HomeMy WebLinkAboutDrain Layers Permit 3 Elmore Way e 'a
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7493 Contractor JACQUES CONSTRUCTION (JOHN)
Location Address 67 RIDGE ROAD
Type Work LAI SOUTH WINDSOR CT 06074
ne No. (860)432-1823
Date Insp Needed a 91l$ 02 j
Time Insp Needed la 80 IPM
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Inspected By
Work in ProgressN",
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Date �?
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Town of South Windsor, CT j
Perm i t °N4. 7493
Permit Date 08/27/2002 Drain Layer Permit
Expiration Date 09/26/2002
Descrip:' USER FEE PAID CK#11881
Applicant Location
Name JACQUES CONSTRU CTIO , 003 ELMORE WAY
Addr. 67 RIDGE ROAD RK REALTY INC
SOUTH WINDSOR
Phone No. (860)432-1 3
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The Drain Layer { t
h a license issued by the
state and hereby ae 1 s a i ions set forth in the
attached 'Conditio i nce with Town of South.
Windsor standards, ttached conditions.
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Issued By r r ruv
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Date Inspected - n d By
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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 $60.00
Location of proposed work: L /ni Lot #_
Street No. Street Name
�i1 1
Premises owned by:
Name of Firm: Phone:--.D T D�-OC
Address of Firm:
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with S by--
Existing Water Supply: Public Water Well
Proposed Start Da t 'ZEstimated time for completion �
ALL WORK TO BE Ii ACCO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to. o 4"L.aa>CCW �r 7'
Abe holder of Drain.
Layer's License No. Only Id ers of Pl or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE THI TY (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 Excavatid�n Permit No. and/or ConnDOT Permit No.
CBYD No.
Signed: Print Name:ZM2'es
Lice Dr- ayer
. Date. -- --- --- -- - -- __
Standard For wermits PLICATION FOR DRAIN LAYERS PERMIT.Idoc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: -��' Q M er
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BUILDING ADDRESS : /,c) 7Z ,
STREET : o e
SUBDIVISION: O r e J
NORTH ARROW
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CONTRACTOR (PRINT) NAME 0 CONTRACTOR'S SU R (PRINT)
� ►7 ERVI -`F o'),
STREETS, ADDRESS -Si NNATURE.
W' � S 'O V- C� O c o / &111 � a"IL4/� DATE
WN STATE ZIP INSPECTED BY TOWN
2-- 0
6 Z DATE
TELEPHO NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION.
BUILDING ADDRESS f 76
STREET : S-677 e &-,4 y
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SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF NTRACTOR'S SUPERVISOR (PRINT)
*�s- co'mgo-to r- zur, 6-
STREET ADDRESS SIGNATURE
XOtV'A► Q7- G 6 0 7 y DATE
TOWN STATE ZIP INSPECTED BY TOWN
F-6 O �'��- S-11'1 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER