULLIVAN AVENUE � SOUTWINDSOR, CT ` 4C 6-1 Location of proposed work: Lot # Street No. Street Name Premises owned by: G'%ky J-- / 9 D Gt 9 /V Name of Firm: 2W lS C©ry s 7-i�0 G f/0 Phone: Address of Firm: d d p% TYPE OF WORK. Lay House Drain� P Repair House Drain ; Lay Main ; Lay Lateral for CommerciaVIndustrial Building of acres Connection will be made with Proposed Start Date 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 f?06 dZ 1 /V e q c/z) the holder of Drain layer's License No.COAO�f.3,113 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: Print Name fi!06eef Licensed Drain Layer Date: �/e�6 he TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS ��a Qen�►nu S�. STREET : N.m`ihcr st 14 SUBDIVISION: NORTH ARROW 1 t i I a i • i F 1 1 1 1 I yy o : , , G 1 r _ : I 4 i , . � 3 I i t CONTRACTOR (PRINT) NAME OF CONTRACTO ' SUPERVISOR (PRINT) eo STREET ADDRESS / SIGNATURE ��1nrsoy, �. Q DATE TOWN STATE ZIP INSPECTED BY TOWN 1400 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 7�0 O P7� / �1 I Pe-