HomeMy WebLinkAboutDrain Layers Permit 65 Farm Brook Lane I
y TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6835 Contractor YANCEY
Location 0065 FARM BROOK LANE Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
kao a No. (860)633-0423
Date Insp Needed �o'/�~� _'- t'jate fr�sp
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Permit No. 6835 Town of South Windsor, CT
Permit Date 06/12/1998 Drain Layer Permit
Expiration Date 07/12/1998
Descrip: SEWER USE FEE PAID 5/98 #71
Applicant Location
Name YANCEY Addr. 0065 FARM BROOK LANE
Addr . 27 R COMMERCE STREET owner LACAVA CONSTRUCTION COMPANY
GLASTONBURY CT 0033
Phone No. (860 )633-0423
The Drain Layer assi'gnei °this pexmit: has a. valid Ijcense issued by the
state and hereby agres; tc� il°;the -_hers and� crnc(itions set forth in the
attached 'Cond i t i ons ' . A l 1;woik sh 11 ,be, in aoctt c a ce with Town of South
Windsor standards , all OSHA ir' uireterlt and t Attached conditions.
Title
Issued B
Y _ --
Date Inspect d ____ 21�.�L Inspected By
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: /a. r✓f? z ,� + Lot #
Street No. Street Name
Premises owned by: , ew&-A jr1ca St
Name of Firm: jofmagjf !!a►w►i� Phone: � � 410,014
Address of Firm: 62f/Q
TYPE OF WORK:
Lay House Drain '� Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with 1/4c.,
Proposed Start Date/ 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 •JOA the holder of Drain
layer's License No. Opz I . Only holders of PI COXW9 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 Now and/or ConnDOT Permit No.
o,oe.
Signed: rt � rt Print Name . sIn Fir
Licensed Drain Layer
Date: �//.2��60
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: oCA��98
BUILDING ADDRESS
STREET
SUBDIVISION: •���
NORTH ARROW
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CONTRACTOR ( RINT) NAME OF CONTRAC R'S SUPERVISO RINT)
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STREET ADDRESS SIGNATUR
DATE
TOWN STATE ZIP INSPECTED BY TOWN
o DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER