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HomeMy WebLinkAboutDrain Layers Permit 239 Felt Road TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7135 Contractor COVEN CONSTRUCTION CO. Location 0239 FELT ROAD Address P.O. BOX 427 Type Work NEW SAN LAT COVENTRY CT 06238 Phone" No. (860)282-0526 Date Insp Needed_Inso; q-11?- GC �. . . Time Insp Needed Time Insp` 4%02 t" l. Inspected By �• �'f1�R1 i Work in Progress 1'►P� � � 1 wrNc� ;F«�Nr�aQ� ; CoNc.-tra� -ro 1 }S-��G �lan11l A �r/Fc-� s Fr wY� Cox� 1i.C�T1o�r 'scJN-�rf' I 42 i�srAl(J> A�7L bACii(i.3U iil�� AS-YyUJI X zsM-T I sL s,-i tr6> Input' Date Y"20-GQ� I 1 Permit No. 7135 Town of South Windsor. Cl- PerpOr Date 04/11/2000 Drain Layer Permit Ex-p 'ration _Date 05/1 1/2000 Des crip:_.. Applicant Location Name COVEN CONSTRUCTION CO. Adtle.". 0 FELT ROAD Addr.. P.O. BOX 427 `Owner, 'ST,EBEN MARK E COVENTRY CT'0638. f' Phone No. ( 860)282-0526 The Drain Layer aesa grlet the s Q+�l"�i�t,> as `a vl ;l fi d ' 1 i cense issued by the state and hereby agrees t1p,,,a3A the .1~eY'it rand conditions set forth in the attached 'Conditions' A 1 1 r rk eh "t =t n a0 oridanc?e with Town of South Windsor standards, a 1 :_.QS Ind t)i .:attrached conditions. � 1 Y . Issued B y �c i t; =� Date Inspected _� 12�00 F hspect3gd SY -- - APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work:_ 0_3 9 e 6 r IeO Lot # Street No. Street Name Premises owned by: M A i 20 Name of Firm:_( _)U tom' 7^-'S 0-c. Phone: Lo j<p O?q 4 Address of Firm: 1� 7a u�.v�� C� U 6 a3 F TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with �J P1) Existing Water Supply: Public Water l_,/ Well Proposed Start Date 1 a ho Estimated time for completion f �o 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 f" /c the holder of Drain Layer's License No. olo -�G4 Only holders of Pi or Licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS FTER 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. ✓J and/or ConnDOT Permit No. CBYD No. Signed: Print Name: � IC 4 � d I w It , Lice ed rain L f Date: l Standard Forms\Perm ts\APPLICATION FOR DRAIN LAYERS PERMIT.doc • TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 00 BUILDING ADDRESS3 STREET A /VO'Lt}l SUBDIVISION: NORTH ARROW _._ I t I _ t ... ....... I ! i I i �.._. .._ t_...._> J-4- Ic 3 ult 4 - Alis oQ r CMITRACTOR (PRINT) NAME OF CnNT TOR'S SUPERVISOR (PRINT) o fATE' STREET ADDRESS SIGNA RE -,- C 3 TOWN STATE ZIP INSrEliby bWN � o 2�1 t- -I DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER