HomeMy WebLinkAboutDrain Layers Permit 115 Farm Brook Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6470 Contractor YANCEY
Location 0115 FARM BROOK LANE Address 27 R COMMERCE STREET II
Type Work NEW' SAN LAT GLASTONBURY CT 06033
Phone No. ( 860 )633-0423
Date Insp Needed
Date Insp T � �_—__
Time Insp Needed ��. '��, Tyme Insp
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Inspected By
Work in Progressv<G ^_ p .� l''
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Date
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Pe-rmit 'No. 6470 lown of South Windsor, CT
Permit Date 09/03/1996 Drain Layer Permit
Expiration Date 10/03/ 1996
Descrip.
Applicant Location
Name YANCEY ;Addr. '011 FARM BROOK LANE
Addr. 27 R COMMERCE STREET 0 her LAG VA: CONSTRUCTION COMPANY
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GLASTONBURY CT 06031
Phone No. (860)633-0423 "
The Drain Layer assighed this p®rmit has a vat, dF1)cense issued by the
state and hereby agrees t® afl` the terms;; and conditions set forth in the
attached 'Cond i t i ons' , 'Al1 .w4�irk sha11 'be ri:accordlanc with Town of South
Windsor standards , all 0 HA requirements', and the attached conditions.
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Issued BY _ _ _ --- --
Date Inspec e _ v 9,1a �! _ , �,nspected By�®i� ice =
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENTTOWNHA _
1540 SULLIVAN� -7 0
SOUTH WINDSOR, CT ck-�
FEE$25.00
Location of proposed work 11-1— rrou Lot #
Street No. Street Name
Premises owned by:
Name of Firm: Phone: '
Address of Firm: -2 2 ,-
TYPE OF WORK.
Lay House Drain Al Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date J,.�-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 :- ,, �: , .y the holder of Drain
layer's License No. �c-� �/7 Only holders of P1,6r& 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 Drain yer
Date: �1
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