HomeMy WebLinkAboutDrain Layers Permit 502 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor WILCOX CONSTRUCTION CO(DARRYL)
Location Address 535 OLD STAFFORD ROAD
Type Work N AN LAT TOLLAND CT 06084
a No. (860)871-1839
Date Insp Needed (n11� A� Ijs
Time Insp Needed
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Inspected By
Work in Progress 1'
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Date
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Pest -vo. 7410 Town of South Windsor, CT
Pe' t`'Date 04/23/2002 Drain Layer Permit
Expiration Date 05/23/2002 ,
Descrip:
Applicant Location
1
Name WILCOX CONSTRUCTION CO $ L DZEN WAY
Addr. 535 OLD STAFFORD ROA UL VAN TOWN HOMES LLC
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TOLLAND CT 0
Phone No. (860)871-1839 j
The Drain Layer a s s as 1 cense issued by the
state and hereby agr es 1 nd o s set forth in the
attached 'Conditions' . 1 ,.. a with Town of South
Windsor standards, al tet shed conditions.
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Issued By
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Date Inspected FS— _ Rin
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APPLICATION FOR DRAIN LAYER PERMIT
3 TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: ,r ,dam/�r 1--y Lot #
Street No. Street Name
Premises owned by: ,�,1e U�,t/ T°&v Al
Name of Firm: lZWcc,�K 66,,v,01— (Z' I-We Phone: L1-/;--?:19'
Address of Firm: Lf�fJ— Dlc/ cf ef o,"
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date elBz 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 rJXvx��q, /l A11167osl' the holder of Drain
Layer's License No. JZo rP' ,?92: Only holders of P1, 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.
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Signed - • �1z n�6r zo
g Print Name,0 .� Gf/r�
Licensed Drain Layer
Date: ,? oa
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: __ `/-Z ( a 2--
BUILDING ADDRESS
STREET : Sa Z O Z,*-y
+ SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
STREET ADDRESS l/ SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
a!7l, !sly DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER