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HomeMy WebLinkAboutDrain Layers Permit 34 French Lane e TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7072 Contractor JMJ CONSTRUCTION CO. Location 34 FRENCH LANE Address 658 ELLINGTON ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 Phone No. (860)528-7889 Date Insp Needed I6&Z//" n D 6 xlnsp. 7 ;P _ Time Insp Needed Tie. Insp�' Inspected By Work in Progr ss ( 2' Input Date U //55 ermit No. 7072 Town of South Windsor, 'CT4. PetsmStDate 10/13/1999 Drain Layer Permit Expiration Date 11/12/1999 Descrip,: CK9517 FORPRO RATE FEE Applicant Location . Name JMJ CONSTRUCTION CO A`dr,� 3`4 FRENCH LANE Addr. 658 ELLINGTON ROAD , ( weer '�1MJ ��CONSTRUCTION SOUTH WINDSOR CT,t05(?� 9, . Phone No. (860)528-7889 The Drain Layer as +�rie+� #h serm�t„has $ val ci ,1:'l cense issued by the state and hereby agr ens , 1 the Qrms and C0n0i tio6s set forth i n the attached 'Conditions' . Al � # rk sh 1 n a. ante with Town of South Windsor standards, a11, OSHACi�t" t) 11Se,.And # e attached conditions. > 1 Issued By Date Inspects Q z7 :, Inspeed By ' 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` - Lot # .3 6 Street No. Street Name Premises owned by: Name of Firm: _ Phone: O 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 �, 3 Proposed Start Date`�` Estimated time for completion 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 J the holder of Drain Layer's License No. �3a . On holders of P1, P7 &W9 licenses will be issued a permit. Permit will expire thirty 0) 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: Print Name: — L ce Dr Layer Date: - - Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: / 0 � — BUILDING ADDRESS 6 STREET . SUBDIVISION: ,D '�-� � •'� �f� Sfi� (� NOR^�THH ARROW � I I i M� CDC Sfi' C o . S Cor/" Ccr �P CONTRACTOR (PRINT) NAME PF CONTRACTOR'S SUPERVISOR (PRINT) 4,co� STREET ADDRESS /� SIGNATU -S. �✓�yl�sOV, C-r © b/V� � -DATE TOWN STATE ZIP INSPECTED BY T6rN Y�; 0� ,ITDATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS Lvf STREET SUBDIVISION: H'i/ 47fl-4r.--i NORTH ARROW .T As t ' i z t t ! i 1 � s , i t �_.._._..�._.� �. _ .'—"`.�•'"!,•+r+K•'.icy'.'�"'___.j..__..�..�...._____. _._ .�_.....�t _.....�,__._.k ......�..�._._.s__._...� A � i i i 1 1 i '1 11111 i I i � 'I"'_"..._ t i �_�._• _ t � I 1 _v a j i I I I ___ _.__. __ __ ;__._._.1._.___ _. ___ , • 3 t • � �—•6 I � f Co �a �� �}�rh�e CONTRACTOR (PRINT) NAM�ONTRACTOR'S SUPERVISOR (PRINT) 75- &atrvo)c`c e- 4/c..y wain STREET ADDRESS SIGNATUR s0 ti11i iv/4,1-r t1Y e-r 060 7 y DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE. NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER