HomeMy WebLinkAboutDrain Layers Permit 72 Gilbert Lane (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor JMJ CONSTRUCTION CO.
Location Address 658 ELLINGTON ROAD
Type Work NEW SAN LAT SOUTH WINDSOR CT 06074
ne No. (860)528-7889
Date Insp Needed Lisp, tcl-
Time Insp Needed
Inspected By
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Perin.r. N;o. 7407 Town of South Windsor, CT
Perali;► Uate 04/19/s2002 Drain Layer Permit
Expiration Date 05/19/2002
Descrip: CK#11527 , 11525
Applicant Location
Name JMJ CONSTRUCTION COs dr t 2 GI LBERT LANE
Addr. 658 ELLINGTON ROAD ` LA REALTY INC
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SOUTH WINDSOR CT 0 fi
Phone No. (860)528-7889
The Drain Layer a4,s !� s, as 1 'cense issued by the
state and hereby agr se� t nd s set forth in the
attached 'Conditions n a with Town of South
Windsor standards, all Q � ched conditions.
Issued By 0
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Date Insp®cted' f23Z.. s e y
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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: 7-.-)- CIJZ166-14 Lot 4t s^
Street No. Street Name
Premises owned by:
Name of Firm: Phone:
Address of Firm: '4"L1k1S!tQejSAl
TYPE OF WORK:
Lay House Drain 1� ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with _ 3
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 '��� catv�S J�2t G 'the holder of Drain
Layer's License No. &OWW30 ly 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: 7An TG�tyeS
Licen Dr aye'r
- 9 Dater
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�\ Standard forms\PermitsWPPLICATION FOR DRAIN LAYERS PERMff'.doc �2�/ zj
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET . `i' 41 /�ArT- 4eN
SUBDIVISION: 64 CTT9 *--J
NORTH ARROW
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CONTRACTOR (PRINT) NAME 0 CONTRACTOR'S SUPERVISOR (PRINT)
757- p�-C �e- e*:�
STREET ADDRESS SIGNATURE
-foy,t,4 c r 06 v 7% DATE
TOWN STATE ZIP INSPECTED BY TOWN
0'` U S"1 - S'"3 S"2 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: °L
BUILDING ADDRESS : 157
STREET : �-► �-tr t- -►
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SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT); NAME F CONTRACTOR'S SUP RVISOR (PRINT)
STREET ADDRESS SIGNATURE
� 1�-1 r,r, Cf 0607 � DATE
TOW /STATE ZIP INS: TED OW BY
60 Z
Z tz DATE
NTEL HON NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER