Loading...
HomeMy WebLinkAboutDrain Layers Permit 20 Elmore Way A. TOWN OF' SQUTH WINDSOR INSPECTION REPORT Permit No. , 7220 Contractor JACQUES CONSTRUCTION (JOHN) Locati6n 0020 'ELMORE WAY Address 67 RIDGE ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Pe No. (860 )432-1823 Date Insp Needed Time Insp Needed ' E fi Inspected By f . B r Work in Progress �� - IsT/+� -tom o STyr�L ,�� p_ 3%3�- G�/'^''�'f S�© i"�� " � c Oil Input _ Date ------- - ----------------------------------- Permit No. 7220 Town of South Windsor, CT Permit Date 11/29/2000 Drain Layer Permit Expiration Date 12/29/2000 Descrip; CK 10400 $775 .00 CK 10401 $116 .65 Applicant Location Name JACQUES CONSTRUCTION (JOf ,Addr 1,Q020 ELMORE WAY Addr. 67 RIDGE ROAD 91091- QLA,RK REALTY INC SOUTH WINDSOR CT DCr4 Phone No. (860)432-1823 a The Drain Layer ass�grf6 ter 's -4;rM1 t :_# a �ra"1 i°t ''l:i tense issued by the state and hereby agrdes Q , y t{ . 'Orfffs- and,-,cor�dA ti" s set forth in the attached 'Conditions .,..` 1p;rk sla 1i „i n a+cdtir/da6ce with Town of South Windsor standards, aiz1 ;Q$HA g4 and the attached conditions. Issued By7,7 y / s Date Inspected 218 0� nspec '6-0 8y � ►A APPLICATION FOR DRAIN LAYER PERMIT 7 Z zo TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: X Street No. Lot # Street Name Premises owned by: Name of Firm: . Phone: Address of Firm: 5-9 jN I S°� TYPE OF WORK: / Lay House Drain Lay Main Repair House Drain —_______; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with 5D R, 3 _13 Existing Water Supply: Public Water Well Proposed Start Date D, Estimated time for completion A ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSO STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issue!gw�_AN41y ' T 0Layer's License No. the holder of Drain issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER D will F ISSUANCE. The undersigned Drain Layer hereby agrees to all the termsa d OF 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: -- Licen Dr n ayer Print Name: J0 � Date: Standard Forms\Per its\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR -SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 40 G p % ? .o c a BUILDING ADDRESS Z4 73 STREET SUBDIVISION: NORTH ARROW i t 1 i # j 1 u W j r r _........ _.. i I , I i j f t , I ? I } s ._, --- �►f riff`� .— - __ _— �__ t r : t i t 3 t i , i ._-L_ + + ` V S: + CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE / J o wrd! S& , C o t' 0 Y , � z �4g 0 DATE TOWN STATE ZIP INSP TED BY TOWN �� DATE kLTEP45E NUMBER•� WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: F5 BUILDING ADDRESS STREET SUBDIVISION: /J./I NORTH ARROW S"S' f - ---------" f t ( I i I , 1 , CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) 7s_ C°alo�)fi STREET ADDRESS SIGNATURLr fo y 1i C!�s h�I GY �° t ®6 G" p DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER . WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER