HomeMy WebLinkAboutDrain Layers Permit 1035 Foster Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7732 Cont ,.SILVESTER & SONS
Location r1035 FOSTER STREET A€ftreq.�. 5 C-QR Y.. MEET
Type Work NEW SAN LAT EAST HI#��F D CT 06108
•
Date Insp Needed --------------
:
Time Insp Needed /m� ��
%
Inspected By
Oil
Work in Progress
C d"
e L—
i
b
I,
Permit No. 7732 Town of South Windsor, CT
Permit Date 04/16/2004 ;;; :<"`""` z<, Drain Layer Permit
Expiration Date 05/16/2004 �' _><
Descrip: f;a t << " ` .c {
- �... `'/•
Applicant : :` ;`y:: Lo;Ca: ton
.f,:. i Na
me VI OLETTE SILVEST,
c„Aro:y.`j.�
Addr. 65 CHERRY STREETn
LMEF i
w> F1I2I:, A & D�TISE M
EAST HARTFORD
Phone N
3 46 6 s..,�`o. (8 6 0)2 8 9- #
The Drain Layer ssi n r3 t s ai k sr -4 �3�ense' stied by the
state and hereby agrpy .he terms and coridiant .,set:>:;; orth in the
attached 'Conditions All OT.- sl%acsith Town of South
Windsor standards, al I�1� YEgxir r 0S iditions.
rlrzfie at.>
r )%
l`
/ [..
v.
Fh''
Issued By _ Y'bT << .,
Date Inspected
e B
--------------------- p y — ------------- --- ------
APPLICATION FOR DRAIN LAYER PERMIT 3
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work:
Street No. Lot #
Street Name
Premises owned by;
Name of Firm:
Address..Of Firm:
.TYPE OF WORK:
Lay House Drain e ; Repair House Drain
Lay Main - • Lay Lateraf for Commercial/Industrial
Building Hof
__ acres
Connection will be made with �� l✓c
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time fo
r completion d
ALL WORK.TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARD
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT S,
Permit is to be issued to J c�sa
Layer's License No. ? ,S' the holder of Drain
will be issued a Only holders of P-1, P-7 or W 9 licenses
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.
CBYD-N- - -- ---- ___
Signed: —---- "--- - ---- ----Print-Name: -_�Jo r- Lam/ G -
icensed Drain Layer
Standard Forms\Permits\APPLICAjION FOR DRAIN LAYERS PERMIT.doe
TOWN OF SOUTH WINDSOR
SANITARY : SEWER LATERAL ' 'FIELD
LOCATI.ON
DATE OF CONSTRUCTION: y /g teddy
BUILDING :ADDRESS
STREET X7L
SUBDIVISION:
NORTH ARROW
-- —s
t
i i r
.
! k t
3._....... - __-; - �- y
_ ' a
6P ;
• i t
-t
I4-oAf
(7t p _.
,
i
1 {
r
._-..- _.{........._.,1 f._,_.t_..
:
�rc�s�/J
CONTRACTOR (PRINT)" NAME OF CONTRAGYbR'S SUPERVISOR (PRINT)
STREET ADDRESS S@0UR
C7- ` DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER