Loading...
HomeMy WebLinkAboutDrain Layers Permit 101 Farm Brook Lane 'TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 6480 Contractor YANCEY Location 0101 FARM BROOK LANE Address 27 R COMMERCE 'STREET Type Work NEW SAN LAT GLASTONBURY CT 06033 Phone No. (860)633-0423 Date Insp Needed Date Insp:, _ Time Insp Needed _ _ Times,Insp`, Inspected By Work in Progress sr � - -% / �s a-N �/o.�sue,/ .v.-✓sa ;f�'c!+a".�✓.i-.W,ro-'�".r7" ��s'�'''.3. s.�-y��+/ .rest.�rO dd'b �".'�%' Inputss � .� Date .o t Sa �ti�ti r-m,✓.�-�.s►c>��.¢' -!e .yea�.�d c c/G' �"© .�✓o.-'-:'�/ L/r✓C ,o.�.eeR�S Ti!G �� '�"'/ `iv/�A S•l iC 'y� r°d_�'S/�'L d'- .I�.s✓�it'.'ra/G�ie�r-c r-�s�/'�-�i���C--.. Permit No. 6480 Town of South Windsor, CT Permit Date 09/16/1996 Drain Layer Permit Expi`r°ation Date 10/16/1996 Descrip : Applicant Location Name YANCEY* Add r. .01.01 FARM BROOK LANE Addr. 27 R COMMERCE STREET t�wner''.LACAYA CONSTRUCTION COMPANY e 4 GLASTONBURY CT 0603,3 Phone No. (860)633-0423 The Drain Layer assigned ` thii3 permit has val'�d° 1`icense issued by the state and hereby agrees tt �, `the ter�t�� �nd �tirit�i�tit% s set forth in the attached 'Conditions ' ' A 1 3;;46fk sha1;7 �b .i n ac nd�an6,e with Town of South Windsor standards , a1 :OSHAregU rame�lts .and they attached conditions. Issued By, �, -_ � —_ Titl`+� f`_ -'sra eo Date Inspected 5Azo Tnspectec� _i I APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WIIITDSOR, CT FEE$25.00 Location of proposed work: ��/ „-,.�r r f5" f. Lot # Street No. Street Name Premises owned by: Name of Firm: p ����`�'n r� Phone: Address of Firm: Z,7 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 Z2/.,&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 -�� o the holder of Drain layer's License No. Only holders of PfUP & 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 Licensed Drai Layer Date: /` /�