HomeMy WebLinkAboutDrain Layers Permit 56 Gilbert Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 7485 Contractor JACQUES CONSTRUCTION (JOHN)
Location ' Address 67 RIDGE ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
ne No. (860)432-1823
Date Insp Needed
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Time I nsp Needed
Inspected By r
Work in Progress Fr
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Per. i 1Fo. 7485 Town of South Windsor, CT
Permit Date 08/13/2002 Drain Layer Permit
Expiration Date 09/12/2002
Degcrip: 11868 192 . 50 11869 910.00
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Applricant Location
Name JACQUES CONSTRUCTIO (apQ d4r 56 GILBERT LANE
Addr. 67 RIDGE ROAD RK REALTY INC
SOUTH WINDSOR
Phone No. (860 )432-18 3
The Drain Layer ` ha license issued by the
state and hereby a 1 an i ons set forth in the
attached 'Conditio in r ce with Town of South
Windsor standards, r ttached conditions.
Issued By
Date Inspected S OR ., d By
J
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: 5 61 Lot #
Street No. Street Name
Premises owned by: J14 J_
Name of Firm: - Phone: �� �
Address of Firm: .5 S
TYPE OF WORK:
Lay House Drainv; 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_�41Estimated 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 J^ kkq S R the holder of Drain
Layer's License No. 20— On holders of P1 or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE T IRTY (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
C
_ Lice ed ai Layer
Date: 8
Standard FormAPermitA LICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING .ADDRESS L�
STREET '� e
SUBDIVISION: es
NORTH ARROW
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CONTRACTOR (PRINT) NAM OF CONTRACTOR'S SUPS SOR (PRINT)
�5T 1 1 - -o Z_
STREET ADDRESS T I NATURE
f r C / O yl o 44:1"�s.�� DATE
TOWN STATE
STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER