HomeMy WebLinkAboutDrain Layers Permit 152 Edgewood Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6921 Contractor HILLS PAVING
Location 0152 EDGEWOOD DRIVE Address 245 SCANTIC ROAD -
Type Work NEW SAN LAT EAST WINDSOR CT 06088
F�htt�e, No. (860)654-1707
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Permit No,.-, 6921 Town of South Windsor, CT
Permit�`date 11/24/1998 Drain Layer Permit
Expiration-. Date 12/24/1998
Descrip: CONN 'CHARGE ! PAID #4922 j
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Applicant Location
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Name HILLS PAVING A€-d*'., 0,1.52 EDGEWOOD DRIVE
Addr. 245 SCANTIC ROAD Owner AVANEC JOHN P JR & MARY ELLEN
EAST WINDSOR CT 036068 I
Phone No. (860)654-1707
The Drain Layer asst4n d this permit ha e ' va,tod license issued by the
state and hereby agrees: tU - 1l 'the te1�me `and 'ci 6,1 t'idn s set forth in the
attached 'Cond i t i ons' ' Al 1, wp k 6ha l 1 be ',n adpc'r'c(ance with Town of South
Windsor s anda ds, all ,�fl�H r 4ctt�rireffteq 4 ar�d e� attaiched cond i t i ons.
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Issued By T "t I"-' _
Date Inspec d ��`�� � fnspcted Bye �/�,_�
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WIIVDSOR 61 z(
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: . z � �. Lot #
Street No. Of Street Name
Premises owned by:
Name of Firm Phone: RCO 6 Ll" 07
Address of Firm: r,!:s Sc �v C-
TYPE OF WORK.
Lay House Drain �; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 60,? 3
Proposed Start Date 1v sttiimated time for completion 0 t
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 ��� (, �(s the holder of Drain
layer's License No. Only holders of Pl, 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 attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name ksloll /1J
icensed Drain Layer
Date: /- �
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS :
STREET : 16 � D� woo,o
-I- SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) V NAME OF CON RACTOR'S SUPERVISOR (PRINT)
624 S�aA4-c_ ej� /,2- O/ !8
STREET ADDRESS SIGNATURe
060 88 J9
9 � DATE
TOWN STATE ZIP INSPEC BY TOWN
�860> 65 /�®'7 D DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER