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HomeMy WebLinkAboutDrain Layers Permit 207 Garden Circle VUWN OF- SOUTH WINDSOR INSPECTION REPORT Permit NO. 7355 Contractor R. J . FIJOL INC ' Location 0207 GARDEN CIRCLE 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 mate Inep. Time Insp Needed ;I`Ame:.Insp. Inspected By yY Work in Progress (� Input Date C I! 3 ,.-mit No. 7355 Town of South Windsor, CT Permit Date 11/20/2001 Drain Layer Permit Expiration Date 12/20/2001 Descrip: USER FEE PAID CK#1331 Appplicant Location Name R. J . FIJOL INC Addr. 0207 GARDEN CIRCLE Addr. PO BOX 296 Owner SOUTH WINDSOR ESTATES LLC 600 OLD WEST WARREN RD W. WARREN MA 01092 ,,. j Phone No. (413)436-5674 i The Drain Layer ass i�nedh�s pr'm r ►as s Ya 1 �d �1 i cense issued by the state and hereby agrees to alfi the terms and` ootidi:tions set forth in the attached 'Conditions' A1,1 work sha11 b 'fin ,6ccordance with Town of South Windsor standards, all �t?SH�4= re4ui reents, t: ie atiached conditions. !, V Issued By Q�2n/A ; ::Tithe '(���( . ��0, �. Date Inspected Inpected 8'y Permit No. 7355 Town of South Windsor, CT Dcrmi i- r)o+,n i i /rill /9/1l11 n---4 -4- n ._ 1 . .,_ • ; . . -795� 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: 4,dmC-/V �Cl C--- Lot # e,� Street No. Street Name Premises owned by: Name of Firm: Ry /�/,TO ILI Phone: Address of Firm 4% � :5� �-)twlzlftzo Ae/ -�--- TYPE OF WORK: Lay House Drain; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with( 2 Py .m Existing Water Supply: Public Water Well 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 �(/ /�� the holder of Drain Layer's License No. „ 02 2J% 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: G� Print Name: �� � c,��--6Z Licensed Drain Layer Dat . G' /, �, Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc.