HomeMy WebLinkAboutDrain Layers Permit 985 Foster Street (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
ermit No. 6937 Contractor SILVESTER VIOLET
Location 0985 FOSTER STREET Address TE & SONS
65 CHERRY STREET
Type Work NEW SAN LAT EAST HARTFORD CT 06108
Pho,-No. (860)289-3466
Date I nsp Needed W Dade In
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Work in Progress
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Input ° Date
Pernst& N 6937 Town of South Windsor, CT
Permit fiat's 12/11/1998 Drain Layer Permit
ExpAT lion Date 01/10/1999
Descp: USER FEE PAID - CK#2857
Applicant . Location
Name 8IL,VESTER VIOLETTE & S � �0 , FOSTER .STREET
Addr. 65 CHERRY STREET �
��L WILLIAM P & MARLENE B
EAST HARTFORD CT ' '-
Phone No. (860)289-3466 ,
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The Drain Layer assi n ri t ,as b i ; 1 Lense issued by the
, 2
state and hereby agre0s.;t6 *, � � the nd p a o'r� set forth in the
attached 'Conditions ' . ,A aca w i th Town of South
Windsor standards, all QS h
l� , qu`�'�eh��; 1)ttd 'tt ched conditions .
VIN
Issued By 12,k)A
)ate Inspected
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WIIITDSOR, CT
FEE$25.00
Location of proposed work Lot #
Street No. Street Name
Premises owned by.
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Name of Firm: f� Phone: 2 c ' 3 e?'
Address of Firm:
{ TYPE OF WORK:
Lay House Drain Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with C f Y C
P
.f r completion
Proposed Start Date � E imate time o
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 to the holder of Drain
layer's License No. Only holders of P1, P7 & W9 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: f Print Name // of
Licensed Drain Layer{
Date:
E
�t
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS �' ios7ec
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGNAT
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TOWN STATE ZIP INSPECTED BY TOWN
G DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER