Loading...
HomeMy WebLinkAboutDrain Layers Permit 96 Gilbert Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. , 7240 Contractor JACQUES CONSTRUCTION (JOHN) Location 0096 GILBERT LANE Address 67 RIDGE ROAD Type Work NEW SAN LAT SOUTH WINDSOR CT 06074 " Phone No. (860)432-1823 Date Insp Needed mate Insp, bt 3a a Time Insp Needed 1ime . Insp. ASF Inspected By1 ( `= Work in Progress ®/ v�/'- a�.L,� p�`i�✓ ', S�o.� / rG,u- �y > F^I,✓.�2i✓iv� � ,� j„tm2�G f' t1' tr�1T TC',ai.N -/rvdyd cT"z6N /l/t'y�✓ ✓✓ O/ to:dv As-tvrvC 5l� 1 � v►r�Tr( " Input Date Permit No. 7240 Town of South Windsor, CT Permit Date 01/30/2001 Drain Layer Permit Expiration Date 03/01/2001 Descrip: PERMIT RENEWAL - #7223 EXPIRED Applicant Location Name JACQUES CONSTRUCTION -,JOHN), -Addr.._ 0096 GILBERT LANE Addr. 67 RIDGE ROAD Owrie:r C,LARK REALTY INC SOUTH WINDSOR C-'- 001- �< Phone No. (860)432-18 The Drain Layer a6 rrwc nth i 'perm f t= hips a" ' i d 1 i cense i ssued by the state and hereby a r-ee 1 ns a 14�on j, Jons set forth in the attached Cond i t i o work h r1 fire i nJa� c�rdance with Town of South Windsor standards, aI L A " ' td e► i t ts>, and'�ths "attached conditions. Issued By " �� �' T'i t 1 e Date Inspected 3� insp��te'd By 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: � 6SeiT l r Lot # � Street No. Street Name Premises owned by: _ ��)7iI C©/7S Name of Firm: Phone: Td6 Address of Firm: TYPE OF WORK: Lay House Drain---.�Z ; 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 1130101 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 J�` J�Gaa'--s1:,')--e9Lc7-c-Wj, he holder of Drain Layer's License No. 20!9c6,3 ly holders of P1 or P7 licenses will be issued a permit. PERMIT WILL EXPIRE HIRTY (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: 6 a If 6;1 S Lice Dr ' ayer Date: 30 a1 Standard orms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: Li 1 3 I o® I BUILDING ADDRESS to q� STREET SUBDIVISION: P e e1 SMA NORTH ARROW I i I �3 - , la iPy. 1 W i 1: . j t 'r 1 , F { t 1 CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SU ERVISOR (PRINT) STREET ADDRESS / SIGNATURE �� ©b � ��f_ �(j�J/� _ _ � 3� � DATE TOWN STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - 'TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 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 �I 16-K� 'k1. Lot #� Street No. Street Name Premises owned by: n4.T r�4w s- z.r o Name of Firm: Phone: a 8 Address of Firm: `�o,� R4� TYPE OF WORK: Lay House Drain ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with Q('� 3 S— Existing Water Supply: Public Water V"" Well Proposed Start Date a Oo 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. 249$3 0 OnWholders 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: i Print Name: License rai er Date: l?' /0C) 10 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc / & 241101