HomeMy WebLinkAboutDrain Layers Permit 729 Ellington Road i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 6711 Contractor JAME:S THROWS �
Location` 0729 ELLINGTON ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT '222 TROY ROAD
_OUl H WINDSOR CT 06074
Phone NO -86!1) ):'�s"a
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Date hasp Needed - - 1 _ „ ._ a 3 IRS().
Time Insp Needed
Inspected By - _-_
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Work in Progress
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Date
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Permit N9. 6; 1 i Town of soutr-i W i ndsor. C
Permit 40te 10f2,:i/ 19 97 Drain Layer Permit
Expiration Date 11%22/`1997
Descr'i p;
Applicant Location
Name JAMES THROWS Addr'. -0729 ELLINGTON ROAD
Addr. VANS SEWER & SEPTIC Owner KUEHN PAUL G BARBARA S SURV
222 TROY ROAD
SOUTH WINDSOR CT 06074
Phone No. (860 )289-OO95
The Drain Layer assigned this permit. has a. val'i.d 'l i c;ense issued by the
state and hereby agrees, to a11: the terma`and ca(ohdi ions set forth in the
attached 'Conditions' ''. A wo'rk ,hail .k�e� rn aocor"darice with Town of South
Windsor standards, a 1 ! OSHA =requirements 'acid tne> attached conditions .
Issued By1;rs�t�
Date Inspected ._1d Z_� - --°�- -_.__-. Inspected' By --
APPLICATION FOR DRAIN LAYERS PERMIT 6`]i
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN A VF2iUE
SOUTH WINDSOR, CT
FEE$25.00
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Location of proposed work ! If %t�' Lot #
Street No. treet Name
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Premises owned by: [") 1Pf, 'CL I ,,
Name of Firm: i'` u'`% Phone: ;� v��ZC011;-
Address of Firm: `� ;'� ,bti =; a,
TYPE OF WORK:
Lay House Drain JV Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date,.-/� Estimated time for completions
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. 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
Licensed Drain Layer
Date:
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ,Z?
BUILDING ADDRESS ;5o
STREET
`-�- SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
�ff'erG DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS �
STREET : r7/J
SUBDIVISION:
NORTH ARROW
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CO RACTOR PRINT) NAME OF CONTRACTOR SUP VISOR (PRINT)
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STREET ADDRESS S URE
or, C7� l<z �� �A17
TOWN -� STATE ZIP INSPECTED BY TOWN
&o 2r/ 7 �2 ! j<V DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR . YELLOW - CONSULTING ENGINEER / DEVELOPER