HomeMy WebLinkAboutDrain Layers Permit 703 Dzen Way TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 447 Contractor WILCOX CONSTRUCTION CO(DARRYL)
Location Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAI TOLLAND CT 06084
e No. (860)871-1839
Date I nsp Needed 14S G X7/�
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Time I nsp Needed
Inspected By
Work in Progress
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Perm� `e 7447 Town of South Windsor, CT
Permit Date 06/10/2002 Drain Layer Permit
Expiratfon -Date 07/10/2002
Descrip:
Applicant „. Location
Name WILCOX CONSTRUCTION C kReL r DZEN WAY
Addr. 535 OLD STAFFORD ROA UL VAN TOWN HOMES LLC
TOLLAND CT 0
Phone No. (860)871-1839
The Drain Layer a s s as 1 'cense issued by the
state and hereby agr nd o s set forth in the
attached 'Conditions' . r a with Town of South
Windsor standards, al q ached conditions.
Issued By
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Date Inspected .. y
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: f0' ,!t�:7'O"y -Lot #
Street No. Street Name
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Premises owned by:_ <i Z /L�0/
Name of Firm:4 Ziza �r' o.�,rr`C !fir cr Phone: _l
Address of Firm: , 75 d`�5 ���n� /�c� ,��•�c'�Ci �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 d!5�
Existing Water Supply: Public Water Well
Proposed Start DateZ1ZdZd-0,2 Estimated time for completion .'c
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 4,' wili�eor the holder of Drain
Layer's License No. �7d ��T. Only holders of P1 oralicenses 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:
Licensed Drain Layer
Date:
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Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS Dz �. lA� 7 /T�►v 2T_3
STREET : ��ew
SUBDIVISION: F,a S
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR PRINT
STREET ADDRESS 1 ^^ SIGNATURE
o. C1 d to 2- DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER