HomeMy WebLinkAboutDrain Layers Permit 91 Farmbrook Lane TOWN OF `SOUTH WINDSOR INSPECTION REPORT
Permit No. 6596 Contractor YANCEY
Location 91 FARMBROOK Address 27 R COMMERCE STREET
Type Work NEW SAN LAT GLASTONBURY CT 06033
Z pz'-f Phot i.e �No. (860)633-0423
Date I nsp Needed x,�x ex
Time Insp Needed -�s.� ,��� ,/ l Time . Ihs �{
Inspected BY
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Work in Progress
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Input- -- Date
Permit Nq. 6596 Town or South Windsor, CT
Perrae i t Date 04/24/ 1997 Drain Layer Pertiii t
Expiration Date 06/24/ 1997
Descrip: LOT S FARMBROOK F , N.A. 296 SCOTT DR
Applicant - Location
Name YANCEY Addr. 91 FARMBROOK
Addr .. 2'l R COMMERCE STREET :,Owner LAB AVA GONSI RUCTION COMPANY
GLASTONBURY CT U60cK,
Phone No. ( 860 )6,3'3--0423
The Drain Layer assigned this permit has a vatid. 1,acense issued by the
state and hereby agrees to a1.1 the terms and Cond.itioas set forth in tree
attached 'Conditions ' ., Al 1'' worl: , s�ial I e, i n accor',daric:�e with Town of South
Windsor standards , all OSHA-- v"I46u i cements, and itbe attached conditions .
�" -.Issued By G� _. � Ttt1e ��, �``".�.,.�..�_r..-
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Date Inspected T.�l-��-1� 7 Inspec•ted ' By
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00 .v, pe-
Location of proposed work / :� Y��:%< Lot # _
Street No. Street Name
Premises owned by: t' j,q
Name of Firm:_ YQ Phone:__,,::�-5,3 ,�
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 or completion
f
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 �i' fr e,Wthe holder of Drain
layer's License No. 002f ,� �, Only holders of P2, P7 & 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: _ t Print Name
Licensed Drain ayer
Date:-