HomeMy WebLinkAboutDrain Layers Permit 1969 Ellington Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7197 Contractor JAMES THROWE
Location 1969 ELLINGTON ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
hone' 'No. (860)289-0095
Date Insp Needed LtO Insp. j0�?1�-
Time Insp Needed A, � s T1me Insp As u�
Inspected By G
Work in Progress � � __ � 1rc�, ��
Kv
13c Ash ,-ys 2 P� , A� W/-51 - NAn�b (KAfc�
o -I- U.SL AS g[ AAk -
in t" cslrk�C-1 Date
(fl�'LE7 �)'717A�� �AC�CFfII,)�G IQ�fNC-i°I --�J.vAL GvNUfv1Y�� NET �n�s� +
A5-%OILY sv&►/iTr*,P
Permit No. 7197 Town of South Windsor, CT
Permit Date 10/23/2000 Drain Layer Permit
Expiration Date 11/22/2000
Descrip:
Applicant Location
Name JAMES THROWE Addr, 1869 ELLINGTON ROAD
Addr. VANS SEWER & SEPTIC ner KUPCHUNOS SOPHIE L/U
97 RIVERSIDE DRIVE
VERNON CT 0t) 6
Phone No. (860)289-0095 ,`
The Drain Layer a* brie. phis p�;r 1F1r ,has - yet}i tl license issued by the
state and hereby agrees tpy_n 1 i+t t :.and c r t#a tiohs set forth in the
attached 'Conditions' . ' 1 'W k shall b ;fin aGc rdance with Town of South
Windsor standards, a 11 .,and th attached conditions.
Issued By �� ROJA fig.=t7 it ► i�
Date Inspected Inspecied By
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. 7/)'I �Oy) Lot #
Street No. Street Name
Premises owned by: k V C4VTI) S
Name of Firm: Van., � L Phone: ,g C6F 5
Address of Firm: q7 kid<�
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Dateo?L�C�eI CZ Estimated time for completion o?
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 the holder of Drain
Layer's License No. 31:3 3 Only holders of P1 or 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.
CBYD No.QQUQ q3d l ? 2
i -� %h Yre •�—S gned. Print Name:
Licensed Drain Layer
Date: ;:?3 o�1 c�
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: q
��
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
i
E i •
t '
1 i
i
' '
16
t
{fly � t • t ! � z � i
r t
-
------------------
ve_,Y�
t
J
{ i
{
r I
3 � '
CONTRACTOR (PRINT) NAME OF CONTRACTOR UPERVISOR (PRINT)
�►lr.c.+l'Fc�� C�Y
STREET ADDRESS SI A RE
C-1 o t7 d 6 6 1e -L6 oG DATE
TOWN STATE ZIP INSPE D BY TOWN
7 J � DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER