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HomeMy WebLinkAboutDrain Layers Permit 91 Fairview Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7348 Location Contractor VIOLETTE SILVESTER & SONS "0044 T*W5W, -�D V-E Type Work NEW SAN LAT Address 65 CHERRY STREET EAST HARTFORD CT 06108 Phldne. No. (860)289-3466 Date Insp Needed !^�,G�L � L ,crs�'$✓, ' Insp �l Time Insp Needed Timensp:� �D. 6,E1�rt< Inspected. By j Work in Progress C4"" Xuc f�/A1-2• �1�trr S� Input Date permit No. 7348 _ Town of South Windsor, CT )erm t` Date 11/g1/2001 Drain layer Permit :xpiratb�r Date 12/01/2001 )escrip CK2707 $136 . 68 CK27680 $ 5 .00 Applicant Location lame VIOLETTE SILVESTER & SONS ; Addr. 0091 FAIRVIEW DRIVE �ddr. 65 CHERRY STREET ner , MOLLOY MARTIN J & EAST HARTFORD CT �7'61 t�gfi. )hone No. (860)L89-3466 The Drain Layer asp#Qnd this permilr has 'valid 1 %;cense issued by the state and hereby agree- tz i 1; t ® end condisars set forth in the attached 'Conditions ' , A i sha�-1 tb A n a6, ordanceT with Town of South Windsor standards, a 1 1 OSH, qurer +eClts, and the attached conditions. ss ue d By ate I nspecte f ( o U I,nspeat cl B R, x 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: Lot # Street No. Street Name Premises owned by: Name of Firm: o�� � �y��r�/cam d a ^ Phone: Address of firm: _c4 C�t� �-y-y /6/ C�?4 TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with C " /Q Existing Water Supply: Public Water_ Well Proposed Start Date Estimated time for completion do- 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 / Q k"—z,— the holder of Drain Layer's License No. J 78, <-t?411 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. --,)00/ 1120-22 07 -- -- ------------Signed: - Print Name: �s /.�-c©ram icensed Drain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS : 91 STREET : SUBDIVISION: NORTH ARROW I : _ it 1 t i ! i ' f I f : i �- V 1 rh K�. CONTRACTOR (PRINT) NAME OF CONTRACTO r RS SUPERVISOR (PRINT) 4� /, e K r y S� //?/0/ STREET ADDRESS / SIG E . DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER