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HomeMy WebLinkAboutDrain Layers Permit 3 French Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7186 Contractor JACQUES CONSTRUCTION (JOHN) Location 0003 FRENCH LANE Address 67 RIDGE ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No. (860)432-1823 Date I nsp Needed 1 Q A°L( C3 gate Insp. �ia &CM Time Insp Needed --r �� : ime n,sp �i t11 Inspected By ��f�►Ce+��� --••-lr- Work in Progress -45Ki-=N off, �a ~�pack.Qvf-)A zm SvbN � Q Perri t No. 7186 Town of South Windsor, .CT PeCma-�J)ate�--09/15/2000 Drain Layer Permit Expiration Date .10/15/2000 �! Descrip: Applicant Location Name JACQUES CONSTRUCTION (JOHNS ;AddF-. -0003 FRENCH LANE Add r. 67 RIDGE ROAD w er 01,ARK REALTY INC SOUTH WINDSOR CT 4 " Phone No. (860)432-1823 f The DrIAi n Layer ass i gne i th 1s �-t it ��s` valid, l`,i cense issued by the state and hereby agr a tc tl th `and 6gflditions set forth in the attached 'Conditions!, A lk `niy© k ,chat 1, n a�c� rdsnce with Town of South Windsor standard all �?� � equ��"�m�n�s, andattached conditions . Issued By Tz.tle Date Inspected R Iq 0VQ Lnspscted By, 4 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: -3 F'-el,-?G1j 11-7 Lot # //&9 Street No.. Street Name Premises owned by: �� � l h ✓ Name of Firm: Phone: Address of firm: .Smgp oG-t SGL� T TYPE OF WORK: Lay House Drain v//' ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with S'0�/R -3 Existing Water Supply: Public Water Well Proposed Start Date S`l� Estimated time for completion ALL WORK TO BE I ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to o .l^ S , the holder of Drain Layer's License No. aOf'V 3C-2 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. Signed: ZPrint Name: �oAVI ticc C1 S' License rai er Date: 00 61 Standar Forms\ ermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: q -Z l-'a CX50 BUILDING ADDRESS I_OT V 40 STREET : MQgCB V-F\t E SUBDIVISION: NORTH ARROW ' ! I f 1 i v • i 1 4 t , r ' 1 ! i 1 i i 9 .. I i , , I i... t 1 i I , ' 3 CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION. BUILDING ADDRESS C 4 Lla STREET : e'rt c' �- �-- -I- SUBDIVISION: NORTH ARROW 1 i ` # o --+ c- -# ` 1 V CONTRACTOR (PRINT) NAME OF TRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURE DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS T ' i STREET f� #- SUBDIVISION: HIP ,Eslrel;b NORTH ARROW 1 i I t + i 1 �..._ � � .-�_ ,-. » _i__._.....} � _-_i}"__' i __d__.. ' _..._� f -_..._..� _, i M3� j 3.__._"___3...._..__I- ..j.._.__ � _1_-__.._i _..-._�...____. i I i �• A-r j 4..__�.-...__.....�_.__...�_..........3..-».___J....,..__�._.........d._.-..._.,.i_......,»...1..�__.-._4..._.._....�..»._.._�....._.....�._._L_—_.-...-1........».__5....�...1...».._....�L�»_3_..___.i_�....._.i.�-...�....._.........�..._...._�.__.___.+_._._.....1___.....�..»...-._e_ww.._»._...--..1.......... ...�...,, CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIGNATURC S Q vt 4/o��faY L'T Ob® 7 Y DATE TOWN STATE ZIP INSPECTED BY TOWN 8 6 O DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER