HomeMy WebLinkAboutDrain Layers Permit 411 Foster Road ;
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7110 Contractor JAMES THROWE
Location 0411 FOSTER ROAD Address VANS SEWER & SEPTIC
Type Work NEW SAN LAT 97 RIVERSIDE DRIVE
VERNON CT 06066
Phone. No. ( 860)289-0095
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Date Insp Needed 1 C5 / � :w ?ate'Insp,,
Time Insp Needed ! T1me �Insp. � P
Inspected By
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Per- i ' No. 7110 'own of South Windsor, CT
Pemit Date 02/ 16/2000 Drain Layer Permit
Expiration Date 03/ 17/2000 I
Descrip: CONN CHG PAID #4964
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Applicant Location
Name JAMES THROWE Addr, 0411 FOSTER ROAD
Addr. VANS SEWER & SEPTIC rr$tex RIOU RUBERT R & RENATE SURV
97 RIVERSIDE DRIVE E;
VERNON CT,`06) ;
Phone No. (860)289-0095
10 ;
The Drain Layer ass ` this � �m�t' has-, a �Iu17 d license issued by the �
state and hereby agrees the �tf~ and1'rtn
7os set forth in the
attached 'Conditions ' .n1$ r1 `in adcst� ian with Town of South
Windsor standarc al� 45� Uth 3 d attached conditions .
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Issued B
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Nate Inspectid
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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 $25.00
Location of work: �7 /V ry C�
proposed � � 1 � Lot
Street No. Street Name
Premises owne
d by. 4
Name of Firm: y V� r , • 02 �d 1 S'
—. Phone:
Address of Firm: 9 7 R, r{,
TYPE OF WORK:
Lay House Drain , Re
pair House Drain ,
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with o TZ
Proposed Start Date / 7,e L Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDqJ,,0NS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. 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.
CBYD No. aC�5= LA/
- --- - SI ned:
9 Print Name: � r A'-- ,
Licensed-Drain-Layer
Date:
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TOWN OF SOUTH ANDSOR
SANITARY SEWER ..7LATE RAL FIELD LOCATION ;
DATE GF CONSTRUCTION:
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) vo
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STREET ADDRESS 7URE / `
�,e�n�.► �.� �� f�- /Zz/m o DATE
TOWN STATE ZIP INSPECTED BY TOWN
C� 7/ eO 75- DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER