HomeMy WebLinkAboutDrain Layers Permit 103 Garden Circle i
,- Al TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7276 Contractor R. J . FIJOL INC
Location Address PO BOX 296
Type Work NEW SAN LAT 600 OLD WEST WARREN RD
W. WARREN MA 01092
Phone No. (413)436-5674
Date Insp Needed Cq ate Insp: .,::
Time Insp Needed
Inspected By
Work in Progress . Jz1r14J5L / I�.s'fcsc � �✓�'� v-�
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Perm tt No. 7276 Town of South Windsor , CT
Pemil Date 05/14/2001 Drain Layer Permit
E,RpN&&ion Date 06/13/2001
Descrip: CK 16525 - 4 UNITS
Applicant Location
Name R.J . FIJOL INC dr'. " 103 GARDEN CIRCLE
Addr. PO BOX 296 Owner SOUTH WINDSOR ESTATES
600 OLD WEST WARREN R® ,
W. WARREN MA
Phone No. (413 )436-5674
The Drain Layer a4s fined this pert a t':has 'a all"d ''l J cense issued by the
state and hereby agrees i to 11`'the tt�rrm_, and condtions set forth in the
attached 'Conditions ` : ..A 1 ��tQj'k sha1 " ��, :i n ac� , jl�nce with Town of South
.:
Windsor standards, nt ,.. and the attached conditions .
Issued By
Date Inspected �� �� -Insvect �y
✓�`
44
APPLICATION FOR DRAIN LAYER PERMIT 727C-
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: J � ������ �'�t��e Lot # 16L3
Street No. Street Name
Premises owned by: s'o u f few c�soa j s�,�,,l
Name of Firm: )c73 01- s 7` Phone:
Address of Firm: 6'd wdj>� 1'�wAeer e'v
TYPE OF WORK:
Lay House Drain ✓ ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
rt �.
Connection will be made with �UL jf
Existing Water Supply: Public Water. Well
Proposed Start Date ,J�/s' Estimated time for completion c?o '��V✓
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. o�0-27S-1, 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 ` attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No.
-- Si9 ned: a� Print Name: 32)"44�lC �P�Aw�Sf
Licensed Drain Layer
Date: Lltzl—lo
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc