HomeMy WebLinkAboutDrain Layers Permit 2 Gilbert Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6999 Contractor JMJ CONSTRUCTION CO.
Location 0002 GILBERT LANE Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
Phone No. (860)528-7889
Date Insp Needed cle Q Qate I:nsp: ��7�/9
Time Insp Needed
Inspected By
Work in Progress 44s�-.�c.cr.�'
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Input Date 1A1.�1�5
rM t- No. 6999 Town of South Windsor, CT
'Permit Date 06/07/1999 Drain Layer Permit
t4j,r-htion Date 07/07/1999
Depdrip; CK 09035 775 .00 CK 09037 195
Applicant Location
Name JMJ CONSTRUCTION CO. � 1d 0002 GI LBERT LANE
Addr. 658 ELLINGTON ROADweuRK REALTY INC
SOUTH_ WINDSOR CT 04,?,-
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Phone No. (860)528-7889 � �
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The Drain Layer as _ g
state and hereby agreeis�
s 'cense issued by the
ni,.000s set forth in theth >� ,
attached 'Conditions' . in with Town of South
Windsor standards, all -0 qu and ched conditions.
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Issued By
I
1pate fInspected 28 , �
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: �1 ( �>°�� Lot #
Street No. Street Name
Premises owned by:—ANEW 7N ,
Name of Firm: Phone: clt;-o
Address of Firm: jjZ ' vi
TYPE OF WORK: .
Lay House Drain • vl�• 'Repair House Drain—
Lay
;
Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with,Sh,& 3-
Proposed Start Date 6-'- p9 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. c-2LOP�-'3O /Only holders of P1, P7 &W9 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.
Signed: Print Name:
Li se in Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR `
SANITARY SEWER LATERAL FIELD LOCATIQ���N,e �,4 -
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET
+ SUBDIVISION: 13
NORTH ARROW
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CONTRA114 I T NAME T CTOR'S SUPERVISOR (PRINT)
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STREET ADDRESS SIGN R
TOWN STATE ZIP INSPECTED BY TO N
DATE
TELEPHONE NUMBER a:
WHITE TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER