HomeMy WebLinkAboutDrain Layers Permit 350 Foster Road I
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7059 Contractor SILVESTER VIOLETTE & SONS
Location 0350 FOSTER ROAD Address 65 CHERRY STREET
Type Work NEW SAN LAT EAST HARTFORD CT 06108
Ph6ne3,,�No. (860)289-3466
Date Insp Needed 4 = �{ pate Insp. �Zc;�/
Time Insp Needed Z ti"r Insp: / ^7
Inspected By
Work in Progress
Input kj P1110Z Date 1014
PefiniiAt No. 7059 Town of South Windsor, CT
Per it Date 09/28/1999 Drain Layer Permit
EXP .ation Date 10/28/1999
Descrip: USER FEE PAID CK#1002
Applicant Location
.Name SILVESTER VIOLETTE & SQ S Addr.:- 0S50 FOSTER ROAD
Addr. 65 CHERRY STREET Ctr�er °GILtETTE NANCY C
is
EAST HARTFORD CT: 6 fie=
Phone No. (860)289-3466 r
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The Drain Layer ass�4=+fir l;o h s p r i t has v d 11
cense issued by the
state and hereby agre.eas �1 tie = rtt _andoi toffs set forth i n the
attached 'Cond i t i ons 'l.., gA l'"'..w,Irk sholl 7 n a rr'itnce with Town of South,
Windsor standards, al 1 `OSAn' +e�j r i � And b i Attached conditions.
. ,
Issued By J, �E(2NA �= _ t! oc lNG1NFfL
Date Inspected Z Inspected 8y
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDS:OR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: 12's-0 Fo ste'r, Lot #
Street No. Street Name
Premises owned by:
Name of Firm:_ r
en Phone: " 3
Address of Firm: (�ep u S+
TYPE OF WORK:
Lay House Drain_; Repair House Drain
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
cr
Connection will be made with ScL �� Pik
Proposed Start DateQ',M _ Estimated time for completion 9"09- 9 7
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.
Print Name: 21)
Licensed Drain Layer
Date: - -
standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL
FIELD LOCATION
DATE OF CONSTRUCTION.-
BUILDING ADDRESS
STREET
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CONTRACTOR (PRINT) N E OF CONTRACT 'S SUPERVIS R (PRINT)
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STREET ADDRESS SIGWTUR
CIA- �� ATE
TOWN ______ STATE ZIP INSPEC D BY WN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER