HomeMy WebLinkAboutDrain Layers Permit 1043 Foster Street i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7883 Con:t'Yactor COVEN CONSTRUCTION CO.
Location 1043 FOSTER STREET -"Addre s P.O : B7X 427::;,.
Type Work NEW SAN LAT GOVENTRY CT 062:38
Phone No (86'0)2820526:
Date Insp Needed ............. .....
Date Tn'sp ' �
Time Insp Needed _______ Tz�te Izi: a � lV(
Inspected By
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Work in Progress ,Y1hr� p( : 6 e_ t2 ' k�,�1 ✓�sx' �j�Vtb
lYt7 As nput _ — Date 0110"015y--
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Permit No. 7883 Town of South Windsor, CT
` Permit Date 03/02/2005 Drain Layer Permit
Expiration Date 04/01/2005
Descrip:
Applicant Location
Name COVEN CONSTRUCTION' Ct Adcr 1043 FOSTER STREET
Addr. P.O. BOX 427 �3anez OHLHOF_-AIBERT E & LOIS H
COVENTRY Cx O'6238
Phone No. (860)282-0526
The Drain Layer;assigned this p..... . t ha's va.11d 1i`cerise asSued by the
state and hereby agree to ailzthe terms and condatxofs set:,.forth in the
attached 'Conditiono' All Wo'r'k sha1:1 be �:n accordance w�>th Town of South
Windsor standards, a7,.1 O-5HA r quxr!t. e s, .;and th..e attdche:d conditions.
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Issued By � itle ----------------
Date Inspected --------------------- Inspected By
---------------------------
APPLICATION FOR DRAIN LAYER PERMIT
' TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: �-- �c� Lot #
Street No. Street Name
Premises owned by:A C. 3 tc&f (59 L 14 e F
Name of Firm: /11 l (wy N y-4Cd �, Phone..�Ca� 01l � 614
Address of Firm: IT,) l3
v a.
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building -of acres
Connection will be made with $ 3 U c
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATT CHED TO THE PERMIT
Permit is to be issued to i �� s L the holder
Layer's License No. a c, �; of Drain
will be issued a permit. P R MIT WILL EXPIRE THIRTY ers of(30) DAYS A licenses
( ) YS 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.
BYD-No.— - - - ----- --- - -
signed: - ---- -
Print Name: t C,
Lice'rin Layer
- Date: -
StandarlFormw mits�APPLI TION FOR DRAIN LAYERS PERMIT.doc
Standarmits\App
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