HomeMy WebLinkAboutDrain Layers Permit 699 Foster Street i
+ TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7618 Contractor JAMES THROWE
Location "kFOSTER STREET Address VANS SEWER & SEPTIC j
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
el o. (860)289-0095
Date Insp Needed s 03
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Time Insp Needed
Inspected By
Work in Progress
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Permaf,,-N*. 7618 Town of South Windsor, CT
Permit! Date 04/07/2003 Drain Layer Permit
Expiration Date 05/07/2003
Descrip: CK 438-9 $60 .00 CK 11066 $52 . 50
Applicant Location
Name JAMES THROWE 469 , FOSTER STREET �
Addr. VANS SEWER & SEPTIC O D SR STEVEN R &KELLY G S
97 RIVERSIDE DRIVE 4
VERNON CT 0
Phone No. (860)289-0095 ,
The Drain Layer as ,i s a dP cense issued by the
state and hereby agre d 1(,jo s set forth in the
.' attached 'Conditions' k OAqc with Town of South
Windsor standards , all ached conditions.
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Issued By
SORDate Inspected s By
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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: �>9 9SUS Lot
Street No. Street Name
f Premises owned by: 1 VO J /G�8
Name of Firm: its � c �erv�
L(-Phone. - X) S
Address of Firm: � ,1
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main , Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water. Well
Proposed Start Date_8� Estimated time for completion 2±/fx_�Oj
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 t m the h I
Layer's License No.�G older of Drain
---� Only holders of P1 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 ConnDOT Permit No.
Signed: 4
- -- - -
- - - Print Name: - - - rolv��
Licensed Drain Layer
Dare:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr.doc
TOWN OF SOUTH WINDSOR
SANITARY: SEWER LATERAL FIELD LOCATION
DATE OF.. CONSTRUCTION: a
BUILDING' ADDRESS .;. YTelg
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OFCONTRA 'S SUPERVISOR (PRINT)
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STREET ADDRESS G TURE
T� vr� edm. ( r" 1.[ �/�U'� ��G 6G.�� �� g/L DATE
TOWN STATE ZIP INSPECTED BY TOWN
crJ7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER