HomeMy WebLinkAboutDrain Layers Permit 206 Garden Circle \ ` TOWN OF SOUTH WINDSOR INSPECTION REPORT l
Permit No: 7354 Contractor R. J . FIJOL INC
t9petWonk 0206SAARDAM CIRCLE Address BOOBOKD296ST WARREN RD
Z06 &A9P� CAR.UL W. WARREN MA 01092
5A� gal' Phone No. (413 )436-5674
Date Insp Needed _ Date "I'nsp.
Time Insp Needed Time -.znsp.
Inspected By
3
Work in Progress
�i
np t C4A-&- Date I'
e I
is
I
I
Permit No. 7354 Town of South Windsor, CT i
Permit Date 11/20/2001 Drain Layer Permit
Expirati6n Date 12/20/2001
Descrip: USER FEE PAID CK#1331 I
I�
Applicant Location
Name R. J . FIJOL INC Addr, 0206 GARDEN CIRCLE
Addr. PO BOX 296 OWrr` SOUTH WINDSOR ESTATES LLC
600 OLD WEST WARREN RD..- _
W. WARREN MA 0102
Phone No. (413)436-5674
The Drain Layer assigned th7s permf has a vaJ,id license issued by the
state and hereby agrees' tQ 71 the ""terms and cond.ition,s set forth in the
attached 'Conditions' ' A 1 1 = ►ork` sh'A11 '°ae;, i n accgirdang4 with Town of South
Windsor standards, a1 -DSHArsqu rements� ;and th attached conditions.
Issued By Title re 0,)Q0_
Date Inspected Inspected 8y
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOrR, CT
FEE $25.00
Location of proposed work: D �D��/ ��C��-" Lot #
Street No. Street Name
Premises owned by:t `� ��U�� EDEL,0,,, 25
Name of Firm: Phone:
Address of Firm: 6Od 0G1-)
f c��T (,CJr4��fl�ty JYI�t SS D
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Date /0W-iQV 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 �..�;�[o —174� the holder of Drain
Layer's License No. 7 7k� . Only holders of Pi 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: Print Name: w� 1� s
Licensed Drain Layer
Date: �
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc