HomeMy WebLinkAboutDrain Layers Permit 35 Ellsworth Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
3ermit No. 6830 Contractor JMJ CONSTRUCTION CO.
_ocation 0035 ELLSWORTH CIRCLE Address 658 ELLINGTON ROAD
type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phlon e-4p. (860)528-7889
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Permit 'No. 6830 Town of South Windsor, CT I'
Permit Date 06/08/1998 Drain Layer Permit
Expfration Date 07/08/1998
Descrip: PR 80
Applicant Location
Name JMJ CONSTRUCTION CO. Addy. 0035 ELLSWORTH CIRCLE
Addr. 658 ELLINGTON ROAD Owner J' M J CONSTRUCTION COMPANY INC
SOUTH WINDSOR CT 06074
Phone No. (860)528-7889
The Drain Layer assigned .th,i`s permit has a valid 1ic;ense issued by the
state and hereby agrees to,;a"11 the terms nd 'c'cnditions set forth in the
attached 'Conditions' All 1 wo,tk shall �bs� n accord' once' w i th Town of South
Windsor standards, a l �. 'OS t t , squ#r ier11~s,, and the ,attached conditions .
Issued By
Date Inspected ZT 111r
/ //may�) ,•' � � � }y, ° �j '�.✓ ref`.'"'
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 3 l '� Lot #. -?
Street No. Street Name
Premises owned by: =S �Omst,
Name of Firm: Phone: . , -'
Address of Firm: i e
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ,7 -3(Z-
Proposed Start Dated Estimated time for completion l�• _
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 11 - &--S ZT ) U� " -f= 'tithe holder of Drain
layer's License No. D K 3c--) . Only h iders of P1, 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: f; Print Name
TiicenAd�0(n Layer
Date:
V TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 0/$3 0
BUILDING ADDRESS : 1 o >- Y Pg;, t-r ► c`, eg di-v(V __�T--
STREET
SUBDIVISION: T lam rtk%'cl 4i r ./ l e oil ow
NORTH ARROW
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CONTRACTOR (PRINT) NAME F NTRAC R'S SUPERVISOR (PRINT)
STREET ADDRESS SI TU
TOWN STATE ZIP INSPECTED BY TOWN
q S Z-' DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER