HomeMy WebLinkAboutDrain Layers Permit 303 Garden Circle i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. . 8Q1Q� Contractor COVEN CONSTRUCTION CO.
Location waw Address P.O BOAC.427•
Type Work NEW SAN LAT
YP CC.?.V.ENTi*Z :C.." Q.621-8
Phone'No (SAP)282 '(3526
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Date Insp Needed -------------- ---r Date
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Time Insp Needed ---------------
Inspected By
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Permit No. 8010 Town of South Windsor, CT
Permit Date 12/06/2005 Drain Layer Permit
Expiration Date 01/05/2006
Descrip:
Applicant
Location
Name COVEN CONSTRUCTION:'QG �LS� f - 0303 GARDEN CS'RhE
Addr. P.O. BOX 427wrk� -..S9UT3 -WINDSOR "ESTATES LLC
COVENTRY CT :06238
Phone No. (860)282-05.2
The Drain Layer assigned-this perays valid 13cepS2 1ssud by the
state and hereby agreesi,to a.11 tT�er rindrd2tiats se£ fgrt:h in the
attached 'Conditions' A`11 err } .sha3'1 bd ::in ac r da ee wxCh,'Town of South
Windsor standards, al1*1 tHP re_quxrei8esa s�.�4x the att chid `conditions.
Issued By ------
Date Inspected __________________ ' "Inspected By _
=ta
APPLICATION FOR DRAIN LAYER PERMIT �' U
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
�03
Location of proposed work: G az-y &"o LL(LLot # !-5'
Street No. Street Name
Premises owned by:
Name of Firm: Cou &vim eol� 4jsCL,G`"�- Phone:
Address.of Firm: G ,/` p�-7 coU �,V- G 0
TYPE OF WORK:
Lay House Drain �, Repair House Drain
Lay Main Lay Lateral-for Commercial/Industrial
Building of- acres
Connection will be made with PUG
Existing Water Supply: Public Water Well
Proposed Start Date 113 S Estimated time for completion `
P O
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 toAncn?
N/J � t/�JS L
Layer's Llcense No. � � theolder of Drain
. Only holders of P-i, P 7 or W-9 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: 141 c G
L ULGA. 1
Date:
Standard Forms\Per 1ts\APP CATION FOR DRAIN LAYERS PERMIT.doc
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