HomeMy WebLinkAboutDrain Layers Permit 104 Garden Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 72 7 y Contractor R.J . FIJOL INC
Location Address PO BOX 296
Type Work NEW S 600 OLD WEST WARREN RD
W. WARREN MA 01092
Phone ,-No. (413 )436-5674
Date Insp Needed /,✓z-L,'C4Lc. Bate I'nsp.,
Time Insp Needed
Inspected By
Work in Progress .C.G7`��.4� r. J2arylat�� I,t,��j"�GLe' � (/✓����
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input Date 1/7 /
Permit -No. 7277 Town of South Windsor, CT
P 'rt�► t date 05/14/2001 Drain Layer Permit
Expiration Date 06/13/2001
Des-trip : CK 16525 - 4 UNITS
Applicant Location
Name R.J . FIJOL INC lddr': 104 GARDEN CIRCLE
Addr. PO BOX 296 = Owher
600 OLD _WEST WARREN RD
W. WARREN MA 01 2
Phone No. (413 )436-5674
The Drain Layer ass:i end; th 1 s p®rtr �t'.h ►s as va i i d 'license issued by the`
state and hereby agrge-p, iro , 1 ' the t®rms and cotici Lions set forth in the
attached 'Cgnd i t i ons ',.`` A 1 l `nZgk shall be i n aci`rlance with Town of South
Windsor standards,
�.qu 1 13tribt9t , and th"e attached conditions.
Issued By
Date Inspected �l b/ :Inspected By
APPLICATION FOR DRAIN LAYER PERMIT ,g 72-7?
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: ('044-At"." er`�c% Lot # D
Street No. Street Name
Premises owned by: ( e)ul 1-4"/ ' ""k)
Name of Firm: / )-o Phone:
Address of Firm: 69/Cl �ie,3 1-4 V4z?A0,,
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �fw�- '*,3 o
Existing Water Supply: Public Water_ Well
Proposed Start Date S--Z13 Estimated time for completion 0
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 2P le-'d-4'aclos Z' r the holder of Drain
Layer's License No. �Gln ao -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/ d attached thereto. Applicant has received Town
Street Excavation Permit No. �'� and/or ConnDOT Permit No.
CBYD No.
Signed: Ay Print Name: aa/ �ec�169�c%s�•
Lice sed Drain Layer
Date: S 6
Standard Forms\Permlts\APPLICATION FOR DRAIN LAYERS PERMIT.doc