HomeMy WebLinkAboutDrain Layers Permit 77 Foster Street TOWN OF SOUTH
-, H WINDSOR INSPECTION REPORT
Permit No. 6842 Contractor COVEN CONSTRUCTION CO.
Location 77 FOSTER ST Address P.O. BOX 427
Type Work NEW SAN LAT COVENTRY CT 06238
Phone No. (860)282-0526
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Date Insp Needed 7� MX Date, Insp•-7-740
Time Insp Needed Tlme 'In-80
Inspected By I
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Inpu ' Date
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�mit No. 6842 Town of South Wi r'ermi t• Date. 06/29/1998 ndsor, CT
Expi�ratibn Date 07/29/1998 Drain Layer Permit
)escrip: PR RCPT 86
Applicant
Location
flame COVEN CONSTRUCTION CO. Adds. 77 FOSTER ST
�ddr. P.O. BOX 427 Owner
COVENTRY CT 0 � gr
'hone No. (860)282-0526
The Drain Layer ass i ghed "th i peg t►i ties val i,.dl'ieense issued by the
state and hereby agreSs- 1 „thq terms 'and ,aondf-Leon's set forth in the
attached 'Conditions ' . '-A1 Work a 'al'T be ,4n a6i6orfitan�e with Town of South
Windsor standards, all OSHA r, qui 00,M , 'and tf�j ,'attached conditions .
ssued By �
„✓. 400000, - - --
ate Inspected
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVANAVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: 7`"U SAS 17 Lot #
-� Street No. Street Name
-�
Premises owned by: -mot o 14'o E l G
Name of Firm: V �ti;1 Phone: 7 C/,Z 02 q.b/
Address of Firm: PO "3 v .Z v �-, �
TYPE OF WORK:
Lay House Drai Repair House Drain ;
Lay Main Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with o2 J P U S L/� �Q
Proposed Start Date q1 l Estimated time for completion �j
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT J
COL)C� Co
Permit is to be issued to ( tiV
_ , the holder of Drain
layer's License No. a 6-7�i�� � Only holders of P1, 0& W9 licenses will be
u 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 nut T xv
Lic sedg�ln Layer
)ate: (�
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: ,s7 9 F
BUILDING ADDRESS r,7 1?
STREET
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SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONT CT OR' SU ERVISOR (PRINT)
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STREET ADDRESSCQ // � ZZ yy SIGNAT E
C, Ct,#,c y C� �-bo� (1 /L c✓+� �l ATE
-TOWN---- b-- � STATE ZIP INSPECTS B 0�
N O? l- !/ !// �7�j��ATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER