Loading...
HomeMy WebLinkAboutDrain Layers Permit 2 French Lane A � I TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. Contractor JACQUES CONSTRUCTION (JOHN) Location Address 67 RIDGE ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 "Phonq No. (860)432-1823 I Yj Date Insp Needed 1/ 'Z-4_ Date Insp. Time Insp Needed T rme` t6-P l it Inspected By Work in Progress lviill I', Input -Date / it i+ it I, Town of South Windsor, CT Permi to;,° Q., 7323 Drain Layer Permit Permit gate 08/07/2001 Expiration Date 09/06/2001 Descrip: CK 10933 $875 .00 CK10934 $187 . 92 Applicant Location I Name JACQUES CONSTRUCTION (,JQHN) Atldr. ..0002 FRENCH LANE Addr. 87 RIDGE ROAD � 3q�vraer CLARK REALTY INC SOUTH WIflSOR CT PrQ # Phone No. (860)432-1823 a The Drain Layer as���nAci this pgrni has v :1d 1cense issued by the state and hereby agreps °tQ 1 Y.`t h8 a vr-Ma` and 'G�6,v Ac ns set forth in the attached 'Conditions' -A`1 '.£ ?Y`k spa"7 .n ae ©rdanc with Town of South Windsor standards, a 1 ==flSii<" r-qu n "=And tF�e attached conditions. Issued By Date Inspected / P> 7jz 3 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT - TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: �r�y,GG� �Yl Lot # Street No. Street Name Premises owned by: Name of Firm: c '' Phone:9206 Address of Firm: TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S 3 Existing Supply:Water Su l : Public Water Well Proposed Start Date D Estimated time for completion ZP ALL WORK TO BE INVAORDANCCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTA HED TO THE PERMIT Permit is to be issued to S e holder of Drain Layer's License No. 0 . Only Olders of Pi or P7 licenses will be issued a permit. PERMIT WILL EXPIRE THI TY (30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. ---— - -- -— — - r--- - Signed. Print Name: Li en D Layer Date: o Standard For s\PerZts�APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 06/0 BUILDING ADDRESS © � l STREET : 3 r^ SUBDIVISION: �®''� ►�� ,' 1ST' NORTH ARROW 1 1 7 " I t ! I I t i t 1 1 1 t `r a� 3 i I , ; i ! } ' h i � S M� Co,7Jt co, ��4� �d�,� CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT) Sg E ,o� t��t oLee 1;e�, STREET ADDRESS SI"NATUR c� - - i�Yir�-C ►� �� O6 6- l DATE_ TOWN STATE ZIP INSPECTED BY TOWN xST G DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: 9y BUILDING ADDRESS STREET : Fr-e•7 c l 4-G 4 e SUBDIVISION: NORTH ARROW JF- , , � f I CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) 7$- STREET ADDRESS SIGNATUR S®ufA !Ny i►�IW C-y" D60-7t/ DATE TOWN STATE ZIP INSPECTED BY TOWN if G G S"A DATE TELEPHONE. NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER