HomeMy WebLinkAboutDrain Layers Permit 609 Foster Street (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No...,
o. 7500 Contractor COVEN CONSTRUCTION CO.
Location A.. go
fa Address P.O. BOX 427
Type Work NEWS TAT COVENTRY CT 06238
ne No. (860)282-0526
Date Insp Needed f OZ
T i me I nsp Needed
Inspected By
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P #nr "t►1o. 7500 Town of South Windsor, CT
Permit Date 08/29/2002 Drain Layer Permit
Expiration Date 09/28/2002
Descrip:
Applicant Location
Name COVEN CONSTRUCTION O:' �. 09 FOSTER STREET
Addr. P.O. BOX 427 er CELLINA MICHAEL R & SUSAN R
COVENTRY C
Phone No. (860)282-0
The Drain Laye t h license issued by the
state and hereby r all s a ions set forth in the
attached 'Conditio i d nce with Town of South
Windsor standards, r e e ttached conditions.
x
Issued By
Date Inspected _ ed 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 ro �o proposed work: ® S� S-� Lot #
Street No. Street Name
Premises owned by: G k R C, � SU Ll, 1,�•Y,
Name of Firm: COWC- k) CbAj4 (20 1 Phone:e7 L/ �l b
Address of Firm O f5 o vv
3�
TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with U�
Existing Water Supply: Public Water Well
Pruposed Start Date 40�Estimated time for completion o
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR �TANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to M i c �A L'C ULt4 the holder of Drain
Layer's License No. _. Only holders of Pi or P7 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 CornDOT Permit No.
--— _ - —
CBYD No.
Signed: - Print Name:
Lic sedEr�
r
_
Date:
Standard Form Permits\APPLI -ION FOR DRAIN LAYERS PERMIT.doc
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(CALL BEFORE YOU DIG - CT) 08/29/2002 14:44:21
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-OT 5-SW SWINDS -T5
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***** ROUTINE *****
TIME. . 14:45 D All-E. . 08/29/2002
REQUEST NO. . . 20023502551
� LATITUDE. . 41. 8360443 LONGITUDE. . -72. 5312881
�
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 609
STREET. . . . FOSTER ST
NEAREST
CROSS STREET. . BEELZEBUB RD -
TYPE OF WORK. . . . . EXC TO INST SANITARY SWR LATERAL.
AREA IS MARKED. . . YES
REMARKS:
WORKING FROM ST TO HSE. . . .
START DATE. . . . . . 09/04/2002 START TIME. . 07:30
CALLER. . . . . . .. . . . MICHAEL COVENSKY
CALL BACK. . . . . . . 8-5
PHONE #. . . . . . . . . 860-282-0526
FAX #. . . . . . . . . . . 860-742-Q796
A T. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .. COVEN CONSTRUCTION
ADDRESS. . . . . . . .. . P. O. BOX 427
CITY. . . . . . . . . . . . COVENTRY
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06238
EXCAVATOR DOING WORK. . SAME
DATE: TIME: BY:
DATE/TIME ARRlVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME: BY: 2> DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
~
_ TOWN OF SOUTH WINDSOR
SANITARY , SEWER LATERAL -FIELD LOCATION
DATE OF CONSTRUCTION: o
BUILDING ADDRESS :- 9
STREET : Sj-
SUBDIVISION: J41
NORTH ARROW G ) '��P� a J a T
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c� $ 44
CoN CTOR (PRINT) NAME OF CON CTOR' SUP RVISOR (PRINT)
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STREET ADDRESS SIG AT
Ly A '�" 3 ` DATE
TOWN/ f�STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER