HomeMy WebLinkAboutDrain Layers Permit 969 Foster Street 1
• TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7486 Contractor COVEN CONSTRUCTION CO.
Location �� Ni
ITR T Address P.O. BOX 427
Type Work NEti+ S ►N LAT COVENTRY CT 06238
ne No. (860)282-0526
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Date Insp Needed
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Time I nsp Needed
Inspected By
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"Permit `-No. 7486 Town of South Windsor, CT
Permit Date 08/14/2002 Drain Layer Permit
Expiration Date 09/13/2002
Descrip:
Applicant Location
Name COVEN CONSTRUCTION .+ r 69 FOSTER STREET
Addr. P.O. BOX 427 e Q . URN NEIL D & BARBRA J SURV
COVENTRY
Phone No. (860)282-05 6
The Drain Layer h ha license issued by the
state and hereby a 1 a it ons set forth in the
attached 'Conditio in ce with Town of South
Windsor standards, r ttached conditions.
Issued ByALI
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Date Inspected SUR.I 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: q 69 t-oS �`'� � �'� Lot #
Street No. Street Name
Premises owned by: , v t Co v
Name of Firm: CrNj ►^'C Phone:
Address of Firm:2c) Pak, C.Oc-'i C
TYPE OF WORK:
Lay House Drain ; Repair House Drain
Lay Main ; Lay Lat raI for Commercial/Industrial
Building k— of acres
Connection will be made with
Existing Water Supply: Public Water VOOOO Well
Proposed Start Date ® Estimated time for completion IPA
ALL WORK TO BE IN ACCO DANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Cou " Go--1-b
Permit is to be issued to k7i i L tJ x) v rtis �t the holder of Drain t
Layer's License No. .4,o7 ei� Only holde s� or P7 licenses will be l 31 /J-06d,
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 CorjnDOT Permit No.
CBYD No. o4;L� 3 3 01-- 0 6 jlwck
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Signed: -Print Name:
L cens r i Layer
Date: o
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY . SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
SUBDIVISION: 02
NORTH ARROW
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CONTRACTOR PRINT) NW
F CO RA 'S SUPERVISOR (PRINT)
R
STREET ADDRESS SIGNAT RE
DATE
TOWN 1 STATE ZIP INSPECTED BY TOWN
O � q DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
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(CALL BEFORE YOU DIG - CT) 08/13/2002 16 :31 :01
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***** ROUTINE *****
TIME. . 16:27 DATE. . 08/13/2002
REQUEST NO. . . 200233@1400
LATITUDE. . 41. 8468647 LONGITUDE. . -72. 5320396
� TOWN. . . . . . SOUTH WINDSOR
�
ADDRESS. . . 969