HomeMy WebLinkAboutDrain Layers Permit 1739 Ellington Road F TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No 7441 Contractor CHERRY HILL CONSTRUCTION
Location 7kLLI. 'RD Address P.O. BOX 134
Type Work NEW N LWN BRANFORD CT 06405
PTT No . (203 )488-7929
Date Insp Needed
Time Insp Needed 0 On
Inspected By
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r Date Perr)it No. 7441 Town of South Windsor, CT
Permie- 06/110/2002 Drain Layer Permit
Expiration Date 07/10/2002
Descrp
Applicant Location
Name CHERRY HILL CONSTRUCT N ELLINGTON RD
Addr. P.O. BOX 134 I RD S. KELLY
BRANFORD CT
Phone No. (203)488-7929
The Drain Layer a s s as 1 cense issued by the
state and hereby agr a nd io s set forth in the
attached 'Conditions olAl r a with Town of South
Windsor standards, al q ached conditions.
Issued By o L
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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: 173 11'4.4 40 N Lot #
Street No. Street Name
Premises owned by: Cro
Name of Firm: ilt COK r Phone: �G
1
Address of firm: S- c-t iro
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ✓ ; La lateral for Commercial/In u S�/�"�'
Building of acres
Connection will be made with
Existing Water Supply: Public Water 6 Well
Proposed Start Date G�10 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 &u i dt A*to hk— the holder of Drain
Layer's License No. . 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.
Signed: Print Name: 73 k., c
Of Licensed Drfn Layer
Date: /B
Standard rMAPermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY . SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION.
BUILDING ADDRESS
STREET - 1I�n��.�� Qd z
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SUBDIVISION: -row A)
NORTH ARROW
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CONTRACTOR ( T) NAME 0 CONTRACTORS PE ISOR PRINT)
5 I C
SST`REET ADDRESS SIGNATURE
\ s \ r� C� 064-7 I �1� >fi�oIDATE
TOWN STATE ZIP INSPECTED BY TOWN
O L,(.Sy ^' '1 °l a °� DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER