HomeMy WebLinkAboutDrain Layers Permit 106 Farm Brook Lane ` TOWN OF SOUTH WINDSOR INSPECTION REPORT j
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Permit No. 6818 Contractor YANCEY j
Location 0106 FARM BROOK LANE Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
-Phone No. (860)633-0423
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Date Insp Needed _ 6 °Z��� De Irrsp:° 2"�$
Y #/A m I Time I nsp Needed
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Town of South Windsor , CT
ermit No. 6818 Drain Layer Permit
ermit Date 05/29/1998
xpirati6n Date 06/28/1998
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Applicant Location
YANCEY Addy. 0106 FARM BROOK LANE
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lame 27 R COMMERCE STREET Owner LACAVA CONSTRUCTION COMPANY
GLASTONBURY CT 0.603 e
)hone No. (860 )633-0423 ' Ij
The Drain Layer assigned this permit . s d`` valdn4lt:ior�s: Ifeset forth diny the
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state and hereby agrees to, a11, ;the iuer s and 01
attached 'Conditions' . Al 'l� ,w6.fk shall be 'i,n appord nee with Town of South
Windsor standards, a 1 .OSHA.=x�equ i rements:x and tl � ,,attached hed conditions.
Issued B y � ? t l e
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Inspected. BY.. .
Date Inspected (0-2- iv C� "
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WIIVDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed wor J-,iO, Lot #_ 1,
Street No. Street Name
Premises owned by:
Name of Firm: ;o e!�g Phone: �'3 1
Address of Firm: ;
TYPE OF WORK.
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of- acres
Connection will be made with `' %
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to ;;;;g, the holder of Drain
layer's License No. 7, Only holders of Pl, & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: Print Name- e AV iT, r j
Licensed Drain Layer
Date: ,.5
TI-TRACKING PAO
WIC1fH OF ORNE x.25'LONG
AVOMONAL 5A,W A
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: /° 6619
BUILDING ADDRESS zo 4�
STREET �nlnk ��.
SUBDIVISION:
NORTH ARROW
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$ 45
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CONTRA R (PRI NAME OF CO RACTOR'S S PER (PRINT)
STREET ADDRESS SI TU
DATE
TOWN - STATE ZIP INSPECTED BY TOWN
&4o - 6,13 J 5/4 3 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PROJECT: . �0 /_ / _Q G DEVELOPER: ���N &Ycb
STREET: A✓'� b no Kt- 1,/!�1 e CONTRACTOR: �/� so ,,ti e
DATE: 2�"��g TIME:
WEATHER: r S INSP:
WORK IN PROGRESS: /
AREA OF CONCERN:
SPECIAL INSTRUCTIONS: